While senior IT folks try and figure out how to procure and secure their own solutions, users end up using Dropbox or other insecure solutions because it doesn’t require much to download and they can start sharing files immediately. Sophisticated requirements like clinical collaboration, secure file sharing, medical grade document management, and secure messaging (especially texting) can not be easily deployed within a single facility because the default security mechanisms and firewall controls prevent their effective use. Just as users found ways to use Microsoft Excel and Access to get around EHR database problems and financial system woes, the cloud is creating another generation of Shadow IT problems. Given the wealth of cloud offerings available, many of which have better security in the cloud than some on-premises “clinical” solutions, Shadow IT is growing and will cause more problems in the future as we try to reign it in. However, there is a larger Shadow IT movement in many clinical settings than senior executives are willing to admit. It’s a common misconception that if executives at hospitals or practices don’t have time to deliver sophisticated IT solutions to their users that users will just wait patiently and hope that solutions will arrive someday.
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