Digital Governance Framework for Salesforce Data Cloud in Healthcare Insurance Platforms

Susil Sahu

doi:10.69968/ijisem.2024v3i2120-128

Authors

Susil Sahu Solutions Engineer Executive, Advisor( US), Elevance Health

DOI:

https://doi.org/10.69968/ijisem.2024v3i2120-128

Keywords:

Digital Governance, Salesforce Data Cloud, Healthcare Insurance Platforms, Data Security and Privacy, Artificial Intelligence and Interoperability

Abstract

The fast digitalization of insurance systems used in healthcare has heightened the need to have strong digital governance systems to handle the multi-faceted healthcare data ecosystem. This review article discusses the contribution of Salesforce Data Cloud to healthcare insurance platforms in terms of data governance, security, interoperability, artificial intelligence (AI), and regulatory compliance. The paper emphasizes the role of Salesforce Data Cloud in managing unified and comprehensive data in healthcare, real-time analytics, patient-centric care, and effective claim processing. It further explores the importance of cybersecurity measures, privacy protection, and compliance frameworks such as HIPAA and GDPR in safeguarding sensitive healthcare information. The paper also mentions the importance of integrating AI, predictive analytics, and interoperability technologies in improving operational efficiency and decision-making within healthcare insurance systems. Moreover, the study outlines several significant obstacles related to the implementation of digital systems of governance, such as cybersecurity threats, integration issues, regulatory differences, and organizational attitudes towards technological change. The results suggest that to have secure, efficient, compliant, and sustainable healthcare insurance operations in the digital era, effective digital governance is the key.

References

B. M. V. Bernardo, H. S. Mamede, J. M. P. Barroso, and V. M. P. D. dos Santos, “Data governance & quality management—Innovation and breakthroughs across different field,” J. Innov. Knowl., vol. 9, 2024, doi: 10.1016/j.jik.2024.100598.

[2] M. Mauro, G. Noto, A. Prenestini, and F. Sarto, “Digital transformation in healthcare: Assessing the role of digital technologies for managerial support processes,” Technol. Forecast. Soc. Chang., vol. 209, p. 123781, 2024, doi: 10.1016/j.techfore.2024.123781.

[3] G. O. Babatunde, S. D. Mustapha, C. Ike, and A. A. Alabi, “A Cloud Security Compliance Framework to Tackle Emerging Data Protection Issues in U.S. and Canada,” ICONIC Res. Eng. JOURNALS, vol. 8, no. 2, pp. 985–1006, 2024.

[4] R. Malgari, “Health Care Management using Cloud Computing,” Culminating Proj. Mech. Manuf. Eng., 2015.

[5] K. V. Ratnam, “AUTOMATING CLOUD SECURITY AND DATA GOVERNANCE CHALLENGES IN MULTI-CLOUD ENVIRONMENTS,” Int. J. Cloud Comput., vol. 2, no. 2, pp. 1–19, 2024.

[6] A. S. Peri, “DIGITAL TRANSFORMATION IN HEALTHCARE: A LONGITUDINAL ANALYSIS OF SALESFORCE CRM IMPLEMENTATION AND PATIENT CARE OUTCOMES,” Int. J. Comput. Eng. Technol., vol. 15, no. 6, pp. 1014–1027, 2024.

[7] S. Cosma and G. Rimo, “Redefining insurance through technology: Achievements and perspectives in Insurtech,” Res. Int. Bus. Financ., vol. 70, 2024, doi: 10.1016/j.ribaf.2024.102301.

[8] D. S. Singh, N. Parveen, D. R. Tiwari, and M. V. K. Tiwari, “Study on the Role of HR Managers in Risk Revolving Around COVID-19,” Int. J. Innov. Sci. Eng. Manag. Study, vol. 3, no. 2, 2024, doi: 10.69968/ijisem.2024v3si2301-305.

[9] Y. Al-issa, M. A. Ottom, and A. Tamrawi, “eHealth Cloud Security Challenges: A Survey,” Hindawi J. Healthc. Eng., vol. 2019, 2019, doi: 10.1155/2019/7516035.

[10] M. Mehrtak, S. Seyedalinaghi, M. Mohssenipour, T. Noori, and A. Karimi, “Security challenges and solutions using healthcare cloud computing,” J. Med. Life, vol. 14, no. 4, pp. 448–461, 2021, doi: 10.25122/jml-2021-0100.

[11] J. J. P. C. Rodrigues, I. De Torre, G. Fern, and M. López-Coronado, “Analysis of the Security and Privacy Requirements of Cloud-Based Electronic Health Records Systems,” J. Med. INTERNET Res., vol. 15, pp. 1–9, 2013, doi: 10.2196/jmir.2494.

[12] P. Kamma, “AI-Driven Predictive Analytics in Healthcare: Leveraging Salesforce for Scalable, Data-Driven Patient Management Systems,” Front. Heal. Informatics, vol. 13, no. 3, pp. 1–11, 2024.

[13] U. Chinta, S. Jain, and A. Aggarwal, “Risk Management Strategies in Salesforce Project Delivery: A Case Study Approach,” Innov. Res. THOUGHTS, vol. 7, no. 3, pp. 90–100, 2021.

[14] G. Malik and Savita, “HEALTH CLOUD IMPLEMENTATION USING SMART ANALYTICS FEATURES,” Int. J. Tech. Res. Sci., 2020.

[15] S. Bai, J. Zheng, W. Wu, D. Gao, and X. Gu, “Research on healthcare data sharing in the context of digital platforms considering the risks of data breaches,” Front. Public Heal., 2024.

[16] J. Nan and L. Xu, “Designing Interoperable Health Care Services Based on Fast Healthcare Interoperability Resources: Literature Review,” JMIR Med. INFORMATICS, 2023, doi: 10.2196/44842.

[17] Y. Macha, “Cloud-Based CRM for Healthcare Data Management: A Review of HIPAA Compliance and Validation Rules,” TIJER - Int. Res. J., vol. 10, no. 11, pp. 118–123, 2023.

[18] R. R. Pasala, “Salesforce data protection and compliance with AI,” World J. Adv. Res. Rev., vol. 22, no. 02, pp. 2329–2335, 2024.

[19] M. Gupta, “Data Privacy and Security in Salesforce CRM: Implications for Organizations,” Int. J. Multidiscip. Res., vol. 6, no. 4, pp. 1–11, 2024.

[20] O. Badmus, A. A. Dosunmu, and D. E. Ozowara, “A Governance Framework for Salesforce Platform Management in Regulated Healthcare Environments,” ICONIC Res. Eng. JOURNALS, vol. 3, no. 6, pp. 584–598, 2019.

[21] V. S. Guduru, “ENHANCING DATA SECURITY IN SALESFORCE USING SHIELD PLATFORM ENCRYPTION,” Int. J. Comput. Eng. Technol., vol. 14, no. 3, pp. 187–195, 2023.

[22] K. Gopalaswamy, “SALESFORCE DATA CLOUD + AI: CREATING A SINGLE SOURCE OF TRUTH FOR CUSTOMER DATA,” Int. J. Inf. Technol. Manag. Inf. Syst., vol. 15, no. 1, pp. 30–36, 2024.

[23] U. K. R. Gangula, “OPERATIONALIZING HIPAA: A STRATEGIC GUIDE TO DATA GOVERNANCE ON THE SALESFORCE PLATFORM,” Int. J. Multidiscip. Res., vol. 5, no. 4, pp. 1–11, 2023.