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Smarter healthcare through business intelligence

Smarter healthcare through business intelligence | Healthcare and Technology news | Scoop.it

In case you missed my posts on our Microsoft in Health Facebook page, I recently went on a road trip across Europe to talk with our healthcare industry clients about how they're using Microsoft business intelligence (BI) tools and analytics to improve health services for their customers.

Tools like Power BI for Office 365 and Microsoft Azure offer a variety of benefits for healthcare organizations and providers. Power BI for Office 365 provides a self-service business-intelligence infrastructure for all of their information, enabling them to visualize data, share discoveries, and collaborate in intuitive new ways. With Microsoft Azure, organizations can stream massive amounts of data, perform real-time analytics, and gain key insights to make faster and more reliable decisions about critical issues.

During my 16-day journey, I visited Norway, Sweden, Croatia, Belgium, France, and England. At each stop I was amazed to see the many ways healthcare organizations are using business intelligence and analytics enabled by Microsoft products to increase healthcare efficiency and improve patient care.

Helse Vest, for example, is a regional health authority that operates 50 healthcare facilities throughout Norway. To meet the requirements for a government-sponsored national patient safety program, Helse Vest needed to create analytical reports based on surgery trends and other medical data, and to do so much more quickly. Using Power BI for Office 365, Helse Vest employees can now visualize combined data from multiple facilities and create dynamic analytical reports in less than one day—a 93 percent improvement over the 14 days it previously took to build a report.

In Sweden, I had the opportunity to meet with representatives from Aerocrine, a company that makes medical devices used by physicians and clinics worldwide to monitor, diagnose, and treat asthma. Nearly 10 percent of the world’s population suffers from asthma—a potentially deadly disease that has no cure. Medications and inhalers offer relief that help asthma patients live healthy lives, but only if they routinely monitor their condition and follow their prescribed treatments.

Using a Microsoft Azure solution, Aerocrine can collect near-real-time telemetry data from all of its devices worldwide. With that data, the company can monitor the equipment remotely, keeping track of where devices are located, how they’re performing, and which ones need to be replaced before dangerous downtime occurs and leaves patients unmonitored for days at a time. The Aerocrine devices precisely measure airway inflammation, for example, but the machines are very sensitive and easily disrupted by environmental factors such as dry weather or humidity. With the analytics that Microsoft Azure provides, Aerocrine can check remotely to see whether a device has a humidity level that is too high or too low. Microsoft Azure also enables Aerocrine to see when devices are nearing the end of their allotted number of tests and then deploy new resources proactively.

These are just two examples of the innovative ways in which healthcare organizations worldwide are putting Microsoft BI tools and analytics to work to provide more efficient services and better patient care. In the end, it all adds up to smarter healthcare.


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What are HIPAA Operating System Requirements?

What are HIPAA Operating System Requirements? | Healthcare and Technology news | Scoop.it

The HIPAA Security Rule, requires covered entities and business associates to develop effective administrative, technical, and physical safeguards to ensure protected health information (PHI) is secure.

 

The Security Rule does not impose minimum HIPAA operating system requirements for a business’ computer systems.

 

Indeed, the HIPAA Security Rule generally does not impose any specific HIPAA software requirements (including HIPAA operating system requirements) on entities.

 

No provision of the Security Rule tells you, for example, what kind of antivirus, antimalware, or firewall software to purchase.

 

 The absence of a security rule grocery shopping list is very much by design. The Security Rule was written to provide flexibility for covered entities to implement HIPAA cybersecurity measures that best fit their particular organizational needs.

What are HIPAA Operating System Requirements?

HIPAA indirectly regulates operating system requirements.  

The Security Rule mandates requirements for information systems that contain electronically protected health information, or ePHI. ePHI is defined as any protected health information that is created, stored, transmitted, or received in any electronic format or media. Information systems must contain security capabilities, or features, that are sufficient to satisfy the technical safeguard implementation requirements of the Security Rule.

 

These HIPAA operating system requirements include (among others) audit controls, unique user identification, person or entity authentication, and transmission security.

 

The administrative safeguard implementation requirements of the Security Rule requires that entities perform a risk analysis, in which any known security vulnerabilities of an operating system should be considered. In performing the analysis, entities should ask themselves, “Is my operating system vulnerable to being exploited?

 

If an operating system is vulnerable to exploitation, the risk analysis must reflect that fact, and you must take whatever steps are reasonable to address the vulnerability.

When is an Operating System Vulnerable to Exploitation?

An operating system is vulnerable to exploitation when that operating system contains known vulnerabilities for which a security fix is unavailable.

 

Security fixes may be unavailable for a number of reasons. One reason why a fix might be unavailable is because the manufacturer of the operating system no longer provides support for that system, as in, no longer provides new security updates, non-security hotfixes, assisted support options, or technical content updates. This “dropping” of support for an operating system is colloquially referred to sunsetting of the operating system.

 

Microsoft “sunset” its popular Windows XP Operating System in 2014, advising users that security updates would no longer be provided for Windows XP. Microsoft advised users that “Security updates patch vulnerabilities that may be exploited by malware and help keep users and their data safer. PCs running Windows XP after April 8, 2014, are not considered secure.”

 

Windows XP was launched in 2001. In 2009, Windows released its Windows 7 operating system. The most current version of Windows, known as Windows 10, was launched in 2015.

 

Microsoft has announced that support for Windows 7 will end on January 14, 2020. After that date, Microsoft will no longer provide security updates or support for computers using Windows 10. Accordingly, Microsoft has advised Windows users, “Now is the time to upgrade to Windows 10.”

 

Continuing to use an operating system that has known vulnerabilities identified in a risk analysis, does not suffice to meet the required risk management component of the HIPAA Security Rule. 

 

Risk management requires organizations to “Implement security measures sufficient to reduce risks and vulnerabilities to a reasonable and appropriate level.” By definition, if you are using an operating system that no longer offers security measure support, you are improperly managing your risk, and, if, as a result of that impropriety, your organization’s ePHI becomes compromised, you are subject to being audited and fined by the Department of Health and Human Services’ Office for Civil Rights (OCR).

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What your healthcare practice can learn from telemedicine companies

What your healthcare practice can learn from telemedicine companies | Healthcare and Technology news | Scoop.it

6 ways telemedicine companies satisfy patients

1. Convenient care

In the U.S., patients spend an average of 34 minutes traveling to receive healthcare services, according to Altarum. Add this to time in the waiting and exam rooms, and even a simple healthcare appointment can take hours out of their day.

 

Telehealth is a major time-saver because people can receive care from anywhere in a matter of minutes. This boosts patient satisfaction levels because it’s easy for people to fit appointments into a hectic schedule.

2. Short wait times

Virtual visits with telehealth providers allow patients to avoid long waits. For example, telemedicine company LiveHealth Online claims to connect patients to doctors in a matter of minutes.

 

This is important to people, as nearly one-third (30 percent) have walked out of an appointment due to a long wait time, according to Vitals. Furthermore, one-in-five has changed doctors because of long waits.

 

Clearly, patient satisfaction rates are largely tied to wait times, which likely plays into the growing popularity of telehealth companies.

 

3. After-hours assistance

People get sick at all hours of the day, but you’ll be hard-pressed to find a traditional practice open at 2 a.m. Telemedicine companies make it possible for patients to receive care without having to make a pre-dawn trip to the emergency room.

 

For example, telemedicine company Virtuwell offers 24/7 care. This allows patients to seek treatment promptly at any time of day without leaving the comforts of their home.

 

Additionally, the ability to receive care at any hour makes treatment more accessible to patients who work during standard office hours. Telemedicine allows them to seek care without having to take time off work.

4. Cost-effective treatment

U.S. healthcare spending averaged $10,739 per person in 2017, according to the Centers for Medicare & Medicaid Services. Insured patients typically only pay a portion of the total cost, but 8.5 percent of Americans (or 27.5 million) didn’t have any form of health insurance in 2018, according to the U.S. Census Bureau.

 

Telemedicine companies make healthcare more affordable to everyone. For example, iCliniq offers an annual treatment plan for $99, where patients can receive 50 hours of online chat time with a family physician, general practitioner, or general surgeon.

5. Greater access to care

In rural areas, the patient-to-primary care physician ratio is just about 40 physicians per 100,000 people, according to the National Rural Health Association. 

 

This can make it difficult for people to receive standard care — and even more challenging if they need to see a specialist. Telemedicine companies are a game-changer for these communities because residents are able to get the care they need.

Beyond that, telehealth allows rural patients to have a choice of providers — something they might not have otherwise. In some cases, this can make it possible for them to receive better quality care than the offerings in their local region.

 

6. Increased patient engagement

Telehealth companies make it easier than ever for patients to take control of their health. When people have the right tools at their fingertips, there’s no excuse for not using them to better themselves.

 

Since telehealth offers convenient access to providers, patients are more inclined to reach out with questions and concerns. Taking an active role in their health can allow people to see positive results that encourage them to keep up the good work.

 

Telemedicine companies are surging in popularity, and that’s not likely to change. This doesn’t mean your brick-and-mortar practice will become obsolete, but there’s plenty of lessons to be learned.

 

Take a look at reasons these companies are so successful and, when possible, find ways to provide the same level of care. Gain a competitive advantage by offering the convenience patients want with the personal touch only a dedicated provider can give.

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CTI for Connectwise: How does it work on your Phone System?

CTI for Connectwise: How does it work on your Phone System? | Healthcare and Technology news | Scoop.it

SMEs and large enterprises have found that IP (internet protocol) phone systems are cheaper, easier to use, streamlined, and scalable. In other words, they give users more features and better quality while reducing the costs of traditional phone systems.

 

IP phones allow users to be mobile: users have location flexible as well as access to different modes of communication. Agents can log in to the system, talk to clients, and video-conference inside or outside of the office.

 

Given increases in IP access and reductions in cost, companies are still incorporating IP phone systems and will likely continue this expansion for the foreseeable future. According to current research, the VoIP (voice over internet protocol) service market, which was valued at 83 billion dollars in 2015, is expected to surpass 140 billion dollars by 2021.

 

A CTI (computer telephony integration) application is a crucial part of the IP phone revolution of the twenty-first century. By allowing agents and users to combine their phones with their customer support software, companies can further streamline call center processes and maximize productivity.

 

CTI integration helps businesses with high volume manage telephone calls through one system, which can lead to greater productivity and customer satisfaction. CTI software can offer a host of different features, customized to businesses’ needs, to create a more sophisticated and efficient call center process.

 

CTIs can let agents make calls directly from their desktop computers, laptops, or mobile devices, which can free agents from the office and let them go mobile. CTIs give companies features such as intelligent call routing, which automatically routes calls to where they need to go. The speed of access has been shown to increase customer satisfaction; companies using CTI in conjunction with their 800-number service make sure customers get through faster and more effectively.

 

Moreover, CTIs incorporate features that streamline call times and provide client analytics, caller identification, and data recording. Broadly, CTIs allows call centers and other phone users up-to-date technology that allows seamless integration between phone services and computer features. In customer-service oriented businesses, such value-added services allow a company’s call center to be more efficient, skilled, and customer friendly than its competitors.

 

What is ConnectWise CTI and how can its features help agents be more productive?

 

ConnectWise has been helping companies manage IT for over thirty years. Today, its current CRM helps companies manage their sales pipeline, manage client-agent interactions, and integrate sales, data, and services into one system. In addition to sales, the CRM can automate functions in service and support to streamline processes and enable much better customer interaction.

 

ConnectWise CRM focuses on the centralization of information and real-time operational visibility. ConnectWise offers a host of project management systems, as well as dashboards for numerous third-party integrations. As such, ConnectWise CRM can function as companies’ dominant software system or be an add-on that serves as a technology platform on top of businesses’ other computing programs.

 

Geared toward IT service businesses and other technology companies, ConnectWise CRM focuses on ticket management, time tracking, billing and invoicing, inventory management, technician dispatch, and project management. The software offers high levels of customization and scalability for companies of all sizes.

 

As a call center management CRM, ConnectWise offers instant chat for simultaneous customer management, customizable prioritization, and dynamic mobility. Users can integrate websites and emails with chat, while managers can analyze team performance. The CRM’s elegant dashboard allows agents to manage a high-volume flow of calls efficiently and easily. ConnectWise CTI applications link the CRM to businesses’ VoIP phone systems. By using ConnectWise CTI software, VoIP phone services can join with the CRM’s host of specific programs in IT, sales, and services technology.

 

Features and benefits for businesses that thoroughly integrate phone systems with ConnectWise CRM:

 

Advanced technological infrastructure: ConnectWise CTI integration allows for native integration from CRM to phone service, with software created specifically for the ConnectWise CRM platform. ConnectWise CRM’s cloud-based service would allow a new call center or system to be up and running in hours or days, not months. Cloud-based integration maximizes space and minimizes on-premise infrastructure. Moreover, cloud-based CTI connection makes businesses more scalable. In this way, businesses can increase their volume of agents without adding on-site infrastructure and can do so quickly and easily.

 

Integrated Dashboard: ConnectWise phone integration lets users manage all aspects of calls from the screen. At a glance, users can see call histories and addresses. They can make, receive, and transfer calls directly through the system, which speeds up calls and allows agents to reach clients more quickly.  The dashboard is intuitive and easy-to-use, while also being customizable to fit companies’ or users’ specific needs.

 

Minimized data entry: With ConnectWise CTI, businesses can minimize data entry by logging key information about the call automatically. The CRM can log the interaction and include data that can be collected automatically, such as duration, caller, related leads or contacts. The function frees agents so they only have to enter non-automatic information. It also includes space for these notes.

 

Increased call capacity: With phone integration, users are able to minimize time wasted by searching for hyperlinks or typing in numbers. With a click to dial feature, agents can dial a phone number with one click when the number is on a web page, in an inbox, or a document. Furthermore, users can add a prospective client as a contact right from the popup, again reducing repetitive data entry.

 

Caller ID and Routing: Using ConnectWise integration, calls can be routed for higher efficiency. For example, calls can be accessed and routed by caller location, previous interactions between business and client, geographical field, language used, current agent availability, or a host of other factors. These factors optimize caller-agent relationships; by putting the most appropriate agent on the call, the CRM saves time and provides a better customer experience. Additionally, caller ID gives agents instant access to client information. Instead of having to search for customer profiles, users can have automatic access to clients’ locations, previous interactions, and professional details.

 

Task follow-ups: CTI integration makes collaboration and follow-up easier between colleagues. Because the system works in real-time and connects calls to data, involved team members can see what agents have done or what they plan to do. As such, tasks can be categorized and allocated automatically. The CRM can create events and plan callbacks so that there is always a potential next step for agent/client interaction already on the schedule.

 

Call analytics: With CTI integration, data becomes instantaneously shareable across teams and automatically synced. In this way, multiple agents can have access to real-time updates and new data. Moreover, ConnectWise CRM helps manage, organize, and analyze data. It can record and store customer configuration data in a centralized, accessible location, thus allowing agents and managers immediate access to a host of useful data, including contact databases, inventories, previous sales, and other crucial elements.

 

VoIP phone systems are the most efficient and cost-effect system to use in contemporary call centers and IT service departments. A badly integrated CRM, however, can be detrimental to a company in which business thrives on creating and maximizing opportunity. Not only must a company find the right CRM for its business, but it must also effectively coordinate its desktop services with its phone system. ConnectWise CTI phone integration works to allow users to have as much information as possible, get the right calls to the right person quickly, and create the best possible customer service interaction.

 

ConnectWise CTI applications allow VoIP phone systems to be seamlessly integrated with the ConnectWise CRM. With ConnectWise CTI phone integration, users can manage timelines, dial from their computers with one click, access significant data on potential clients and repeat customers, collaborate with other agents, and create a better customer service experience. Moreover, the cloud-based CRM is cost efficient, scalable and lacks the baggy infrastructure of on-premises servers. With ConnectWise CRM integrated into businesses’ phone systems, businesses can take the focus off of managing their system and instead, focus on their products.

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Telemedicine and Smart Cities

Telemedicine and Smart Cities | Healthcare and Technology news | Scoop.it

You can put the word "smart" in front of just about anything these days — including an entire city. But what does it actually mean?

 

The concept of smart cities is incredibly exciting. Cities have always been social, cultural and productive centers of society. But the city of the future will help us work and play even smarter, commute more quickly, and make use of more advanced and affordable products and public services. That includes health care.

As the world explores what smart cities are capable of, we're seeing more ways they'll impact the telemedicine industry and vice versa. Let's take a closer look.

 

A Holistic View of a City's Health 

 

Conducting a more proactive monitoring of public health is probably the most important part of a smart city's data-driven telemedicine system. Thanks to electronic health records, location technologies, and cheap and rugged remote sensors, public health officials have an easier time than ever studying disease patterns and profiles, tracking public health worries and outbreaks, communicating with the public about new issues and seasonal disease cycles, understanding and making changes to how people move about a city, and much more.

 

This brings us to one of the best features of smart cities: smart hospitals. A number of facilities across the U.S. are using more advanced devices and data-gathering systems to better understand changes, even in real-time, that concern citizens on a daily basis. These insights can cover any number of factors associated with city living, including air and water quality, the effects of weather and climate on health and even the relative stress and happiness in one city compared with another.

 

Better Access to Health Care Even in Rural Areas 

 

It's a long-running pattern, but residents of cities generally enjoy better access to health services and medical specialists. As a result, residents of rural areas, and those who live a little farther from city centers are more likely to suffer from chronic health problems and to have greater restrictions on their physical activities. Cities are known for their smog and pollution, but they offset some of the harm thanks to convenient access to health infrastructure.

 

Making cities even smarter seems at first glance like it might make health care inequality even worse. But it may actually do the opposite. Cities have more choices than rural areas when it comes to health care, but residents still face wait times and lines, often for issues that didn't require a visit in the first place.

 

To that end, we can expect that telemedicine will cut down on congestion in cities, plus make it far easier for rural residents to communicate with doctors and specialists with the same ease as rural citizens. With telemedicine and remote video consultations, distance from a metropolitan area is less likely to decide the quality of one's health care or their life.

 

More Efficient Public Institutions 

 

In the U.S. and elsewhere, it's a fact of life that countries must feed, clothe and shelter prison inmates and residents of correctional facilities. This portion of the population is frequently written off or forgotten about, but these are citizens too, and they deserve as quick and competent a response as anybody when they find themselves in poor health. 

 

Telemedicine can provide a vital function by making it easy for cities to see to inmates' health needs. New York City alone is home to around 55,000 residents of its correctional system, which means the already limited availability of specialist doctors isn't always able to answer the call. Instead, telemedicine makes it simpler for specialists to check in with patients when they can't be there in person while cutting down on the time and expense of transporting these individuals to appointments. 

 

Walkability and Self-Service Health Care 

 

Futuristic cities have long been depicted with swarms of flying cars, but that dream is still a little way off. In the meantime, we're busying ourselves rethinking our urban layouts, including making a push to install bike lanes and generally make our cities more walkable and more amenable to cleaner, healthier living. 

 

Smart technologies like internet-connected cars, plus city infrastructure that can talk to them, will make it easier than ever for pedestrians and cyclists to navigate intersections safely and quickly. Couple this with the fact that insurance companies increasingly turn to wearables to keep customers honest about -- and committed to -- healthy lifestyles. These wearables lend themselves to telehealth in a number of ways, from making remote data sharing simple, to automatically alerting emergency responders, for example, if an elderly resident falls in his or her apartment, or in a park, and can't signal for help themselves.

 

The truth is, we're only beginning to appreciate what's possible with telemedicine and smart cities. As more medical device manufacturers move into making devices for a connected world, while still maintaining the quality set in place by ISO 13485, it’s easy to see how the relationship between telemedicine and smart cities is just starting. 

 

The potential here is part of the reason why we will collectively activate some 36 billion internet-connected devices by the year 2021.  

 

By that time, we'll have even more robust industrial standards for helping public and private data systems work better together, and we'll have an even more thorough understanding of how the advancement of technology can improve how we live and how we pursue health care services. 

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Andrea Shaji's curator insight, November 18, 7:18 PM
More advanced cities are the ones being benefited the most. 
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Future Scope of Computer Telephone Integration - Future of CTI

Future Scope of Computer Telephone Integration - Future of CTI | Healthcare and Technology news | Scoop.it

For all intents and purposes, it does seem like the future of CTI is today. The technology has come a long way since the simple screen population technology.

 

In fact, back in 1996, an article by Guy Matthews predicted three CTI technologies that would shape how the masses communicate in the future: internet phones, faxback, and international callback. All of which are now readily available – or even basic – with today’s CTI technology.

 

So, what lies in the future of CTI? Has technology reached its peak? What should we look forward to when it comes to CTI integration?

The Future of CTI in the Clouds

Cloud computing has paved the way for the mass adoption of CTI, as well as other technologies. It has made powerful systems, platforms, and applications available to practically all kinds of businesses. Through scalable service offerings, small- and medium-sized businesses can use technologies, such as CTI, to compete on the same level as companies with more technical expertise and thicker wallets.

Want to increase your customer experience right now?

That’s the beauty of cloud computing – and, in the world of IT, it is huge. Projections made by technology research company Gartner Inc. peg the worldwide market for public cloud services to be worth around $204 billion in 2016. Alongside this, the cloud application services (SaaS) industry is worth billions of dollars too, with a projected 20% yearly growth. The SaaS industry is seen to grow to $132.57 billion by 2020.
 

These numbers reflect the future of CTI. As the cloud computing industry grows, cloud-based CTI services become more accessible, at low leveled off rates. Because of this, the CTI market will lean further towards cloud-based services. You just won’t be able to deny the key selling points: cost-effectiveness, scalability, and accessibility.

CTI “Mobilization”

The future of CTI is also mobile. According to a study made by the Emergence Capital Partners (ECP), there are more than 300 mobile enterprise app companies in operation. These companies focus on key segments that include communications, task management, and events and contact management. This falls right in the turf of CTI integration and unified communications.

 

To date, there is an increased demand for a better communications platform, one that consolidates your interactions with your contacts, clients or prospects, whether it’s through voice, email, chat or SMS. This platform makes such information available across your desktop and mobile devices.

 

A future where mobile access is already a requisite part of CTI integration is a future where business booms. According to research firm Forrester, companies that encourage the use of mobile applications grow faster than those that don’t. After all, agents and employees who are not tied down to one place tend to become more accessible, reliable and productive.

Social Media Integration

Social media is part of the future of CTI too. Through CTI integration with business applications, such as CRM, communications on social media can be accessed through a singular platform. There is no need to switch platforms to respond to social media interactions.

 

What should be noted, however, is the increasing use of social media to interact with businesses. Companies miss out if they neglect interactions within this channel.

 

There is still a need to make social media communications easier and simpler for your agents and sales team. The future of CTI – where businesses get the full advantages of optimizing their marketing, sales and support processes – demands social media integration that is unified and efficient across all devices, regardless of agent location.

Improved Security

As with all technological advancements, communications technology deals with attempts to exploit its vulnerabilities on a regular basis. This is ‘business as usual’ in technology. However, with the massive amount of data that comes with CTI integration, the future of CTI has to be more secure. In fact, according to a 2016 survey by Society for Information Management (SIM), 36% of IT heads rank security as their number one concern

 

Improved security when it comes to CTI integration has to cover all the bases, from cloud-based data to on-site and third-party hosted information. Ultimately, this impacts how you do business and how you are perceived by your target market.

Better User Experience

Applications integrated with your CTI system upgrade fast and regularly. This improves the scope of technology. In many cases, upgrades also introduce new ways for you and your team to accomplish tasks and goals. This increased efficiency requires that you adapt to upgraded technology fast.

 

Improving the user experience through simplified and intuitive interfaces is a way to hasten your team’s learning curve. Improved interfaces are actually crucial since your CTI system is integral to your business’ day-to-day. The faster the learning, the quicker you can get back to efficient work.

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5 Barriers to Telemedicine Adoption and How to Overcome Them

5 Barriers to Telemedicine Adoption and How to Overcome Them | Healthcare and Technology news | Scoop.it

Telemedicine is one of the most notable advancements making waves in the digital transformation of healthcare. Telemedicine poses wins for healthcare organizations seeking to improve patient access while controlling costs, as well as healthcare consumers looking for more convenient ways to engage with providers.

 

With 71 percent of providers reporting the use of telehealthand telemedicine tools, it’s clear that the industry is sold on the benefits of virtualized care. Telemedicine market projectionssuggest that the industry will reach roughly $20 billion by 2025.

 

The patient and provider benefits of telemedicine are manifold—including reduced readmissions through remote patient monitoring, reduced costs via virtual access to specialists, and improved patient engagement—but barriers to adoption still linger. Here are five key challenges giving healthcare executives pause when it comes to telemedicine adoption and recommendations on how to successfully navigate those hurdles.

 

1) Understanding what comprises telemedicine. Due to varying state and federal definitions, as well as variance between Medicare, Medicaid, and commercial payer guidelines on what constitutes telemedicine, confusion still exists regarding what services will and won’t be reimbursed. Establishing a keen understanding of what virtual services qualify and how those services are reimbursed for each payer is vital. This will lay the foundation for quantifying the potential revenue impact of adoption.

 

2) Concerns around the cost to implement. Costs associated with telemedicine program adoption can include a myriad of factors, from video conferencing adoption to remote patient monitoring expansion. To mitigate the potential for expense sprawl, executives should identify key, phase-one telemedicine service offerings. Weigh earnings potential against anticipated program implementation and support costs to justify those telemedicine coverage areas.

 

3) Added data vulnerability. With healthcare security breaches on the rise, executive teams remain cautious of any patient data exposure risk. Many view virtual care delivery as an additional layer of potential threat. As with other IT implementations, thorough security protocols and routine audits should be put in place to guard against the real-time exposure of protected health information (PHI).

 

4) Potential for fraud and abuse. Telemedicine agreements can be subject to federal kickback laws, particularly in situations involving referrals for additional services. Providers must remain up-to-date on the regulations governing telemedicine services to ensure regulatory compliance and proper eligibility for reimbursement.

 

5) Patient awareness of and trust in virtual care offerings. Even with the proper broadband and internet resources in place to support patient adoption of telemedicine, providers may encounter patient reluctance to engage virtually. Healthcare organizations must cultivate trust by educating patients on offerings and what they can anticipate during virtual visits. Providers should also address security concerns with patients.

 

To ensure that engagement in telemedicine is a long-term trend as opposed to a short-term fad, healthcare providers will have to address and overcome these challenges. By implementing a telemedicine strategy that addresses these challenges head-on, providers can overcome barriers and rise to meet growing consumer demand for more convenient provider engagement options. As more healthcare organizations pivot to embrace new digital health platforms, telemedicine adoption, specifically, is quickly emerging as a key differentiator in an increasingly competitive landscape.

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How to integrate HubSpot with CTI through your Phone System?

How to integrate HubSpot with CTI through your Phone System? | Healthcare and Technology news | Scoop.it

For sales reps or call center managers looking to combine the power of a CRM with a phone system, Computer telephony integration (CTI) is the answer. For many, that integration involves HubSpot. HubSpot CRM integrations apply the full depth of business intelligence to every consumer interaction, turning raw data into bottom-line ROI.

 

Why bother with computer telephony integration (CTI)?

 

Whether or not consumers realize it, call center representatives tend to know a fair amount about them by the time they say: “Hello”. That’s the power of CTI—pushing high-value, real-time data to employees engaged in human-to-human interactions with customers. That knowledge can solve problems more efficiently and offer subtle customer relationship support to retain more clients.

 

CTI can even aid call center representatives before the conversation begins. Pre-routing data gathering gleans information from consumers that sends calls to the most qualified representative. For consumers, this means an overall smoother experience. It lowers the chances of pogo-sticking from representative to representative while searching for the right person or department.

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For employees, pre-routing saves time. With entry-level questions already asked and answered, representatives can dive into the core issue immediately. (Consumers are grateful for quicker solutions as well.) Lowering the amount of live call time frees representatives to handle more consumers each day. The benefit to employers? Less call center staff.

 

While customers and call-center representatives may never interact more than once, CTI avoids the perception of communicating with a stranger. On a personal level, CRM data may contain notes that help representatives navigate a heated conversation with a demanding client. On a professional level, notes from previous calls—from contact history to technical solutions—can get representatives up to speed immediately.

 

Unique advantages of HubSpot CTI

 

HubSpot’s CRM tackles the so-called “tasks salespeople hate.” HubSpot’s promise is less time on spreadsheets and in Microsoft Outlook and more time interacting with customers. It’s about streamlined, centralized communication to support disparate teams of sales and customer service representatives working with clients. It’s also free in its basic format.

 

Combining HubSpot’s CRM with its automated inbound marketing tools—a prime source of HubSpot revenue—reflects the power of HubSpot integrations, even within their walled garden. The potential to transition internal HubSpot connections into a system-wide HubSpot CTI integration offers a glimpse at the potential of a start-to-finish sales and marketing platform.

 

For call center representatives, HubSpot phone integration empowers staff with more than basic consumer data. It can include notes and history related to sales staff interactions, or even knowledge about which marketing materials potential consumers have received or opened.

 

HubSpot reports that every phone call costs a company up to $15. This frequently puts companies in a bind: They want to satisfy consumers’ need to reach out quickly but avoid an inundation of calls that offer little sales potential. The knee-jerk reaction, according to HubSpot, is often to make phone numbers harder to find. But that solution serves company, not consumer, goals.

 

This is where data plays a critical role. HubSpot CTI can help prioritize and route calls according to various rules defined by CRM data. Avoiding the all-or-nothing approach when it comes to calls can make ROI more predictable for call centers and prioritize the time and energy of sales staff.

 

Post-call analysis can help refine an initial set of inputs from HubSpot CTI integration to develop an ongoing process of refinement. Because marketing and sales data live in the same location, call centers can also become a source of data for other agents at a company by pushing call analysis out to sales teams or marketing departments. Does a marketing department exist that wouldn’t want to learn about the correlation between specific marketing materials and sales?

 

How to Integrate HubSpot with a phone system

 

The process varies dependent on the phone system involved. These examples reflect the capacity and process for HubSpot CTI with major phone systems:

How CTI works with HubSpot

 

Identifying a caller’s number allows an integrated system to connect the phone number to a record in the HubSpot CRM. Once the CRM record and phone number are connected, HubSpot can deliver various datasets to the call center representative before the conversation even starts.

 

This data can include everything from the caller’s title to the history of interaction. For large call centers with divided responsibilities, this ensures the caller reaches the right representative first time round. That may mean reaching the person with the right technical skill set, or the ideal employee to manage a critical relationship with a high-value client.

 

Because representatives don’t need to seek out any of this information, they can maintain their focus on solving the consumer problem—or completing the sale.

 

What to Integrate for HubSpot-linked phone systems

 

There are several HubSpot integrations available. Some, like Auto-Dialer and Power Dialer, build efficiencies into standard call center activity (and useful efficiencies for sales staff making periodic follow-up calls). For example, HubSpot CTI integration allows employees to place a call by clicking a number directly in the CRM—no wasted time dialing, misdialing, or redialing numbers.

 

For new callers, HubSpot integrations allow the creation of new accounts, contacts, and leads. Inevitably, consumers change numbers and add or change points of contact. The ability to create or update accounts means none of this information is lost, and system-wide data stays consistent. For needs that go beyond the work of call center staff, HubSpot provides the ability to create a task for other team members quickly and easily.

 

Recording calls, call tracking, and call analytics offer a valuable post-mortem on client interactions that can help refine processes and reallocate resources.

 

Technical components of HubSpot CTI

 

While the exact nature of the applicable technical setup varies from provider to provider, all organizations must answer questions that affect implementation:

  1. Is the phone system managed in-house? In-house managed systems, common at large organizations, shift the technical burden to internal IT teams. A managed, cloud-based system migrates the bulk of the technical implementation to the phone system provider.
  2. Is the current phone system capable of HubSpot integration? The key integration feature is a VoIP system (rather than a traditional PBX landline system). VoIP is essential to connect CRM data with a phone system. Confirming the capability for HubSpot integration with the service manager or in-house technical team is an appropriate starting point.
  3. Which numbers will be included? Not every company phone will need HubSpot CTI. Identifying the subset of numbers that can extract value from CTI limits technical implementation to core components of the marketing and sales process.
  4. Who will have access to what? CTI integrations connect many data points, but not everyone needs access to all the data. (Certainly, not everyone needs editing access to all data.) Establishing a hierarchy of access that gets the right data to the right people at the right time is a fundamental step toward extracting value from a CTI investment. This should also include who has access to reports and the responsibility for implementing improvements based on call data.
  5. Where will calls be routed? Small call centers may receive all inquiries; large centers may develop specialties to handle certain clients or issues. Mapping a routing framework before implementation can avoid later headaches due to haphazard routing.
  6. Who will train and support call center staff? Every new system or integration has a learning curve. HubSpot CTI is no different. Even if staff are already familiar with a phone system and HubSpot as separate technologies, training to highlight the virtues of the integrated system will get more value from the linked platforms.

 

Ready, Set, Integrate

 

Acquiring consumer data is no longer a business challenge. If anything, the primary focus has become managing vast troves of data. Siloed information fails to take advantage of key integrations that can arm employees with the data they need to serve consumers more efficiently and close more sales.

CTI provides an opportunity to connect call center data with a CRM. For the many companies that rely on HubSpot, this integration can connect every dot throughout the customer journey. Understanding the technical capabilities and process for implementation provides a framework for connecting HubSpot with an existing or upgraded VoIP phone system.

 
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Cryptomining Malware Can Affect HIPAA Obligations

Cryptomining Malware Can Affect HIPAA Obligations | Healthcare and Technology news | Scoop.it

The well-established security firm Check Point recently ranked cryptomining as the leading cyber-threat in healthcare – ahead of ransomware. Cryptomining malware, also known as cryptocurrency mining malware, refers to software programs and malware components developed to take over a computer’s resources and use them for cryptocurrency mining, without a user’s authorization. This hijacking of computer resources can result in a shutdown and even total systems failure.  Cryptomining is not specifically addressed by the HIPAA security rule. However, the threat of cryptomining malware should make covered entities and business associates evaluate their Security Rule compliance efforts, and, if necessary, implementing additional cybersecurity measures as needed to protect against this unique and powerful threat.

 

Under the HIPAA Security Rule, covered entities and business associates must implement administrative, technical, and physical safeguards to ensure the confidentiality, integrity, and availability of electronically protected health information (ePHI). Cryptomining malware can compromise this confidentiality, availability, and integrity. To understand the nature of the threat posed by cryptomining malware, it is useful to first understand some basic concepts.


These include cryptocurrencycryptography, and cryptomining.

What is Cryptocurrency?

Cryptocurrency is digital money that can be purchased, transferred, and/or sold. Cryptocurrency exists solely on the Internet. This form of currency is not backed by anything tangible (such as gold), nor is it backed or managed by any bank or government. Cryptocurrency transactions, or trades, are changed and verified by a decentralized (not affiliated with anyone single entity) network of computers.

What is Cryptography?

Cryptography is a method of protecting information by encrypting it into an unreadable format known as ciphertext. Ciphertext can be converted to regular text through the process of decryption. Cryptography encrypts and protects the data used to help identify and track cryptocurrency transactions.

What is Cryptomining? 

Cryptocurrency miners engage in cryptomining to earn more cryptocurrency (often referred to as “coins” or “Bitcoins”). 

Here is how the mining process works:

Miners compete with other cryptominers to solve complicated mathematical problems. Solving the problems enables the miner to authorize a transaction and to chain together (blockchain) blocks of transactions. Once a transaction is included in a block, it is secure and complete.

For his or her mining activities, the miner receives a small amount of cryptocurrency of his or her own, The more currency a miner “mines,” the more currency a miner ends up owning. Cryptocurrency can then be sold for actual cash. 

So, you may now be thinking, …..

“What Does Any of This Have to do with HIPAA Health Care?”

Crpyotmining malware is surreptitiously installed on a user’s computer. Once it is installed, the  cryptomining malware turns the affected computer, in effect, into a mining operation – one through which the miners solve their math problems and “earn” their coins and cash.

Here’s the problem: Cryptomining has an enormous appetite for computer power.  As the malware is enabling the mining, the mining process consumes significant computing power, bandwidth, and even electricity.  Particularly persistent forms of malware consume resources even after a user has logged off.   

Eventually, a device or a network may simply become unable to mining malware’s energy requirements, causing the device or network to crash.

Since any Internet-connected device can be infected with cryptomining malware, those devices used by covered entities or business associates that are missing essential security features – which features include, but are not limited to, antivirus software, firewalls, updates and patches for operating systems – can, upon a malware attack, shut down or experience total system failure.  ePHI data thus becomes compromised. As in, lost, rendered inaccessible, or damaged beyond repair. The HIPAA Security rule thus becomes implicated, and, if an organization is found to have implemented ineffective security safeguards, the Department of Health and Human Services’ Office of Civil Rights (OCR) can audit and fine that organization.

Compliancy Group Simplifies HIPAA Compliance

Covered entities and business associates can address their HIPAA cybersecurity compliance obligations under the Security Rule by working with Compliancy Group.

Our ongoing support and web-based compliance app, The Guard™, gives healthcare organizations the tools to address HIPAA cybersecurity issues so they can get back to confidently running their business. 

Find out how Compliancy Group has helped thousands of organizations like yours Achieve, Illustrate, and MaintainTM  their HIPAA compliance!

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These 6 Healthcare Cybersecurity Tips Could Save You Thousands

These 6 Healthcare Cybersecurity Tips Could Save You Thousands | Healthcare and Technology news | Scoop.it

n 2017 alone there were more than 330 data breaches in the US medical and healthcare sector, which exposed 4.93 million patient records.

 

What’s more, data breaches in the healthcare sector are among the most costly with the average breach costing $408 per stolen record. In comparison, the global average of other industries across the world is $148 per record. The medical and healthcare industry in the United States is particularly vulnerable to data breaches. Here are a few reasons why:

  • Healthcare organizations store a high volume of patient records with valuable and private data
  • A lack of mobile security protocols with the BYOD (Bring Your Own Device) trend makes it easier for hackers to breach a network.
  • IoT medical devices and other popular technologies in the healthcare industry like multi-cloud IaaS or SaaS environments provide cybercriminals with more opportunities to hack into a network.
  • The healthcare industry is one of the lowest performing industries when it comes to endpoint security, and the sector as a whole ranks poorly in terms of cybersecurity strength compared to other major industries, making it an easier target for cybercriminals.

 

Chances are you don’t want to spend $50,000 or more in fines for a HIPAA violation, so it’s more critical than ever for you and your healthcare organization to implement the required cybersecurity protocols to ensure you’re protecting sensitive patient data from cybercriminals and hacks.

 

Here’s how you can improve your IT security and make sure you’re implementing healthcare security best practices.

1. Ensure All Employees are Properly Trained

One of the best ways to prevent the risk of data breaches is to make sure all employees and contractors receive the training they need to meet HIPAA requirements and keep data safe.

A proper employee training program will include factors such as:

  • Disaster Response
  • Fire Response (RACE) and Prevention
  • Workplace Violence Prevention and Response
  • VIP Security Control
  • EMTALA (Emergency Medical Treatment and Labor Act)
  • Command Center Operations
  • HIPAA Controls and Compliance
  • Training on The Joint Commission and other Accrediting Bodies
  • Crime Prevention
  • Safety Compliance

What’s more, your training program should go beyond initial training to provide frequent updates to your employees so they can stay on top of the latest trends and threats.

Download the Free HIPAA Regulation Checklist

2. Prioritize Real-Time Evaluation and Response

Want to save your organization thousands of dollars every year? A study by Ponemon Institute discovered that IT teams wasted 425 hours per week trying to solve false negatives and false positives. Healthcare organizations saved an average of $2.1 million yearly by implementing a system where IT teams were able to evaluate security posture in real time, patch all devices for known vulnerabilities, and proactively address emerging threats with data controls and/or patch distribution. This also increases your chances of preventing the risk of an expensive cyber-attack.

3. Leverage the Power of Automation

Since many healthcare organizations are decentralized, it can be more difficult to coordinate software patching and updates. To make sure software updates are fast but thorough, leverage the power of automation where possible to eliminate any vulnerabilities a cybercriminal might exploit.

4. Restrict Access When Needed

Even though employee training is critical, ensuring that your employees can only access sensitive or critical data on a need-to-know basis is another healthcare security best practice.

 

All data should be stored in a centralized location that is protected by a role-based access control system. Those with access should only see what they need to do their jobs and once the information is no longer required access should be removed automatically.

 

Moreover, technologies should be implemented to track and analyze data access as a way to spot suspicious activities.

5. Have a Disaster Recovery Plan in Place

To comply with HIPAA Security, you must have a disaster recovery plan in place and ways to recover and maintain ePHI (electronic Protected Health Information) in case of an emergency. That means you should be backing up all files regularly so data restoration can be quick and easy. A good rule of thumb is to back up your data both locally and remotely (ex: on a recovery disc as well as on a cloud-based server) and you should aim to store all backed-up information away from the main system whenever possible.

6. Encrypt All Data

Data encryption makes sensitive information unreadable, which makes it much harder for cybercriminals to gain access to that data even if a network is hacked or a mobile device is missing or stolen.

 

It’s also important to make sure that all data is encrypted not only when it is at rest (being stored) but also when it is in motion (ex: sending an email). This way sensitive information is protected at all times.

 

Since the healthcare industry is one of the most frequent targets for cybercriminals and one of the most expensive when it comes to addressing a data breach, it’s vital to implement these healthcare security best practices and stay on top of the latest trends in IT security. Help your organization avoid the risk of data breaches and costly fines and give yourself peace of mind knowing that all HIPAA requirements are being met and your patients can trust their sensitive information in your hands.

 

Following these tips will help keep your healthcare company safe and reduce the risk of expensive cybersecurity threats.

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What are the HIPAA Administrative Simplification Rules?

What are the HIPAA Administrative Simplification Rules? | Healthcare and Technology news | Scoop.it

What are the HIPAA Administrative Simplification Rules?

 

The HIPAA Administrative Simplification Rules establish national standards for electronic transactions and code sets to maintain the privacy and security of protected health information (PHI). These standards are often referred to as electronic data interchange or EDI standards.

The regulations, detailed in 45 CFR 160, 45 CFR 162, and 45 CFR 164, aim to make health care systems more efficient and effective by streamlining paperwork associated with billing, verifying patient eligibility, and payment transactions.

HIPAA Administrative Simplification Standards

HIPAA regulation includes four standards covering transactions, identifiers, code sets, and operating rules. The HIPAA Administrative Simplification Rules illustrate how switching from paper to electronic transactions reduces paperwork burden and increases payment speed for health care organizations. Additionally, information can be exchanged faster and claim statuses can be checked more easily.

HIPAA covered entities (which include health care providers, health plans, health care clearinghouses) and HIPAA business associates must adopt these standards for transactions that involve the electronic exchange of health care data. Such transactions may include claims and checking claim status. Other such transactions may involve encounter information, eligibility, enrollment and disenrollment, referrals, authorizations, premium payments, coordination of benefits, and payment and remittance advice.

Unique identifiers, such as a Health Plan Identifier, Employer Identification Number, or National Provider Identifier, are required for all HIPAA transactions.

Code sets are standard codes that all HIPAA covered entities must adopt. These codes have been developed for diagnoses, procedures, diagnostic tests, treatments, and equipment and supplies. HIPAA details several code sets including NDC national drug codes; CDT codes for dental procedures; CPT codes for procedures; the HCPCS health care common procedure coding system; and the code set for the international classification of diseases (ICD-10).

Updates to the HIPAA Administrative Simplification Rules

The HIPAA Administrative Simplification Rules were updated after the Affordable Care Act was passed in 2010 to include new operating rules specifying the information that must be included for all HIPAA transactions.

HIPAA covered entities must follow national standards, which were set to protect patients’ privacy (HIPAA Privacy Rule) and improve PHI security (HIPAA Security Rule), in addition to the HIPAA Administrative Simplification Rules. The Final Omnibus Rule, which was enacted in 2013, now includes HITECH Act standards in its HIPAA regulations; the standards added new requirements for breach notifications in the HIPAA Breach Notification Rule.

The Centers for Medicare & Medicaid Services both administers and enforces the HIPAA Administrative Simplification, whereas the Department of Health and Human Services’ Office for Civil Rights typically enforces the HIPAA Privacy, Security, and Breach Notifications Rules.

The HIPAA Administrative Simplification Regulations apply to all HIPAA covered entities and HIPAA business associates, not only those that work with Medicare or Medicaid.

Addressing the HIPAA Administrative Simplification Rules with Compliancy Group

Compliancy Group allows health care professionals and vendors across the industry to address the full extent of their HIPAA regulatory requirements, including HIPAA Administrative Simplification Rules, with our HIPAA compliance solution, The Guard. The Guard is a web-based HIPAA compliance app that allows users to confidently address their HIPAA compliance so they can get back to running their business.

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5 Ways Attackers Are Targeting the Healthcare Industry

5 Ways Attackers Are Targeting the Healthcare Industry | Healthcare and Technology news | Scoop.it

The healthcare industry is one of the largest industries in the United States and potentially the most vulnerable. The healthcare sector is twice as likely to be the target of a cyberattack as other sectors, resulting in countless breaches and millions of compromised patients per year. Advancements in the techniques and technology of hackers and identity thieves could escalate these vulnerabilities into a major crisis if the healthcare industry doesn’t adapt.

Cybersecurity in Healthcare

In 2015, over 113 million patients in the healthcare industry were the victims of an information breach, resulting in lost patient revenue and identity theft. The high volume of cyberattacks on healthcare organizations may be an indicator; the average organization receives 32,000 cyberattacks on a daily basis, a much higher rate than other industries experience. A lack of cybersecurity infrastructure and the high value of personal information makes these organizations likely targets for cybercriminals.

The healthcare industry’s increasing reliance on electronic medical records and internet-connected medical devices means the problem of data breaches could increase in the coming years. In 2017, the estimated total losses from cyberattacks amounted to $1.2 billion, and this number is expected to grow as the attack surface of the healthcare industry increases. The same way consumers and patients have their own resources to protect against identity theft, healthcare organizations need their own systems in place to protect against cyber threats. The following list covers the biggest threats to the industry going forward.

1. DATA BREACHES

The healthcare industry has the highest rates of data breaches out of any sector. Of the 551 data breaches in 2017, 60% were in the healthcare industry. In some cases, hackers have broken into healthcare databases undetected and maintained access for weeks before they were discovered.

The most common types of data breaches are hacking and malware-based attacks. Hackers can sell healthcare data and medical records for over 100 times more than personal data from non-healthcare industries. But not all data breaches are cybersecurity-related; a data leak can also occur through an employee or a lost laptop.

To thwart data breaches, healthcare organizations should ensure that data is encrypted at every point between the patient and an organization’s data storage. Trainings for healthcare staff on data security can also help reduce the number of accidental disclosures.

2. RANSOMWARE

Ransomware attacks tripled in 2017, and the healthcare industry receives more of these attacks than any other industry. A ransomware virus disables a computer or server until a ransom is paid to the hacker. Hospitals use their IT systems for critical patient care, making ransomware potentially life-threatening if it causes a delay in critical care processes.

In 2016, a ransomware attack rendered the hospital network of Hollywood Presbyterian Medical Center inoperable until the administration paid out $17,000 to the attackers. An analysis of the attack showed that the hackers had gained access to an outdated server without using hospital staff as an entry point. Attacks like this demonstrate the importance of a two-part approach to cybersecurity that involves staff training and rigorous network security protocols.

3. SOCIAL ENGINEERING

Hackers looking to exploit a healthcare network’s security system often target hospital staff and other human victims in order to gain access. This type of attack happens through social engineering as a means of subverting even the most rigorous security systems. Phishing attacks, the most common social engineering approach, use a manipulative email to trick a victim into clicking a link or entering their password information. These emails will often download malicious software directly to the system, granting the attacker unlimited access.

Unlike other security threats, social engineering approaches can be combated only through education. Trainings for staff and administrators on identifying a phishing email and avoiding malicious links. Many organizations employ a strategy known as “red teaming,” where trained cybersecurity professionals play the role of attackers and test the organization’s preparedness.

4. DISTRIBUTED DENIAL OF SERVICE ATTACKS

Distributed denial of service (DDoS) attacks are purely disruptive and are a popular tactic for hacktivists who want to shut down a network out of protest, malice or anarchism. These attacks create a coordinated assault from several hundred to several thousand computers, which overwhelm a network or server to the point of inoperability.

In 2014, Boston Children’s Hospital was embroiled in a controversial custody case involving a 14-year-old patient. The sensitive nature of the case spurred the hacktivist group Anonymous to conduct a successful DDoS attack, which resulted in over $300,000 in damage and lost productivity over a one-week period. Healthcare is often connected closely with politics, and it’s likely that DDoS attacks could occur more frequently in the future. Protecting against these attacks requires close coordination with service providers to ensure that critical networks can remain operational under a DDoS onslaught.

5. INSIDER THREATS

A healthcare organization’s cybersecurity system is only as strong as its weakest link. Even the most rigorous cybersecurity network can be bypassed by an insider, making this type of attack one of the most difficult to prevent. Many disgruntled or criminally motivated employees have compromised healthcare organizations by installing entry points to a hospital’s network from the inside.

Insider threats aren’t necessarily malicious. The increasing number of personal devices in hospitals poses an additional insider threat to these organizations. Smartphones, tablets, and laptops are allowed at 81% of healthcare organizations, but only half of these organizations have plans in place to secure these devices. Personal devices are often unencrypted and may be carrying malicious viruses or “worms” that can compromise connected networks.

Cybersecurity is a constantly evolving field. Healthcare organizations must be ready to invest in ongoing security protocols to remain ahead of the most common attacks. Complete security might be impossible, but a reduction in service interruptions and lost data could help healthcare organizations exponentially going forward.

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Healthcare Technology Trends for 2019 and Beyond

Healthcare Technology Trends for 2019 and Beyond | Healthcare and Technology news | Scoop.it

The healthcare industry is moving from products and services to solutions. Just a few years ago, medical institutions relied on special equipment and hardware to deliver evidence-based care. Today is the time of medical platforms, big data, and healthcare analytics. Healthcare institutions are focused on real-time results. The next decade will be focused on preventive care, and here new healthcare technology trends will come into play.

Artificial intelligence

The modern healthcare industry has already introduсed AI-based technologies like robotics and machine learning to the world. For example, IBM Watson is an AI-based system that’s making a difference in several areas of healthcare. The IBM Watson Care Manager was produced to enhance care management, accelerate drug discovery, match patients with clinical trials, and fulfill other tasks. Systems like this can help medical institutions save a big deal of time and money in the future.

 

It’s likely that in 2019 and beyond, AI will become even more advanced and will be able to carry out a wider range of tasks without human monitoring. Here are some predictions of AI trends in healthcare:

Early diagnosis

This healthcare technology trend can accurately and quickly process a lot more data than the human brain. So AI tools can reduce human errors in diagnosis and treatment and allow doctors to work with more patients. For example, image recognition technology will help to diagnose some diseases that cause changes to appearance (diabetes, optical deviations, and dermatological diseases). It’s also likely that in future people will be able to diagnose themselves. DIY medical diagnosis apps will probably ask some questions, process a patient’s care history, and then show possible diagnoses based on the current symptoms. But as this technology isn’t advanced yet, patients should be careful with DIY medical apps and self-medication.

Medical research and drug discovery

The future of drug discovery and medical research lies in deep learning technology. Deep learning is a field of machine learning that’s able to model the way neurons interact with each other in the brain. This allows medical systems to process large sets of data to quickly identify drug candidates with a high probability of success. A Pharma IQ report says that about 94 percent of pharma specialists believe that AI technologies will have a noticeable impact on drug discovery over the next two years. Even today, pharmaceutical giants such as Merck, Celgene, and GSK are working on drug discovery in collaboration with AI platforms, predicting AI to be the primary drug discovery tool in the future.

Better workflow management and accounting

There are a lot of routine and tiresome tasks that medical workers have to do apart from caring for patients. AI can reduce staff overload by automating monotonous tasks such as accounting, scheduling, managing electronic health records, and paperwork.

IoMT

The Internet of Medical Things (IoMT) includes various devices connected to each other via the internet. Nowadays, this technology trend in healthcare is used for remote monitoring of patients’ well-being by means of wearables. For example, ECG monitors, mobile apps, fitness trackers, and smart sensors can measure blood pressure, pulse, heart rate, glucose level, and more and set reminders for patients. One recently introduced IoMT wearable device, the Apple Watch Series 4, is able to measure heart rate, count calories burned, and even detect a fall and call emergency numbers. The FDA has recently approved a pill with sensors called Abilify MyCite that can digitally track if a patient has taken it.

IoMT technology is still evolving and is forecasted to reach about 30 billion devices worldwide by 2021 according to Frost & Sullivan.

  • IoMT will contribute sensors and systems in the healthcare industry to capture data and deliver it accurately.
  • IoMT technology can reduce the costs of healthcare solutions by allowing doctors to examine patients remotely.
  • IoMT can help doctors gather analytics to predict health trends.

 

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Rural Health Professions Training: Teaching Medical Students the Benefits of Telemedicine

Rural Health Professions Training: Teaching Medical Students the Benefits of Telemedicine | Healthcare and Technology news | Scoop.it

For medical students with the University of Arizona College of Medicine – Tucson, weeks of suspense will end on March 15. Otherwise known as Match Day, it’s the day the students will learn where they will go for their residency training, in their chosen medical field, after they graduate from medical school in May.

 

Sarah Joy Ring, who has completed the College of Medicine – Tucson’s Rural Health Professions Program and a 16-week Rural Health Distinction Track, is hoping for a residency focused on both pediatrics and emergency medicine, potentially in a rural location.  Her “capstone” paper, an in-depth research project that all Distinction Track students are expected to complete, carries the impressive title of “A Survey of Rural Emergency Medicine and the Discrepancy of Care for Pediatric Patients that Present to Rural Emergency Departments.”

 

During her training, she had opportunities to see how important telemedicine can be in rural communities.

 

“I was at sites that had telemedicine capabilities and spent some time chatting with the physicians about them. "I can specifically remember two experiences, one while on my family medicine rotation in Tuba City (in northern Arizona, where students learn about American Indian healthcare) and one during my RHPP summer in Flagstaff” (also in northern Arizona).

“Tuba City experiences a significant shortage of mental health providers in general, and specifically for children and adolescents," Sarah says.

“As such, they found using telemedicine helpful to connect the children of that region with services that they would otherwise struggle to receive, due to having to travel large distances to receive help, which incurs financial and time burdens for families.

“Moreover, a point that I found particularly enlightening when learning about this service, was with regard to what it means to live in a small population where it is quite likely you know most people living in the region," Sarah says.

“The physicians found that because of this, many adolescents experiencing difficulties often felt uncomfortable sharing with people who lived in the region, out of fear that they may tell someone, or that they were themselves a relative or family friend, which can be a common experience. Having someone to share with who lived out of the region and was not specifically invested in the region and an integral member of the community made many of these adolescents more comfortable with disclosing their experiences.  

“I also worked on writing about how telemedicine can be used to augment pediatric services in rural emergency departments for part of my "capstone" project and found some very positive results from multiple studies. For critically ill patients, one study found that in particular, telemedicine consults improved the access to critical care specialists, resulting in a reduced frequency of physician-related medication errors. Moreover, another study found that parent satisfaction was higher with telemedicine consults than with phone consults, which is a particularly important outcome when caring for pediatric patients and their family. Many of these same findings also translated to the pre-hospital environment, where ambulances that utilized telemedicine resulted in better assessments, more interventions in the pre-hospital environment, and improved outcomes for pediatric patients in pre-hospital care. 

“Overall," Sarah says, I think that we will continue to find that telemedicine is an excellent resource for rural providers that allows patients to have clinically significant access to additional resources and care that would otherwise be difficult or unavailable to the region."

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HIPAA Compliant Laptops

HIPAA Compliant Laptops | Healthcare and Technology news | Scoop.it
HIPAA Compliant Laptops

HIPAA regulations require healthcare organizations and individual care providers to take measures to keep patient data secure. Failure to do so can result in fines if an organization suffers a breach of unsecured PHI. 

 

The HIPAA Security Rule requires that mobile devices be rendered secure. Security Rule requirements needed for HIPAA-Compliant laptops are discussed below.

What is a Security Risk Assessment?

The HIPAA Security Rule requires that covered entities (health plans, health care clearinghouses, and health care providers who electronically transmit any health information in connection with a HIPAA-related transaction), and business associates implement security safeguards.

 

These security safeguards must protect the confidentiality, integrity, and availability of electronic protected health information (ePHI). ePHI is any protected health information that is created, stored, transmitted, or received in any electronic format.

 

The HIPAA Security Rule requires covered entities and business associates to perform a security risk assessment (also known as a Security Risk Analysis). 


Performing a security risk analysis is the first step in identifying and implementing these safeguards. Performing this assessment is also required to have a HIPAA-compliant laptop.

 

A security risk analysis consists of conducting an accurate and thorough assessment of the potential risks and vulnerabilities to the confidentiality, integrity, and availability of ePHI. 

What are the Elements of a Security Risk Analysis?

The security risk analysis includes six elements:

  • Collecting Data
  • Identifying and Documenting Potential Threats and Vulnerabilities
  • Assessing Current Security Measures
  • Determining the Likelihood of Threat Occurrence
  • Determining the Potential Impact of Threat Occurrence
  • Determining the Level of Risk to ePHI

What is the Relationship Between the Security Risk Assessment and HIPAA-Compliant Laptops?

A risk assessment encompasses a company’s entire IT infrastructure; company policies; administrative processes; physical security controls, and all systems, devices, and equipment that are capable of storing, transmitting or touching ePHI. 

 

These devices include laptops. To have HIPAA-compliant laptops, organizations must conduct a risk assessment, which will provide companies with vital information as to how laptop security measures can be improved or implemented.

 

What Safeguards Must be Implemented to have HIPAA-Compliant Laptops?

In order for covered entities to have HIPAA-compliant laptops, covered entities must:

  • Consider the use of encryption for transmitting ePHI, particularly over the Internet. 
    • If a risk assessment has determined that lack of encryption presents a risk, encryption should be implemented.
    • A covered entity violates HIPAA if it allows transmission of ePHI over an open network, such as via HHS messages.
    • Encrypt data in motion, if it has been determined that ePHI transmission, if not encrypted, would be at significant risk of being accessed by unauthorized entities.
    • Implement access controls to ensure users are authenticated. 
      • Organizations should implement multi-layered security controls to reduce the risk of unauthorized data access.
      • Put protections in place to ensure data cannot be altered or destroyed
      • Put controls in place to allow devices to be audited.
        • Organizations must have the capability to examine access (and attempted access) to ePHI, and any other activity performed on the device that has the potential to affect data security.
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Why Cyber-Security Is Important For Your Dental Practice

Why Cyber-Security Is Important For Your Dental Practice | Healthcare and Technology news | Scoop.it

If you run a dental practice, keeping your computer systems secure at all times is essential.

 

Due to the increasing frequency and sophistication of cyber-threats, it’s more important than ever to keep your computer systems secure. However, if you’re unsure how to protect your data, you certainly aren’t alone.

 

The data that you store on your computer systems contains highly sensitive information about your patients, which can make it a target of hackers.

 

Not only do these records contain important identifying information of your patients that could be targeted by identity thieves, but they also contain protected medical records that are protected by HIPAA.

 

PROTECTING YOUR DATA REQUIRES MORE THAN AN ANTIVIRUS PROGRAM

 

An effective antivirus program can play a major role in protecting your data and improving dental practice security, but it’s not the whole story.

 

You need to make sure that your employees are trained on how to avoid malware on the web, avoid falling prey to phishing, and are well-educated on the importance of cyber-security.

 

In addition, it’s essential to make sure that your employees are familiar with how to identify suspicious emails and ensure that they avoid clicking on links from an unknown sender.

 

WHAT CAN THREATS & ADVANCEMENTS BE EXPECTED IN THE FUTURE?

 

While cyber-security threats are likely to become more advanced as time goes on, health IT security systems are likely to advance as well, which means that there will be new ways to protect your computer system from hackers.

 

For instance, antivirus programs are becoming increasingly effective at detecting new forms of malware, and many antivirus programs now make it possible to flag websites that could be dangerous.

 

Using a certified EHR or Electronic Health Records system will help keep your patients’ information safe, certified EHRs are tested by the government to make sure it is of the highest security standards.

 

These programs are likely to become far more sophisticated, which is likely to thwart a large portion of cyber-attacks. Furthermore, IT technology is being increasingly utilized for a wide range of dental devices, such as dental cameras, CNC machines, and 3D printers used in the dental industry.

 

As a result, the list of dental devices that you’ll need to keep secure is likely to increase considerably in the future.

 

Luckily, you’ll have the opportunity to protect these smart devices with cyber-security technologies that are more advanced and effective than ever.

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HIPAA and Medical Record Copy Fees

HIPAA and Medical Record Copy Fees | Healthcare and Technology news | Scoop.it

Patients often request copies of their medical records. Traditionally, state law governed the subject of medical record copy fees.

 

State laws typically permit providers to charge a per-page copy fee, of up to a certain dollar value, or to charge a flat fee of up to a certain amount for the entire medical record. Many covered entities simply charge the maximum amount that state law allows. 

Such state laws (and the healthcare providers acting in accordance with them), however, cannot do an end-run around the HIPAA right of access rules, the latter of which provide that medical record copy fees must be reasonable.

 

Medical record copy fees that are flat fees, untethered to the actual costs of reproduction, may be considered excessive under the HIPAA Privacy Rule’s right of access provisions. When the two laws are in conflict, HIPAA, the federal law, prevails.    

The HIPAA Privacy Rule’s Right of Access and Medical Record Copy Fees

This point – that HIPAA preempts contrary state law – has been reiterated under guidance provided by the Department of Health and Human Services’ (HHS) Office of Civil Rights. This guidance specifies that HIPAA, through its right of access provisions, limits the amounts that a covered entity may charge a patient requesting access to his or her medical records.

Under the HIPAA Privacy Rule Right of Access, medical record copy fees must be reasonable and cost-based.

This means that providers may only charge for the following:

  • Labor for copying the PHI requested by the individual, whether in paper or electronic form.  

           i)Labor for copying includes only labor for creating and delivering the electronic or paper copy in the form and format requested or agreed upon by the individual, once the PHI that is responsive to the request has been identified, retrieved or collected, compiled and/or collated, and is ready to be copied.

 

Labor for copying does not include:

  • Costs associated with reviewing the request for access; 
  • Searching for and retrieving the PHI, which includes locating and reviewing the PHI in the medical or other records, 
  • Segregating or otherwise preparing the PHI that is responsive to the request for copying.
  • Supplies for creating the paper copy (e.g.,  paper, toner) or electronic media (e.g., CD or USB drive) if the individual requests that the electronic copy is provided on portable media.  
    • However, a covered entity may not require an individual to purchase portable media; individuals have the right to have their  PHI e-mailed or mailed to them upon request.
    • Labor to prepare an explanation or summary of the PHI, if the individual in advance both chooses to receive an explanation or summary and agrees to the fee that may be charged

 

In sum, costs associated with updates to or maintenance of systems and data, capital for data storage and maintenance, and labor associated with ensuring compliance with HIPAA (and other applicable law) in fulfilling an access request (e.g., verification, ensuring only information about the correct individual is included, etc.) and other costs not included above, even if authorized by State law, are not permitted for purposes of calculating the fees that can be charged to individuals.

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6 Communication Tips to Regain Patient Trust After a Medical Record Breach

6 Communication Tips to Regain Patient Trust After a Medical Record Breach | Healthcare and Technology news | Scoop.it

Even with a perfect cybersecurity strategy and implementation, including performing all required steps to be HIPAA compliant, your medical practice could still be hacked by cybercriminals. 

Doctor’s offices and other businesses who collect private customer information (payment information, addresses, personal health details, and more) to deliver services are regularly targeted by cybercriminals.

 

In the third quarter of 2018, the Protenus Breach Barometer reported 117 health data breaches with 4.4 million patient records compromised.

 

It’s important to note that doctors and other healthcare providers aren’t the only businesses that need to comply with HIPAA regulations. Other businesses that work with protected health information (PHI) must also comply with HIPAA privacy requirements. These include businesses such as billing companies, lawyers, and financial consultation services to mention a few.  Such companies are usually contracted by covered entities and are known as business associates.

 

A critical and often overlooked aspect of a cybersecurity strategy is knowing what to do if you do experience a data breach and, secondly, what you can do to regain the trust of your patients. It is best to be prepared and have a strategy for how you will address the incident. An incident response plan provides the steps a business will take if a hacker successfully penetrates their defense, resulting in a medical records breach. 

 

Beyond the legally required steps that covered entities must take, taking the necessary steps to rebuild trust with customers is an equally important component of recovering from a data breach. 

Trust: A Key Component for Any Successful Business

People do business with companies they trust. A successful data breach of PHI can cause patients to lose trust in your practice. Once trust is lost, customers often will take their business elsewhere. 

A survey by SAP found that “abuse of customer data could cause 80% of consumers to abandon your brand.”

A HIPAA data security breach is a serious matter than can seriously impact any covered entity’s bottom line and longevity.

Report the Breach to Authorities and Explain What Happened to Your Patients

For any covered entity this step is mandatory because it is legally required. For an overview of notification procedures, read How do I report an unsecured Protected Health Information (PHI) Breach?

Any company that experiences a security breach should explain to their customers what happened. This is near-universal advice given for how to handle a breach. Covered entities need to contact affected individuals via First Class Mail or email (if they have permission). 

 

Email is faster and will give affected individuals a better chance to protect themselves from identity theft and other financial harm in a timely manner. 

 

Beyond simply alerting individuals, explaining what happened helps to rebuild trust. Research indicates that honesty and openness is good business. In a study on brand recalls and the effect on customer loyalty by The Relational Capital Group, a link between honesty and continued loyalty was evidenced in two noteworthy findings:

 

  • 91% of consumers agreed that companies make mistakes that lead to product recalls.
    • 87% agreed with the statement that they are “more likely to purchase and remain loyal to a company or brand that handles a product recall honorably and responsibly, even though they clearly made mistakes that led to a safety or quality problem.

Have Your Facts Correct

While it is important to contact your patients quickly, a mistake many companies make is to respond too quickly. Move quickly, but thoroughly to investigate the facts of the matter so that you do not over or under-report the number of affected individuals or other details. 

Communicate in Plain Language

The healthcare industry uses a lot of jargon and acronyms. Minimize jargon when explaining the data breach to your patients. All communications must be simple, clear, and concise. 

Your patients have had their personal information stolen. Now is not the time to use language to “obfuscate” (or in other words, “hide”) what happened and what they should do next. 

Empathize

Healthcare communication often lacks personality and is clinical. When delivering post-op instructions to a patient, it is important to impart the information in a direct, non-emotional manner. 

In a data breach, that is typically not the right approach. Tailor your message for your audience and be sympathetic to the additional aggravation the breach of their personal data has caused in their lives. 

Share Security Tips and Advice

For covered entities, this is required. For any other business, it is good advice. In your notification to affected individuals, include suggested steps to help them secure their information, such as paying extra attention to fraudulent charges on credit cards, changing passwords, etc. 

Get Your Employees Involved

Providing thorough, ongoing information security training for employees is essential. Not all PHI breaches are via cybercriminal hacking attacks. Human error and carelessness can also result in costly HIPAA violations. 

Cybersecurity should be an evolving program, requiring continuous tweaking and updating which includes regularly reminding employees of how important a security culture is and training them on the correct procedures.

Medical Record Data Breaches: A Matter of When, Not If

Many companies and cybersecurity professionals believe that hacks are inevitable. Whether because of ingenious hackers, employee errors, a missed patch, or any of a multitude of other reasons, a PHI data breach could happen to you.

Creating a cybersecurity plan in accordance with HIPAA compliance regulations will keep your office as secure as possible. Following the steps and suggested tips in this post will help you keep or regain your patients’ trust if your network is hacked and a PHI breach occurs. 

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HIPAA Cyber Security Practices

HIPAA Cyber Security Practices | Healthcare and Technology news | Scoop.it

The Health Insurance Portability and Accountability Act (HIPAA) mandates safeguards to be in place to secure protected health information (PHI). PHI is any individually identifying health information such as name, date of birth, financial information, and medical history.

 

The incidents of healthcare organization hacks has increased exponentially over the last few years. As the most targeted sector of the U.S. economy, implementing HIPAA cyber security practices is essential to protecting PHI.   

Server Hack Lasting 9 Years Compromised PHI of 2.9 Million 

Virginia based, Dominion National, was the victim of a server hack that took 9 years to detect.

 

Dominion National is an insurer, health plan administrator, and administrator of dental and health benefits. 2.9 million patients were affected by the breach, with exposed information including names, dates of birth, Social Security numbers, addresses, email addresses, taxpayer ID numbers, bank account information, group numbers, subscriber numbers, and member ID numbers. However, exposed information varied by person. 

 

As required by law, affected individuals received breach notification letters and two years of free credit monitoring and identity theft protection. To prevent future incidents Dominion National has implemented enhanced alerting and monitoring software. 

 

Mike Davis, Dominion National President, stated “we recognize the frustration and concern that this news may cause, and rest assured we are doing everything we can to protect your information moving forward. We are committed to making sure you get the tools and assistance you need to help protect your information.”

How to Prevent a Server Hack

Healthcare servers hold a wealth of patient information and are continually targets for hackers. To ensure that the data held in a server is protected, there must be systems in place to prevent access from unauthorized individuals. 

 

The Department of Health and Human Services (HHS) identifies ten practices organizations should implement to increase their cybersecurity:

  1. Email protection systems
  2. Endpoint protection systems
  3. Access management
  4. Data protection and loss prevention
  5. Asset management
  6. Network management
  7. Vulnerability management
  8. Incident response
  9. Medical device security
  10. Cyber security policies

 

An organization that incorporates these ten practices into their security practices will limit their risk of exposure.

Need Help with HIPAA Cyber Security?

Compliancy Group gives healthcare providers and vendors working in healthcare the tools to confidently address their HIPAA compliance in a simplified manner. Our cloud-based HIPAA compliance software, the GuardTM, gives healthcare professionals everything they need to demonstrate their “good faith effort” towards HIPAA compliance.

 

To address HIPAA cyber security requirements, Compliancy Group works with IT and MSP security partners from across the country, who can be contracted to handle your HIPAA cyber security protection.

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How do I report an unsecured Protected Health Information (PHI) Breach?

How do I report an unsecured Protected Health Information (PHI) Breach? | Healthcare and Technology news | Scoop.it

Have you had a HIPAA Breach?  Here's how you report it.

If you are a covered entity and have experienced the loss or theft or accidental disclosure of unsecured or unencrypted Protected Health Information (PHI), you have most likely had a HIPAA Breach. As a covered entity you must undergo specific breach notification procedures as per HIPAA law,  if you discover a breach of unsecured protected health information.  You may need to invoke your incident response plan and involve your attorney depending on the size and nature of the breach.

Step 1- Notify the Secretary of Health and Human Services (HHS)

Your obligations for breach notification to the secretary differ based on whether the breach affects 500 or more individuals or fewer than 500 individuals. If you are unsure how many individuals are affected at the time of submission, provide an estimate.  If the breach affects 500 or more individuals, you need to report the breach to the Secretary no later than 60 days of discovering the breach.

Once HHS receives your breach notification, your information along with some information of the breach will be published on the HHS Breach Portal, also known as the "Wall of Shame".  The Office of Civil Rights (OCR) will then open an investigation.

Step 2- Providing additional information after a breach has been reported

If you discover additional information, submit updates as necessary. If only one option is available in a submission category you should pick the best option, and may provide additional details in the free text portion of the submission.

If you discover additional information that supplements, modifies, or clarifies a previously submitted notice to the Secretary, you may submit an additional form by checking the appropriate box to indicate that it is an addendum to the initial report, using the transaction number provided after submitting the initial breach report.

Step 3- Notify the affected individuals

  1. It is your responsibility to notify each individual of the breach of their PHI, either by notifying them via first class mail, or if they have given permission, you may notify them via email. This notice must include a description of the breach, including the information involved in the breach, steps the individual can take to protect themselves and a summary of the steps you are taking to investigate the breach and what you are doing to prevent future breaches. 

 

What if I don’t have the contact information for Affected Individuals?

 

  1. If contact information for 10 or more individuals is incorrect, you must provide a public notice or media notification in the residential area of those affected individuals, providing them with an 800 number they can call to find out if their information was included in the breach. This number must remain active for a minimum of 90 days.  These individual notices may be substituted by providing notice on your website for a minimum of 90 days or by issuing a media statement notifying the public of the breach.

 

If the Breach Affects 500 or More Individuals:

 

3. If a breach of unsecured protected health information affects 500 or more individuals, you must notify the Secretary of HHS of the breach without unreasonable delay and in no case later than 60 calendar days from the discovery of the breach.  You must submit the notice electronically by clicking on the link below and completing all the required fields on the breach notification form.  

Step 4- Notify the media and update your website 

If the breach affects 500 or more individuals, you need to report the breach to prominent media outlets in the areas where affected or potentially affected individuals reside.  This helps inform all breach victims of the possibility of the exposure of their protected health information.  

If you do not have up-to-date contact information or addresses of 10 or more affected individuals, then you need to update your website with a notice of the breach.  A link to the breach notice must be prominently visible on your home page.

Step 5- Notify HHS annually of breaches affecting fewer than 500 individuals

If a breach of unsecured protected health information affects fewer than 500 individuals, you must notify the Secretary of the breach within 60 days of the end of the calendar year in which the breach was discovered. (You are not required to wait until the end of the calendar year to report breaches affecting fewer than 500 individuals; you may report such breaches at the time they are discovered.) You may report all your breaches affecting fewer than 500 individuals on one date, but you must complete a separate notice for each breach incident. The covered entity must submit the notice electronically by clicking on the link below and completing all of the fields of the breach notification form.

 

Other considerations

  • Be aware that your state may have more stringent breach notification procedures compared to the Federal Government. 
  • Be cognizant of the timeline of breach notification; delays in notification can cause fines and penalties to be levied.
  • Business Associates are also subject to the Breach Notification Rule. Business Associates must inform covered entities within 60 days of discovering the breach.  Business Associates must comply with requirements specified in their Business Associate Agreement with the covered entity.
  • Contact HHS OCR with questions toll-free at: 1-800-368-1019, TDD: 1-800-537-7697 or send an email to OCRPrivacy@hhs.gov
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New HIPAA Regulations in 2019

New HIPAA Regulations in 2019 | Healthcare and Technology news | Scoop.it

While there were expected to be some 2018 HIPAA updates, the wheels of change move slowly. OCR has been considering HIPAA updates in 2018 although it is likely to take until the middle of 2019 before any proposed HIPAA updates in 2018 are signed into law. Further, the Trump Administration’s policy of two regulations out for every new one introduced means any new HIPAA regulations in 2019 are likely to be limited. First, there will need to be some easing of existing HIPAA requirements.

 

HIPAA updates in 2018 that were under consideration were changes to how substance abuse and mental health information records are protected. As part of efforts to tackle the opioid crisis, the HHS was considering changes to both HIPAA and 42 CFR Part 2 regulations that serve to protect the privacy of  substance abuse disorder patients who seek treatment at federally assisted programs to improve the level of care that can be provided. Other potential changes to HIPAA regulations in 2018 included the removal of aspects of HIPAA that impede the ability of doctors and hospitals to coordinate to deliver better care at a lower cost.

 

These are the most likely areas for HIPAA 2019 changes: Aspects of HIPAA Rules that are proving unnecessarily burdensome for HIPAA covered entities and provide little benefit to patients and health plan members, and those that can help with the transition to value-based healthcare.

How are New HIPAA Regulations Introduced?

The process of making HIPAA updates is slow, as the lack of HIPAA changes in 2018. It has now been 5 years since there was a major update to HIPAA Rules and many believe changes are now long overdue. Before any regulations are changed, the Department of Health and Human Services will usually seek feedback on aspects of HIPAA regulations which are proving problematic or, due to changes in technologies or practices, are no longer as important as when they were signed into law.

 

After considering the comments and feedback, the HHS then submits a notice of proposed rulemaking followed by a comment period. Comments received from healthcare industry stakeholders are considered before a final rule change occurs. HIPAA-covered entities are then given a grace period to make the necessary changes before compliance with the new HIPAA regulations becomes mandatory and enforceable.

New HIPAA Regulations in 2019

OCR issued a request for information in December 2018 asking HIPAA covered entities for feedback on aspects of HIPAA Rules that were overly burdensome or obstruct the provision of healthcare, and areas where HIPAA updates could be made to improve care coordination and data sharing.

 

The period for comments closed on February 11, 2019 and OCR is now considering the responses received. A notice of proposed rulemaking will follow after careful consideration of all comments and feedback, although no timescale has been provided on when the NPRM will be issued. It is reasonable to assume however, that there will be some at least some new HIPAA regulations in 2019.

OCR was specifically looking at making changes to aspects of the HIPAA Privacy Rule that impede the transformation to value-based healthcare and areas where current Privacy Rule requirements limit or discourage coordinated care.

 

Under consideration are changes to HIPAA restrictions on disclosures of PHI that require authorizations from patients. Those requirements may be loosened as they are considered by many to hamper the transformation to value-based healthcare.

 

OCR is considering whether the Privacy Rule should be changed to make the sharing of patient data with other providers mandatory rather than simply allowing data sharing. Both the American Hospital Association (AHA) and the American Medical Association (AMA) have voiced their concern about this aspect of the proposed new HIPAA regulations and are against the change. Both organizations are also against any shortening of the timescale for responding to patient requests for copies of their medical records.

 

OCR is also considering HIPAA changes in 2019 that will help with the fight against the current opioid crisis in the United States. HHS Deputy Secretary Eric Hargan has stated that there have been some complaints about aspects of the HIPAA Privacy Rule that are stopping patients and their families from getting the help they need. There is some debate about whether new HIPAA regulations or changes to the HIPAA Privacy Rule is the right way forward or whether further guidance from OCR would be a better solution.

 

One likely area where HIPAA will be updated is the requirement for healthcare providers to make a good faith effort to obtain individuals’ written acknowledgment of receipt of providers’ Notice of Privacy Practices. That requirement is expected to be dropped in the next round of HIPAA changes.

 

What is certain is new HIPAA regulations are around the corner, but whether there will be any 2019 HIPAA changes remains to be seen. It may take until 2020 for any changes to HIPAA regulations to be rolled out.

Changes to HIPAA Enforcement in 2019

Halfway through 2018, OCR had only agreed three settlements with HIPAA covered entities to resolve HIPAA violations and its enforcement actions were at a fraction of the level in the previous two years. It was starting to look like OCR was easing up on its enforcement of HIPAA Rules. However, OCR picked up pace in the second half of the year and closed 2018 on 10 settlements and one civil monetary penalty – One more penalty than in 2018.

 

2018 ended up being a record year for HIPAA enforcement. The final total for fines and settlements was $28,683,400, which beat the previous record set in 2016 by 22%.

At HIMSS 2019, Roger Severino gave no indications that HIPAA enforcement in 2019 would be eased. Fines and settlements are likely to continue at the same level or even increase.

 

Severino did provide an update on the specific areas of HIPAA compliance that the OCR would be focused on in 2019. OCR is planning to ramp up enforcement of patient access rights. The details have yet to be ironed out, but denying patients access to their medical records, failures to provide copies of medical records in a reasonable time frame, and overcharging are all likely to be scrutinized and could result in financial penalties.

 

OCR will also be continuing to focus on particularly egregious cases of noncompliance – HIPAA-covered entities that have disregarded the duty of care to patients with respect to safeguarding their protected health information. OCR will come down heavy on entities that have a culture of noncompliance and when little to no effort has been put into complying with the HIPAA Rules.

 

The failure to conduct comprehensive risk analyses, poor risk management practices, lack of HIPAA policies and procedures, no business associate agreements, impermissible PHI disclosures, and a lack of safeguards typically attract financial penalties. OCR is also concerned about the volume of email data breaches. Phishing is a major problem area in healthcare and failures to address email security risks are likely to attract OCR’s attention in 2019.

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Cybersecurity: What Every Telemedicine Practitioner Needs to Know

Cybersecurity: What Every Telemedicine Practitioner Needs to Know | Healthcare and Technology news | Scoop.it

Telemedicine, which enables health professionals to provide treatment to patients remotely, is especially useful in rural areas, where people are distanced from healthcare facilities. It can also play a considerable role during natural disasters when professionals cannot reach affected areas or must operate outside of traditional medical settings.

 

But because of the nature of the platform — and the technology used — telemedicine is susceptible to outside attacks, particularly cyberattacks. Communication and digital exchanges are often done via the open internet. A patient will have a live video chat with a health professional via a mobile app, for instance. That feed and any data from the exchange is vulnerable to snooping or outright theft, especially if one of the parties is using an unsecured network connection.

 

Cyberattacks Are More Dangerous in Health Fields

There’s no reason to downplay general theft. The risk of hackers scooping up personal data is always a concern, but when attacks involve highly sensitive health details, the risks are much higher. Not only could the data be used to harm and damage others, but its misuse can also harm the professionals and, by proxy, the facility they work for. HIPAA law dictates that all communications and data exchanged between doctors and patients be secure — if not, healthcare providers face massive fines and penalties.

 

What makes the whole thing even more alarming is that, in today’s landscape, it’s not a matter of “if” you will experience a cyber attack or data breach, but “when.”

Norton Security, which claims "protection against viruses, malware and more," estimates that by 2023, cybercriminals will successfully steal 33 billion records per year.

 

To provide an even better perspective, consider this: By 2018, nearly 70 percent of businesses had experienced some form of cybersecurity attack, with over half experiencing a data breach. Out of all small businesses that suffer attacks, 60 percent close within six months of an event.

 

It’s a very costly, very damaging problem from which the healthcare and telemedicine industry is not exempt.

How to Prevent Attacks and Mitigate Damage When They Do Happen

Preventative measures are important, and understanding how to deal with an attack or breach can be instrumental in lowering risks. Assuming that a breach can and will happen allows you to better lock down your systems and data. For example, putting stringent authentication and user access measures in place help ensure that only the right people can interact with certain types of data. This means if a lesser user’s account were to be hacked, the attacker wouldn’t have access to sensitive information.

The first recommendation is that you follow ISO 27001 standards and develop a process of internal audits to measure compliance and performance. This set of management standards deals specifically with information security and proactive protection measures.

 

Here are some ways to improve general security and mitigate the risks of a breach:

  • Hire a third-party data security provider or a consultant to understand what’s necessary to protect your network, systems and hardware
  • Establish user access protocols to prevent unauthorized users from accessing high-level information; in other words, keep people in their lanes
  • Use strong authentication measures to identify users and require the use of strong passwords
  • Educate personnel on the importance of security and ensure they understand what role they play
  • Use data encryption for all information sharing and open streams so that any exchanged information is locked behind a security protocol
  • Develop the entire platform, app or tool with security in mind as a foundational element
  • Create a response plan for cyberattacks: how you lock down affected systems and networks, prevent future data loss and tampering, and regain control
  • After a breach, always inform the necessary parties involved, including customers and patients, as well as regulatory bodies

 

While many of the solutions discussed here are valuable, many tactics can help telemedicine practitioners prevent and protect against cyberattacks. The most obvious involves awareness and preparedness, which means educating yourself and your personnel on modern security.

 

This is not something that can be continually brushed aside or avoided. Security must always be a “now” practice that is honored and put into place as soon as possible. It’s especially true of for telemedicine, which involves the facilitation and exchange of highly sensitive information across open channels.

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How Relevant CTI Can Be

How Relevant CTI Can Be | Healthcare and Technology news | Scoop.it

CTI stands for Computer Telephony Integration and it refers to any type of technology that allows computer and phone central functionalities to be interconnected resulting in an added value service portfolio.

 

In the beginning of the telephony era, you were not given the chance of dialing; you would simply “signal” a call center and a human operator would ask you what you required. Then once you stated you wanted to call someone, that human operator would establish a point-to-point connection between your terminal equipment (phone) and the destinations.

 

The funny thing is that nowadays, when you ask your smartphone’s personal assistant to call someone, the process as perceived by us humans is, in fact, the same, and we like it better than having to dial the number or look for the contact.

 

Phone Centrals have become Computers instead of the long-gone PBX backbones, nevertheless the integration of such computers (which perform the role of phone centers) with terminal equipment’s which are in fact computers (like smartphones) and computer software like CRM and ERP Servers or Cloud-based App Services has made the CTI concept more relevant by the day.

 
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Net Benefits of Telemedicine for Urgent Care Centers

Net Benefits of Telemedicine for Urgent Care Centers | Healthcare and Technology news | Scoop.it

Practice EHR discusses net benefits of telemedicine for Urgent Care Centers.

 

Telemedicine is becoming the new norm for giving and receiving care. Today’s patients are more connected than ever before and 64 percent of Americans report they would seek care via telemedicine, according to an American Well telehealth survey.

 

In its early stages, telemedicine seemed like another on-demand solution taking patients away from urgent care centers (UCCs). Today, urgent cares are realizing the benefits of integrating telemedicine into their operations, such as better flexibility, accessibility and in some cases, better patient satisfaction and outcomes.

 

Fortunately, telemedicine also has financial advantages. Telemedicine empowers UCCs to provide a convenient and cost-effective service for patients, while at the same time improving revenue. Have you considered telemedicine for your urgent care? Read on to learn more about the financial benefits of telemedicine:

Net-Benefits of Telemedicine

1. Increase the number of patients you see each day.

Telemedicine helps you work more efficiently and see more patients in less time. A virtual visit takes less time than an in-person visit, allowing your urgent care to increase the number of patients seen in a day, without having to extend office hours. For example, a clinic with three providers that completes two virtual visits per day, at an average reimbursement of $50, will earn $109,500 in additional revenue in just one year.

 

For UCCs who do feel the need to provide extended office hours, telemedicine is a feasible and cost-effective solution when you have a cloud-based electronic health record (EHR) with integrated telemedicine capabilities. Consider virtual extended hours, where a patient can be seen via a virtual visit conducted by a remote on-call physician. This idea eliminates in-person visits during extended hours, which keeps costs low, drives revenue for your clinic and at the same time provides better accessibility for patients who may be in need during those off-hours

.

2. Better allocate your resources.

Today, consumers have more options than ever before when it comes to their care. Long wait times can result in low patient satisfaction and fewer patients. If your clinic is experiencing long wait times, consider how you can incorporate telemedicine for services that don’t require an in-person visit, like for the flu or an emergency medication refill. Providing virtual visits for these scenarios is a much more efficient and cost-effective way for your patients and your clinic.

 

Telemedicine can also help multi-location UCCs balance their patient volumes and wait times, without having to spend money on additional resources. The Journal of Urgent Care Medicine cited an example of an urgent care that decreased patient wait times and increased patient satisfaction by equipping facilities with telemedicine capabilities in two locations. In other words, UCCs can leverage providers in lower-traffic locations to conduct virtual visits immediately and remotely for patients who are waiting to be seen at the busier location.

 

3. Reach more patients.

In addition to load balancing, telemedicine can easily enable UCCs to reach a larger pool of patients to generate more revenue. Urgent cares who use telemedicine can expand their services to reach patients across one state or multiple, instead of being limited to patients who only live within a 3-5 mile radius.

 

4. Achieve competitive advantage.

Research from Accenture indicates patients want a better healthcare experience and they are leveraging technology, such as telemedicine, to do so. However, the same research also suggests patient demands for virtual care options are outpacing what’s currently available. This provides a significant opportunity for urgent cares. UCCs were the catalysts for convenient, on-demand healthcare; those who continue to evolve with their patients will successfully differentiate themselves in today’s competitive healthcare market.

 

To continue to lead in the on-demand market, urgent care centers will need to adopt technology, like telemedicine to meet patient expectations. The good news is telemedicine is a smart investment that can result in improved efficiency, patient care, cost-savings, revenue and more. Incorporating telemedicine into your UCC isn’t difficult, and there are affordable, telemedicine solutions on the market today. UCCs that incorporate telemedicine, have a lot to gain and very little to lose.

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How to integrate your Phone System with Google Apps through CTI?

How to integrate your Phone System with Google Apps through CTI? | Healthcare and Technology news | Scoop.it

With VoIP (voice over internet protocol), companies are now able to access cheaper, more accessible phone systems all over the world. While VoIP phones have become common, particularly in North America and Europe, there is still a broad growth trend in Asian, African, and Latin American markets. Asian Pacific Markets expect an estimated 14% growth over the next five years, a significant increase considering the dense technological saturation in the area, caused primarily by escalating high-speed communications networks.

 

In markets where there isn’t such an extreme jump in internet infrastructure, there are also significant gains in the adoption of IP phone technology. In Africa, VoIP growth is stunning (80% in South Africa, for example). Because governments own traditional phone infrastructure in Africa, and also because of the challenges expanding utilities to less urban or more isolated areas, mobile VoIP has been replacing traditional phone systems for emerging and growing businesses.

 

Given contemporary global markets and the push toward global expansion, even companies that have long-established traditional phone infrastructure are adopting VoIP systems for their call centers and sales teams. Global calls are more than just person-to-person voice; they now include video, conferencing, and text, whether in Asia, Europe, or North America.

 

With VoIP phone systems, businesses can integrate their phones to their computers and smoothly connect all aspects of sales and service. SMEs and larger enterprises can all benefit from merging data and communications functions; with IP phones, users gain key communication features, all the while letting their VoIP service providers handle IT, updates, and data hosting. Businesses, regardless of size, can benefit from efficiently merging voice and data functions and gaining innovative communication features, while their VoIP service provider takes care of the technology.

 

CTI (computer telephony integration) software lets users integrate their phones with their CRM or ERP platforms to provide more efficient, cheaper, and easier customer communications.

 

With sales, agents can contact more potential clients, improve customer/agent interaction, and create a more collaborative sales team performance. With service, CTI software gives customers options of self-service or live agents, gives automatic call routing, reduces handle times, and gives management the opportunity to review call center performance.

 

It follows by implication that it’s important for businesses to find the best VoIP phone system and CRM for their needs. Some companies need a comprehensive system that works seamlessly across a host of different silos, whereas other businesses need customizable specifics for one element (IT, for example). Businesses must understand their budgets, dominant departments, as well as the need for scalability, and make decisions accordingly.

 
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HIPAA Physical Security is Just as Important as Cyber-Security

HIPAA Physical Security is Just as Important as Cyber-Security | Healthcare and Technology news | Scoop.it
HIPAA Physical Security is Just as Important as Cyber-Security

There are many misconceptions when it comes to HIPAA and security controls for covered entities. While security is related to technical measures such as encryption, firewalls, and security risk assessments, it also addresses physical and administrative safeguards that must be in place to protect patient information. In order to comply with HIPAA regulation, healthcare organizations must address each standard and safeguard outlined in the HIPAA Security Rule.

 

The Department of Health and Human Services (HHS) Office for Civil Rights (OCR) has now released new information further emphasizing the importance of physical safeguards for healthcare organizations across the country. HIPAA not only requires technical controls to protect the confidentiality, integrity, and availability of protected health information (PHI) but also proper physical security controls.

 

Physical safeguards are generally seen as the simplest and cheapest forms of protecting PHI, yet many organizations tend to overlook this important element of security. There are even some physical security controls that cost nothing- such as simply locking up portable electronic devices when they are not in use (laptops, portable storage devices, and pen drives).

 

Although this may seem like a very basic form of security, it is one of the most effective ways of preventing theft. To illustrate the importance of HIPAA physical security safeguards, OCR focuses on a 2015 HIPAA settlement with Lahey Hospital and Medical Center that affected 599 patients. This breach and subsequent HIPAA fine were triggered by the theft of an unencrypted laptop from the Tufts Medical School-affiliated teaching hospital.

 

The laptop was stolen from an unlocked treatment room off an inner corridor of the radiology department and contained ePHI. Lahey Hospital was fined $850,000 for failing to implement physical controls–a high price to pay for something that could have been avoided if some simple physical security safeguards were in place.

 

Prior to the Lahey Hospital settlement, QCA Health Plan paid $250,000 to OCR in 2014 for potential HIPAA violations. QCA Health Plan neglected to implement physical safeguards for all workstations to restrict access to ePHI to authorized users only. In this case, an unencrypted laptop was stolen from an employee’s vehicle.

 

Massachusetts Eye and Ear Infirmary (MEEI) also settled a HIPAA violation with OCR in 2012 for $1.5 million. Again, this incident was related to the theft of an unencrypted laptop, resulting in the exposure of patients’ ePHI.

 

In 2016, Feinstein Institute for Medical Research settled potential HIPAA violations with OCR for $3.9 million. Feinstein Institute failed to physically secure a laptop that was stolen from an employee’s vehicle containing the ePHI of 13,000 patients.

 

In July 2016, the University of Mississippi Medical Center was fined $2,750,000 for a failure to implement HIPAA physical security safeguards. An unencrypted laptop that contained ePHI of approximately 10,000 patients was stolen from its Medical Intensive Care Unit.

Preventing HIPAA Physical Security Breaches

It is up to covered entities and their business associates to decide on the most appropriate physical security safeguards that will protect their patients’ ePHI. One way organizations can implement these physical security controls is by adopting an effective compliance program.

 

Compliance Group gives health care organizations confidence in their HIPAA compliance with The Guard. The Guard is our HIPAA compliance web-app that covers every element of HIPAA compliance.

 

Our Compliance Coaches will guide users through every step of their compliance program with the help of our HIPAA compliance web-app. The Guard is built to address the full extent of HIPAA regulation, including everything needed to implement an effective HIPAA compliance program that will help safeguard your practice from violations and fines.

 

With The Guard, health care professionals will not only address their physical security safeguards but the technical and administrative safeguards as well, along with the other HIPAA requirements.

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