IT Support and Hardware for Clinics
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News, Information and Updates on Hardware and IT Tools to help improve your Medical practice
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Design Of A Mobile Health Clinic

Design Of A Mobile Health Clinic | IT Support and Hardware for Clinics | Scoop.it

A mobile clinic allows the health provider or health business to deliver its services from multiple locations. Simply put, you go to the patient, they don’t come to you.


The concept of mobile and virtual health clinics has grown rapidly and both are now key business models for health businesses in Australia.

 

Mobile health clinics have certainly grown in both numbers and services offered, as you now have clinicians and health practitioners flying into towns to hold a clinic or even doing a roadshow-like journey through rural and remote areas.

 

Mobile health clinics are also increasing in metropolitan areas where health practitioners or health businesses are going into the corporate, government and educational sectors to offer their services to the staff of those organizations.

 

Simply put, doctors, allied health professionals, and community workers are now becoming more mobile and as such, are having a bigger reach.

 

Most health practitioners agree that the biggest challenge in a mobile health clinic is to be mobile. In order words, the ability to access all the necessary clinical and business tools and offer the same service as an in-house health clinic is the greatest challenge.

Below are some tips on how to design a mobile health clinic (from an IT perspective).

 

Know what tools you need to complete your tasks in a mobile environment, this includes:

  • The clinical software applications you currently use (MD, BP, Genie, Pathology)
  • The billing applications you currently use (BP Management, eClaims)
  • The communication/messaging applications you currently use (Argus, Healthlink)
  • The administrative tools you currently use (Outlook, calendar)

Ask your current eHealth IT consultant to perform some research on

  • Cloud solutions specific to the health industry
  • Remote desktop solutions
  • Remote access solutions

 

At REND Tech, our Cloud for Health solution allows mobile, virtual and FIFO businesses to access their complete clinical IT environment from anywhere (home, office, mobile office), at any time and using their preferred device (iPads, tablets, laptops).

Before agreeing on a solution/vendor, ensure that

  • You have thoroughly tested the solution and it meets your requirements
  • Your data and applications are hosted in Australia
  • Your data, applications and complete IT environment are backed up daily
  • You are happy with the security levels provided
  • There is ongoing IT support and maintenance to ensure that your solution is always available.
  • You have tested the solution using wireless, networked and 3G/4G connections

 

By following the steps above, you should be well and truly on your way to having an excellent IT foundation for your mobile health clinic.

Technical Dr. Inc.'s insight:
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Track And Maintain Your New And Existing Patients Records Effectively

Track And Maintain Your New And Existing Patients Records Effectively | IT Support and Hardware for Clinics | Scoop.it

Cracking the code to access and save the heart of medical care

Medical records are undoubtedly the lifelines of medical care today. You don’t just need them to treat the patient correctly and follow-up well but also to ensure that you have documented it and have a record.

 

These are not just some paperwork requirement of the process; they are also legal documents and have come a long way,from being mere bundles of files to an important requirement in the medico-legal environment.

 

The change in the stature of patient records in the entire system has led to many strategies being developed to ascertain tracking and maintaining of patient records of both new and old patients effectively.

 

Here we list for you some foolproof and effective ways of doing the same at your clinic.

1. Unique Clinic Identity Document (UCID)

UCID is a unique alphanumeric or numeric code generated by the Clinic Management software for each new patient at the clinic. The software can be customized to generate such an ID ensuring every record of the patient going forward is stored under this ID. Being a unique code this will not be assigned to any other patient ever and this code becomes equivalent to a personal locker of the patient in the software. To access the records of any patient at any time irrespective of how old or new the patient is, all you need is the UCID and login rights to access it, and lo and behold, all relevant information will be displayed on your screen.

2. Integrate Accurately and Completely

While the Clinic Management software can be customized to generate a UCID for every new patient, old patient records need to be integrated into the system while implementing the software. This is precisely the reason why integration is an important factor to be considered while buying Clinic Management software because you cannot, in any way, afford to lose the medical records of your old patients. They need to be manually or otherwise digitized and saved on the server, to be accessed in exactly the same manner as the new ones.

3. Record Only Through EMR

Discontinue the option of the physical recording of patient records at your clinic. Recording in the software puts into use the EMR module of the software and with only one format of patient records available, tracking and maintaining patient records is easy. If both manual medical record-keeping and EMR are running parallel to each other at your clinic, patient records can never be maintained effectively and the tracking or access will never be easy or complete.

4. Patient Records On Cloud Is Better

In the battle between in-house servers vs. cloud-based server as far as patient records and their access is concerned, the cloud-based server will win hands down. The in-house server may be down for maintenance or due to some technical glitch and in that down-time no patient records can be accessed or recorded; while on cloud-based servers, continuity in tracking and maintaining the patient records is a key feature. Using a cloud-based server is a better option to effectively track and maintain patient records.

While there are many more ways to effectively maintain and track the patient records of both old and new patients at your clinic, these 4 strategies address the most pertinent issues – maintenance and access to patient records easily.

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Breathe new life into your old PC

Breathe new life into your old PC | IT Support and Hardware for Clinics | Scoop.it

Don’t be so quick to dump that old computer! Despite being slow, clunky, and prone to crashes, your old desktop or laptop might just be perfectly usable — after a few light upgrades that will breathe new life into it and enable you to use it for other computing needs.

 

As mentioned, you have to make a few upgrades on your old PC. You may want to try a lighter OS, for example. Keep in mind that the latest version of Windows or MacOS won’t work optimally without a fast processor, so a Linux-based OS, which comes in a variety of options called “distros,” would be a better option. It will make your computer feel brand new without exhausting its hardware.

 

Popular distros options such as Ubuntu, elementary OS, and PinguyOS can be easily installed. Plus, they have similar interfaces to Windows and come with a boatload of software packages. The best part is they require a minimum of 4GB of RAM, so you won’t have to invest much at all.

 

Once you’ve upgraded your old PC, you can start using it as a NAS server, a dedicated privacy computer, or a digital media hosting platform.

Make a NAS server

Network-attached storage (NAS) is a server for your home or small business network that lets you store files that need to be shared with all the computers on the network. If your old PC has at least 8GB of RAM, you can use it as your own NAS.

 

Simply download FreeNAS, a software accessible on Windows, MacOS, or Linux, that enables you to create a shared backup of your computers. FreeNAS has access permissions and allows you to stream media to a mobile OS, like iOS and Android.

 

But if you’d rather convert your PC into a private cloud for remote access and data backup, Tonido is a great alternative. Compatible with Mac, Windows, and Linux, this free private cloud server turns your computer into a storage website, letting you access files from anywhere on any device.

 

Tonido offers up to 2GB of file syncing across computers, and there are even Tonido apps for iOS and Android.

Secure your online privacy

Install The Amnesic Incognito Live System (TAILS) on your old computer and enjoy your very own dedicated privacy PC.

TAILS routes all your internet traffic and requests through TOR Project, a software that makes it difficult for anyone to track you online. All of this Linux-based software’s integrated applications like a web browser, Office suite, and email software are pre-configured for robust security and privacy protection.

Kick your media up a notch

Looking for a way to listen to music and podcasts or watch videos on other PCs or mobile devices? Server software like Kodi can help.

 

Kodi brings all your digital media together into one user-friendly package so you can use your old PC as an audio and video hosting platform. From there, you can play files on other devices via the internet. There are remote control apps for both iOS and Android, and even an app for Kodi playback on Amazon Fire TV.

 

Kodi works on any Windows, MacOS, and Linux computer, and even on even rooted Android and jailbroken iOS devices.

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5 tips to lower your printing costs

5 tips to lower your printing costs | IT Support and Hardware for Clinics | Scoop.it

Your growing printing expenditures may be the result of over-dependence on hard copies, the lack of effective printing workflow, and obsolete printers. With some fresh ideas, clever problem-solving, and the following tips, you could significantly cut down your printing budget.

 

Replace outdated printers

Outdated and cheap printers may be functional, but they are putting a huge dent in your IT budget.

Any piece of equipment that is seven years old (or older) requires frequent repairs and causes more trouble than it’s worth. Because old printers are no longer under warranty, fixing them is more costly and challenging. It’s also difficult to replace parts for old printers because manufacturers have stopped carrying them for models that have been phased out.

When you replace outdated equipment with newer, multi-functional printers, you’re investing in hardware that will pay for itself with increases in productivity and efficiency.

 

Avoid purchasing unnecessary supplies

A poorly managed printer environment could result in a stockpile of cartridges, toners, and reams of paper. This happens when, for example, an employee uses a printer that’s about to run out of ink and makes an unnecessary request for new ink or toner. This is more common than you may think and definitely more expensive.

In the absence of a dedicated printer manager, you can avoid this situation by automating supply replacement. Assign a point person to proactively place orders when supplies are about to run out, so your company can avoid needless purchases.

 

Impose strict process workflows

Submitting expense reports, filing reimbursements, and other administrative tasks require a proper document workflow. Without a guideline, employees and administrative staff tend to print an unnecessary amount of documents.

Automate your company’s document-driven processes to reduce or prevent redundant print jobs that result in stacks of abandoned documents. Not only are these printouts wasteful, but they’re also a security and privacy concern.

 

Go paperless

Designing a document management solution that reduces paper consumption is the best way to save money. It may not be possible in every department, but those who can do their jobs without printing should be encouraged to do so by management. Printing lengthy email chains that can be discussed in a meeting is just one example of a wasteful practice that should be avoided.

 

Reduce IT support calls for printing issues

Calling your company’s IT guys to assist with problems like paper jams, printer Wi-Fi issues, and other concerns reduce employee frustration. You and your IT personnel could avoid dealing with these productivity killers by identifying the problem areas of your print environment. Then, you can work on solutions specific to your office, such as drafting a printing workflow or getting help from document management experts who can recommend time- and budget-saving solutions.

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Benefits Of Wearable Technology In The Health Sector

Benefits Of Wearable Technology In The Health Sector | IT Support and Hardware for Clinics | Scoop.it

When most of us consider wearables, we include devices such as Bluetooth headsets. However, in the medical industry, we expect more from our wearables and only include devices that not only provide a specific function but will also store sensor data for later retrieval by healthcare professionals. This data is then analysed to aid medical diagnosis.

 

In a growing telehealth market, it is these sensor-based devices that will improve healthcare services for millions of patients worldwide. Existing forecasts indicate that the global telehealth spend will increase tenfold within five years, rising to $4.5 billion by 2018.

 

Like any new technology, early adoption figures are quite weak but luckily, in Australia, we are always eager to experiment with new innovations. In fact, a 2014 Kronos survey demonstrates that no less than 30 per cent of Australians already use wearable technology, twice that of our U.S. counterparts. In addition, more than 40 per cent use them for work-related tasks. This high adoption rate is encouraging for future increased use of wearables in the health and fitness areas.

 

For this adoption rate to continue, I believe we need our healthcare providers to embrace the use of wearables, as they are best positioned to encourage their patients of wearable benefits, with the most important being improved care monitoring and increased efficiency for early diagnosis of common ailments. When a medical professional recommends a product, people listen. There are several reasons for this but primarily these include:

 

A company with a commercial interest in the product is unlikely to achieve the same positive response level.


Patients trust their doctors to act in their best interest.
By using these technologies themselves, patients are encouraged to take a more proactive approach to their personal health.
Fitness plans were perhaps the first wearable that provided useful data for medical professionals and were primarily used by those in cardiovascular activities such as running and cycling. Like any product type, the features available vary by model and manufacturer but most are capable of acting as a pedometer and can also record pulse and heart rates. The data gathered by the device sensors is then transmitted to your smartphone using Bluetooth or possibly ANT+ for cycling enthusiasts with bicycle computers. This data is often useful to doctors as it can aid diagnostics, surpassing the original plans for the device as a general fitness monitor.

 

Wearables that are specifically designed for the healthcare industry work in an identical manner. Senses are used to gather data, which is then transferred to another device for later analysis. Smartphones are most commonly used, with apps available for several platforms including Apple’s iOS and Google’s Android, but residential users can also use Wi-Fi to transfer data to the cloud or to another monitoring device.

 

In my opinion, as this technology grows, I believe real-time reporting will be possible, where data is displayed on the health professional’s monitor as soon as new data is uploaded. The exact direction this technology will take requires valuable input from knowledgeable medical professionals. That is not to say that the existing range of devices for the medical industry is limited as this is far from the situation. There are several preventative care devices already on the market and these include:

 

Glucose meters that notify clinics of an emergency situation, ideal for remote monitoring of elderly diabetics
Remote monitoring devices that store information such as blood pressure, temperature, ECG data and more. These can save a vast amount of clinic time, allowing healthcare professionals to prioritize according to patient ailment and creating an environment where early diagnosis is certain for many common ailments.
There are several dedicated devices and applications for monitoring diets, all of which act as a virtual personal trainer who recommends a specific diet according to age and cardiovascular status.
The examples listed above are probably the most common but there are many other devices available that monitor specific conditions. All share the same properties, to gather information and to monitor patients in real-time, thereby improving doctor-patient interaction and the healthcare service provided.

 

The use of wearable technology is a win-win for both healthcare professionals and patients and can reduce individual patient costs while also eliminating unnecessary clinic visits for the patient. For example, if you have high blood pressure and are prescribed specific medication to alleviate the condition, you will no doubt have to make several trips to the clinic to verify that the prescribed treatment is actually working. However, with the use of wearable technology, this is no longer necessary, as the data gathered from the device is simply analysed without travelling to the clinic.

 

Australian healthcare professionals need to adopt wearable technology as soon as possible, given that the benefits surpass any possible costs or training headaches. It is a fact but careful selection of wearable devices and software apps can increase the efficiency of any medical practice, whether it is immediate access to patient data from anywhere, guided surgery, health monitoring tasks and more. Early adopters have already discovered that these solutions can reduce the frequency of clinic visits and related clinic hours per patients.

 

Individual patient costs are reduced substantially but this does not mean that clinics will lose revenue, it merely means that available clinic time is spent treating the seriously ill or patients that require emergency care.

 

Mobile devices, remote data access and analysis with the resulting ability to increase early patient diagnosis are the way of the future. It may take some effort to define the correct processes, workflows and procedures but it is clearly worth it. Can you really afford to ignore the benefits of wearable technology?

Technical Dr. Inc.'s insight:
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The Promising Future For AI In Orthopedics

The Promising Future For AI In Orthopedics | IT Support and Hardware for Clinics | Scoop.it

In their most simple form, AI applications in healthcare consist of a collection of technologies that will enable machines to sense, comprehend, predict, act, and learn. The first application for AI-based machines, as discussed at the World Medical Innovation Forum (held in April 2018), is to execute healthcare administrator and clinical healthcare functions. Current technologies are limited because they are algorithm based. The future of AI will make the leap past algorithm-only tools to become indispensable instruments for patients, providers, physicians, and payers. AI has the potential to truly augment human activity.

 

Why This Is Important
The potential to drive improvements in quality, cost, and access has made AI a notable buzzword in healthcare. The AI health market is growing rapidly and is forecasted to reach $6.6 billion by 20211 (Table 1).

 

AI Applications in Orthopedics
AI has demonstrated high utility in classifying non-medical images. A study2 looked at the feasibility of using AI for skeletal radiographs. The study authors compared an AI program against the radiography gold standard for fractures. They also compared the performance of the AI program with two orthopedic surgeons who reviewed the same images. They found the AI program had an accuracy of at least 90 percent when identifying laterality, body part, and exam view. AI also performed comparably to the senior orthopedic surgeons’ image reviews. The study outcomes support the use of AI in orthopedic radiographs. While the current AI technology does not provide important features surgeons need, such as advanced measurements, classifications, and the ability to combine multiple exam views, these are technical details that can be worked out in future iterations for the orthopedic surgeon community.

 

AI in Computer-Assisted Navigation3
Orthopedic surgeons have had access to robotic technology to help them position screws, prostheses, or tunnels for some time, but AI enhanced applications are in development (Table 2). For example, one device utilizes infrared light to locate bones intraoperatively. Another technology uses a form of AI to mill the canal for a prosthesis based on CT scans. In total hip surgery, computer assistance in placing the cup of the prosthesis is reported to have the same accuracy as with traditional methods. In the realm of knee replacement surgery, AI-supplemented robotics technology assists to align prostheses. In spine surgery, AI-enhanced computer-assisted navigation helps surgeons avoid neurovascular structures, and place thoracic and lumbar pedicle screws accurately. It is reported that the incidence of poorly placed screws has reached 42 percent with conventional surgical techniques, according to some studies, but is as low as 10 percent with AI-based computer assistance.

 

We Have Needed a Tool Like AI for a Long Time
AI will change the way healthcare work is performed. AI will fill the gaps we all know are coming in the future, such as the labor shortage in healthcare (Table 3). Through AI, we will empower clinicians and give workers tools to increase their productivity. Healthcare institutions will need an AI-trained workforce and culture. Think of the value your products will bring with AI and the ability to gain clinician face-time and recognition as they use AI to enhance efficiency, quality, and outcomes.

 

The Medi-Vantage Perspective
In almost every strategy research project we manage, when we look at adjacent technologies in consumer markets, we see AI being utilized again and again. Our strategy research helps clients understand the opportunity to integrate AI technology into their product strategies. Someday, even the most common medical devices will have an AI component.

 

Maria Shepherd has more than 20 years of leadership experience in medical device/life-science marketing in both small startups and top-tier companies. After her industry career, including her role as vice president of marketing for Oridion Medical where she boosted the company valuation prior to its acquisition by Covidien/Medtronic, director of marketing for Philips Medical, and senior management roles at Boston Scientific Corp., she founded Medi-Vantage. Medi-Vantage provides marketing and business strategy as well as innovation research for the medical device industry. The firm quantitatively and qualitatively sizes and segments opportunities, evaluates new technologies, provides marketing services, and assesses prospective acquisitions. Shepherd has taught marketing and product development courses and is a member of the Aligo Medtech Investment Committee (www.msbiv.com). She can be reached at 855-343-3100, ext. 102, or at mshepherd@medi-vantage.com. Visit her website at www.medi-vantage.com.

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EMPOWR Porous And Complex Primary Knee Systems

EMPOWR Porous And Complex Primary Knee Systems | IT Support and Hardware for Clinics | Scoop.it

DJO, a provider of medical technologies designed to get and keep people moving, introduced the EMPOWR Porous Knee System and EMPOWR Complex Primary Knee System at the 2018 Annual Meeting of the American Association of Hip and Knee Surgeons (AAHKS). These new additions to the EMPOWR Knee Platform expand one of the industry’s most modern total knee replacement systems, which now offers primary, cementless primary, complex primary, and tibial revision solutions for surgeons and patients.

EMPOWR Porous Knee System is based on two decades of clinical experience and highly porous materials designed to enhance early implant fixation, while creating an ideal environment for both immediate and long-term biologic fixation.1 DJO’s surface coating technologies, including DJO’s proprietary, highly porous coating, P2 aids in bone apposition for superior in-growth performance.1 EMPOWR Porous’ bladed keel has a bone sparing geometry optimized for cementless application.2 The bladed keel of the asymmetric baseplate was developed to provide robust fixation, while the cruciform pegs provide initial component fixation and durable rotational stability.2

EMPOWR Complex Primary Knee System, with the EMPOWR Universal Tibial Baseplate and EMPOWR Varus Valgus Constraint (VVC) Tibial Insert expand the utility of the EMPOWR Knee Platform and provide a wider range of solutions for complex primary and revision knee arthroplasty. These new implant technologies are designed to provide an efficient and seamless transition from standard primary to revision knee procedures, with a minimal number of additional instruments and trays. The EMPOWR Universal Tibial baseplate maintains the EMPOWR System’s characteristic asymmetric footprint which maximizes cortical coverage and prevents component overhang to ensure long-term fixation without tissue irritation4. This baseplate also provides the ability to stem and augment when more supplementary fixation is required. The VVC insert is offered in e+ polyethene, formulated to reduce long-term wear3, while the insert is designed to provide the necessary support and stability in knees with supportive soft tissue deficiencies.

“DJO has a proven record of bringing high-quality products to market with incredible cadence—faster than any other implant company today,” said Dr. Eugene S. Krauss, an orthopedic surgeon with Northwell Health. “In 2018 alone, the EMPOWR Porous Knee and EMPOWR Complex Primary Knee launches have significantly expanded our ability to treat a wide variety of patients in our practices.”

“The efficiency of DJO’s instrument trays and the streamlined instrumentation enables my surgical team and I to perform up to 12 knee replacements in a single day, making the system well-suited for both hospital and ambulatory surgery center environments,” said Dr. Krauss.

Over the past decade, the science of highly porous metals, including DJO’s P2, has significantly advanced, helping to improve implant longevity and ultimately patient outcomes. These scientific advancements coupled with a younger, healthier patient population, have resulted in a resurgence of cementless knee arthroplasty. Therefore, the contemporary design of the EMPOWR Porous Knee, is certain to have a meaningful impact on the market.

“DJO Surgical’s strong growth over the past few years is a reflection of our commitment to developing products and solutions that help improve clinical outcomes and enhance patient experience,” said Jeffery A. McCaulley, Global President of DJO Surgical. “Our continued expansion of the EMPOWR Platform reflects the overwhelmingly positive reaction we’ve received from surgeons and patients since the first EMPOWR Knee System was launched here at AAHKS in 2015.”

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Professional Development Advice from Technology Leaders

Professional Development Advice from Technology Leaders | IT Support and Hardware for Clinics | Scoop.it

This edition of AppointmentPlus Radio brings together two industry leaders within the tech sector. Raymond Wiley, a general manager with Sun-Tec America, shares the story of how he landed his current position, as well as the philosophy that shapes his professional interactions. Dhruv Bhate, a senior technologist who works in 3D printing, offers insight into how reflection on your true values can lead to a meaningful work life. The two also discuss:

 

  • The importance of finding your professional “sweet spot”
  • How to understand, and communicate your professional value
  • Why defining what you do also mean defining what you don’t do
  • Plus: 5 must-have personal technology recommendations and 2 must-read books to overhaul your professional mindset

 

 

About Raymond and Dhruv: 

Raymond Wiley is the general manager at Sun-Tec America, LLC where he is responsible for the go-to-market strategies for Sun-Tec’s high precision lamination, labeling, and taping equipment portfolio for the Americas and European markets. He is the primary interface between the customer and the Sun-Tec design engineers located in Japan and is charged with overseeing the entire sales process through every phase of the project. Previously, Raymond spent 21 years at Motorola in the Semiconductor Products Sector serving in a variety of increasingly responsible positions including operations manager for the Small Signal and MEMS Sensor Businesses in Japan.

 

Dhruv Bhate is a Senior Technologist at Phoenix Analysis & Design Technologies, Inc. (PADT) where he leads R&D efforts in Additive Manufacturing, with a focus on high-performance polymers and metals. Prior to joining PADT, Dhruv spent 7 years at Intel Corporation developing laser-based manufacturing processes. Dhruv has a Ph.D. in Mechanical Engineering from Purdue University and a Master’s from the University of Colorado at Boulder, where he developed fracture models for ductile metal alloys and to simulate adhesion in MEMS.

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6 Reasons Why NOT Having Your Server In-house is a Good Idea

6 Reasons Why NOT Having Your Server In-house is a Good Idea | IT Support and Hardware for Clinics | Scoop.it

Benefits of having cloud based laboratory information system.

The myths surrounding data storage on Cloud are many. Most of us have preconceived notions regarding data safety and security, data vulnerability, storage, data retrieval& transfer, etc. However, what we fail to remember is that data storage on Cloud is extremely reliable and robust with most banks and financial institutions using it seamlessly. Therefore, it is about time that the healthcare fraternity embraces Cloud wholeheartedly to explore and take complete advantage of this cutting edge technology solution.

 

Today, we take a peek into the most evident advantages of having your Laboratory Information System on Cloud and what makes it one of the smartest business choices you will ever make:

1. No Hassle in data Accessibility

In this age of evidence-based medicine, data accessibility is of paramount importance as far as effective patient care is concerned. Cloud-based LIS makes data accessibility much easier as compared to the LIS, which is located in on-site servers. Since the data is stored on the Cloud, information from multiple centers can be accessed from anywhere, anytime. Cloud-based LIS makes it easy for data to be accessed from any location or any device through secure logins thereby speeding up the whole process of pathological deductions and decisions leading to faster report turn around.

2. Your Data Remains Ultra Safe

One of the major concerns in a laboratory information system is the security of the patient data that is generated on a daily basis and stored on the servers. Cloud-based LIS takes care of this perfectly. The data in the Cloud-based LIS is stored in encrypted form that has high security levels and cannot be accessed in usable form by anyone other than authorized personnel with access rights. With practically no server downtime as compared to the on-site servers, Cloud-based LIS relieves the user of any operational problems and data security issues that result from server downtime.

3. Reduced IT Requirements

A Cloud-based LIS means that the servers are off-site and all the costs associated with the hardware installation and the associated maintenance is nullified. The easy accessibility associated with Cloud based LIS also makes it simple to add users, centers, sections, services etc. to the master log. This means you don’t have to go hunting for the in-house IT team; and anyone who has the login with administrator rights can do it easily. You effectively save additional manpower cost spent on maintaining a big IT team to maintain the server, add/ edit the master logs and related activities.

4. Staggered Investments

Cloud-based LIS gives the laboratory owner the option of not buying a large server at the onset and thereby blocking up money. It takes away the risk of projecting the growth of the lab correctly and buying a server that will be able to scale and handle the data and operations load of that projected growth. Cloud-based LIS means the server space can be hired as and when the growth happens. There is no prior commitment and no blocked investment. Investment on server space only needs to happen when the need arises and that too, only as an added amount in the form of simple monthly utility fees.

5. Cost Effective

The most obvious reason why Cloud-based Laboratory Information System is a smart business choice is due to its cost effectiveness. As the servers are off-site, it requires no hardware installation and the resultant licensing fees, maintenance costs and the software updates that will keep happening life-long for the software can be cut out immediately. There is no cost of hardware either and only monthly utility fees is what you need to pay.

6. Practically Zero Maintenance

With no server within your premises you don’t need to worry about the safety of the server room, temperature maintenance, pest control, server downtime, software updates and other such factors. Fixed amounts as monthly utility fee will take care of all this for you.

Having a Cloud based LIS can smoothen your operations to a large extent. It makes automation a cost effective option and also leaves you with more time to focus on the core operations, and taking care of your patients.

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Things to consider when upgrading your computers

Things to consider when upgrading your computers | IT Support and Hardware for Clinics | Scoop.it

The health industry is continuing to grow with massive investments in technology and related processes to meet today’s industry needs for increased collaboration, cross-entity, and platform integration as well as the need to achieve more by doing less. Those factors highlighted above have prompted the need for health businesses to invest in implementing IT solutions, which for the health industry fall under the eHealth banner.

 

Through our experience in implementing IT platforms for different size health businesses, we would like to share the top ten tips to save you time, money and potential headaches.

 

Technology makes your life easy: This is the main reason why we have the technology and invest in IT solutions. You need to know why you need to implement a new IT solution and appreciate that change is coming. Whether it’s changing from a paper-based system to a paperless system or complying with new industry standards, IT solutions will allow you to continue your clinical work and help minimize the administration cost. Make sure you know why you are implementing a new IT solution and set the expectations straight away.

 

Ask for a solution design proposal: As a specialist eHealth/IMIT firm we design new solutions for health businesses every day. No business is the same and no IT solution is the same. eHealth professionals know the industry requirements, they know the technology lifecycle and will know what works for your business. Ask an expert to design and scope an IT solution tailored for your business. Call different IT providers and ask them to provide their own solution/design. This way you will have options to choose from.

 

Don’t cut corners with the server: Simply the most important aspect of a clinical IT environment. The server will host your business, clinical and billing data. The server ensures that you and your staff have access to all the relevant tools and data to keep on working. Ensure that your server is a brand name (NOT PUT TOGETHER USING DIFFERENT BITS AND PIECES), ensure the server comes with at least a three-year warranty (or purchase an extension)and, most importantly, ensure that the server can handle business and data growth. You are thereby futureproofing your IT environment.

 

Technicalities of the server: Again, no business is the same. However, there is a common denominator when looking for a small/medium size server. Ask for:

  • Quad core CPU (Xeon processor) for future application/data load
  • 16GB RAM to handle more users, data, and load
  • RAID 1 configuration using SAS drives to ensure that should the hard drive fail, there is a second one to take over
  • Dual power supply to ensure the server keeps working should the primary power supply fail (it happens)
  • UPS to protect your server and data should a power outage occur
  • Windows server operating system to run your applications, store your data and ensure a secure platform

 

Backup and disaster recovery: Backup solutions ensure that your business/clinical data is safe and can be recovered should there be any data loss. Having said that, the ability to recover the data quickly and efficiently is just as important. The correct disaster recovery solution will save you a lot of time and money. Below is a quick solution guide that you can use:

 

  • Buy an imaging software like Shadow Protector Backup Assist. Ask for a daily image of your server to be implemented
  • Use USB 3.0 hard drives to back up your image (from above) and clinical data. Rotate the hard drive on a daily basis
  • Use USB thumb drives to back up the clinical data only and rotate daily

 

What about the workstations?: Easy. If the server solution is: Terminal server: Ask for thin client terminals also known as dummy terminals. Those are devices without any hard drives and connect directly to the server. Standard server/workstation environment: We recommend i5 dual-core processors with 8GB RAM and Windows 7 64-bit (do not purchase anything older than Windows 7)

 

The implementation: Ensure hiring of an IT firm that specializes in the health industry. They will liaise with the different software vendors, pathologies and ensure that your new IT environment meets the RACGP standards so you can get accredited. Remember to also ask the IT firm to ensure that your practice meets the new e-PIP requirements. Most importantly, ask the IT firm to provide a project plan and an implementation plan with deadlines on when you will obtain the hardware, the time to implementation and handover dates.

 

Security tips: This is quite simple. Ask for a top brand antivirus program to be installed and configured on all devices. I tend to recommend ESET NOD32. Ask for the network to be set up as a domain and not a workgroup. Ask for different user groups (staff, management, administrators) where the staff isn’t allowed to install any software, management can install on the workstations and administrator group has full access. Set up each user with their own password and ask them to change it every three months. Avoid Wi-Fi and use standard LAN.

 

Remote login: Do you work from different locations (aged care visits, home visits) and would like to access your clinical IT environment? There are a number of options that we recommend, one being implementing a VPN (Virtual Private Network) or an RDP (Remote Desktop Protocol configuration). Your IT provider will advise on the best solution. However, you must be sure to tell them that you wish to log in remotely before committing to any hardware/solution.

 

All businesses are different and as such, IT solutions will differ per business requirements, size and budget. The most important thing is to ensure that the server has at least a three-year lifecycle and have the selected solution implemented by professionals. This will save you time and money in the future.

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3 Cisco Cloud Security Products to Check Out 

3 Cisco Cloud Security Products to Check Out  | IT Support and Hardware for Clinics | Scoop.it

Cisco continues to evolve its cloud security profile with new developments from Meraki, Umbrella and Duo products. These three products are made to seamlessly integrate with your systems to better protect your business. Learn more about each below.

Cisco Meraki

Cisco Meraki combines security cameras, cloud-management, and analytics with the MV lineup. The MV22 and MV72 cameras provide reliable security. They are easy to set up and manage through the Meraki dashboard. This tool eliminates the single point of failure, so you don’t have to worry about one camera failing and taking down the whole system. Both models have 256GB of solid states storage and up to 1080 pixels of high definition resolution. The Meraki dashboard allows for monitoring and management of all cameras from anywhere in one or multiple locations with no extra software required. The dashboard uses analytics to provide valuable insights to protect your business. An example is performing a motion search, which can detect people using pixels at certain periods of time during the day. Additionally, under the Meraki brand, the Meraki SD-WAN is 100% centralized cloud management for security, networking and application control. The dashboard enables network admins to view networked clients, bandwidth consumption, and application usage across all sites. Some of its features include no external modem, high availability, and advanced security license/firewire.

Cisco Umbrella

Cisco Umbrella Solution is a cloud-based secure internet gateway and provides the first line of defense from threats on the internet – even if the end-user is working remotely from a company device or their own computer. The Umbrella boasts an easy deployment and an even easier system to operate. It integrates directly with Meraki products and the rest of the Cisco security profile. With Umbrella, users are protected anywhere they access the internet with or without a VPN. The DNS is the biggest threat to security and most of the time isn’t monitored. The Umbrella Cloud Solution solves this gap as the first line of defense. It not only solves requests, but it also looks at comparisons in the data to better detect similar threats from cyber fingerprints used by attackers.

Duo

The duo is the most recent addition to the Cisco family. This tool offers a streamlined way to improve the user experience during the multi-factor authorization while also protecting your business. The duo takes it a step further by checking devices managed and unmanaged to ensure it meets security standards before granting access. 


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The Time to Stop Relying on Spreadsheets Has Arrived

The Time to Stop Relying on Spreadsheets Has Arrived | IT Support and Hardware for Clinics | Scoop.it

Microsoft Excel is used for a wide variety of tasks, from visualizing business data, to tracking work expenses and managing books. But in the age of cloud-empowered productivity and pervasive mobile devices, is the humble spreadsheet keeping pace? While many accountants still seem to enjoy using them, there’s a huge number of tasks that spreadsheets are ill-suited for, like business reporting and project management. Let’s take a closer look at how spreadsheets may be hurting your business, and why custom software that’s powered by a robust database is usually the better solution.

Spreadsheets are Highly Error-Prone

Have you heard of “dueling spreadsheets”? It’s a term that describes when two different versions of the same spreadsheet contain conflicting data. This is an unfortunately common scenario that can arise in a few different ways.

The most common is when spreadsheets aren’t being stored in a centralized location. If one employee downloads a spreadsheet that contains today’s data, but the next day another employee downloads a copy with tomorrow’s data, then a conflict between these two datasets is likely. The problem of dueling spreadsheets is also common when people add or delete information to a single spreadsheet then share it with others via email or cloud file-sharing systems. Which version is which? It’s hard to know.

Because spreadsheets were not built with the security or integrity of data in mind, and offer no reliable way to audit changes, the problem of errors is extremely common. According to MarketWatch, as many as 88% of spreadsheets contain an error, a problem that’s grown so severe; it’s even led to the formation of an organization specifically to address the issue of spreadsheet mistakes.

Spreadsheets Waste Time

According to a report by research and advisory firm Ventata, 44% of businesses struggle with managing their spreadsheets. Their research found that the average employee spends 12 hours a month looking for and correcting errors in spreadsheets. You can read more about that in their blog post here.

In some situations, that 12 hours a month might even be low. Microsoft Excel is not just spreadsheet software, it is, in fact, a Turing complete programming language. If your employees are not experienced Excel users, then the time required to check Excel files for problems could be even greater. Compare these wasted staff-hours with the return of customized software, which provides increased benefits as your company scales, and the problem of spreadsheet error only intensifies.

Spreadsheets Can Lead to Catastrophe

Big businesses have lost enormous amounts of money because of mishandled spreadsheets. Take for example the 6 billion-dollar loss that JP Morgan Chase incurred during the “London Whale” incident, which experts attribute in part to the improper use of spreadsheets. There are many examples of poor Excel usage leading directly to financial losses, such as this 24-million dollar cut and paste error at Canadian power company TransAlta, as well as others.

According to the white paper, Capitalism’s Dirty Little Secret, by global financial modeling and forecasting company F1F9, 1 in 5 businesses have lost money because of spreadsheets. Any loss due to spreadsheet errors, even the relatively small ones that occur at SMBs, should be considered unnecessary and could easily have been avoided with custom software.

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Custom Business Software Addresses All the Shortcomings of Spreadsheets

There’s evidence that shows as a business grows, it becomes more susceptible to financial losses due to spreadsheet errors. Instead of relying on spreadsheets, with all their inefficiencies and pitfalls, growing businesses must look to custom software and database solutions to provide the reliability and efficiency they need to scale. Let’s look at some of the most important benefits custom software can provide.

1 – Purpose-Built for the Future of Your Business
Software that’s specifically designed to improve the operations at your company does so much better than any off-the-shelf product can. Custom software not only responds to the workflows and business rules of your team, it also simplifies your employee training programs by reducing the number of applications your employees need to learn. These are key points that Excel lacks. Don’t adjust your company workflows or personal habits to suit your software — it should be the other way around.

2 – Empowered Data Discovery
The future of productivity points toward deeper integration between data from mobile, IoT, and cloud applications. Unlike Excel, which requires a great deal of skill to use, and doesn’t provide the power most businesses need, custom software sitting atop a database that’s tailored to your requirements can help tie all those sources together and provide a strong foundation for artificial intelligence and analytics.

3 – Security and Compliance Controls
Excel spreadsheets lack stringent access controls, so once your data is exported to Excel, it’s much harder to ensure proper security. The security weaknesses in spreadsheets can have important compliance ramifications for companies in regulated industries, such as finance or healthcare. In comparison, custom software can be built to meet even the strictest security requirement, ensuring seamless integration with your existing network and compliance controls.

4 – Custom Software is Cost Effective
Mentioning customized software makes people instantly think of expensive enterprise solutions that are available to only the largest businesses, but this is far from reality. Today, custom software solutions are readily available to SMBs and often provide cost savings over per-license commercial software. The software development division of Manhattan Tech Support, Exceed Digital, has developed an innovative payment model that allows companies to purchase software on a monthly subscription basis. Would you like to know more?

NYC’s Custom Software Development Partner

Manhattan Tech Support doesn’t just manage the IT and network infrastructure of businesses throughout greater NYC, we also provide world-class software and database development servicesto businesses throughout the United States.

If you want to streamline the flow of data through your company and empower your team with better, more intuitive software, we encourage you to call us at 646-439-3767. We’re always available to help businesses better understand the software development process, and provide them with the expertise they need to make the transition to custom software a success. We look forward to speaking with you!

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Medical Software On The Cloud

Medical Software On The Cloud | IT Support and Hardware for Clinics | Scoop.it

As more and more traditional companies leverage the benefits of the cloud, it’s no real surprise that the healthcare industry has embraced technology, with electronic health records now commonplace. We have provided a cloud-based solution for clinical and practice management software since 2012 and the adoption rate among Australian healthcare practices and clinics grows each year.

 

Cloud for Health allows users of popular clinical software packages (such as Medical Director and Best Practice) to access data from anywhere by simply using their web browsers on any internet-ready device. It allows users to concentrate on core activities without worry about servers, backup maintenance or essential security updates as we take care of all that under our service level agreement(SLA).

 

Other advantages include guaranteed data storage on Australian servers (also a legal requirement) and immediate access to an ideal solution for rural GPs that often need to travel long distances between clinics, allowing the easy use of mobile clinics, taking the practice on tour, so to speak.

 

Doctors located in the middle of the desert can access their clinic records remotely, simply by using a laptop and phone, tethering the laptop to a 3G or 4G connection if available. Alternatively, you can simply use a smartphone , netbook or other portable device with a browser. In times past, you would have needed to log in directly to your practice, with low speed often the result. Not so with the cloud, as maximum performance is always available.

 

As the whole process is browser-based, it’s no longer necessary to have a high-performance laptop for productive tasks. Even older laptops will work perfectly as long as an internet connection is available.

 

Not all healthcare professionals require mobility but cloud hosting has other advantages:

 

  • You no longer need a server and can eliminate associated hardware costs and maintenance issues.
  • Data backups are automated using redundant hard drives, preventing unexpected data loss
  • 24/7 maintenance and support is offered by reputable service providers
  • Software patches and security updates are handled by the service provider


Our aim as a service provide is to remove IT as a consideration for healthcare professionals and let them focus on patient care. Even in extreme situations where all hardware in the practice has failed (due to power loss, fire or water damage, for example) vital clinical data can still be accessed using a mobile phone. The benefit to business continuity is obvious.

 

The majority of clinical software is designed for use with Microsoft Windows, with Mac users often experiencing problems. However, by use of a Citrix Desktop Viewer, the platform does not matter as everything is viewed in a standard browser, regardless of whether the user is on Windows, Android, iOS or MacOS.

 

Coming from a family of doctors, I originally considered offering a free service to make the lives of healthcare professionals easier by allowing them to focus on patient care. However, I decided to implement a licence fee structure, given the variety of experts, hardware and hosting requirements necessary to provide a reliable service. It is true that ‘you get what you pay for’ and a free service would have compromised features and defeated my original goals.

 

The licence fee structure works well and is cost-effective, regardless of the size of the practice, given the backup protection and risk managements solutions that are immediately solved. In addition, we perform a full IT and business process audit to maximise the investment, ensuring that all systems are configured correctly.

 

While some are still reluctant to move to the cloud, due to perceive security issues, I believe these concerns to be ill-founded, especially when you consider that cloud service providers are held to a higher standard than traditional networks. We are subject to regular third party audits that we cannot avoid if we are to retain our IT and industry certification status. By achieving these standards, we publicly confirm that we exercise due diligence in security, data storage and internal disaster recover processes.

 

Therefore, we can offer a complete IT solution with confidence, whether it’s on the cloud, onsite or a combination of both. Eliminate your IT concerns and focus on your business. Contact us for further details.

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Advanced Software Offers Metal Artifact Reduction For Extremities

Advanced Software Offers Metal Artifact Reduction For Extremities | IT Support and Hardware for Clinics | Scoop.it

Carestream Health will demonstrate new optional advanced metal artifact reduction software for its Carestream OnSight 3D Extremity System at the Radiological Society of North America tradeshow (Booth #6713). Carestream’s OnSight 3D Extremity system captures high-quality, low-dose 3D extremity exams. The company’s new metal artifact reduction software is pending FDA 510(k) Clearance.

“Carestream’s second generation of software takes our state-of-the-art original metal reduction software to a new level. It provides enhanced flexibility depending on the metal content present and reduces the visual distortion caused by screws, implants, rods and other metal objects to create improved visibility and diagnostic confidence,” said Helen Titus, Carestream’s worldwide marketing director for ultrasound & CT.

The optional software makes it easier for radiologists and orthopedic surgeons to accurately diagnose a patient’s condition and develop treatment plans. Image processing can be adjusted and optimized according to the amount of metal present.

The software uses information from the original scan to eliminate the need for additional imaging studies, which reduces costs and lowers radiation exposure for patients.

An intuitive touch screen interface allows technologists to adjust for either moderate or complex metal content. The metal artifact reduction software can be activated prior to the scan or it can be applied after the original reconstruction is complete. Both the original and corrected images are always available to view and compare.

The OnSight 3D Extremity System also assists surgeons in detecting occult and non-union bone fractures. Unlike traditional CT systems, this cone beam CT system has a large-area detector that captures a 3D image of the extremity in a single rotation, which takes only 25 seconds. A patient simply places the injured extremity into a donut-shaped opening in the system. Since the patient’s head and body are not confined, patients do not experience the claustrophobia that often occurs with traditional CT systems. Dose is significantly reduced because only the affected body part is imaged.

The compact extremity system can be installed in an exam room and plugs into a standard wall outlet.

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Robotic Arm Offers Self-Help Mobile Rehab For Stroke Patients 

Robotic Arm Offers Self-Help Mobile Rehab For Stroke Patients  | IT Support and Hardware for Clinics | Scoop.it

The Hong Kong Polytechnic University (PolyU) recently developed a robotic arm to facilitate self-help and upper-limb mobile rehabilitation for stroke patients. The lightweight device enables the patients to engage in intensive and effective self-help rehabilitation exercise anywhere, anytime after they are discharged from the hospital. The robotic arm, called “mobile exo-neuro-musculo-skeleton,” is the first-of-its-kind integration of exoskeleton, soft robot, and exo-nerve stimulation technologies.

Stroke is the third leading cause of disability worldwide1. In Hong Kong, there are about 25,000 new incidences of stroke annually in recent years2. Research studies have proven that intensive, repeated and long-term rehabilitation training are critical for enhancing the physical mobility of stroke patients, thus helping to alleviate post-stroke symptoms such as disability. However, access to the outpatient rehabilitation service for stroke patients has been difficult. Due to the overwhelming demand for rehabilitation services, patients have to queue up for a long time to get a slot for rehabilitation training. As such, they can’t get timely support and routine rehabilitation exercises. Stroke patients also find it challenging to travel from home to outpatient clinics.

The “mobile exo-neuro-musculo-skeleton,” developed by Dr. Hu Xiao-ling and her research team in the Department of Biomedical Engineering (BME) of PolyU, features lightweight design (up to 300g for wearable upper limb components, which are fit for different functional training needs), low power demand (12V rechargeable battery supply for 4-hour continuous use), and sportswear features. The robotic arm thus provides a flexible, self-help, easy-to-use, mobile tool for patients to supplement their rehabilitation sessions at the clinic. The innovative training option can effectively enhance the rehabilitation progress.

 

Dr. Hu Xiaoling said development of the novel device was inspired by the feedback of many stroke patients who were discharged from the hospital. They faced problems in having regular and intensive rehabilitation training crucial for limb recovery. “We are confident that with our mobile exo-neuro-musculo-skeleton, stroke patients can conduct rehabilitation training anytime and anywhere, turning the training into part of their daily activities. We hope such flexible self-help training can well supplement traditional outpatient rehabilitation services, helping stroke patients achieve a much better rehabilitation progress.” Her team anticipated that the robotic arm could be commercialized in two years.

The BME innovation integrates exoskeleton and soft robot structural designs—the two technologies commonly adopted in existing upper-limb rehabilitation training devices for stroke patients as well as the PolyU-patented exo-nerve stimulation technology.

Integration of Exoskeleton, Soft Robot, and Exo-Nerve Stimulation Technologies
The working principle of both exoskeleton and soft robot designs is to provide external mechanical forces driven by voluntary muscle signals to assist the patient’s desired joint movement. Conventional exoskeleton structure is mainly constructed by orthotic materials such as metal and plastic, simulating external bones of the patient. Although it is compact, it is heavy and uncomfortable to wear. The soft robot, made of air-filled or liquid-filled pipes to simulate one’s external muscles, is light in weight but very bulky in size. Both types of structures demand high electrical power for driving motors or pumps, thus it is not convenient for patients to use them outside hospitals or rehabilitation centers. Combining the advantages of both structural designs, the BME innovative robotic arm is light in weight, compact in size, fast in response and demands minimal power supply, therefore it is suitable for use in both indoor and outdoor environment.

 

The robotic arm is unique in performing outstanding rehabilitation effect by further integrating the external mechanical force design with the PolyU-patented Neuro-muscular Electrical Stimulation (NMES) technology. Upon detecting the electromyography signals at the user’s muscles, the device will respond by applying NMES to contract the muscles, as well as exerting external mechanical forces to assist the joint’s desired voluntary movement. Research studies found that the combination of muscle strength triggered by NMES and external mechanical forces is 40 percent more effective for stroke rehabilitation than applying external mechanical forces alone.

Rehabilitation Effect Proven in Trials
An initial trial of the robotic arm on 10 stroke patients indicated better muscle coordination, wrist and finger functions, and lower muscle spasticity of all after they have completed 20 two-hour training sessions. Further clinical trials will be carried out in collaboration with hospitals and clinics.

The robotic arm consists of components for wrist/hand, elbow, and fingers which can be worn separately or together for different functional training needs. The sportswear design, using washable fabric with ultraviolet protection and good ventilation, also makes the robotic arm a comfortable wear for the patients.

The device also has a value-added feature of connecting to a mobile application (APP) where users can use the APP interface to control their own training. The APP also records real-time training data for better monitoring of the rehabilitation progress by both healthcare practitioners and the patients themselves. It can also serve as a social network platform for stroke patients to communicate online with each other for mutual support.

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