IT Support and Hardware for Clinics
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IT Support and Hardware for Clinics
News, Information and Updates on Hardware and IT Tools to help improve your Medical practice
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Cloud performance tests reveal the impact of location

Cloud performance tests reveal the impact of location | IT Support and Hardware for Clinics | Scoop.it

If a cloud-based EHR isn’t fast enough to meet the needs of hospitals and other medical facilities, quality of care will suffer, clinicians and support staff will become frustrated, and provider organizations operating on thin margins will have wasted valuable IT dollars on inadequate technology.

 

Several industry trends make it clear that providers are increasingly confident cloud-based EHRs can deliver data and applications at sufficient speeds because vendors have dramatically reduced latency. Epic Systems, the largest EHR vendor in the U.S., began offering cloud services in 2014 to medical groups and small hospitals. The company said in 2016 that it has seen a big shift among its customers toward cloud-based systems. One of those customers is University of California San Diego Health, which announced in August 2017 that it is migrating its Epic EHR to the cloud.

 

Cerner has also revealed that a number of healthcare systems are moving onto its hosted cloud environment. Inspira Health Network, a nonprofit healthcare organization that serves communities across New Jersey, and Bay State, an integrated health system in western Massachusetts health system, have both moved to Cerner’s cloud hosting model.

 

Another EHR vendor, Athenahealth, offers only cloud-based EHR services to its network of 56 hospitals and 106,000 providers that serves more than 100 million patients. Ellenville Regional Hospital in upstate New York, reports that running its EHR on a single network gives staff in all departments real-time access to patient records.

 

For health systems that will select their own cloud host, after considering the cost of strategic planning and security, the success of a migration ultimately rests on performance. Can EHR data, applications and services be delivered fast enough to support the needs of clinicians? Cloud performance is generally measured by average latency which represents the delay between the time when a client computer requests data and the cloud platform responds.

 

Tests have shown that distance between the cloud provider and the enterprise can have a significant impact on latency with delays of as much as 50 percent when the cloud is at a great distance.

 

Cedexis tested services and found distance was a leading indicator of performance

 

Monitoring company Cedexis performed tests throughout the United States that quantify this. Tests were performed on all of the major cloud platform vendors. The determining factor in latency performance was distance from the test client system to the servers at the cloud data center, with a deterioration of as much as 50 percent seen over longer distances within the same region.

 

For example, tests performed in the northwest region recorded latency was as low as 63 ms. when the cloud was near; a latency of 92 ms. was recorded on a cloud system at a greater distance from the test location. A test on cloud platforms in the northeast found 66 ms. latency on the low end and 78 ms. on the high end.

 

A number of vendors offer cloud performance tests that are free to be used during an evaluation process. One example is

 

CloudHarmony who offers a free service that will test performance for many of the leading vendors at a variety of their geographic locations. The test, at Cloud Harmony Speed Test will provide results for DNS query, downlink and latency.

Integration challenges


Migrating an EHR system to the cloud rarely is an all-or-nothing process. Rather, many healthcare IT managers are moving incrementally, evaluating the success of each application migration, learning from mistakes, and carefully preparing the next move based on need and experience. For example, some may decide to first migrate back-office or HR applications, and eventually, migrate clinical apps and billing data at a later date. Providers certainly can choose a one-shot migration to the cloud, but they run the risk of network and system disruptions, loss of productivity, and bandwidth limitations.

 

After cloud migration goals are set, computing models are chosen, and a migration plan established, healthcare providers can begin choosing a CSP (or more than one). For providers with concerns about potential latency issues, selecting a CSP with a hosted location close to the provider’s facilities makes sense. The provider’s IT staff and the CSP can then begin the cloud migration. This process involves addressing several integration challenges.

 

Perhaps the primary challenge is to prevent disruptions to systems or services during or as a result of the migration that would impact clinical care, staff productivity, or IT processes. Other challenges include protecting and backing up migrated data and connecting to and integrating disparate systems.

 

Integration may involve linking cloud-based apps and data with non-cloud apps in legacy systems. “An illustrative scenario could involve a multi-hospital operation which chooses to retain on-premises EHR for inpatient operations but wants to leverage public cloud services for geographically distributed outpatient clinics,” according to the Cloud Standards Customer Council (CSCC).

 

The CSCC argues that a successful cloud EHR migration depends on security and network connectivity.

 

“Whether you are ensuring insurance coverage for the public, developing the next generation of cancer drugs, or providing critical care/tier I trauma services, the new emphasis is being put on providing network availability, performance and security,” CSCC writes. “Although creating a highly available network might be expensive, those costs can be offset by the capabilities provided to the organization.”

 

The vast majority of healthcare providers today have moved or are moving applications, infrastructure, or development platforms to the cloud because they recognize the performance benefits and cost savings. For a cloud migration to pay off, providers must develop a realistic migration strategy and goals, choose the appropriate cloud computing and services models, find one or more CSPs whose services, support, and pricing match their needs and ensure that their networks have the bandwidth capacity to handle cloud-based workloads.

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Making your clinic & staff more efficient

Making your clinic & staff more efficient | IT Support and Hardware for Clinics | Scoop.it

Data collection on staff activity allows managers and leaders to determine how their team is spending their time and which activities take up the most of their working day. This post will help make your clinic and staff more efficient.

 

Data collection tools give you a clear picture of how your staff spends their time at work and how they can become more productive.

 

This is important in health businesses, as you are able to determine where your front desk and administration staff are spending their time.

 

I will use one of our clients as an example, they have two clinics and the managers found that there was always a workload on the weekend staff for scanning and administration. The staff that worked during the week were never able to complete the scanning, filing and other administrative tasks during their working day, resulting in a backlog of weekend staff.

 

By using the activity tracking software, they found out that the weekday staff was spending all of their time on the clinical software booking appointments and taking calls. This confirmed that the workload during the week was too much for the staff and allowed the client to justify hiring a new front desk staff member to complete the scanning and filing during the week.

 

You can use the data to:

  • Challenge your staff to spend an hour less a day on emails and use this hour to work on a project
  • Determine the average time staff spend on social media whilst they are in the office and raise alarms if, for example, a staff member has spent more than two hours on Facebook
  • Set yourself some goals, for example, spend less time on administration and more time using the clinical software.

 

A product that we use and is RescueTime. It is installed on all the devices in the workplace and it gives both staff and management a report of their efficiency, productivity, and areas of concern.

 

We use this software to determine processes in our workflow that need to improve and find out how productive we are compared to other staff members.

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Healthcare Cloud Security And Data Protection 

Healthcare Cloud Security And Data Protection  | IT Support and Hardware for Clinics | Scoop.it

a report from Gemalto indicated that it is no surprise that security breaches are frequently happening in the healthcare industry. Their Data Breach info-graphic shows out of the total data breaches 34% was reported in healthcare while 31% government files were breached, followed by 15% breaches taking place in technology firm records. What is the reason for the healthcare industry being the main target? The answer partially is money. A report from Security Week notes that hackers and thieves make $363 on an average per medical file. Here is why physician practices, medical providers and enterprises should use cloud based security to ensure safety of patient data.

 

1. Low Cost – Cloud based data storage offers more security and it is less expensive than trying to protect data in your office with motion activated cameras and armed security guards.

 

2. More Protection – Cloud based companies work in association with global web security firms to give multiple layer of protection to your data.

 

3. Greater Vigilance – Cloud based security offers immediate and continuous threat detection which works round the clock. This is not an option seen in most medical practices because they have to employ staff and resources to ensure 24/7 security.

While opting for cloud based security, vendors give healthcare providers the best security measures available in the industry without any initial investment. It is better used cloud based security resources while giving patient care to avoid data breach.

 

 
 
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Online Scheduling Software Is Revolutionizing the Wellness Industry

Online Scheduling Software Is Revolutionizing the Wellness Industry | IT Support and Hardware for Clinics | Scoop.it

Appointment-Plus, the industry leader in online customer self-scheduling software, announced several major additions to its growing wellness and health screening client base. Major program providers such as Lifecare, Inc., which serves more than 4.5 million individuals, have quickly implemented Appointment-Plus web-based scheduling software to solve many of the thorny scheduling issues often associated with corporate wellness and health screening programs. Appointment-Plus seamlessly manages these large appointment volumes by allowing corporate employees and healthcare members to self-schedule via a secure Internet portal.

 

In addition to Lifecare, Appointment-Plus was also recently selected to be the online scheduling solution utilized by Self-Insured Schools of California (SISC), a health insurance group of over 300 school districts in the California education system. SISC will use Appointment-Plus software to allow thousands of school district employees and dependents to schedule health screenings across the State of California. With the integration of both the online self-scheduling software and the call center services offered by Appointment-Plus, SISC will maintain a comprehensive scheduling solution that meets all aspects of the employee and dependent scheduling process.

 

The appointment-plus software offers wellness providers the ability to customize the system to meet very specific scheduling needs, including the option to private label both the member scheduling view and the administrative view of the system. In addition, Appointment-Plus offers an enterprise solution if required for large projects. The enterprise solution allows wellness providers a web services toolkit to interface Appointment-Plus information with other systems.

 

Because Appointment-Plus operates on a software as a service (SaaS) model, wellness providers can implement the system with virtually no up-front or capital costs. In addition, because the member self-scheduling process eliminates much of the traditional manual scheduling process, using Appointment-Plus is a cost-saving measure for programs. Appointment-Plus accounts are scalable to allow scheduling across multiple client-companies and client-locations. With its robust reporting functionality, Appointment-Plus also effectively manages wellness project information needs.

 

“The flexibility and functionality of the Appointment-Plus system have been a key factor in its success for wellness providers,” said Jeff Fleming, Director of Business Development for Appointment-Plus, “Wellness providers, their clients, and their members really appreciate the simplicity of member self-scheduling and the corresponding business efficiency.”

 

Appointment-Plus is a technology firm that specializes in the development of web-based scheduling and appointment software for a wide variety of applications and industries. Appointment-Plus software clients include Fortune 500 companies such as Pepsi and Comcast, federal and local government, universities and schools, and small/medium sized businesses worldwide. In 2007, Microsoft Corp. selected Appointment-Plus software as its referral source for all appointment manager software clients.

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Protecting Your Personal Data Stored In The Cloud

Protecting Your Personal Data Stored In The Cloud | IT Support and Hardware for Clinics | Scoop.it

IT professionals, healthcare executives, and clinicians in hospitals, health systems and clinics around the world are expressing great interest in moving more of their organizations’ IT applications and services to the public cloud. The concept of having a more flexible, scalable, cost-effective means to provide information communications technologies for their business both today and well into the future is very appealing. However, in order to make such a move, these same organizations must be extremely confident that any cloud service provider they do business with maintains the highest possible standards for data privacy and security.

 

This week, Microsoft announced a major milestone. Microsoft is the first major cloud provider to adopt the world’s first international standard for cloud privacy. That standard is known as ISO/IEC 27018. It was  developed  by the International Organization for Standardization (ISO) to establish a uniform, international approach to protecting the privacy for personal data stored in the cloud.  That Microsoft meets the new ISO/IEC 20718 standard for Microsoft Azure, Office 365 and Dynamics CRM Online has been independently verified by the British Standards Institute (BSI). Similarly, Bureau Veritas has done the same for Microsoft Intune.

 

ISO 27018 assures enterprise customers that privacy will be protected in several distinct ways. Adherence to the standard means that enterprise customers are in control of their data according to the instructions that they provide Microsoft as their customer. It means that they will know what is happening with their data at all times. In addition, the standard provides a number of important security safeguards. It also affirms Microsoft’s longstanding commitment not to use enterprise customer data for advertising purposes. The standard also requires that law enforcement requests for disclosure of personally identifiable data must be disclosed to an enterprise customer unless this disclosure is prohibited by law. Microsoft has already adhered to this approach (and more), and adoption of the new standard reinforces this commitment.

 

For health organizations, Microsoft has also been a model for meeting the information privacy requirements of HIPAA and for signing Business Associates Agreements with health customers who use the company’s public cloud resources. All of this should give healthcare customers who entrust Microsoft with their data the highest levels of confidence.

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Philippe Thuaud's curator insight, July 12, 2016 10:20 PM
A new ISO/IEC 27018 standard for cloud privacy. Microsoft Azure, Office 365 and Dynamics CRM meets the requirement and has adopted this new standard