smart phone

Policy as Protection

Posted on April 25th, 2012 by Dexcomm

Given all of the  legislation and the large number of mobile devices on the market and in our businesses today, it has become difficult for physician offices and their business associates to manage all of the devices.  Everything from a USB flash drive to an electronic tablet or even a camera phone has become potential sources of a PHI breach.  It is important that you craft a mobile device policy that allows you to reasonably meet all of the rules.  Having this policy in place and administered will allow you to sleep at night knowing that you have done the due diligence and what is required by law.

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Technical Safeguard Tips

Posted on April 11th, 2012 by Dexcomm

Question Mark Key on Computer KeyboardIf the electronic PHI is stored and transmitted in encrypted form, then how you would handle the security breach drastically changes. Any data can be encrypted.  Encryption is a process that converts plain text into cipher text which is unreadable to any unintended entity that has accessed the file without “permission.” It works by using a mathematical algorithm called keys that code and decode the cipher text. This process is performed by computer programs or specific hardware designed for this purpose.

HHS states that any HIPAA compliant entity is not exempt from the breach notification requirements if the entity keeps the keys on the same device as the encrypted data. Ask your vendor before selecting your encryption product. Keys can be stored on a USB flash drive, a key server or be regenerated as needed. For more information visit HIPAA Security Rule FAQ Regarding Encryption. On your computer, programs such as Microsoft® Encrypting File System (EFS) are built-in encryption programs that are easy to use by just changing the properties of the folder. Click here for a full list of programs.

The same protection extends to your mobile devices which should also be password protected. Change your passwords regularly: at least every 90 days.  Any EPHI that is utilized or stored on a mobile device must also be encrypted including; accessing a web portal on the mobile devices web browser, SMS/text message, email or images.

HIPAA violations at your fingertips

Posted on April 3rd, 2012 by Dexcomm

Multiple mobile device usersThe amount of Protected Health Information (PHI) that could be on your employee’s phone is staggering. Access to the protected information can be as easy as unlocking a smart phone. Mobile devices collect and contain PHI such as a patient’s name and phone number or a picture of a patient’s wound while they were in the office for a routine visit. Are you prepared for a situation as simple as a member of your staff answering a call on their cell phone? Who has access to this information? When the employee is at home and their 14-year-old is playing with the mobile device and sees a text message containing PHI, you now have a HIPAA violation and a possibility of the daughter seeing a name she recognizes and placing the information on Facebook, Twitter or any social media they may be associated with.

E-Prescribing: it can save you money

Posted on November 24th, 2011 by Bill
e-Prescribing

e-Prescribing

Lately, we have put a lot of blogs up about smart phones and how they integrate into the medical community. One of the most important ways that they can make health-care provider’s lives much easier is through E-prescribing. A lot of doctors and health agencies have already implemented some form of sending prescriptions via an electronic service, citing the ease of use and timesaving aspects that electronic prescriptions offer. However, that isn’t all that E-prescription can do for you; it can also save you money.

 

New governmental initiatives are pushing for modernization of data maintenance across the board in the medical services, including prescriptions. In order to accomplish this, the federal government passed the HITECH Act in 2009. This act offers incentive payments to physicians through Medicare and Medicaid if they use electronic prescriptions for more than 40% of their prescriptions, not including those for controlled substances.

 

Government incentives are direct ways in which E-prescribing can cut costs. There are, however, many indirect ways that handling your prescriptions electronically can reduce your overhead. The most important of these is in the time saved. “time is money” is a cliché for a reason. Although it may seem quicker to just write out a prescription by hand, this is not the case. In fact, one third of all hand-written prescriptions necessitate a phone call from the pharmacy for clarification. To put this in more stark relief, the Medical Group Management Association estimates that, on average, medical practices receive fifty phone calls a day from pharmacies. These calls are disruptive to workflow, and thus consume time.

 

Furthermore, E-prescribing makes more efficient use of the physician’s time. Electronic prescription systems contain databases and programs that account for drug interactions and contra-indications, which means that the physician does not have to. Over time, this increases efficiency and productivity, and both add up to dollars saved. In one study, published in 2007, a group practice of thirteen physicians claimed that by transferring their records completely to an electronic format, they saved 1 million dollars in the first year and a half. Considering that this included the cost of implementing the system, that is an impressive saving (especially when you take into account that this does not include the federal reimbursement mentioned above).

 

For more on E-prescription, read Electronic Prescribing: Building, Deploying and Using E-prescribing to Save Lives and Save Moneyput out by the Center for Health Transformation. For more information on the HITECH Act, see Electronic Prescription Is Safe And Efficient, However Hurdles Remain.

Can smart phones actually help people?

Posted on November 2nd, 2011 by Noah
eye exam via smart phone

eye exam via smart phone

Dexcomm has been in the communications industry since the 1950’s and over that time we have always strived to stay on top of the amazing changes in communications technology.  We were the first telephone answering service in the state to be able to receive and deliver emails.  We offer sms, email, and fax delivery, web based on call management,  and are currently bringing onboard a completely secure and HIPAA compliant smart phone app that will allow medical practices to communicate all their messages in a private and encrypted environment.

 

Our secure messaging app for smart phones is an one example of great leaps in technology.  Another example aimed at helping people around the world is featured in the following video.  Netra has developed an app, and cheap ($2) accessory to the smart phone that can provide quick and accurate eye exams.  The impact that this development could have for children around the world, in developed and undeveloped countries alike is amazing.

 

 

iPhone 4s is missing one crucial business feature

Posted on October 14th, 2011 by Noah

iphone 4sApple has done a lot of things right with their newest iPhone hardware and ios upgrade. For starters this time they released the phone to all three major US carriers at the same time. The phone sold more than 1 million pre orders on its first day by being available to Verizon, Sprint, and AT&T customers.

This phone is packed with new features,  Siri voice control, all new A5 dual-core chip, a great new 8mg camera with new software to make it easier to use, and the ability to record 1080p video.  The release of iOS 5 brings its own set of new advancements, a reworked notification center, Twitter account intergration, Newsstand for magazine subscriptions, and PC Free which for the first time gives you the ability to set up a new iPhone without having to plug it into a computer.

So what is this major missing feature you may ask?   Is it missing some great new hardware?  Perhaps apple made a human factors mistake?  Is there an app to download and overcome this problem?  The answer to all these questions is no.  The missing feature is more of a standing problem with any smart phone.  The problem is in a word ‘voicemail’.  Whats wrong with voicemail?  Well if you are using your phone for business,  which most of us are,  the numbers are clear.  Over 75% of business callers hang up on voicemail without leaving a message.  Now it’s a gamble to think what these callers are doing next.  Sure some may just be waiting to call you back at a time when you will answer, or  even sitting down to write you that nice email.  I would wager that most are simply calling the next person in their google or phone book search,  that’s right they are hanging up on your voicemail to call your competition and give them the business that you would have gotten if only a person would have answered the phone instead of a  machine.
In our modern world filled with smart phones and over automation, it’s easy to get frustrated anytime a machine steps in to do a job we were expecting a human to do.  Don’t take that gamble with your customers, show them how much they mean to you by insuring they always speak to a person when they call your business.  Learn how to keep those customers that called you first by downloading our guide to Finding the Right Answering Service.

 

 




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3 Examples of Bio-medical Monitoring with smart phones

Posted on October 4th, 2011 by Noah
iPhone-Portable-ECG-Device

iPhone-Portable-ECG-Device

We are all aware of the amazing things that our smart phones are becoming capable of, but did you have any idea of the true scope of their capabilities?  One of the most recent and fastest growing segments of smart phone development goes hand in hand with the miniaturization of bio-medical monitoring equipment.

 

These developments will bring advanced bio-medical monitoring, previously only available in the hospital or with expensive hardware, into the homes of many.  The ability to monitor critical health information, and more importantly alert one’s physician to important fluctuations will potentially save lives and dramatically reduce health care costs.  The applications are endless, and the advantages priceless.

 

Following are three examples of what some developers are currently bringing to market.

 

Withings: The Smart Blood Pressure Monitor, Body Scale, and Smart Baby Monitor

 

AIRSTRIP Technologies : Healthcare Anywhere

 

AliveCor : iPhone ECG
 

ipads, smart phones, and HIPAA

Posted on September 20th, 2011 by Bill

smartphones
Marianne K. McGee over at Informationweek.com put out a rather informative article  detailing the problems that HIPAA requirements pose for IT departments in or associated with the medical field. A salient point in the article is that more and more patients and staff are relying on mobile devices to transfer medical information. As the article points out, mobile devices are often what are attacked when someone is trying to illegally gain access to an information system.

 

Many medical organizations preempt this by simply avoiding the issue. Mony Weschler, the ancillary informatics director at Montefiore Medical Center in New York City, provides an example of this approach. McGee’s article quotes Weschler thus, “We don’t store patient data on devices like smartphones and iPads.”

 

Though this policy is a good one for the present, how will it work in years to come? No blanket policy in the world will prevent your staff from transmitting information in the most expedient manner possible if the situation demands, and that is how it should be—especially in a sector such as the medical professions where so much information is time-critical. HIPAA regulations even make allowances for information that is shared during instances where timeliness is imperative (see: HIPAA and Natural Disaster: when is it appropriate to share medical records?). Instead of totally banning the use of newer, more portable communication technologies, the tact to take is to develop a sound, considered plan of integration of these technologies so that neither timeliness nor security is compromised.

 

Timeliness is an inherent quality of good communications, in *some* ways even more important than security. In fact, it may be reasonably argued that the advancement of communication is propelled by the invention of methods for *quickly* transmitting ideas, with the security of those transmissions as an after-thought which improves the general method. In a perfect world, timeliness and security would run apace of one another as communication technology progresses. However, that is simply not how the world works, and people use the technologies at hand. The fact is that, at some point, someone who works for you has probably already sent a text or sent an email from a smart phone that contains information that falls under HIPAA’s purview.

 

In the long run, we can’t expect this issue to go away. In a world that more and more relies on transportability of the work-space, people are not going to stop using their ipads and smart phones. In the medical industry, to do so is to potentially fall behind the competition. The trick is to make sure that the transition is made carefully and with fore-thought. The first thing to do is to familiarize yourself with what exactly HIPAA requires of communication security. To help with this, see 5 Questions to Ask About HIPAA Security. Though it is oriented towards selecting an answering service, it will provide you a good over-view of HIPAA compliance.

Visualizing Medical Data

Posted on September 15th, 2011 by Bill


The ability of modern medicine to cull information about the human body is simply stunning. In fact, the explosion over the past twenty years in our capacity for gleaning data about patients has been so big that it is hard for us to put all of the information into context. As an answering service with a sizable footprint in the medical field, we at Dexcomm relay medical information from point to point every day, so it is interesting to see how that data is generated and how it can be used.

Anders Ynnerman puts all that data into context in a fascinating speech given at the November, 2010, TED conference.

Anders Ynnerman: Visualizing the Medical Data Explosion




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AT&T updates LSU's Cell Phone Coverage

Posted on September 1st, 2011 by Bill
cell networks easily get bogged down with large crowds

voice and data connections to improve in Death Valley

In 2011, to bring up the fact that communication has become the new center of commerce would be to state the obvious. It is almost an affront to the sensibilities at this late date to comment on the ever-present necessity to “be in touch.” However, we at Dexcomm came across a news item which drives this point home so well that we would be negligent not to mention it… especially since we really love college football.

 

It seems cell phone connectivity has been a problem at football games–as if we need to be told (ever try to connect to the tailgate via cell phone just before game time?). According to a report last year from C-Net, there are at least 5 billion cell phones currently in use around the world. With 6.5 billion people on planet Earth, that means that approximately 79% of the world population has a cell phone in their pocket. The implications are obvious for college football; when you have thousands of fans congregating around the stadium on game day, chances are a few people are trying to make a call. This has led to connectivity issues that have befuddled the major cell phone providers.

 

AT&T  has decided to take the bull by the horns at LSU’s Tiger Stadium (Death Valley for us natives). Starting this year, the phone service provider has decided to update all of their towers on LSU’s campus to 3G technology in order to accommodate the over-load of calls.

 

The point of this move is obviously to alleviate the pressure on systems located in hotspots. Yet it reminds us all of a point so obvious that we take it for granted: the need for people to stay connected is all-encompassing. In the grand scheme of things, whether or not we meet up with our friends at a football game is rather meaningless. However, if just one call of consequence fails to go through—perhaps that call which alerts a fan to a family emergency—then we have failed to communicate what matters. Whether or not communication has become the new “hot thing,” we can’t allow ourselves to become inured to the consequences of miscommunication. One dropped call can mean a lot.

 

You can actually figure out where your calls are likely to be dropped, regardless of who your cell provider is. This app will tell you where coverage is bad. What is more, you can compare how other providers measure up. Using it could help you get ahead of the game–or at least meet up with your friends before the game. This, of course, doesn’t necessarily account for towers being over-loaded on game day. We at Dexcomm are curious; what have your experiences been with cell coverage in large crowds or sporting events?

 

Also, if you are a Tiger fan, you might want to check out our comments on LSU’s Pro Combat uniforms.

 

 

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