When preparing to implement an EMR or EPM system with a graphical user interface, your entire staff will need to possess at least some computer skills. Some staff members will need to be able to check patients in and out; others will have to post money or generate claims.
The electronic medical records committee must design a training plan which takes the above factors into consideration. CCHIT had been given an (un)official nod from the government's Office of the National Coordinator for Health Information Technology as the certifying body for EMR standards.
At our practice, mind-mapping software has become indispensable for managing projects of any size. I've successfully rid the home office of paper records by scanning them all - then shredding them. Many computers have monitor or video out-ports which allow a connection to a second monitor. Although no single device can do it all, I have discovered a PDA or smart phone to be especially useful.
Some recent legal cases have established that data which is accessible must be able to be produced, including backup.
In the world of paper records, charts that are more than seven years old that were purged are considered legally inaccessible. Eventually, rational minds emerged victorious, and some of the more inane regulations have relaxed somewhat.
Consider forming a Legal, Risk & Compliance (LRC) Committee for your practice, to address the above-mentioned issues and others which may arise.
Effective Business Continuity Management requires acceptance and understanding at all levels of an organisation. During the chaos and confusion created in a crisis, it is easy for fear and panic to take over, and this can completely change the way some people handle different scenarios.
Here I outline some of the key considerations and proactive steps that organisations should take in order to curb the chaos during a crisis. In the event of an incident, there is bound to be a degree of panic and confusion and, in this atmosphere, it is easy for people to misunderstand what their responsibilities are. This is why it is so important that in a continuity plan, there is a clearly designated crisis management team and that every member understands their role. Designating these roles and assigning responsibilities is usually the task of the Crisis Management Team; which is made up of the Business Continuity Manager, senior decision-makers and key business unit representatives. Another key psychological hurdle is ensuring that designated staff have the requisite authority to declare an incident or a disaster and that those qualified understand this and have the confidence to invoke business continuity plans. An effective response to a crisis requires teams to lead and support recovery and response operations, and therefore there must be a clearly defined authority structure between the Crisis Management Team and business units.
An effective BCP, as with any successful strategy, requires practice, practice, and more practice. BCPs should be regularly tested and appraised, and the plans’ accuracy, relevance and effectiveness should be assessed – only then can organisations fully understand which areas need improvement and which are not performing properly under the stress of a crisis.
The key for any organisation facing a crisis is to quickly identify the problem, and remediate it in as little time as possible, and with minimal risk to individuals’ safety, as well as minimal impact on customers, stakeholders and overall reputation. Matt Gordon-Smith is Attenda's Director of Security, with responsibility for all areas of security within the business, from its data centres, to the standards built into Attenda's platforms, services and client solutions.
About UsBCW (Business Computing World) is a leading point of communications between business technology leaders and their audiences.
Effective crisis management is arguably the single most important aspect of an organization's ability to respond to a crisis. Developing a reliable Business Continuity Plan (BCP) can spell the difference between continued operation or permanent shut down of your organization should a disaster occur. Of companies that had a major loss of data, 43% never reopen, 51% close within two years, and only 6% will survive long term*. ENS-Inc's Business Continuity Planners partner with your organization to develop a BCP that can serve as an instruction manual during times of disaster. Enterprise Networking Solutions introduces a comprehensive, cost-effective service that brings enterprise-level Business Continuity and Disaster Recovery at a fraction of the cost. Recover individual virtual machines, application groups or your entire operating environment within minutes or hours depending on SLA.
ENS-Inc develops and deploys enterprise solutions and then provides the onsite training and knowledge transfer to empower your success. Understanding the business impacts and risks, we can then determine relevant and cost-effective Business Continuity strategies, including Risk Reduction, Business Recovery and what processes and functions are critical to continue with the least disruption possible, after any given incident. The Continuity plans end result defines and supports the roles within your team, maximizes the protection of your reputation and makes certain that confidence is maintained throughout every sector you liaise with, when an event occurs.
The purpose of an Incident Management Plan is to provide a documented framework to enable an organisation to manage any crisis or Incident regardless of cause (including those where no Business Continuity response is appropriate, such as a threat to the organisation's reputation). No experience within Business Continuity Planning can be a complex and daunting task to tackle, not to mention time and resource consuming.
We can also assist in scenario, desktop and simulation testing which is a proven way of identifying gaps, in an existing business continuity plan when auditing. Featuring expert guidance in electronic medical records, finance, administration and legal issues.
However, a large percentage of adults still have limited experience with the latest technology.


Maybe the technical staff won't have to understand the claims process, but they will surely need to be proficient using EMR.
The committee will have to determine what the common tasks for every employee will be, then adding additional skills of increased complexity to the appropriate departments and jobs.
According to a report by FierceHealthIT, The Drummond Group, an interoperability testing lab in Austin, Texas, has thrown its hat into the ring. An organization made up of industry experts, corporations, and other volunteers, CCHIT has also had its share of critics who charge that it is giving preferential treatment to big players in the EMR software community.
The ScanSnap 500 is a device which will scan everything, from PDF files to double-sided documents. Many small, high-definition TV sets have a video in-port able to toggle between cable and satellite and a computer signal. These devices are cell phones that run Windows apps, able to sync with Outlook on your desktop computer to access the Internet, email, and your contact list. No more can you even keep a patient check-in form at the front desk, or risk having a patient learn who else had been in on that day.
Although this may seem an unfair burden for a medical practice, experts dealing with these sort of legal cases believe that EMR will result in a decrease of malpractice suits, owing to better documentation and a lower rate of medication-related mistakes. There are still privacy issues which are specific to the electronic aspects of medicine, in regard to inappropriate disclosure of patients' data. In order for it to be successful there must be management buy-in and investment, and a well-thought out strategic plan.
Planning for these reactions and barriers helps to ensure a successful implementation of Business Continuity and can help to reduce disruption and the time between the incident and remediation. Individual’s reactions during a crisis can vary widely and even with the best laid plans the idiosyncrasies of human nature can take effect.
This must also filter down to staff across the organisation, from department to department, with each team and its members fully understanding what is expected from them.
Not only will this team ensure that roles are defined and assigned, but it will also guarantee senior management commitment, putting business continuity at the top of the agenda.
Business continuity plans can run smoothly and efficiently only when all employees and staff are fully briefed on the contents of the BCP and understand their roles and responsibilities in terms of hierarchy.
A common problem with BCPs is that once they are put together they are simply not rehearsed. It must take into consideration the all-important psychological factors, such as participants’ performance, attitude, decisiveness, command, coordination, communication, and control. However, when it comes to business continuity the expression ‘you’re only as good as your people’ is a fundamental truth and needs to take into account the reality of human behaviour in responding to a crisis. Matt is a seasoned senior security leader with experience across many IT managed services and outsourcing companies including IBM, Siemens, Verizon Business and Savvis.
It provides knowledge sharing and networking opportunities to help business technology leaders be more effective in communicating analysis and insight on information technology trends, to help the understanding of IT's role in achieving business goals.
This is because the crisis management team has responsibility for strategy and coordination, whereas business continuity and disaster recovery are where tactical implementation takes place. Align your systems and data protection strategies to achieve your objectives for business resumption in the event of a disaster. Our talented and certified consultants and engineers each have an average of more than 15 years experience working with the public sector in California.
It should include a Business Impact Analysis (BIA), Risk Assessment and an audit of any existing Business Continuity plans.
The Incident Management Plan is a set of components and resources that may be useful to the team tasked with activating the plan. Continuous improvement includes exercising and testing, maintenance and ongoing review, to ensure the plans continue to be effective and are updated in line, with changes to the business or the supporting infrastructure. Organisations frequently invest significant wasted effort before realising that help is needed.
It's a lucky fact that most doctors must keep with technological advances out of necessity. The best part is that you don't need to be a computer genius to use these tools - they're intuitive, making projects easy to follow visually. This application has modules to set up various goals, from business, to family, to personal.
When you set up dual display with the TV as the second monitor, you can double the work area on the desktop.
Some people use the phone connection to access the Web, while others connect through a wireless network. Even so, if data is kept on a failed hard drive, and the costs of recovering the data is significant, it could create an undue burden; judges could rule that the expense be shared between the two parties.
When it comes to electronic information, however, inaccessibility could be more difficult to prove, as electronic data can almost always be recovered. An unauthorized email, unsecured wireless network, a computer monitor left on in view of another patient are some prime examples. However one aspect that’s often overlooked, but which is of significant importance, is the psychological and physiological factors that can have a major impact during a crisis.
Failing to address these can have a negative impact on managing the aftermath of an incident. This will then help to limit confusion and reduce the time it takes from the incident occurring, to recovery.


An organisation can have as complex and thorough strategy, however unless it is regularly exercised, there is a significant risk that it simply won’t be effective in a real life incident.
Confidence is key and the ability for staff to make well thought out, strategic decisions will ultimately be a company’s saving grace. Matt has experience in many different facets of security, across various industry sectors and working closely with clients to address their individual security needs. In the absence of sound strategy and coordination, the tactical recovery probably won't even help. Business As Usual can offer short training and awareness courses to assist you in developing plans using a pragmatic but effective approach. For example, almost all of your employees will need to know how to use the system to look up appointment info. Next, the department should rotate through the training room to receive training on the necessary tasks for their particular jobs. Some newer versions such as Treo 150W can sync up with your contacts and calendar remotely from any location.
In fact, most of the current EMR software systems don't even let a provider delete patient records. Here are keys to effective Crisis Management:Team Leadership and StructureEvery team needs a leader. A Plan should be tested at least once every 12 months and audited to identify any gaps in the processes.
Still, many other staff members have limited exposure to computers at work - and limited skill as a result. A manual was prepared for the EPM software module, and another is being written for the EMR module. A dashboard can handle your mind maps while helping to delegate the logistics of who, where, what and when of your projects.
Although a bit larger and heavier than a regular cell phone, these devices make up for the added weight with increased flexibility. A single console can drive all of the backup devices on 1 or several sites.D2D2T (Disk To Disk To Tape) technology is used to raise the level of performance of backup and restoration devices. In order to gauge an employee's computer literacy, they can be asked about the applications they've used, and to give examples of the sorts of tasks they've performed. This has become a major area of law and will become increasingly important as EMR becomes the norm. It's also possible to tell an employee's competency through the vocabulary they are familiar with.
The bottom line for medical practices is that a reliable and secure backup process is a must. The VMWARE certification of this range ensures perfect interoperability of NEC infrastructures with VMWare technology on board. For every organization that'll be different, but generally you want two types of groups represented: 1) Corporate services and infrastructure. While NEC recommends fault tolerant solutions for local resilience in order to avoid switching of applications and processes for a simple hardware fault, NEC recommends the implementation of an inter-site DRP in order to protect oneself from threats to the main site.NEC solutions are based around Cluster solutions (ExpressCluster, Double-Take) ) which can replicate data from an asynchronous system through a WAN and switch from one site to another in case of damage to the main site.
In the virtual business environment, different solutions will be recommended according to expressed needs, and of course including solutions such as VMWare HA.A constantly available virtualized infrastructure!When virtualization is at the heart of infrastructure projects, risks linked with virtualized system downtime become a major issue for virtualization. That said, you want your team to have a relatively consistent view of what situations constitute a crisis. Otherwise, your team becomes sort of an ad hoc committee that may or may not engage in various situations. The management of operational risks (BALE2 Reform) is now an integral part of the business culture and has become tomorrow’s issues for IT managers.What will the financial impact be for a bank or an insurance company if its central system breaks down?
Note: Team engagement criteria can be objective (any power outage over 2 hours), or subjective (any event with the potential to generate media attention).
They are based on multi-site organizations or on mobile employees and the co-ordination and processes which are at the heart of the business. This is a response to hazards which may be diverse or varied (unavailability of an employee, traffic jams, weather, technical incident, etc…) in order to maintain a flawless quality of service. The traceability of trade and data and shares are also important when it comes to dealing with appeals or protests.Furthermore, due to the price of fuel rising at different rates according to country, and where competition is difficult, access to information and data is paramount.How can one justify a delayed plane due to an IT system failure to a client?
Supplier relationships, purchases, management of stock, management of personnel and associated processes are at the center of the daily challenges of these brands.High availability of IT systems is therefore a constant requirement, especially when the system or business applications are managed locally, without a dedicated IT team.What are the consequences of stock ruptures or the inability to access a computer? Finally, the team should make sure that necessary notifications and communications take place. As the event unfolds, the team should monitor the evolving situation to re-evaluate impacts, priorities, and recovery activities.A Few Critical ResourcesMore than anything, the Crisis Management Team needs to be able to assemble, assess a situation, and make decisions. But quality of service is a central feature for production managers who are committed to a level of availability ( SLA: Service Level Agreement). Making that happen doesn't require extensive resources, but there are a few things that should be available:A physical meeting location. The ability to communicate during a crisis is imperative, so having a few different methods in place will be extremely beneficial.



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