Disadvantages of Spreadsheets – Obstacles to Compliance in the Healthcare Industry

Most of the regulatory compliance issues we talked about concerning spreadsheets have been related to financial data. But there are other kinds of data that are stored in spreadsheets which may also cause regulatory problems in the future.

In the US, a legislation known as HIPAA or Health Insurance Portability and Accountability Act is changing the way health care establishments and practitioners handle patient records. The HIPAA Privacy Rule is aimed at protecting the privacy of individually identifiable health information a.k.a. protected health information (PHI).

Examples of PHI include common identifiers like a patient’s name, address, Social Security Number, and so on, which can be used to identify the patient. HIPAA covers a wide range of health care organisations and service providers, including: health plan payers, health care clearing houses, hospitals, doctors, dentists, etc.

To protect the confidentiality, integrity, and availability of PHI, covered entities are required to implement technical policies such as access controls, authentication, and audit controls. These can easily be implemented on server-based systems.

Sad to say, many health care organisations who have started storing data electronically still rely on spreadsheet-based systems. Those policies are hard to implement in spreadsheet-based systems, where files are handled by end-users who are overloaded with their main line of work (i.e. health care) and have very little concern for data security.

In some of these systems, spreadsheet files containing PHI may have multiple versions in different workstations. Chances are, none of these files have any access control or user authentication mechanism whatsoever. Thus, changes can easily be made without proper documentation as to who carried out the changes.

And because the files are normally easily accessible, unauthorised disclosures – whether done intentionally or accidentally – will always be a lingering threat. Remember that HIPAA covered entities who are caught disclosing PHI can be fined from $50,000 up to $500,000 plus jail time.

But that’s not all. Through the HITECH Act of 2009, business associates of covered entities will now have to comply with HIPAA standards as well. Business associates are those companies who are performing functions and services for covered entities.

Examples of business associates are accounting firms, law firms, consultants, and so on. They automatically need to comply with the standards the moment they too deal with PHI.

More Spreadsheet Blogs

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Top 10 Disadvantages of Spreadsheets

Disadvantages of Spreadsheets – obstacles to compliance in the Healthcare Industry

How Internal Auditors can win the War against Spreadsheet Fraud

Spreadsheet Reporting – No Room in your company in an age of Business Intelligence

Still looking for a Way to Consolidate Excel Spreadsheets?

Disadvantages of Spreadsheets

Spreadsheet woes – ill equipped for an Agile Business Environment

Spreadsheet Fraud

Spreadsheet Woes – Limited features for easy adoption of a control framework

Spreadsheet woes – Burden in SOX Compliance and other Regulations

Spreadsheet Risk Issues

Server Application Solutions – Don’t let Spreadsheets hold your Business back

Why Spreadsheets can send the pillars of Solvency II crashing down

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Which Services to Share?

It often makes sense to pool resources. Farmers have been doing so for decades by collectively owning expensive combine harvesters. France, Germany, the United Kingdom and Spain have successfully pooled their manufacturing power to take on Boeing with their Airbus. But does this mean that shared services are right in every situation?

The Main Reasons for Sharing

The primary argument is economies of scale. If the Airbus partners each made 25% of the engines their production lines would be shorter and they would collectively need more technicians and tools. The second line of reasoning is that shared processes are more efficient, because there are greater opportunities for standardisation.

Is This the Same as Outsourcing?

Definitely not! If France, Germany, the United Kingdom and Spain has decided to form a collective airline and asked Boeing to build their fleet of aircraft, then they would have outsourced airplane manufacture and lost a strategic industry. This is where the bigger picture comes into play.

The Downside of Sharing

Centralising activities can cause havoc with workflow, and implode decentralised structures that have evolved over time. The Airbus technology called for creative ways to move aircraft fuselages around. In the case of farmers, they had to learn to be patient and accept that they would not always harvest at the optimum time.

Things Best Not Shared

Core business is what brings in the money, and this should be tailor-made to its market. It is also what keeps the company afloat and therefore best kept on board. The core business of the French, German, United Kingdom and Spanish civilian aircraft industry is transporting passengers. This is why they are able to share an aircraft supply chain that spun off into a commercial success story.

Things Best Shared

It follows that activities that are neither core nor place bound – and can therefore happen anywhere ? are the best targets for sharing. Anything processed on a computer can be processed on a remote computer. This is why automated accounting, stock control and human resources are the perfect services to share.

So Case Closed Then?

No, not quite. ?Technology has yet to overtake our humanity, our desire to feel part of the process and our need to feel valued. When an employee, supplier or customer has a problem with our administration it’s just not good enough to abdicate and say ?Oh, you have to speak to Dublin, they do it there?.

Call centres are a good example of abdication from stakeholder care. To an extent, these have ?confiscated? the right of customers to speak to speak directly to their providers. This has cost businesses more customers that they may wish to measure. Sharing services is not about relinquishing the duty to remain in touch. It is simply a more efficient way of managing routine matters.

How FieldElite helps Electricians

The need to hire an electrician arises more often than we expect. It’s quite common to come across problems with structure-wiring, whether at home or in your business premises. It’s, therefore, not surprising to come across a home or a business owner in search of electrical services.

Whether a startup or a fully-fledged business that offers electrical services, there are challenges that come with running the venture. Where you have field service electricians, the challenges are even compounded, more so on matters of assigning tasks, receiving complaints from customers, and receiving field service reports.

As we all know, an electrical business isn’t just limited to the management of field service electricians. You’ll have to manage all the processes, a responsibility that can be quite daunting.

It doesn’t have to be difficult, though. You can take advantage of a field service management software program to make the entire management process effortless.

FieldElite is one such software. With FieldElite, you can assign tasks, communicate, and receive reports from your electricians on the go. Incorporating field service management in your electrical business enables you to run your business operations smoothly.

Below are some of the benefits of using FieldElite field service management software.

Increased Efficiency

Improved efficiency is the number one benefit electricians can get from field service management software. With FieldElite, electricians can accept jobs while in the field and add attachments together with client signatures using their smartphones or tablets. From the field management software, they can get information on the optimal route to the site, the tools required for the job, the service history of the customer, and contractual commitments.

Managing and scheduling tasks on FieldElite are just a few clicks away for office-based operators. That means reduced travel times and delays that often cripple workforce management.

Improved Professionalism

FieldElite field management software gives you a professional edge over your competitors. With this field management software, you can store all your business-related information in a central place. Therefore, each of your electricians can access the data from anywhere using their smartphone or tablet installed with the FieldElite mobile application. As such, there?s no breach in communication, and that means the electricians will get the scheduled tasks on time. Building such relationships with your team in the field encourages teamwork and motivates each team member to play their part. Again, since you can monitor what’s going on in the field, you can address the issues raised by your electricians or customers as soon as possible.

Effective Communication

Timely communication is very essential if you’re working with field technicians. Since you’ll not always be with them in the field, it’s always important to establish a proper communication channel to ensure information reaches them in time. With FieldElite field service management software, electricians receive notifications and details about tasks assigned to them via the FieldElite mobile app.

On the other hand, office-based staff can access the report with the details of the job once the electrician completes the given task. This implies that both the electricians and the office-based operators can get communication instantly, enabling them to see and manage their workloads. Individual electricians can close jobs on-site and proceed to the next task without having to do paperwork reporting. For this reason, electricians can complete multiple tasks within a short time, which improves their overall productivity.

High Accuracy

With FieldElite field service management software, missing data or incomplete information is a thing of the past. Electricians no longer have to deal with paperwork, which can be daunting and time-consuming, yet with a million and one errors. With FieldElite advanced mobile features, all field service processes and operations are automated. The electricians are left with quite little to do, and that minimises data entry errors.

Because the managers get real-time updates from the field techs, they can accurately maintain and track the field processes. With FieldElite mobile features, managers can get information regarding the job status, the actual time of arrival, and the time taken to complete the task. With such updates, the electricians are better placed to do the job well without wasting much time, thus improving their overall productivity.

Improved Co-ordination With The Team

Apart from improving the productivity of the electricians, FieldElite improves coordination with the entire management team. For instance, an electrician can be assigned new tasks within the same area where they’re currently assigned instead of sending another to complete a task in that same place. FieldElite makes this possible by always capturing the current location and job status.

Whenever a new request is made in an area, FieldElite first checks the database to confirm if there is an electrician already assigned in that area. If the status of the ongoing assignment is complete or almost complete and the new task request can wait for the remaining time, the electrician in the field would be assigned the new task. By doing so, the business saves on cost and time and minimises movements.

Improved Customer Satisfaction

As an electrician, you’ll only be satisfied if the service you offer makes the customer happy. Apart from fixing their wiring problems, they?d be happy if you responded quickly to their request. This is only made possible with field service management software. With FieldElite, managers can notify the electricians on the service requests in their respective areas, allowing them to respond to the call within a very short time. Not only does this give you some level of satisfaction as the business owner but it’s also a win for the company.

Make your field work-flow better with FieldElite, and improve the productivity of your electricians. With FieldElite releasing regular and timely updates, users aren’t left behind whenever there are changes in the field service industry. The updates introduce new features and capture new standards to ensure that you get the best experience with the software at all times.

Without Desktop Virtualisation, you can’t attain True Business Continuity

Even if you’ve invested on virtualisation, off-site backup, redundancy, data replication, and other related technologies, I?m willing to bet your BC/DR program still lacks an important ingredient. I bet you’ve forgotten about your end users and their desktops.

Picture this. A major disaster strikes your city and brings your entire main site down. No problem. You’ve got all your data backed up on another site. You just need to connect to it and voila! you’ll be back up and running in no time.

Really?

Do you have PCs ready for your employees to use? Do those machines already have the necessary applications for working on your data? If you still have to install them, then that’s going to take a lot of precious time. When your users get a hold of those machines, will they be facing exactly the same interface that they’ve been used to?

If not, more time will be wasted as they try to familiarise themselves. By the time you’re able to declare ?business as usual?, you’ll have lost customer confidence (or even customers themselves), missed business opportunities, and dropped potential earnings.

That’s not going to happen with desktop virtualisation.

The beauty of?virtualisation

Virtualisation in general is a vital component in modern Business Continuity/Disaster Recovery strategies. For instance, by creating multiple copies of virtualised disks and implementing disk redundancy, your operations can continue even if a disk breaks down. Better yet, if you put copies on separate physical servers, then you can likewise continue even if a physical server breaks down.

You can take an even greater step by placing copies of those disks on an entirely separate geographical location so that if a disaster brings your entire main site down, you can still gain access to your data from the other site.

Because you’re essentially just dealing with files and not physical hardware, virtualisation makes the implementation of redundancy less costly, less tedious, greener, and more effective.

But virtualisation, when used for BC/DR, is mostly focused on the server side. As we’ve pointed out earlier in the article, server side BC/DR efforts are not enough. A significant share of business operations are also dependent on the client side.

Desktop virtualisation (DV) is very similar to server virtualisation. It comes with nearly the same kind of benefits too. That means, a virtualised desktop can be copied just like ordinary files. If you have a copy of a desktop, then you can easily use that if the active copy is destroyed.

In fact, if the PC on which the desktop is running becomes incapacitated, you can simply move to another machine, stream or install a copy of the virtualised desktop there, and get back into the action right away. If all your PCs are incapacitated after a disaster, rapid provisioning of your desktops will keep customers and stakeholders from waiting.

In addition to that, DV will enable your user interface to look like the one you had on your previous PC. This particular feature is actually very important to end users. You see, users normally have their own way of organising things on their desktops. The moment you put them in front of a desktop not their own, even if it has the same OS and the same set of applications, they?ll feel disoriented and won’t be able to perform optimally.

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