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.

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Disadvantages of Spreadsheets – obstacles to compliance in the Healthcare Industry

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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

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How FieldElite helps Plumbers

While most people think that running a plumbing business is a very easy job, things are a bit different on the ground. The job goes beyond the dropping by a client’s home and fixing a few pipes. In addition to the actual plumbing work, a plumbing business also involves managing quotes, invoicing customers, dispatching field service workers, and accounting, among others. Undertaking all these operations manually is extremely demanding. Besides the tedious work that it is, you’re likely to end up with a ton of errors.

However, you can overcome these challenges by employing technology. The use of field service management software allows you to automate tasks. Consequently, you no longer have to deal with paperwork, delayed responses to customer requests, or double assignment of tasks.

If you’re wondering which field service management software to use, FieldElite is your best bet. FieldElite is feature-rich, and it gives you way more than the simple automation of the daily operations of your plumbing business.

Below are some of the top benefits you’ll reap by using FieldElite to run your plumbing venture.

Convenient Scheduling

Scheduling is an important aspect of the plumbing industry. Just like other field techs, plumbers would require tasks to be dispatched on time, which is only made possible by proper scheduling. With FieldElite, managers can easily schedule single and recurring tasks for the right plumber in a matter of seconds.

On the other hand, plumbers can also view the available jobs and job information in the FieldElite easy to use App that’s available for Android, and confirm scheduled jobs. They can also accept these jobs using their smartphones and respond to service requests instantly.

Apart from getting the scheduled tasks, the FieldElite scheduling and dispatch feature is integrated with GPS functionality so that plumbers can get information on where to go next, and the optimal route to take from their mobile phones.

The scheduling and dispatch feature also gives plumbers the information on the specific tools required for the job to allow them to get the tools in between appointments and schedules.

Central Data Storage

Just like other field service industries, plumbing also involves big data. Handling data manually would mean more errors for your plumbing business, which will only impact negatively on your business. To eliminate such errors, go paperless with FieldElite.

You can view everything from one place with FieldElite?s dashboard feature, including information about your plumbers and the scheduled tasks. On the other hand, your plumbers can access job details and the pending tasks from a central place.

Plumbers can also get service requests from customers on the FieldElite mobile app from wherever they are. All the requests are stored in a central place, making the response to customer requests easier. The end result is satisfied customers, opening doors for return orders.

In case of an update, all plumbers receive notifications at the same time and, where necessary, respond promptly to the requests. They can update the office instantly with job status changes from a central place.

Convenient Reporting

Reporting is part of the tasks that plumbers have to do after completing the assigned job. As a manager, you expect your plumbers to keep you updated on the status of each assignment. Reporting on paper is time-consuming, and that’s why you need the services of FieldElite.

With FieldElite reporting feature, sending over completed job reports is only a few clicks away. Plumbers can generate reports on the mobile app and keep the office staff updated on the status of the job. Using FieldElite, you can capture customer signatures and add attachments to the job status and send them instantly using the mobile app available on Android.

Since they can do instant reporting via the mobile app, the plumbers can proceed to attend to new service requests as soon as they’re done without having to first come back to the office to submit their reports.

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 your plumbers in time. Here, you can get much more with FieldElite, including communication automation to remind customers of appointments.

With FieldElite field service management software, plumbers receive notifications through the mobile app. The notifications can be for anything from new task requests, requests for alterations, emergencies, and more. On the other hand, office-based staff gets to access the reports once the plumber completes their given task.

That means the plumbers in the field and the office-based team gets communication instantly, enabling them to see and manage their workloads. For this reason, plumbers can complete multiple tasks within a short time, thus improving their overall productivity.

Scalability

The biggest question for most entrepreneurs when they want to buy management software is scalability. Businesses grow and incorporate new activities that would also require to be managed from a centralised system. Where that’s not possible, the business would have to move all their information from one system to a more robust one.

With FieldElite, however, you’re safe. It works perfectly well for startups as well as large-sized plumbing businesses. It allows you to focus on the areas that your organisation covers now, but also lets you add new areas as you introduce them into your business. Moreover, FieldElite is also receiving regular updates to that bring it up-to-speed with new technologies and new ways of doing things, meaning that your business will be in a position to take advantage of the latest and more productive features.

From the benefits mentioned above, it’s quite clear that your plumbing industry greatly needs the services of a field service management software. Your plumbers too need easier time working on their assigned tasks, adding to the reasons why you need to integrate FieldElite in your plumbing business.

Systems Integration as a means to cost reduction

System integration in an organisation refers to a process whereby two or more separate systems are brought together for the purpose of pooling the value in the separate systems into one main system. A key component of process consolidation within any organisation is the utilisation of IT as a means to achieve this end. As such, system integration as a means to cost reduction offers organisations the opportunity to adopt and implement lean principles with the attendant benefits. The implementation of lean techniques requires an adherence to stated methods to facilitate the elimination of wastage in the production of goods and services. In summary, the lean philosophy seeks to optimise the speed of good and service production, through the elimination of waste.

While analysing some of the traditional sources of waste in organisational activities, things like overproduction, inventory, underutilised ideas, transmission of information and ideas, transportation of people and material, time wastage and over-processing stand out. The fact is that companies can eliminate a significant portion of waste through the utilisation of IT to consolidate processes within their organisation.

Adopting lean principles calls for the identification of all of the steps in the company value stream for each product family for the purpose of the eliminating the steps that do not create any value. In other words, this step calls for the elimination of redundant steps in the process flow. This is exactly what the utilisation of IT to consolidate processes offers a company. For instance, the adoption of a central cloud system across a large organisation with several facilities could increase efficiencies in that company. Such a company would drastically reduce the redundancies that used to exist in the different facilities, eliminate the instances of hardware and software purchase, maintenance and upgrade, modernise quality assurances processes and identify further opportunities for improvement.

Perhaps, from the company’s point of view, and from the perspective of lean process implementation, the most important factor is?the effect it has?on the bottom line.’reducing the number of hardware, eliminating the need for maintaining and upgrading hardware, removing the necessity for software purchase and upgrade across facilities also contributes to a significant reduction in operational costs.?This reduction in the cost of operations leads to a corresponding increase in the profit margin of the company.

Applying system integration as a means to cost reduction can also lead to the reduction in the number of people needed to operate the previous systems that have been integrated into one primary unit. Usually, companies must hire people with specialised knowledge to operate and maintain the various systems. Such employees must also receive special training and frequent ongoing education to constantly stay informed of the latest trends in process management. With the integration of the system, the number of people needed to maintain the central system will be significantly reduced, also improving the security of information and other company trade secrets.

Based on an analysis of the specific needs that exist in a particular company environment, a system integration method that is peculiar to the needs of that organisation will be worked out. Some companies may find it more cost-effective to use the services of independent cloud service providers. Others with more resources and facilities may decide to set up their own cloud service systems. Often, private cloud service system capabilities far exceed the requirements of the initiating company, meaning that they could decide to “sell” the extra “space” on their cloud network to other interested parties.

A company that fully applies the lean principles towards the integration of its systems will be able to take on additional tasks as a result of the system consolidation. This leads to an increase in performance, and more efficiency due to the seamless syncing of information in a timely and uniform manner.

Companies have to combine a top-down and a bottom-up approach towards their system integration methods. A top-down approach simply utilises the overall system structure that is already in place as a starting point, or as a foundation. The bottom-up approach seeks to design new systems for integration into the system. Other methods of system integration include the vertical, star and horizontal integration methods. In the horizontal method, a specified subsystem is used as an interface for communication between other subsystems. For the star system integration method, the subsystems are connected to the system in a manner that resembles the depiction of a star; hence, the name. Vertical integration refers to the method of the integration of subsystems based on an analysis of their functionality.

The key to successful system integration for the purpose of cost reduction is to take a manual approach towards identifying the various applicable lean principles, with respect to the system integration process. For instance, when value has been specified, it becomes easier to identify value streams. The other process of removing unnecessary or redundant steps will be easier to follow when the whole project is viewed from the whole, rather than’the part. Creating an integrated system needs some?patience?in order to work out kinks and achieve the desired perfect value that creates no waste.

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Can you do away with the Project Initiation Meeting?

Project initiation meetings are often skipped to fast-track projects. Once a sponsor is found, organisations go straight to project planning and execution. But based on our own experience, holding a project initiation meeting can actually eliminate many issues that may crop up in the future and hence may speed things up instead in the long run.

It is in the project initiation meeting where your project objectives and scope are clarified and all stakeholders are brought to the same page. Project sponsors and stakeholders will have to know in a nutshell what is needed from them, what the possible risks are, what different resources are required, and so on. So that, when it’s time to proceed to the next phase, everyone is already in-sync.

So what are taken up in such a meeting? Perhaps an actual example can help. Sometime in the past, we set out to work on an eCommerce website project. After conducting the project initiation meeting, these were some of the things we were able to accomplish:

Identified deliverables e.g. site design, interface to payment system, etc.
Come up with the project phases
Agreed what should be in and out of scope
Defined the acceptance test criteria
Identified possible risks
Identified the possible training and documentation work needed
Established whether any analysis was required, e.g. as with regards to payment interfaces
Formulated disaster recovery plans
Defined roles and responsibilities
Drafted timelines and due dates

Aren’t these covered in project planning? If the project is a big one, the answer is no. In a large project, project planning is a much more exhaustive activity. In a project initiation meeting, only the basic framework is defined.

Some questions may still remain unanswered after a project initiation meeting, but at least you already know what answers you need to look for. In the example we gave earlier, we left the meeting knowing that we needed:

a list of all necessary hardware to estimate the costs
to identify possible dependencies we might have with third parties
to identify what software had to be bought and what skills we needed to hire

When it was time to proceed to project planning, everyone involved already knew what direction we were taking. In effect, by not skipping the project initiation meeting, we were able to avoid many potential obstacles.