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

 

Spreadsheet Risks in Banks

 

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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Energy Cooperation Mechanisms in the EU

While the original mission of the European Union was to bring countries together to prevent future wars, this has spun out into a variety of other cooperative mechanisms its founders may never have dreamed of. Take energy for example, where the European Energy Directive puts energy cooperation mechanisms in place to help member states achieve the collective goal.

This inter-connectivity is essential because countries have different opportunities. For example, some may easily meet their renewable targets with an abundance of suitable rivers, while others may have a more regular supply of sunshine. To capitalise on these opportunities the EU created an internal energy market to make it easier for countries to work together and achieve their goals in cost-effective ways. The three major mechanisms are

  • Joint Projects
  • Statistical Transfers
  • Joint Support Schemes

Joint Projects

The simplest form is where two member states co-fund a power generation, heating or cooling scheme and share the benefits. This could be anything from a hydro project on their common border to co-developing bio-fuel technology. They do not necessarily share the benefits, but they do share the renewable energy credits that flow from it.

An EU country may also enter into a joint project with a non-EU nation, and claim a portion of the credit, provided the project generates electricity and this physically flows into the union.

Statistical Transfers

A statistical transfer occurs when one member state has an abundance of renewable energy opportunities such that it can readily meet its targets, and has surplus credits it wishes to exchange for cash. It ?sells? these through the EU accounting system to a country willing to pay for the assistance.

This aspect of the cooperative mechanism provides an incentive for member states to exceed their targets. It also controls costs, because the receiver has the opportunity to avoid more expensive capital outlays.

Joint Support Schemes

In the case of joint support schemes, two or more member countries combine efforts to encourage renewable energy / heating / cooling systems in their respective territories. This concept is not yet fully explored. It might for example include common feed-in tariffs / premiums or common certificate trading and quota systems.

Conclusion

A common thread runs through these three cooperative mechanisms and there are close interlinks. The question in ecoVaro?s mind is the extent to which the system will evolve from statistical support systems, towards full open engagement.

What are the benefits of digital forms data collection
Field Service Workers are regularly engaged to collect data or carry out inspections and assessments when visiting customer sites or remote area locations. The data collected by Field Service workers, will be used by businesses who will analyse, process and build reports based on the large volumes of data collected. The accuracy and reliability of data collected is vitally important. Traditionally businesses may have deployed mail surveys, telephone interviews, door-to-door surveys and interviews performed by Field Workers to collect data. Digital Transformation is gradually changing many business operations and a great deal of processes which were traditionally executed manually are now accomplished making use of digital methods. Technology is having a major impact not only how businesses research and analyse data, but primarily how data and information is collected. New tools and processes to data collection are improving data collection and analysis, leading to dramatic improvements and maximisation and optimisation of resources and operations. Utilising Digital Data Collection methods enables organisations to not only obtain results quicker but also use the data to make data based decisions faster.

What is a Digital Form?

Digital Forms, also known as Mobile Forms are electronic versions of paper forms that can be completed using:
  • Laptop
  • Tablet
  • Smart Phone
  • Any Mobile Device

Why Use Digital Forms ?

Digital forms can be a simple yet highly effective solution to overcome the challenges presented by paper based forms. Digital forms can be filled out directly using Smart phones and tablets in the field
  • When not connected to the internet or even low speed internet connections
  • When working in remote locations
  • To avoid damage, illegible handwriting or even lost and misplaced forms.
Digital forms can also include data validation logic to ensure field workers complete every form as expected and required, which will enforce and ensure data integrity . Field Service teams appreciate these features and help ensure the validity and accuracy of the data and insights they collect and can be confident regarding making business critical data based decisions. Data and Information collected using mobile forms can be accessible in near real-time, helps enable field teams to sidestep potential obstacles to productivity, and act on opportunities and increasing business agility.

Advantages of Digital Forms

Time and Cost Saving

Using Digital Forms instead of paper-based forms provides a significant impact on improving time and cost savings on printing, storing and distribution costs. Businesses also spend a significant amount of time and money in Administration and double data entry processes incurred by paper based forms. Transferring information from paper based surveys is an error prone process.
Digital Forms can save up to 20 man hours a week in administration costs

Improve data accuracy

Digital Forms can auto-populate fields based on prior data entered and also enable field-level validation. Digital data collection also eliminated data entry errors and data loss. Additional data can also be automatically be gathered such as Username, Geo-location and Time & Date.

Real Time Reporting

The issue with Paper-based data collection is that there will always be a time lag before reports or decision can be made. With a digital platform, such as FieldElite – Mobile Workforce Management , data can be processed and analysed as it is collected. Providing data driven insights to provide proactive rather than reactive reports to improve and optimise operations in real time.

It’s time to go Digital Forms!

Data Collection using Digital Forms will propel your company into the future and transform your data collection, data entry and analysis providing accurate data driven insights in real time. Digital forms are also mobile-optimized, updated in real time, and accessible by multiple parties, eliminating unnecessary meetings and emails. If you have a business and still haven’t used digital forms to gather information, contact Denizon today to organise a Demo of FieldElite – Mobile Workforce Management and discover how we can help you to transform your Field Service Operations

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Saving Energy Step 4 – Breathing Life into the Project

Today we consider the fourth step on the road to energy saving, when we introduce key contributors who will pull it all together. We have been on quite a journey. We started by developing a management system and then followed up with practical improvements, while challenging the assumptions behind the energy bills we may have paid unchallenged in the past.

After we knock off the big-ticket savings, managing energy becomes a process of improvement characterised by smaller increments. Kaizen is the classic model and it includes everybody in the organization from the janitor to the CEO. I inverted the pyramid deliberately, because ideas deserve considering no matter where the originator parks in the company yard.

People ? our people ?are truly central to the process. Energy adds extra leverage to their efforts, keeps them warm in winter, cool in summer and powers up the ovens in the company canteen. They are brimming over with ideas because that is the nature of being human. The best managers are those who release this potential and participate in its flowering,

It is important not to threaten job security. So many savings-driven initiatives have ended in job losses that people on the shop floor automatically suspect another round. Shrinking carbon footprints is about making the world a better place for everyone. We become more effective when we turn ?increasing profit? into making the enterprise sustainable in itself.

Engaging employees is more than office circulars and speeches at the Christmas Party. Organizations are organic places where trust grows slowly but conflict can flare in a moment. Before involving your people in your energy ?kaizan? make sure your words and intentions overlap perfectly. You will be amazed at the power you unlock in your people.

The best way I know of doing this is through your health and safety structure, which then becomes your environment, health and safety structure EHS. As you explore this idea at safety committees you find these things overlap, in the sense of creating people-centric environments at work and home.

That said, there is no magic formula for achieving employee engagement. The fact that people universally want a cleaner planet is the power to tap into. One way to form a team is to create one artificially and give it a task. The other is to work together towards a shared objective. Which one do you prefer?

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