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Telemedicine, TeleMed, & TeleHealth

The current state of business is morphing into something we haven’t seen before. New ideas and procedures are being created every day to keep businesses running and to address these new challenges.

A recent modern convenience is telemedicine. While it’s been around in a limited form for a while, current circumstances have given it a major boost in both interest and development. In this blog, we’ll take a look at how telemedicine works as well as the challenges it can bring to medical practices hoping to take advantage of this new frontier in medicine.

As a Managed Service Provider, we have seen that the current pandemic and quarantine have not only forced a lot of employees to work remotely, it has caused many businesses to meet with people remotely. We have been assisting all types of businesses turn this emergency situation into a better way of doing business.

A House Call Anywhere in the World

While it’s almost always best to see a physician in person, there are a large number of common conditions that generally can be diagnosed remotely. No, we’re not talking about an online symptom checker, but an actual living, breathing doctor who will see the patient via a video call.

These sorts of services would allow the physician to talk directly to the patient, and would then explain how they feel. If the symptoms don’t appear to be anything needing additional testing, the doctor could then make a diagnosis and begin a treatment plan, which might include sending prescriptions to a local pharmacy to be picked up by the patient. If the patient requires additional testing, a referral can be made.

Examples of conditions that are easily diagnosed via telemedicine include:

  • Headaches/Migraines
  • Earaches
  • Heartburn/GERD
  • Back Pain
  • Anxiety and some other mental conditions
  • Minor infections such as urinary tract infections (UTIs) and sinus infections
  • Cold/Flu
  • Low-risk urgent care
  • Screening for needed tests

Benefits of Telemedicine

One of the biggest benefits of remote doctor visits is that the patient can get better without getting worse. Hospitals and doctors’ offices are, by their very nature, full of sick people. The more often we go to these places, the more likely we are to catch something, compared to staying at home, that is. Telemedicine is the definition of social distancing.

This particular benefit has become huge this year since many people hope to stay far away from groups of sick people due to fears of COVID-19 — and for a good reason! Not only is this true for patients, but for the people who work the offices, including the physicians. A recent article in The Guardian stated that around 20% of all COVID-19 patients got infected while in a hospital. With many people considering it unsafe to go into the office, it makes sense that they would much rather telecommute to talk to a doctor for the sniffles.

Additionally, everyone involved saves money. For the patient, they don’t have to worry about transportation or taking time off work. The physician doesn’t have to worry about having a large medical space with a large staff, which may result in them charging less for their services to the patient or insurance company. If the insurance company is charged less, they can (hopefully) keep their premiums at reasonable levels. It works out best in everyone’s favor.

Challenges of Telemedicine

Even though telemedicine tends to work out so well for everyone involved, it doesn’t mean the technology and processes needed to set up and maintain this service are automatic. For instance, not everyone owns a computer, especially for older or lower-income patients. Even for those who do have access to a computer, internet access can still be a challenge since telemedicine requires a highspeed internet connection in order to have stable communication.

Beyond the patient’s end, physician’s needs quite a bit of technology to make sure everything runs smoothly. Some might think this would just involve a doctor hopping on Skype or Zoom and having a chat with their patients. However, there are many factors to take into consideration. For example, will this be taking place in a medical office or home office? Will multiple physicians be working together at the same time or just one?

Will this be something done for a few hours every week or will you be routinely communicating with your patients remotely? Do you need to share your screen to show test results or x-rays? How are you ensuring that HIPPA standards are being met?

Depending on how you answer these and other important questions, your hardware and software needs will be drastically different.

The Way to Success

Thankfully, if you’re planning on starting or improving a telemedicine operation, you won’t be the first. What most physicians have found is that it’s best to leave the technical aspect to the experts so they can focus on what’s most important: their patients.

One of the best ways to do this is to contact us right from the beginning. By doing this, there’s no guesswork as to what hardware and software are needed, plus any maintenance and upgrades are routinely cared for. Even the scary parts, like HIPPA compliance, are taken care of so your patients’ privacy is secure and you can sleep well at night.

If you currently have a telemedicine operation or are considering starting one, be sure to contact us sooner rather than later. We will go over your needs as well as give you multiple options to make sure the solution you choose is best for you. By bringing us in to do our job, we’ll give you lots of time for you to focus on your job. And right now, the world really needs you.

7 Necessities before Sending Your Workforce Remote

Due to the COVID-19 outbreak, many companies are considering work-from-home options to facilitate social-distancing and to keep their workforce healthy. However, it’s not as simple as sending your employees home, firing up personal laptops, and getting to work. Here are seven things you need to have lined up in order to successfully deploy your remote workforce.

1. Secure Remote Access: Employees should not have open access to everything on their work systems from their personal computers. This keeps company data protected. In order to be productive through this pandemic, however, employers will need to provide a secure connection utilizing VPN or remote access software. These solutions will mirror the employee’s work desktop without housing all of the data on the individual’s personal system, allowing them to seamlessly continue work.

2. File Sharing Capabilities: While people will be working in isolation, they must still be able to collaborate. File sharing/group editing software will be critical to moving forward on creative or documentation projects through real-time editing, commenting, and versioning. Software like Axcient Anchor & Microsoft Teams/Sharepoint fill this need securely. Axcient will integrate with your file server and licenses are free through June to help during this difficult period.

3. Enterprise Level Antivirus: Basic home-level antivirus is not sufficient, particularly in secured industries. Extend your enterprise-level antivirus to home systems that will have access to your network in order to create an added layer of protection. You may also consider deploying firewalls on top of individual’s home networks to create the same secure connection employees experience in your office.

4. Video Conferencing: Meetings must go on while people work remotely; however, voice-only leaves much to be desired in terms of tone and context. We highly recommend putting in place video conferencing options. You can implement something as simple as FaceTime, or something more feature intensive, like Zoom or GoToMeeting.

5. Messaging Software: You can’t just spin your chair around to talk to your co-worker when working remote, yet it’s not efficient to always pick up the phone. We recommend implementing messaging software like Microsoft Teams or Slack to open communication channels and allow employees to continue to interact quickly and accurately. Utilizing these tools, you can set up one-on-one conversations or set up channels to facilitate team communication.

6. Phone: A strong VoIP solution will allow employees to take their office phone numbers remotely on their cellphones without giving out their cellphone numbers. Office calls will transfer seamlessly to the employee’s cellphones, voice mails will be sent via email, and the employee can dial-out using a phone application to maintain office functionality.

7. Remote Access Policy: Prior to providing access to your employees, put in place a clear access policy that acknowledges that your company monitors whatever they do while connected. Employees should be encouraged to act as if they are on site even while working remotely and reminded that punishments for doing something illegal/against company policy will apply.

The COVID-19 situation is ever-changing. Schools across the nation have been closed and events have been canceled. While it may make sense to keep your employees on-site for now, we believe it’s important to have a plan should you need to close your physical offices. Getting these seven pieces of the puzzle in line will prepare you to take your workforce remote. For assistance implementing these things, contact us today.

When Should I Upgrade My Technology?

When is the worst time to realize you need a new car? When you’re on the side of the road in your old, broken down clunker that just won’t run anymore. Hopefully, you’ve never been there before. Unfortunately, businesses often find themselves in that exact situation when it comes to their computer systems. As businesses are increasingly dependent on technology, it’s ironic that attitudes about their upkeep and replacement remain lax. Why is that attitude dangerous and what can you do to combat it?

Break/Fix Cycles

There’s a good reason why you wouldn’t want to buy a new car, or a new computer system, just as the old one dies – desperation. Either you will buy a replacement that isn’t right for you or one that costs way too much.

Waiting until a computer, server, or another piece is completely unusable is unwise. This can result in going over budget or having to comprise the actual needs just to have someone running. Take the time to develop a relationship with a Managed Services Provider or VAR to plan what you need for a technology refresh. Get a general idea of how long your systems can reasonably last (typically 3-5 years depending on equipment and usage). Create a schedule for replacement on a regular basis, diverting resources to make it less of a burden when replacements are necessary. Do this before you are desperate.

Embracing the Technology Curve

While you don’t want to wait until you have a steaming heap of broken technology, you also don’t want to swing in the opposite direction. Purchasing everything at the bleeding edge of technology guarantees that you will get a version filled with all the bugs that software and firmware updates eliminate over the first months. As with many aspects of life, you must strike a balance. Keep an eye out for any advancements in hardware or software that you (currently or could potentially) use that would make a noticeable improvement for your operations. Then, make a plan for making that purchase. Lean on the guidance of your IT Support professional for the timing that makes sense.

New Options for a New Generation

The amount of tech needed for even non-technical industries is increasing by the year. This can present new challenges for a new era. For example, for thousands of years, contractors have needed hammers, saws, and other tools for physical tasks. Now they need to have tablets for blueprints, smartphones for communication, and desktops for billing and documents. That doesn’t take into account the administrative offices for larger construction companies. If construction companies need all this tech, imagine the changes in other industries as well!

Operating in this new age requires more expense and logistics. Thankfully, there are new options to address these new concerns beyond simply “go and buy what you need when you need it.” That’s exactly where a Managed Services Provider comes in.

Dollars and Sense

With your IT services provider, develop a monthly and annual budget for technology. Scour past spending numbers to determine reasonable, realistic amounts, as well as where you may have excessively spent due to desperation or the desire to be on the cutting edge. We have found that systems typically last about 3-5 years. Craft a budget that makes sense with this particular refresh cycle.

Having a fixed budget in place will avoid surprises when technology spending comes up. In addition, take a look at subscription services for both hardware and software.

Instead of charging one time for software without ongoing updates, products (such as Microsoft Office 365) now charge on a monthly or yearly basis. This allows you to know exactly how much you’ll need to budget as well as ensures you have the most recent version, features, and security updates.

There are similar services that work with hardware. Hardware as a Service (HaaS), allows you to be up to date on hardware needs without having to worry about making large capital expenditures. Just like with software, you can pay a monthly or yearly amount and receive a hardware refresh at regular intervals. In addition, HaaS providers should include maintenance in between upgrades to keep the current systems running in the best condition.

Technology is a part of business that won’t be disappearing. By doing your research and planning accordingly, you can successfully navigate when it’s time to upgrade.

Conserving Bandwidth without Inciting Mutiny

Warning warning: this will be a bit of a tricky topic because it’s impossible to talk about bandwidth conservation without words like limits, controls and monitoring. Let’s face it, in today’s workplace, employees have come to expect the complete freedom that comes from Wi-Fi and BYOD and are likely to balk at anything that hinders their “rights” to these services. We’ll focus on providing tips and logic that allow you to control bandwidth consumption, all while maintaining happy employees.

Identify Your Largest Culprits

If you’re like most offices, you’ve got that one guy. The one that is sitting there with 56 browser windows open, streaming music as well as that day’s big game, yammering on his work phone all while surfing the web on his Wi-Fi connected cell. Not only is this behavior obnoxious, it’s killing everyone else’s productivity. Start your bandwidth conservation with these individuals. Begin with a simple conversation. “Do you really need to have all of that going all at once?” If a conversation doesn’t work to both kill the usage — and frankly, get them back on task — you can move forward to more aggressive measures including website restrictions, a separate Wi-Fi network for all cell devices or a performance improvement plan for this individual.

Implement Social Media Controls Wisely

Social media can be extremely beneficial for your business by connecting customers, providing excellent marketing opportunities and opening a door for customer service. It becomes a problem when you have people sitting at their desks scrolling their feed, posting selfies, or going live to tell people about what they ate for breakfast rather than working. To solve this problem, we do not recommend killing access to all social media in your office. People will find a way around your controls. Instead, we recommend conservative protocols.

First, have a conversation with your employees. Let them know that you understand their desire to connect with the outside world while at the office but that it can’t interfere with work expectations. That means personal live videos, bathroom breaks for a selfie photo session and constant comments on friend’s posts are out. An occasional birthday greeting or post is perfectly acceptable.

If this doesn’t stick for the company as a whole (not just the occasional individual), you have to get a bit harsher. For example, limit access to social media to between the hours of 11-2 (a typical span for lunch breaks). Limit access to particular departments like sales, marketing, and customer service. Limit access to particular problem sites (e.g.,. if Instagram isn’t utilized in your company social media strategy, you may want to cut access entirely).

Block the Right Websites

Outside of social media, typical bandwidth sucking sites include YouTube, Pandora, Spotify, Netflix and any other streaming services. While you’re probably okay allowing music streaming (listening to music often brings people into hyper-focus), you’ll want to cut off access to most video streaming when you start to see bandwidth issues. Rather than get rid of everything cold turkey, consider putting a TV with access to all of these streaming services in the breakroom so that employees don’t feel deprived of their binge-watching, but are at least doing it in a constrained, appropriate environment.

Backup and Update at Appropriate Times

Data backup and systems updates are absolutely critical to business success, but you don’t necessarily have to do the heavy lifting during peak usage hours. Instead, schedule the major daily backup (not just incremental minute-to-minute changes) to run afterhours. Cluster your system updates to run all at once for all employees at night or on the weekend rather than whenever the employee sees a pop-up.

Aggressive Security Protocols

Malware and viruses are notorious for stealing bandwidth. Make sure you have the proper firewall and virus protection protocols in place to avoid having these piggybackers stealing your network power.

Audit Your Bandwidth – Get What You’re Paying For

Every year, we recommend running an audit of both your phone and bandwidth services to make sure that you’re getting what you’re paying for. What do your upload and download speeds look like versus what you were promised? A master agent and MSP can help to make sure everything is in line.

Bandwidth is a limited and extremely important asset. You don’t always have the option of buying more pipeline. Instead, implement these bandwidth conservation protocols to make sure your employees are always able to work at their maximum capacity.

Social Media Use Policy

Everywhere you turn today you will find social media. People taking selfies at the grocery store, responding to Instagram while walking down the street and of course checking Facebook while clocked-in at work. What do you do when social media use gets out of hand in the workplace? It can seem like a never-ending battle with employees, but it doesn’t have to be that way.

Before you go any further, draft up a social media use policy. This will save you headaches and possible litigation. Employees can agree to it and follow it or they can find work elsewhere. Sounds harsh, I know, but your business’s reputation is not worth Mary’s selfie. Don’t get me wrong, the policy doesn’t have to be rigid and forceful. Your employees are adults and can handle responsibility. Similar to a job description, policies allow for clarification and accountability, which is great for both employer and employee.

To create a social media use policy, start by splitting the policy between company official accounts and personal accounts. For company official accounts, clearly articulate your brand as well as how you want it perceived, so that the message is consistent across all platforms, no matter who posts or comments. Talk about confidentiality and what company info can or cannot be shared. This can be similar to the non-disclosure you had your employees sign when they got hired.

For personal accounts, explain what they’re allowed to divulge about the company. For example, posting identifiable client information without the client’s permission is a major no-no. Badmouthing the customers is clearly out, as well as complaints about employees or managers that should be brought to HR. Basically, the employee is responsible for what is posted and should be cognizant of who may be reading. For anyone that uses their personal account for company business (i.e. connecting with customers or sharing marketing materials), set clear expectations of what can and should be listed on their account. For example, it’s an employee’s prerogative to have a side-gig as an underwear model on the weekend; but perhaps it’s not the best idea to have that individual representing your company using social media pages filled with scantily clad photos. You probably have other more conservative options, or you can encourage that employee to develop different social media accounts to represent your company.

For both personal and company accounts, outline the potential consequences for not following these guidelines. Ensure these are clear and concise to avoid loopholes that can be quickly manipulated.

Perhaps even more importantly, spell out clearly defined roles and responsibilities. Figure out who will have access to the company’s social media. You can harness the power of social media for your benefit if you play it smart. Your marketing team will need it, well, to market. Sales can keep in touch with prospects or members easily and it gives all parties confirmation that you care. Beyond that, you may want to give your receptionist or office manager access in order to help with customer service on different platforms. Clearly articulate expectations for each role so that you don’t end up with customer service professionals trying to market, and marketing selling things that the service team can’t deliver. With clear roles, you’ll also know when each team member will jump in to field an interaction from a customer or prospect without overwhelming them or leaving them hanging.

As you develop your policy, keep a few things in mind. Don’t discourage use, and ensure the language of the document sounds positive. Employees will get upset with a big change to their routine, particularly if they perceive it as restrictive or negative. Also, be transparent on why you’re creating a policy. Let them know if productivity has been negatively affected through social media use, and be clear with them about the potential security risks you are trying to avoid. Finally, explain how a policy keeps everyone honest and accountable. As long as you are transparent about the new policy, implementing it shouldn’t be a huge issue. If you have employees assist you drafting this document, that’s even better. They become part of the change and not steamrolled by it.