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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Article 8 of the EU Energy Efficiency Directive ? Orientation

Following in-depth discussion of the UK?s ESOS response, we decided to backtrack to the source, especially since every EU member is facing similar challenges. The core purpose of the directive is to place a pair of obligations on member states. These are

To promote the availability of energy audits among final customers in all sectors, and;
To ensure that enterprises that are not SMEs carry out energy audits at least every four years.

Given the ability for business to look twice at every piece of legislation it considers unproductive, the Brussels legislators took care to define what constitutes an enterprise larger than an SME.

Definition of a Large Undertaking

A large undertaking meets one or both of the following conditions:

It employs 250 or more people
Its annual turnover is more than ?50 million and its balance sheet total exceeds ?43 million

Rules for Energy Audits

If accredited / qualified in-house specialists are unavailable then independent experts should supervise audits. The talent shortage seems common to many EU businesses. In hindsight, the Union could have ramped up slower, especially since the first compliance date of 5 December 2015 does not leave much swing room.

ecoVaro doubts there was a viable alternative, given the urgent imperative to beat back the scourge of carbon that is threatening the viability of our planet. The legislators must have been of a similar mind when laying down the guidelines. Witness for example the requirement that penalties be ?effective, proportionate and dissuasive?.

In order to be compliant, an energy audit must

Be based on twelve months of verifiable data that is
- over a continuous period beginning no more than 24 months before the beginning of the energy audit, and;
- identifies energy saving opportunities including paths to their achievement
Analyse the participant’s energy consumption and energy efficiency
Have not been used as the basis for an energy audit in a previous compliance period

Measurement of current status and progress tracing are at the core of energy saving and good governance generally. EcoVaro has a powerhouse of software tools available on the cloud to help project teams save time and money.

What ISO 14001 Status did for Cummins Inc.

Cummins manufactures engines and power generation products, and has been a household name almost since inception in 1919. It sells its products in over 300 countries, through approximately 6,000 dealerships employing 40,000 people. Because its product line runs off fossil fuel it is under steady pressure to display a cleaner carbon footprint.

Cummins decided to go for the big one by qualifying for ISO 14001 certification. This is a subset of a family of standards relating to managing environmental impact while complying with all applicable legislation. In this sense, it is similar to the ISO 9000 quality management system, because it focuses on how products are produced (as opposed to how those products perform). Compliance with ISO 14001 was a doubly important goal, because it is part of the European Union?s Eco Management and Audit Scheme and fast becoming mandatory on suppliers to governments.

The qualification process follows the well-established principle of plan, do, check, act. It begins with gap analysis to detect materials and processes that affect the environment. This is followed by implementation of necessary changes affecting operations, documentation, emergency strategies and employee education. The third step involves measuring and monitoring performance. Finally, the project moves into a phase of ongoing maintenance, and continuous improvement as circumstances change.

In Cummins case, the project was almost worldwide and called for environmental, health and safety reporting throughout the organisation. The information was shared via a globally accessible document repository, and then processed centrally at the head office in Columbia, Indiana USA.

Measuring environmental performance almost inevitably has other benefits that make it doubly worthwhile. Speaking at the 2014 National Safety Council Congress after receiving the top award for excellence, Cummins chairman and ceo Tom Linebarger commented on a journey that was ?nothing short of amazing? yet wasn’t even a ?pathway to the finish line?.

?All of us feel like we have way more to do to make sure that our environment is as safe as it could be,? he added, ?so that our sustainability footprint is as good as it can be and that we continue to set more aggressive goals every year. That’s just how we think about it.? Linebarger concluded.

If you are taking your company on a journey to new heights of environmental excellence, then you should consider choosing ecoVaro as your travelling companion. We are environmental management specialists and have proprietary software geared to process your data. We also have a wealth of experience, and a treasure chest of roadmaps to help you achieve your goal.

Field service and its impact on your bottom line

There are many pointers to successful field service in any business. Generally, labour hours, parts, technician efficiency, performance indicators and other bunch of data are the most important. However, the icing on top is the total revenue. If you are in business, you must be cocksure that it’s making money, and when you don’t rake in enough you need to make some business decisions quick!

For the most part, field service companies will always have a field service management software to handle all the data. But how will this affect your outlook?

Will this cause a direct increase in revenue?

What will still need to be changed so that the ship stays afloat?

Increase your service jobs

As expected, the best field management software will guarantee a positive increase in appointments per week. On average, the field service team should expect at least a 50% increase in work turnover. There is a direct relation between the revenue you should be making and the number of calls in your schedule since the only way of making more cash is to get more work done. It is not recommended to raise costs because it increases the risk of losing customers easy when they can’t meet the extra expense. Field service software will help you bring in more customers and also manage technicians.

If you have much of the hard work done for you then you?d have more time to run the show. This is why premises are trying out software because they answer many problems like:

Automation and improved work order management
Fast dispatch from an array of drag-drop scheduling tools
Easy-to-use field service apps for technicians to receive and submit work orders
Can be integrated into account systems for faster billing time

Manual operations are costly and prone to error, and they don’t come cheap. Do away with them, reduce costs, sit back and watch as new customers steadily stream in. Grow the business by building lasting relations with your workforce and customers.

Increase technician?s abilities with mobile

If you want to get more profit, bank on technicians who complete service calls. Their task is obviously the hardest. They have an unpredictable job; at times they need to come up with quick responses or they may also be required to dig deep as well. The work does not need to be slowed with an endless paper trail while they could be elsewhere giving their all. These technicians require a working mobile field service management app.

As expected, field service leaders who use a mobile field service software report close to 20% increase in service visits per technician. This translates to each technician taking nearly a fifth more calls in a day. And as we had said before, more service calls can double the profits. How can technicians get extra time from a field service mobile app?

No need to drive to work to pick orders
Less time using the phone looking for service or parts information
Reduces the time needed to go through paper-based work
Less time driving to service calls because information is routed to their mobile phones

Increase revenue from technicians

If time is spent seamlessly, dispatchers will find time in a technician?s schedule for an extra service call. With all this being done within normal working hours, the business stands to increase its bottom line. This is what makes the business grow. Not by increasing technicians but by optimum utilisation of the current staff to get maximum profit. The logic is straightforward ? a technician working 8 hours each day taking six calls a day will make more revenue than the one who takes four, because they are paid the same each, but the business benefits from the extra service calls.

The business stands to make more revenue per technician if it uses field service management software. The margins can go as high as 40% because the technician has all tools needed to get the job done faster. You increase revenue from field work too. Let technicians benefit from automated process and have all the tools for work that they need right on their mobile devices.

The target is always your bottom line

When field service leaders inquire about field service software, they need to know how it affect the bottom line: how they will spend less time drafting schedules, how each technician will increase revenue, how the business will grow. Simple as that!
Field service management applications bring a lot to the table.

Don’t waste your time crunching a lot of numbers or sorting out schedules since this is what such an application should do. Automation, optimisation and mobility are all ways of increasing revenue. Let us help you reach your goals using our top shelf field management software. This will not only help your bottom line but will let you have more time to venture into untapped potentials.