Sound the alarm!

Andrew Clarke, IT Magician

As promised, this month we will cover a product known as Zone Alarm (www.zonealarm.com). Zone Alarm is a personal firewall for your PC. If you don’t know what a firewall is, see my previous blog article.

Zone Alarm is free for personal use. In the past, the product was only a firewall. The company now makes a version that includes an antivirus program. If you decide to use this version, make sure you uninstall any previously installed antivirus program first. Installing more than one antivirus program can cause your computer to malfunction.

 

• Firewall only

http://www.zonealarm.com/security/en-us/zonealarm-pc-security-free-firewall.htm

The firewall only product protects you against hackers who want to gain access to your computer to use it for sending bulk emails or to harvest your personal data for identity theft. While Microsoft Windows comes with a built-in firewall, Zone Alarm is more robust and offers more control over what activity you allow / disallow on your computer. During installation, you determine how much you want to interact with the product. The default solution automatically determines threats similar to the Windows firewall, so you will barely know it’s there. Conversely, if you are of a more paranoid nature, you can instruct the program to ask you each time a possible threat is encountered so that you can determine how you want it handled.

 

• Antivirus + Firewall

http://www.zonealarm.com/security/en-us/zonealarm-free-antivirus-firewall.htm

The antivirus + firewall product is an all-in-one solution that integrates antivirus protection with firewall protection in a single product. By using this solution, you have one place to monitor internet-borne threats to your computer. Combining the products also uses less resources, so you computer runs faster than if you had two separate products.

While there are other firewall products (some free, some commercial), I recommend Zone Alarm because of its ease of use and respected status within the PC community. Zone Alarm is one of the most secure brands in consumer Internet security, and it protects over 80 million PCs from viruses, spyware, hackers and identity theft.

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Drug allergies meet paper records

Like everyone else in the healthcare industry, I’ve been focused a lot on Meaningful Use implementation and the rise of EHRs. We all do a lot of grumbling about the cost and complications of change but I got a good reminder recently of just how important integrated records can be.

Tara Courtland, Communications Director

Last week I had an injury that had gotten infected and wasn’t getting any better over time so I thought I’d better have it looked at.

Sure enough, the doctor checked me out and declared that some drugs were in order. She started writing on her chart and I told her that I’m allergic to penicillin and a lot of other antibiotics.

She stopped writing.

“Which ones?”
“Um … I don’t — One of them starts with a ‘D.’”

She looks at me, confused. “You’re telling me you have drug allergies and you don’t know which drugs you’re allergic to?”

I look at her confused. “I’ve been coming here for eight years. You’re telling me you don’t have that information on a computer somewhere?”

Turns out they don’t. They’re not fully digital. Now that information should probably be in my chart somewhere, but she’s flipping through a ream of paper and can’t find it.

She finally gives up and asks “What do you want me to do?”
“Well, if I don’t get antibiotics, I’m going to die, right?”

“That … um … well, that is a risk, yes.”
“That sounds worse than an allergic reaction. Better just pick one.”

We went back and forth on that a few times but eventually, she wrote me a prescription for something that didn’t start with a “D.”

So far, I’m not sick from this particular antibiotic (I’m pretty sure this one ends with an ‘X’) so I’m feeling pretty good about it. But not as good as I’d feel if she’d typed it into a computer.

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Questions to ask yourself every day

Linda Sullivan, CEO

Marshall Goldsmith is always worth listening to. I was fortunate enough to attend the Women Presidents’ annual conference in Dallas last week. The keynote speaker was Marshall Goldsmith.

I’ve heard him speak before and his message was not significantly different this time. Having said that, I wouldn’t have missed him for the world. Everything he said was important enough to be repeated — repeatedly: When you listen, don’t critique. Yes, I know that but I absolutely need to be reminded.

His primary premise was that we should ask ourselves a list of questions every single day and plot the results in a spreadsheet. We each can make up our own list of questions but he suggests we start with these:

Did I do my best to:

  • be happy?
  • find meaning in the day?
  • fully engage?
  • reach my goals?

The results of our daily questioning will help us detect our patterns and opens the door to making behavioral changes.

I’m starting today.

 

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HIPAA – Taking a ride in the Omnibus

Most of us who work in healthcare knew that a final rule for HIPAA would happen this year. In January, the Omnibus Rule was posted and it became effective on March 26, 2013.

NEMT President Linda Allard

The good news is that we have time to comply with the rule and several areas have extensions that will allow us all time to understand the rule and put the necessary changes in place. That being said, we all need to start making these changes now if we havent already done so.

As a transcription vendor, I am a Business Associate (BA) and already have Business Associate Agreements (BAA) in place. There are a lot of changes for the BA, and I would encourage both Business Associates and Covered Entities to take a close look at these changes. I also encourage both the Business Associates and Covered Entities to talk with each other about what this rule means to both sides.

I have always believed in open communication with my clients and this is an area that is no different. We cant assume that just because the rule is out that either a vendor or a client understands completely what this change means to its organization. The only way to ensure we are all on board with the change is to have that open dialogue.

Your Business Associate Agreements will need to be changed. A sample Business Associate Agreement posted by HHS is available at www.hhs.gov/ocr/privacy/hipaa/understanding/coveredentities/contractprov.html. I know that in the coming weeks I will be contacting each of my clients to discuss the changes needed to the BAA. I encourage each of you, whether you are a Covered Entity or a Business Associate, to do the same.

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Fire! Fire! Firewall!

This blog article is about firewalls. In the real world, a firewall is a barrier used to prevent the spread of fire or some other destructive force. In computers, a firewall is software or hardware that’s designed to keep the bag guys out of your computer.

Andrew Clarke

A computer firewall monitors traffic (communications) to and from your computer, and it determines whether or not to allow that traffic to continue. For example, when you check your email, your computer downloads information from your email provider using an IP address and a port. An IP address is like your home address or a business address. A port is like a window or a door. When it comes to email, your email provider determines which port (window) you will use. Everyone uses the same port for that particular email provider, but not all email providers use the same port. There are standards that all email providers adhere to, but that’s a topic for another blog article. When you send mail, a different port is used. This setup keeps everything running smoothly because your email provider knows that mail will be picked up from one port and sent out through another port, much like the setup at some fast food restaurants.

The computer network used at your place of business is normally protected by a hardware firewall. A hardware firewall is a piece of physical equipment with only one purpose in life. It monitors all incoming and outgoing internet traffic and makes a determination about whether it continues on or not based on the rules in the firewall. These rules can be set to allow traffic from an IP address for a specific port only. The rules can also allow all traffic to an IP address, but no traffic from that IP address. There are many configuration options to meet everyone’s communication needs.

The bad guys are constantly probing IP addresses and ports to find “open windows” that they can use to gain access. Luckily for you, Windows comes with it’s own firewall preinstalled on your computer. You are also lucky because your router provides another layer of protection because it acts as your own personal hardware firewall.

This is the place where I remind you not to click on links from sources you don’t know. The reason is because some of those links are designed to open ports (unlock windows) from the inside. Clicking on bad links is the equivalent of letting a burglar into your house. Once he’s in, he can let the rest of his buddies in.

In my next blog article, I will explore an alternative firewall choice known as Zone Alarm. The firewall built into your router works well, but configuring it is normally difficult. The Windows firewall is fine, but you may want more control over your traffic than it allows. Zone Alarm is meant as a free alternative to the Windows firewall.

I’ll see you next month. In the meantime, feel free to post suggestions about articles you would like to see in the future.

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