the physician’s answer to compliance to privacy legislation

The Physician’s Answer to Compliance to Privacy

LegislationNovember 2, 2001

Provides secure

document access,

storage and delivery to healthcare

professionals

Arcamatrix

Problems Facing HCPs (Health Care Professionals)

• Information management problems

• Not enough time

• Poor security and confidentiality for patient records

• Inadequate secure storage and file delivery mechanisms

• Information retrieval is difficult due to lack of automation

• Loss of patient information impacts patient care

Problems Facing HCPs (cont’d)• Transcription problems

• Transcription turnaround delays

• Original file erased after transcription

• Movement of tapes and transcribed files

• Imaging problems

• High cost of production and delivery

• Long turnaround time

• Loss of films or radiologist reports

Problems Facing HCPs (cont’d)

• Compliance to Privacy Regulations

• Proposed and existing federal & provincial regulations

• US must comply by April 2003 to HIPAA Privacy Regulations (enacted April 14, 2001)

• Most HCPs are unaware of pending or existing legislation

HIPAAHealth Insurance

Portability and Accountability Act

• Enacted to protect rights of US citizens to keep their medical records confidential

• Guidelines to be developed by Department of Health and Human Services• Improve efficiency and effectiveness of

healthcare system• Protect the security and confidentiality of all

individually identifiable health information

HIPAA (cont’d)

• Cost of compliance estimated to exceed $4 billion

• Fines and imprisonment for noncompliance by April 2003

• HIPAA creates an incredible opportunity for an easy-to-use, cost-effective solution, especially for small practices

Some Statistics• Smaller offices and clinics

• 65+% of HCPs in Canada (CMA)

• 50+% of HCPs in USA

• $6.6B spent on medical transcriptions each year

• 25% of health care costs spent inefficiently

Arcamatrix Solution• Virtual Patient Chart

• Consolidates voice, text and images

• Easy to access (browser based, web based)

• Cost effective (pay as use) Transactional

• Easy to use

• zero footprint

• familiar practices

Arcamatrix Solution (cont’d)

Challenges in building the solution

• Technical

• Compliance to Privacy Legislation--HIPAA and PIPIDA

• User adoption

User Adoption Challenges

• If we build it, will they use it?

• 85+% of physicians offices have a computer (OMA, 2000)

• <10% of physicians offices have Internet connectivity (Web-Enabling Healthcare Marketing Conference, April 2001)

• 48% of HCPs use dictation

User Adoption (cont’d)

• Our approach

• Look at something that they already do

(A to D)

• Provide technology wrapped up in Value Proposition and Return of Investment

• Partner with others for turn key for PC and connectivity

Compliance Challenges

Our approach:

• Law alone does not imply implementation

• Build privacy and security in from the beginning- Transparent to the end user!

• Technology that allows for the HCP to be the custodian of the information

Compliance (cont’d)

• Stated and Agreed Upon Policies

• Service Agreement/Partnership with HCP

• Privacy Policy

• Service Agreement with contractors with stated procedures

Technical Challenges• User interface

• Privacy

• Database integration and searchable voice, text and images

• Security

• Robustness

Arcamedx--User Interface

1- Dictate Document

2 - Logon to

Arcamedx

3 - Select the service needed and upload the file

• The physician can:• Distribute voice, images or text files to other

Arcamedx users• Search for stored files• Delete or archive stored files • Inquire about system usage and billing• Change passwords• Notified by email that file is ready from system

or other user

Arcamedx (cont’d)

Privacy

• Access Control

• Audit Trail

• Confidentiality of all information

Database Integration• Qualified Oracle Database experience to

integrate Oracle 8i

• Ability to search voice, text and images

• Different standards

• voice - proprietary

• HL7

• Dicom

Security

• Information Security

• SSL (128) link level

• TDES

• Physical Security

• Firewalls

• Servers stored in secure and monitored area

Robustness

• Fully redundant configuration• Fault tolerant storage • Daily off-site backup• Catastrophic contingency

Virtual Clinical Information System

• Integrates:• EMR, HIS, RIS• Practice Management & Laboratory Results• Medical Images Acquisition

• Cost-effective• Targeted market: 450,000+ • ASP: Reduce capital cost expenditures

Virtual Clinical Information System (cont’d)

• Security• End-to-end security (only physician can decrypt

records)• Digital envelope for document distribution• Digital signature for patient records

• Integrity

• Non repudiation

• Certificate Authority (CA)

Virtual Clinical Information System (cont’d)

• Accessible Everywhere Securely• Wired• Wireless

• Secure Backup and Archiving for all HCP data

Clinical Information Systems

Arcamedx ASPVirtual Patient ChartDelivery & Storage

Secure Internet delivery

Medical Image Acquisition PACS/Teleradiology

DICOM

EMR/HIS/RIS (HL7)

Transcription

Health Care Professionals

Practice Management

Arcamatrix Differentiation

• Target physician practices, clinics, smaller hospitals 1-2, 3-25

• Distribution through established medical product distribution

• Minimize capital expenditures for HCPs • Security and Privacy focus • Easy to use, cost effective solutions

Arcamatrix Contacts

www.arcamatrix.com

Toll free: 1-866-834-3774

Arcamatrix Corporation

2221 Yonge St. Suite 403

Toronto, Ontario

M4S 2B4

Sherry Shannon-Vanstone, CEO

Arcamatrix Incorporated

695 South Colorado Blvd.

Suite 480

Denver, Colorado 80246

USA

Chris Hovey, President

the physician’s answer to compliance to privacy legislation

Documents

hcps contdcompliance

privacy regulationsproposed

privacy legislationnovember

implementationbuild

hipaa privacy regulations

department of health

text files

health care costs