You would be surprised that some can't when you look at them closely. Either that or the vendors can't prove it.
Z Edward E. Ziots CISSP, Network +, Security + Network Engineer Lifespan Organization Email:ezi...@lifespan.org Cell:401-639-3505 From: Raper, Jonathan - Eagle [mailto:jra...@eaglemds.com] Sent: Tuesday, January 11, 2011 12:53 PM To: NT System Admin Issues Subject: RE: domain controller in the cloud??? Yeah. Any real EMR will meet those criteria. We have audit trails the likes of which you wouldn't believe (or then again maybe you would). We can, have, and will terminate employment for anyone caught looking where they shouldn't. Jonathan L. Raper, A+, MCSA, MCSE Technology Coordinator Eagle Physicians & Associates, PA jra...@eaglemds.com <BLOCKED::mailto:%20jra...@eaglemds.com> www.eaglemds.com <BLOCKED::http://www.eaglemds.com/> ________________________________ From: Ziots, Edward [mailto:ezi...@lifespan.org] Sent: Tuesday, January 11, 2011 12:48 PM To: NT System Admin Issues Subject: RE: domain controller in the cloud??? Aren't EMR's fun. Now add the auditing requirements that tell whom looked and or updated any patient record ( by field, with old values and new values) and keep that for the life of the patient, and there you have a real treat. Z Edward E. Ziots CISSP, Network +, Security + Network Engineer Lifespan Organization Email:ezi...@lifespan.org Cell:401-639-3505 From: Raper, Jonathan - Eagle [mailto:jra...@eaglemds.com] Sent: Tuesday, January 11, 2011 11:56 AM To: NT System Admin Issues Subject: RE: domain controller in the cloud??? We digitized the "pertinent" [1] information from the old charts, and are storing the paper for an as yet undetermined amount of time. However, nothing new is being added to the old chart. So, it is entirely possible that we have patients approaching 2 years old that have no physical paper trail whatsoever as far as medical history within our organization goes, except for any paper statements that may have been mailed out. [1] - last physical, medication lists, known drug allergies, etc - and anything else the physician deemed important enough to scan in. Jonathan L. Raper, A+, MCSA, MCSE Technology Coordinator Eagle Physicians & Associates, PA jra...@eaglemds.com <BLOCKED::mailto:%20jra...@eaglemds.com> www.eaglemds.com <BLOCKED::http://www.eaglemds.com/> ________________________________ From: Charles Whitby [mailto:charles.whi...@gmail.com] Sent: Tuesday, January 11, 2011 11:35 AM To: NT System Admin Issues Subject: Re: domain controller in the cloud??? Sleep robbing, becoming a third world country overnight kinda scary. In your move to all electronic did you digitize all of your old dead-tree charts? On Tue, Jan 11, 2011 at 11:31 AM, Raper, Jonathan - Eagle <jra...@eaglemds.com> wrote: That was actually the first thing that came to mind, followed closely by some act of war/terrorism, or some kind of nuclear "accident". Jonathan L. Raper, A+, MCSA, MCSE Technology Coordinator Eagle Physicians & Associates, PA jra...@eaglemds.com www.eaglemds.com ________________________________ From: Charles Whitby [mailto:charles.whi...@gmail.com] Sent: Tuesday, January 11, 2011 11:22 AM To: NT System Admin Issues Subject: Re: domain controller in the cloud??? Coronal Mass Ejection for instance? On Tue, Jan 11, 2011 at 11:13 AM, Raper, Jonathan - Eagle <jra...@eaglemds.com> wrote: "It's a concern I continue to have, even as I advocate the technology for its technical merits." I know that feeling, that's for sure. I've just converted a 70 doc medical practice to an all electronic system, of which I was and still am a strong advocate. Paper charts here are, for all intents and purposes, a thing of the past. It's great, access to information (potentially lifesaving) is almost instantaneous from anywhere in the world as long as you've got a decent internet connection and can run a Citrix plugin. It's great - as long as it is accessible. However, I have this sinking feeling that one day, something cataclysmic will happen and nothing (electronic) will work. Maybe in the next few years, maybe not. Either for a prolonged period of time, or even indefinitely. Perhaps it will be a localized event that will take our data center down, or maybe something on a larger scale - conspiracy theories abound about end of days type stuff. Just because it has never happened in our recorded history, does that make it really so far fetched? No, I'm not off the deep end (at least not yet anyway), but us making ourselves more and more dependent on technology (not to mention the government) can and does have its drawbacks... Kinda funny how we can paint ourselves into a corner, isn't it? Jonathan L. Raper, A+, MCSA, MCSE Technology Coordinator Eagle Physicians & Associates, PA jra...@eaglemds.com www.eaglemds.com ________________________________ From: Andrew S. Baker [mailto:asbz...@gmail.com] Sent: Tuesday, January 11, 2011 10:55 AM To: NT System Admin Issues Subject: Re: domain controller in the cloud??? Indeed... It's a concern I continue to have, even as I advocate the technology for its technical merits. ASB (My Bio via About.Me <http://about.me/Andrew.S.Baker/bio> ) Exploiting Technology for Business Advantage... On Tue, Jan 11, 2011 at 10:47 AM, Raper, Jonathan - Eagle <jra...@eaglemds.com> wrote: Thought provoking, if nothing else. Thanks for sharing, Angus. Jonathan L. Raper, A+, MCSA, MCSE Technology Coordinator Eagle Physicians & Associates, PA jra...@eaglemds.com www.eaglemds.com -----Original Message----- From: Angus Scott-Fleming [mailto:angu...@geoapps.com] Sent: Tuesday, January 11, 2011 10:44 AM To: NT System Admin Issues Subject: Re: domain controller in the cloud??? On 10 Jan 2011 at 11:43, techconnect wrote: > We are a private k-8 school and we have a board member who is telling us > that we should not buy any new servers to replace the current ones, he says > everything is moving to the cloud and so should our stuff(user folders, > authenication AD win 2003 R2 and Exchange 2003 is what we're using, they > want to move to gmail but there's no central management there I know of,and > offsite backups only.) We have about 350-400 students and faculty and they > want to be on the bandwagon to the cloud I think without understanding > everything about it(I'm not entirely clear either) and was looking for > thoughts and opinions or resources. Interesting take on this idea here: ============= Included Stuff Follows ============= Why I´m Having Second Thoughts About The Wisdom Of The Cloud "...It used to be that if the US government wanted access to documents or letters in my possession they´d have to subpoena me directly. As a foreign citizen there are all sorts of ways I could fight the request - and it was at least my choice whether to do so. As someone living in the US I also had the whole weight of the 4th Amendment on my side. Now, with everything in the cloud, the decision whether to hand over my personal information is almost entirely out of my hands. And unless, as happened with Twitter, the company storing my data decides to fight for openness on my behalf, there´s every possibility that I won´t even hear about the request until it´s too late. That´s just not how things should work in a free society. "Of course, it remains statistically unlikely that I´m going to be the subject of a subpoena any time soon. I´m hardly an enemy of the state. But then again, until recently, neither were many of the supporters of Wikileaks. Who´s to say that an innocuous organisation I give support to today won´t suddenly become highly controversial tomorrow? "For that reason, I´m giving serious thought to the idea of taking my communications back out of the cloud: switching back to a traditional email client and storing my documents on my encrypted hard-drive." ============= Included Stuff Ends ============= Seen here: http://techcrunch.com/2011/01/10/why-im-having-second-thoughts-about-the-wisdom-of-the-cloud/ -- Angus Scott-Fleming GeoApps, Tucson, Arizona 1-520-290-5038 Security Blog: http://geoapps.com/ ~ Finally, powerful endpoint security that ISN'T a resource hog! ~ ~ <http://www.sunbeltsoftware.com/Business/VIPRE-Enterprise/> ~ --- To manage subscriptions click here: http://lyris.sunbelt-software.com/read/my_forums/ or send an email to listmana...@lyris.sunbeltsoftware.com with the body: unsubscribe ntsysadmin ________________________________ Any medical information contained in this electronic message is CONFIDENTIAL and privileged. 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Do not deliver, distribute or copy this message, and do not disclose its contents or take any action in reliance on the information that it contains. ~ Finally, powerful endpoint security that ISN'T a resource hog! ~ ~ <http://www.sunbeltsoftware.com/Business/VIPRE-Enterprise/> ~ --- To manage subscriptions click here: http://lyris.sunbelt-software.com/read/my_forums/ or send an email to listmana...@lyris.sunbeltsoftware.com with the body: unsubscribe ntsysadmin ~ Finally, powerful endpoint security that ISN'T a resource hog! ~ ~ <http://www.sunbeltsoftware.com/Business/VIPRE-Enterprise/> ~ --- To manage subscriptions click here: http://lyris.sunbelt-software.com/read/my_forums/ or send an email to listmana...@lyris.sunbeltsoftware.com with the body: unsubscribe ntsysadmin ~ Finally, powerful endpoint security that ISN'T a resource hog! ~ ~ <http://www.sunbeltsoftware.com/Business/VIPRE-Enterprise/> ~ --- To manage subscriptions click here: http://lyris.sunbelt-software.com/read/my_forums/ or send an email to listmana...@lyris.sunbeltsoftware.com with the body: unsubscribe ntsysadmin ~ Finally, powerful endpoint security that ISN'T a resource hog! ~ ~ <http://www.sunbeltsoftware.com/Business/VIPRE-Enterprise/> ~ --- To manage subscriptions click here: http://lyris.sunbelt-software.com/read/my_forums/ or send an email to listmana...@lyris.sunbeltsoftware.com with the body: unsubscribe ntsysadmin ~ Finally, powerful endpoint security that ISN'T a resource hog! ~ ~ <http://www.sunbeltsoftware.com/Business/VIPRE-Enterprise/> ~ --- To manage subscriptions click here: http://lyris.sunbelt-software.com/read/my_forums/ or send an email to listmana...@lyris.sunbeltsoftware.com with the body: unsubscribe ntsysadmin ~ Finally, powerful endpoint security that ISN'T a resource hog! ~ ~ <http://www.sunbeltsoftware.com/Business/VIPRE-Enterprise/> ~ --- To manage subscriptions click here: http://lyris.sunbelt-software.com/read/my_forums/ or send an email to listmana...@lyris.sunbeltsoftware.com with the body: unsubscribe ntsysadmin ~ Finally, powerful endpoint security that ISN'T a resource hog! ~ ~ <http://www.sunbeltsoftware.com/Business/VIPRE-Enterprise/> ~ --- To manage subscriptions click here: http://lyris.sunbelt-software.com/read/my_forums/ or send an email to listmana...@lyris.sunbeltsoftware.com with the body: unsubscribe ntsysadmin ~ Finally, powerful endpoint security that ISN'T a resource hog! ~ ~ <http://www.sunbeltsoftware.com/Business/VIPRE-Enterprise/> ~ --- To manage subscriptions click here: http://lyris.sunbelt-software.com/read/my_forums/ or send an email to listmana...@lyris.sunbeltsoftware.com with the body: unsubscribe ntsysadmin
