Business Continuity for Senior Care: How an SD-WAN Protects Your Patients

Your nursing home or skilled nursing facility likely relies heavily on your Internet connection for delivering patient care.

If your electronic health record (EHR) or electronic medical record (EMR) system is hosted in the cloud, staff access to patient treatment plans, physician orders, medication dosages and other critical information depends on a reliable Internet link. Plus, if you rely on voice-over-IP for your telephone systems, that’s another system that is absolutely critical for patient care. It’s needed for making 911 calls, timely communication with physicians, receiving urgently needed lab results, and the many, many other types of medical information that are routinely handled by phone. What happens if your primary Internet connection fails?

Regulatory Considerations

Regulators are keenly aware of the importance of communication. That’s why Internet uptime is woven into the fabric of healthcare regulations that deal with business continuity and disaster recovery, specific to senior care, at the state and federal levels.

Addressing those requirements is vital for protecting your patients and your organization. Fortunately, there’s a relatively new technology that’s ideal for managing redundant Internet links and providing intelligent failover. SD-WAN stands for Software-Defined Wide Area Network. It’s a mouthful that boils down to a simple idea: using software instructions to intelligently choose between multiple wide area network connections (that is, multiple Internet connections) when sending or receiving data traffic.

Out with the Old — In with the New

Here’s why an SD-WAN is better than the old approach to providing redundant failover. The old method for a backup Internet connection was to maintain one connection as the primary and designate another as secondary. This was an all-or-nothing proposition: The secondary sat idle until needed. The setup required regular testing to verify the secondary was still functional.

An SD-WAN allows both connections to serve as the primary. The software intelligently chooses between the two connections based on various factors, such as the type of traffic (voice or different types of data) and the capability and quality of the connection (available bandwidth, latency and similar parameters). Two or more connections can be actively used, and when one link goes down, the traffic passes to the other automatically and immediately. Here’s how well it works: If you initiate a voice-over-IP call, and then unplug the connection, the SD-WAN switches to the other connection with little or no hint of an interruption in the conversation.

Rather than the secondary connection sitting idle, it can be put to use and effectively increase the available bandwidth. The pooled bandwidth and redundancy make it possible to choose less expensive connections, such as combining a cable and DSL connection rather than more-expensive fiber circuits. If you procure the two connections from different providers, then you’re protected if either provider experiences an outage. The SD-WAN will ensure that access to critical systems will remain.

Modern SD-WAN implementations can be configured without entering traditional network parameters such as IP addresses or port numbers. This makes an SD-WAN especially attractive to organizations that have multiple sites, as is often the case in senior care. SD-WAN technology masks the complexities of maintaining redundant connections and switching them across multiple sites. It just works, which is what we all want from our technology.

At FIT Solutions, we work as advisors to our senior-care clients on multiple aspects of IT. Assistance with the technology aspects of your backup, disaster recovery and emergency preparedness plans is a key part of the offering. We know the legal and regulatory requirements you face, and can provide recommendations on administrative practices, technological implementation and support, or active management of your systems. We can help you determine whether SD-WAN technology — and which of the available options — is right for you. Call us today at 888-339-5694.

Public Wi-Fi Security for Senior Care: 4 Tips for Keeping Patient Data Safe

As the baby boom generation enters the Senior Care market, skilled nursing, assisted living and other facilities that serve to the senior population face a new challenge.

They have to meet the technology-access expectations of tech-savvy patients and their families. Wi-Fi access is now an essential part of the service mix for residents and visitors.

Since these are healthcare facilities, though, HIPAA compliance and patient-safety issues are even more paramount. Roaming caregivers require their own Wi-Fi access to electronic health record (EHR) or electronic medical record (EMR) systems. Monitoring, alerting and other systems that directly support care delivery might also connect via Wi-Fi. Unsecured guest and resident devices connecting to the same network as medically critical devices present a huge risk.

Here are four tips for safely making Wi-Fi available for senior patients and residents, visitors and guests while preventing compromises and addressing the compliance issues.

1.  Use business-class Wi-Fi technology to segregate the networks. Business-class technology allows you to use separate Wi-Fi SSIDs to isolate networks. At minimum, create one for resident/guess access and one for caregivers/staff. Put the guest network in a DMZ or otherwise isolate its internet access and block access to the staff network. (Business-class technology is a must in a senior-care facility for reasons other than security. It generally delivers more-robust coverage than consumer-grade devices, including support for multiple access points.)

2.  Enforce policies to keep the staff passphrase secure. Staff might be tempted to share their password with guests and residents, especially if the resident Wi-Fi enforces bandwidth throttling that limits data consumption. Discourage passkey-sharing by requiring a longer and more-complex passphrase for the staff network, while making the guest passkey shorter and easier to remember and enter. The best practice is to enact a written policy that prohibits sharing the staff passkey with residents or guests, or connecting their devices to the staff network.

3.  Hide the Wi-Fi SSID for the staff network. By not broadcasting the SSID, it won’t show as a connection option. Moreover, if you don’t share the SSID with the staff, they won’t be able to connect any device on their own. This means IT personnel may need to occasionally help with getting equipment connected, but this is often easier than having to change the passkeys on all the devices later because residents are found to be connecting to the staff network.

4.  Add an extra layer of sign-on security. Consider one or both of these options. MAC address filtering allows pre-authorized devices — and only those devices — to connect to the staff network. It can be difficult to administer, however. A much more effective and seamless approach is to use a single sign-on solution (such as Okta or Onelogin) that allows access only when a user enters their staff email address and password.

Of course, there’s more to compliance with HIPAA, HITECH and other regulations than just securing Wi-Fi access, but the tips above deal effectively with one of the biggest vulnerabilities that senior care facilities face.

If you would like to know more about security in a senior care setting, we’re here to help. You can learn more about FIT Solutions managed IT services for healthcare by calling us at (888) 339-5694.

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