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By Paul E. Torgensen

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These methods tend to be more complex to set up and administer than tokens. Though an in-depth discussion of security techniques is beyond the scope of this chapter, here are a few things to consider when deciding on a security scheme for home access users. VPN software is a very secure method of connecting users over the Internet, but it requires users to have either special hardware or software loaded on their remote PC. Whenever users load new software on their home PC, you run the risk of creating software incompatibilities, since you cannot know the environment into which the new software is being introduced.

This means that the loss of one network will leave functioning PCs in every clinical area. , workstations with two network cards). This allows all PCs to continue to operate if either network is lost. It also doubles the cost of the network, limiting its use to critical settings that have limited space for redundant PCs. Today’s networks are more than just miles of cable connecting terminal devices to host computers. They are highly complex computer systems in their own right, and as such require special expertise to design, implement and maintain.

How much resource you allocate to back-up and recovery depends upon the costs your organization incurs when the EHR is unavailable. At a minimum, you should have a backup strategy that allows you to recover your data in a timely manner and does not put you at risk for losing all your patients’ records. It is wise to keep a daily backup of your system in a location other than where the system itself resides. Then, if your hardware system is destroyed, you can recreate it on new hardware. Also remember that total recovery time includes any time it takes to get replacement hardware and software, as well as the time required to enter any data that was generated after the last back-up was made.

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