Formulating an effective response to emergency room drug diversion by drug seeking patients

Drug diversion has become a $100 billion a year problem for the healthcare industry. By far the leading source of such diversion is the obtaining of prescription drugs by bogus patients from ER staff, the author claims. Solving the problem will not be easy, he says, because drug seekers are experts in avoiding detection or in persuading health providers to supply them with the pharmaceuticals they want. But, he adds, a program for reducing such diversion in your health facility can be successful if a multi-disciplinary approach is taken. Such a program is described in this article.

Lessons learned from a privacy breach at an academic health science centre

In 2007, the Hospital for Sick Children experienced a serious privacy breach when a laptop computer containing the personal health information of approximately 3,000 patients and research subjects was stolen from a physician-researcher's vehicle. This incident was reported to the information and privacy commissioner of Ontario (IPC). The IPC issued an order that required the hospital to examine and revise its policies, practices and research protocols related to the protection of personal health information and to educate staff on privacy-related matters.

From robbery to renewal--a case study: realizing security opportunities in the wake of a critical incident

The robbery of an employee on her way to work may be a more common occurrence in some hospitals, but it was a rarity for a hospital in Western Colorado. In this article, the author describes how Security, working with Facilities Management, sought the root causes of the incident, and the steps that were taken to remove those factors that made it possible.

Lessons learned: mobile device encryption in the academic medical center

The academic medical center is faced with the unique challenge of meeting the multi-faceted needs of both a modern healthcare organization and an academic institution, The need for security to protect patient information must be balanced by the academic freedoms expected in the college setting. The Albany Medical Center, consisting of the Albany Medical College and the Albany Medical Center Hospital, was challenged with implementing a solution that would preserve the availability, integrity and confidentiality of business, patient and research data stored on mobile devices. To solve this problem, Albany Medical Center implemented a mobile encryption suite across the enterprise. Such an implementation comes with complexities, from performance across multiple generations of computers and operating systems, to diversity of application use mode and end user adoption, all of which requires thoughtful policy and standards creation, understanding of regulations, and a willingness and ability to work through such diverse needs.

Basic bookkeeping and avoiding theft

Bookkeeping practices in dental offices may be relatively simple, but care must be taken to prevent employee theft. Well-chosen accounting software and routine office practices may facilitate smooth operations. Systems of internal control should be established to safeguard the practice's finances. The dental practitioner should be very involved in their practice's accounting to maintain order, prevent theft, and keep costs under control.