Have you ever been a victim of identity theft while seeking medical attention?

At first, it was only money that cyber criminals were after, but this isn’t the case anymore. In 2017, when data breach incidents started to affect businesses, banks weren’t the most impacted — it was healthcare providers, their staff, and even patients. Fast forward to 2021, the year ended with the reports of a ransomware attack on India’s foremost government hospital. The breach was detected in the internal systems of AIIMS, which led the hospital to shut down most of its digital patient care systems and move to manual means. Undoubtedly, this must have caused the entire staff and patients a great deal of chaos, which we can’t even possibly fathom! 

However, have you ever wondered about the repercussions of such incidents on an individual’s life? 

Mr Amit Rajan’s case is one of many such victims whose life took a spin after being sent home from a successful heart operation. Mr Rajan, a middle-aged man from Mumbai, had undergone heart surgery at one of the city’s leading hospitals. After the surgery, he was discharged and went home to recover. Much to his dismay, his troubles were just beginning. A few weeks after his surgery, he received a call from his health insurance company about the medical loan received by him. The company claimed that all his medical documents were verified and the account transfers were made 3 hours prior to the call. Mr Ranjan froze to the ground as he had never claimed any medical loan in his life. And, what else could he have done? The account transfer was already done and the thought of paying back 5 lakh rupees to the bank was beyond terrifying. In response to this incident he filed a complaint and hoped that the investigation would bring him some better news. This identity theft took a whole new level when he was informed of suspicious transactions made using his credit card. He immediately contacted the bank and blocked his card, but the damage was already done. The cybercriminals had managed to steal his credit card information during the data breach at the hospital where he underwent surgery.

Note: India has reported over 4000 online identity thefts in the year 2021. The states of Karnataka, Assam, Uttar Pradesh, and Jharkhand are some of the countries with leading registered cases in India.

Source: Statista

Upon investigation, he found out that his personal information, including his name, address, phone number, and even his government identification card details, had been stolen during the data breach at the hospital. 

Mr Rajan’s case is not an isolated incident. Identity theft has become a growing concern due to the increasing number of data breaches in various sectors. Cybercriminals can use stolen personal information to open bank accounts, apply for loans, purchase goods and services, and even commit crimes in the victim’s name. The consequences of identity theft can be devastating, ranging from financial loss to reputational damage.

Did you know – Patient data is 10 to 15 times more valuable than credit card data when sold on the dark web? 

Individuals need to be vigilant and take proactive measures to protect their personal information. This includes regularly monitoring bank and credit card statements, checking credit reports, using strong and unique passwords, and avoiding sharing personal information with untrusted sources. But, crucial for businesses and like in this case healthcare facilities to prioritise cybersecurity measures and ensure the protection of their patients’ personal information.

The situation of identity theft for Mr Rajan has not just caused financial loss but has also pushed him emotionally and psychologically from which he might not be able to recover soon. Worst case scenario, what if he decides to skip his further treatment? Which might get dangerous as he is a recovering heart patient. 

After a few months and further investigation by city’s cyber branch experts, Mr Rajan was informed that a minor software breach in his primary care facility’s system was responsible for the identity theft and it’s possible that his personal details were already sold on the dark web a few months before the incident. 

No system is breach-free, but Mr Rajan’s story and several other identity theft incidents indicate that even as a primary healthcare provider, one must be certain of the OPD Management Solutions or Facility Management Solution, they are using to manage the care facility. 

Primary healthcare facilities can take several steps to reduce data breaches and protect their patients’ personal information. Here are some of the key steps:

  1. Conduct regular risk assessments: Primary healthcare facilities should regularly assess their cybersecurity risks and vulnerabilities.
  2. Implement strong access controls: Access controls such as multi-factor authentication, password policies, and role-based access controls can help protect sensitive patient information from unauthorised access.
  3. Encrypt sensitive data: Sensitive patient data such as health records, pan card numbers, and insurance information should be encrypted to protect it from unauthorised access in the event of a breach. 
  4. Use secure communication channels: Facilities should use secure communication channels such as encrypted email and messaging services to ensure that patient information is protected while being shared among healthcare providers.
  5. Regularly update software and systems: Primary healthcare facilities should ensure that all software and systems are regularly updated with the latest security patches and updates to prevent known vulnerabilities from being exploited.

Or, if you want to practise stress-free, upgrading your care facility with HArbor’s Practice Management Solution is the best possible solution. 

HArbor Says: Cyber security researcher Ehraz Ahmed once said – “No system is 100 percent foolproof. If humans have built it, humans can enter it, but there are checks and balances to secure the systems” and we stand by it. 

Want to know how HArbor manages to keep data breaches at bay?

Let’s talk. 

Early Diagnosis: A Key to Better Healthcare!

A lancet report published in 2018 highlighted that around 3.6 million people in low and middle-income countries die from not having access to care. And, the situation today is still the same.

Early Diagnosis: A Key to Better Healthcare!

Early Diagnosis: A Key to Better Healthcare!

Early Diagnosis: A Key to Better Healthcare!

Early Diagnosis: A Key to Better Healthcare!

Early Diagnosis: A Key to Better Healthcare!

Early Diagnosis: A Key to Better Healthcare!

Early Diagnosis: A Key to Better Healthcare!

Are You Really Upgrading Your Practice or Getting Swayed by FOMO?

In attempts to stay relevant, healthcare professionals have been trying a hundred different things starting with social media awareness reels to listing their practices on aggregators that supposedly are helping patients to find doctors. Truth be told, if care practitioners want to connect with their potential audience via social media magic wagon, it is not a bad idea. But if they have mistaken listing websites as their fairy godmother, sadly the spell will not last long. On the contrary, they might find themselves amidst pointless competition that did not not even exist before the boom of new age aggregators. 

However, not all hope is lost, and with the right tech healthcare practitioners still have a chance to upgrade their care practice for the better.

Telemedicine is one of the most compelling fads that has recently surfaced. Undoubtedly, it has played a significant role during COVID, but as a future perspective, its ingenuity is still in question. Let’s take a step back to understand this. According to a study by Nielsen, digital literacy is almost non-existent among more than 90% of India’s population. Although rural India has 352 million internet users, possibly because of low digital literacy, nearly 60% of the rural population is still not actively using the internet. So can a telemedicine tool be enough to reinforce a better primary healthcare ecosystem in the country, especially in rural areas? Evidently, NO!

Now, maybe a mere tech tool may not be efficient to assist medicos in extending their bandwidth, but several successful assisted healthcare models like ICMR-AAROGYASRI, NeHA and VRCs have proven their competence in the past. This implies that an assisted-telemedicine OPD clinic functional in a doctor’s chosen locality has the potential to harbor similar or even better results. 

Speaking of the choices, medicos often bow to the fear of staying unnoticed by their potential clients. As a result, they end up registering themselves on several different listing websites without realising the consequences of such a step on their current state of business in the long run. Here are all the more reasons adding up to the disadvantages of listing practices on websites – 

  1. Listing a business can involve additional costs such as paying for a listing or advertising and the cost of maintaining the listing.
  2. Conflict of interest, as it must show the paid listings higher than the better-rated listings.
  3. Listing a business creates unnecessary competition among doctors, especially when the world doesn’t have enough doctors to treat everyone. As a result, one may find their patients swayed by premium account holders with dashing profiles. 
  4. Listing a business can subject doctors to additional legal and regulatory requirements, such as providing certain information to patients or adhering to strict advertising guidelines.
  5. Listing a business can put doctors’ personal information at risk from hacking or phishing.

Like other businesses, healthcare is also in the age of personalization. Delivering on the promises of personalization of care, healthcare practices are persistent in their effort to create a holistic ecosystem for patients to tailor care to their unique needs and preferences and in this technology plays a significant role. However, patient-centric care, which is being delivered on the wheels of data analytics is somehow getting in the way of medical data privacy. You see, if healthcare data is exposed to a third party for analytics, it falls under the breach of doctor-patient confidentiality. Moreover, healthcare practices are falling prey to the lure of ‘free’ practice management software which accumulates data through the system’s back door and later auctions it to highest bidders. 

Do you know – On the dark web, a complete medical record easily sells for $60. Moreover, in terms of data theft – In 2019, hackers reportedly stole data of 68 lakh patients from an Indian healthcare website allegedly for cancer research. 

Even if the data is acquired by the existing loopholes in the systems and if care customization for patients is happening via ‘snooping’ on their private healthcare data, it would still be a theft. Thereby establishing that often the data analytics run to enhance the personalization of patient care in a clinic has more to do with the benefits earned by software sellers than to patients and doctors. The real solution here is to run “case-classified” analytics with anonymized inputs not only to ensure privacy and safety for patients but also to enhance clinical decision making for medicos by building disease patterns. A simple but in depth study that will be based on symptoms, diagnosis and treatment and not the patient’s demographics and personal information.

On the other hand, the tougher challenge for technology is to build an ecosystem to deliver personalised care with better data security, healthcare practitioners can adapt integrated OPD management solutions. 

How? 

Integrating an OPD management solution with homecare, EMR, and telemedicine can help reduce data theft by providing a secure and centralised platform for storing and managing patient data. By centralising patient data in a single location, it becomes easier to monitor and protect against unauthorised access or breaches. Additionally, integrating EMR and telemedicine can enable healthcare providers to securely access and share patient data remotely, reducing the risk of data breaches that can occur with paper records or unsecured networks. Moreover, OPD management solutions can also include advanced security features such as encryption and role-based access control, which can help protect patient data from unauthorised access. 

In addition, it is required to ensure that the OPD management solution being used is compliant with regulations such as HIPAA, which sets standards for protecting patient data.

Being a healthcare practitioner, FOMO can hit you in a million different ways, but it’s crucial to evaluate your healthcare needs before all. 

HArbor Says

When value is the key to relevancy, you would want to enhance your care quality with the healthtech solutions that are easy-to-use, break the barriers of low tech-literacy and elevate your patient experience. 

Interested to know how? HArbor can help. Let’s talk.

Essential but Underskilled: Healthcare Workforce is still Living with Tools from Ancient Times.

Healthcare facilities have finally acknowledged the necessity for upgradation to enhance care-delivery worldwide. However, it still wouldn’t be too irrelevant to ask – how can we upgrade healthcare systems when one of its crucial pillars is still functioning or perceiving healthcare in the same old fashion? Most importantly, is the medical fraternity aware of the challenges that their staff have been experiencing after the introduction of technology? 

According to the studies – the Indian healthtech market is expected to grow to $5 billion by 2023 and to $50 billion in another ten years, suggesting that healthcare technologies are gradually moving to the core of healthcare processes while implying that the care delivery patterns are evolving and we are finally heading towards a new age of renaissance in healthcare. But, is our workforce strong enough to sustain the change, let alone flourish in the light of development? 

Today, as the state of affairs between nurses/work staff and technology continues to influence the quality of care, patient safety, staff efficiency, and job satisfaction, these two have been viewed as being in a love/hate relationship.

HealthTech and Nurses – A mismatched duo!

According to the Head of Staff for Nursing Department, Mrs. Gayathri Iyer from Government Medical Hospital, Nagpur, nursing and technology have a complex relationship. Technology can improve the efficiency and accuracy of nursing care, but it can also introduce new challenges and stresses for nurses. Electronic medical records, for example, can make it easier for nurses to access patient information, but they can also add to the workload and take time away from direct patient care. Additionally, new healthtech tools are not easy to learn, which can create additional barriers for nurses. Overall, while technology can be a powerful tool for nurses, poorly designed software will bring nothing but chaos to a care delivery system. Further in the conversation, Mrs. Gayathri highlights the relationship dynamics between healthcare professionals and technology while telling us why the healthcare workforce is still underskilled to adapt HEALTHTECH!

Tech Literacy and Adaptability Issues. 

The future of the healthcare systems is poised to bring better & more fulfilling work responsibilities for the healthcare workforce only if care facilities adapt to healthtech swiftly. However, with a low tech literacy headcount within the healthcare organisations, the adoption is not as easy as it was anticipated. As a result, the care facilities that fail to fuse their workforce and healthtech systems are not only missing out on great leaps in patient engagement and efficiency, but, in the worst-case scenario, it can also lead to a loss of position as a patient’s provider of choice.

So to bring your workforce to speed, here are a few strategies that can help:

  1. Provide training and education: Training staff to use a healthtech platform efficiently is one thing and helping them understand why it is important is another. It’s more about the perspective they have regarding technology. Figure out a way to change the perspective of healthcare force towards the way they perceive healthtech, and reap the benefits of automation in healthcare. 
  1. Choose your tech partner wisely: Given that your healthcare workforce wouldn’t be pleased while functioning with multiple healthtech tools for different operations, opting for an integrated healthcare management suite will encourage smooth workflows. Integrated Management Suite comes with an all-in-one solution platform making your inter and intra-departmental processes easier while creating a balanced ecosystem for your patients and staff.  
  1. Regularly evaluate and update the technology: Updating healthtech platforms is necessary for several reasons. First, it ensures that the tool is functioning properly and is free of bugs or glitches. Second, it allows for the incorporation of new features and improvements that can enhance the user experience and make the tool more effective. Third, it is crucial for maintaining compliance with industry regulations and standards.
  2. Opt for a healthcare system that does not require tech support: Having a tech-admin team is an added benefit, but if your practice management software doesn’t need a tech-support, in a way it implies that the system is easy-to-use and you won’t have to worry about all the hassles that might come while managing a tech-support team.

HArbor Says: The healthcare industry is facing major challenges such as healthcare accessibility issues, chronic disease, and a shortage of skilled professionals. In order to meet these challenges, it is essential for the healthcare workforce to be equipped with the latest knowledge and skills, including digital literacy and the use of technology. This will not only improve patient outcomes but also increase efficiency and reduce costs. It is time for the healthcare industry to embrace the digital age. 

If you are looking for a practice management platform that is easy-to-use and would assist you and healthcare staff in everyday operations, feel free to reach out to HArbor! 

Facing Systemic Exclusion, can the LGBTQ+ community receive better care Accessibility via HealthTech?

Healthcare is a fundamental necessity of life, but its accessibility and quality differ for different communities in India, especially for the LGBTQIA. For them, it is a privilege to get basic healthcare needs satisfied due to the deep-rooted stigma in the society. This often leads to creating gaps in essentials and basic healthcare needs. Plunged in ‘the swirl of social biases’, it is critical to address the medical needs of this community by leveraging modern healthtech platforms.

From waiting outside a clinic to booking consultations for yearly health checkups at diagnostic centers, the healthcare journey differs for each one of us. We all have our share of concerns while reaching out to a medical professional, but what if a social stigma around a human’s “partner choice” becomes the first barrier while seeking medical help?

It is generally the first thought for nearly 8% of LGBTQ+ people living in India while going for a medical visit.  

For the LGBTQIA community, discrimination and fear of non acceptance leads to care disparities. As a result, they are more prone to chronic diseases and mental health issues that may often be left unattended, degrading their quality of life. 

As a thumb rule for any thriving society, access to quality and continued care should be a basic and fundamental right and healthcare systems and the approach should be equal for all its beneficiaries irrespective of their biological gender or choice of partner.

Since, the patient experience for this special case, varies to a dipping point in India, we need to look at ways of restructuring care delivery right from its foundation. Primary care should and must evolve to be inclusive of all humans from all communities. 

The Current state of Primary care for LGBTQIA community in India

Indian LGBTQ+ comprises 104 million people, and their exclusion is relatively tied to socioeconomic status, identity and community. Moreover, poverty and distance to care centers have exacerbated the lives of LGBTQ+ communities. In a recent study by NCBI, LGBTQ+ youth are more prone to substance use, sexually transmitted diseases (STDs), cancers, cardiovascular diseases, obesity, bullying, isolation, rejection, anxiety, depression, and suicide as compared to the general population.

“When medical help comes with societal barriers, they choose to suffer in silence.” 

On the flip side, the situations are different while yielding an inclusive care system with better health outcomes for anyone & everyone via TECHNOLOGY. On this side, Healthtech platforms facilitate medicos to build comfort and trust for the LGBTQIA community, to help patients get the best care possible at their fingertips.

Let us explain!

Telehealth can change the preconceived notions or experiences of the community members by connecting them with healthcare practitioners who can take care of their unique physical needs in a more confined and confidential way. While, going to a clinic might be inconvenient for most of the patients, humans from LGBTQIA community face those extra and not required “societal looks” while in the waiting area. Though this problem should not exist in the 21st century, it can be easily overcome with telemedicine. 

In the future perspective, the wave of online consultations, homecare regimes via Virtual Care modules, DIY Kits and many other care delivery mechanisms this lines will assist LGBTQIA community to connect to Mental health groups, specialists, certified hormone replacement therapy (HRT) experts, and HIV specialists while giving the patients a chance at periodic monitoring and stigma-free treatment. Assisted telemedicine kiosks will successfully help in delivery care in trans member localities and government organizations for LGBTQ+, where these standalone kiosk modules will deliver public awareness and permanent health camps.

Empowered with Rapid Test Kits and battery operated pathological machines, these freestanding care delivery modules can even provide diagnostic capabilities with privacy  to LGBTQIA community members and help in eradicating several communicable and noncommunicable diseases, right from the deepest levels. 

Wouldn’t that be a befitting and cost-effective initiative for the Health authorities and society in General? 

The surge in telemedicine in the LGBTQIA community is necessary to concurrently streamline and tailor the services for these under-served individuals.

Building Inclusive Clinical Trials

Clinical trials help the world population towards a healthier and better quality of life. However, generally speaking, members of the LGBTQIA+ community are often left out of these clinical trials. The lack of such diversity in clinical trials has significantly affected the LGBTQIA population while restricting them to only generic medications. 

Such a diversity lacking study data fails to collect the drug effects on genetic levels of these marginalized sections of the society, especially the transgender communities. And, being uncertain of the risk factors of the medications, a medical practitioner will be indecisive to write  the prescription. 

Had it been for an inclusive clinical trial which was being run on a technology platform which does not discriminate, a patient’s clinical trial participation would have been strategically recorded in EMRs to assist care professionals in the longer schema of things. 

HArbor Says

Social stigma in India has been forcing the healthcare system to be viewed under the lens of heteronormativity, sidelining the  LGBTQIA community’s needs. As a result, this has led to the negligence of their health, driving the situation to a point of concern for the entire community.

Assisted Telemedicine can significantly assist private and public care practitioners to address the community-specific health issues while spreading awareness among LGBTQIA.

Let’s Rethink, Redesign & Rebuild a healthcare system which is inclusive and caters to the medical needs of every community!

ALERT: Is our current healthcare delivery system just a ‘fix it’ module? 

2021 has been a year of change for medical professionals. Be it Doctors or behind the scene IT professionals working for these medicos, 2021 had everyone on their toes. We saw old age consultation practices being challenged with urgent requirements to change to modern “video” based consultations, we also saw doctors performing complex surgeries remotely using robotics and what not! However, as we move ahead and delve into 2022, let’s look at these changes or transitions happening in the industry. Let’s ask ourselves, WILL THEY LAST in the current form or evolve to serve the greater good?

The current healthcare system in India is entangled into ignored issues and a few of the most significant points are – 

Fragmented care delivery:  

The Indian healthcare system is focused on niche areas while advancing various elements of care delivery in silos of growth. Although these silos of advancements are happening they are not adequately appreciating their relation to the whole ecosystem.

Hence, this unbalanced rather ‘broken structure’ at the grassroots level has built up a more obvious health crisis of unsustainable costs, poor quality and low patient engagement. 

In order to resolve these underlying issues, several healthtech companies have tried to take the medical practices online with hundreds of thousands of healthcare providers around the world. This worked fine, until care providers realized the harsh realities of listing businesses. The majority of these trends, like listing the practices online, an unnecessary competition has now popped up between the care providers where none is needed. Given the fact that we are a country where the care delivery system is already suffering due to a lack of doctors and skilled hospital staff, a race to win more patients proves detrimental to the status quo. 

Did you know? The doctor to population ratio in India is 1:1456 against WHO recommendations of 1:1000 only for Urban areas. This number skews up to more than 10000:1 if you add the rural population in the mix. 

To resolve the above-mentioned problem, yet another patchwork was introduced by the big corporations trying to leverage patient data. They insisted medicos & practitioners have their own listing which fragmented the patient flows. Further not to mention the increased cost of domains and web maintenance which the medicos had the bear, with little to no knowledge on the subject. 

For a healthcare professional, every new technology which pops up on the corner brings the promise of better practice, but when you look closely, you’ll find nothing but the temporary fixes to grassroot problems, creating more hindrances in the longer run than easing the operations for our beloved doctors.

Maintaining healthcare records: 

It’s not a hidden fact that every year a hefty sum of money is invested into maintaining MRD rooms and the introduction of Electronic Medical Records was nothing but a blessing for healthcare stakeholders. However, EMR software came with its own set of drawbacks. For instance, Imagine being a healthcare provider with years of practice in writing paper prescriptions and patient reports and being asked to invest money and time in EMR software. Difficult right? 

Let’s elaborate!

Today, Electronic Medical Record systems have become the core component in a hospital’s IT ecosystem, where patients book appointments, receptionists manage schedules, and physicians access patient charts. In addition to that, the care facility can even compile prescriptions and send them to pharmacies, receive lab results, prepare insurance claims, and so on.

But, in a  country like ours, where the average time for a doctor to see a patient is less than 2 minutes, the process of filling out EMR sheets is excruciatingly time-consuming & cumbersome, especially for the doctors.

Later, in order to tackle this challenge, smartpens were introduced. Although, this new ‘fix’ has solved the problems of the prior EMR system, but added an extra expense to the care practitioners pocket.

Every time while adding new patches to the care delivery system, software companies somehow forget or choose to ignore that the technology is just a means to deliver care & for a close to perfect adoption of technology, it is required to be simple, minimally time-consuming and cost-friendly. 

Half-cooked Video Consultation upgrades: 

In the last 2 years, we have seen advancements in virtual health gaining momentum, which has facilitated patient monitoring through computer and phone technology. This enables care practitioners to verify prescriptions or supervise drug oversight. However, in India where the maximum population resides in rural areas with a low digital literacy rate, just a basic telemedicine tool won’t work. 

The way these video consultations are happening currently, they seem to take away the human connection from the whole medical care delivery. For instance, a patient taking consultation from a general practitioner online for a frozen shoulder has no way of connecting back to the same doctor for continued care. 

Expanding further, the majority of the Indian population basically needs these video consultations with doctors in remote areas because they do not have accessibility to the medical services near their homes nor a digital payment option available for them which blocks their entry into the care ecosystem. 

Such technological advancements prove to be helping only the privileged thus further widening the gap between India & Bharat. 

Let’s look at the possible ways for solving these nerve-wracking problems deep-rooted into the ecosystem for generations with simple yet effective solutions. 

“The future of Indian healthcare will be defined by collaboration and not competition.”

For years, manual processes have been in place to create paper records for the patients which were personalized. So when EMRs were introduced, each practice needed its own customization. These customizations proved to be expensive for the technology providers and thus the EMRs were never adopted to the scale they were intended to!

A simple artificial intelligence, AI which can hear what their doctors are saying and convert the speech into machine-readable language can not only push the adoption of digital records but also replace the age-old medical transcriptionist which is still prevalent in 2021. Such AIs will prove to be an amazing assistant to medicos which will reduce work pressure on them.

While Telemedicine has taken a centre stage in healthcare delivery, it needs to be equipped with a personal assisted care provider while being integrated into diagnostics & pharmacies, thus completing the entire ecosystem. It is safe to say that these integrations will not only help the healthcare stakeholders to a great extent but improve clinical outcomes.

Technology is supposed to be maximizing value. While redefining healthcare delivery, it is a must that we step away from the fragmented healthcare systems that lack coordination, which is only possible with an integrated healthcare platform. 

HArbor Says, It’s time that we discard the fix-it modules from care practices and establish a strong foundation that will serve the real stakeholders of the care!