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The “red flags” rule is now scheduled to take effect on June 1, 2010, after another delay announced earlier this week by the Federal Trade Commission as it considers new legislation that would exempt small businesses, including medical practices, from compliance. The rule mandates the creation of identity theft prevention programs, and will apply to any organization that can be considered a creditor with “covered” accounts (i.e.-commercial accounts that involve multiple transactions). Most providers, many medical billing companies and some health plans are expected to comply.

The American Medical Association, American Academy of Family Physicians and other industry groups have weighed in against the rule, on the basis that physicians do not meet the definition of creditors. A completely sensible argument. But medical practices need to proactively engage in some agreed-upon set of identity theft prevention practices. It’s in the best interest of consumers, not to mention practice owners, who’ll otherwise pay the price through legal costs, or through the provision of services for which they would never collect payment. Incidences of medical identity theft are increasing – enough to raise the gander of the government, which commissioned a study to assess and evaluate the scope of the problem. And smaller medical practices (which account for nearly 80 percent  of all U.S. practices) may be more vulnerable, as thieves could perceive them to be lower risk targets based on the assumption that they lack the sophisticated security procedures of hospitals or larger health care organizations.

Despite the widespread outcry from industry groups, the actual impact on a practice for complying with the red flags rule may be minimal. The new rule would simply buttress state privacy laws that already require health care organizations to respond to breaches of certain patient information. In addition, there is a great deal of overlap between the proposed FTC regulations and HIPAA, which applies to medical practices or other entities that are conducting electronic transactions.

Medical practices concerned about compliance can learn more at: http://www.ftc.gov/bcp/edu/pubs/articles/art11.shtm or http://www.ama-assn.org/ama1/pub/upload/mm/368/red-flags-rule-edu.pdf.

Nuesoft Technologies Inc this week announced the winners of the fall round of its College Health Scholarship Program, which awards grants of up to $5,000 to health and counseling centers so that they can automate their operations using Nuesoft Xpress. Find out which schools were the lucky winners and read more about the scholarship program here.

Gartner has released its 2009 Hype Cycle Report about technology trends. Cloud computing made the list. There is definitely a developing hype surrounding cloud technologies. As more and more companies jump on the cloud bandwagon, the true nature – and benefits – of these technologies become increasingly amorphous. However, concerns about the security of cloud computing as it relates to health care may have been over hyped, as well. In fact, one can easily make the argument that it is easier to monitor and maintain security in a hosted cloud model than it is for a client-server, considering that a typical application using a legacy client server is wired separately to the Internet. This makes for a distributed nightmare of a mess — with questionable protections that are potentially vulnerable. Historically, the majority of security breaches have occurred with this computing model (if not from a stolen laptop!) All you have to do is look at your own PC every time you connect to the Internet and witness the barrage of messages about virus protection to get a sense for this. Who is securing your connection and protecting your data? Some pre-packaged and potentially out of date virus protection software with some dubious firewall, or a group of top-notch engineers equipped with monitoring and protection tools more powerful than the hackers?

A couple of years ago, pandemic flu was a hot topic. The media were agog; newspaper articles and TV news segments abounded. Although pandemic flu hasn’t been in the spotlight for a while, every so often, an article will surface that acts as an uncomfortable reminder that pandemic flu hasn’t gone away; it’s just formulating its next move, so to speak (or more properly its next mutation).

Last week, it was the dismaying news that 99 percent of the dominant strain of flu this season is resistant to the antiviral drug Tamiflu. Although the mutation does not seem to have developed as a result of overuse of antivirals (in fact, the mutation seemed to appear first in Norway, where antivirals aren’t even prescribed),  the possibility of this resistance transferring to the H5N1 bird flu could be devastating if this strain does, as scientists have predicted, end up mutating and creating the next pandemic. It certainly might give pause to those organizations and universities who have spent money to stockpile Tamiflu as part of their pandemic plan.

Read more about creating a pandemic plan for your university on the Nuesoft Xpress Web site.

We are pleased to announce the winners of the Nuesoft Xpress 15-year scholarship program. Five college and university health centers each received an in-kind donation of up to $15,000 toward Nuesoft Xpress™ health center management software.  

The grant recipients are: College of San Mateo, Dominican University, Samford University, St. John Fisher College and University of Missouri – St. Louis.  

You can read more about the scholarship initiative and the winning schools here. Congratulations to all five schools! 

There has been a growing trend among college health centers toward offering student health insurance plans. With budgets being cut and costs continually rising, health centers are trying to find new ways to bring in revenue.

According to the results by the United States Government Accountability Office, about 20 percent of college students aged 18 through 23 were uninsured in 2006. It may seem, then, as through mandatory student insurance plans would be a boon for both students and administration alike, however, an article in The Capital Times reveals that many students are unwittingly left underinsured by taking the university endorsed policy. Some college-offered insurance programs offer low ceilings at $30,000 and “interior caps” on surgery and hospital stays. Many students are able to find better programs off campus.

Often, this is because colleges are torn between trying to find the right balance of affordability and quality. When shopping for a student insurance plan, Dana Mills, MPH, chair of the American College Health Association’s (ACHA’s) Student Health Insurance Task Force and director of the student health center at Wisconsin’s Marquette University makes the following suggestions:

More information on student insurance plan can be found here.

Integrated university health and counseling centers have several potential advantages over their separate counterparts. As well as facilitating a flow of information and enjoying possible economies of scale from sharing resources such as front desk staff or a practice management system, integrated health and counseling centers can also help more students gain access to mental health care through screenings administered in the health center as part of routine medical check-ups. This article, recently published in the summer edition of the Nuesoft Xpress e-Nues newsletter, examines in particular how student suicide rates can be positively impacted by an integrated approach to health services.

The new issue of the e-Nues newsletter features this article, which examines trends in student health service funding. Traditionally, many college health centers have been primarily funded by a segregated health fee. However, a growing number have started to offer a student health insurance plan and bill to a single payer directly, partly to address a growing gap between costs and revenue. You can read more – including tips on how to successfully choose and implement a student health insurance plan on your campus – by clicking the link above.

The results of analysis published yesterday show that those who use smoking cessation aids are up to 2.4 times more likely to successfully quit smoking than those that go “cold turkey” and rely on willpower alone to quit. Researchers also found that cessation aids were underused due to a lack of widespread access.

This information, which was compiled from a total of 69 different studies on smoking cessation, is particularly relevant to those colleges and universities trying to reduce cigarette smoking by students to below 10.5 percent, in line with the Healthy Campus 2010 goals. Health centers may choose to focus additional resources on promoting and making readily available such cessation aids as nicotine nasal sprays, nicotine patches and varenicline and bupropion tablets to maximize students’ chances of quitting. Additionally, many campuses are banning smoking on campus in an attempt to change students’ perceptions of how common smoking is amongst their peers, although to what extent this contributes to a lower smoking rate among students is a topic of some debate.

Health centers wishing to perform their own clinical studies on the effectiveness of smoking cessation aids for student smokers may find Nuesoft Xpress’ practice management system of use. The application includes a clinical studies tool that allows tracking, reports and analysis of participating students.

Most people that have objections to Internet-based software applications usually cite a lack of security as the reason. Particularly when it comes to applications that deal with protected health information (PHI), even some technology-savvy professionals feel safer if they have the server on-site under their control, with data only being transmitted on an internal network.

This feeling of security is, for the most part, illusory. Client servers located in offices or institutions rarely have the same level of security that ASPs are able to afford their servers due to economies of scale. Plus, having your server on-site means that you are responsible for maintaining it. Not only does this require extra resources, but it can be problematic if there’s a disaster – your on-site server is vulnerable to floods, tornadoes and fires in a way that good ASP servers are not, because they are usually situated at several diverse locations with data replicated across them. If a disaster befalls one of them, the other ones are still safe and so is your data.

Additionally, having to make your own data backups provides another opportunity for a security breach, as the University of Utah Hospitals & Clinics found out recently, when the backup tapes with medical billing information for 2.2 million patients went missing from a courier’s car. They could have taken a leaf out of the book of the university’s student health center, which unlike the hospitals and clinics division uses Nuesoft Xpress, an ASP model medical management and billing system, meaning their data remains secure and HIPAA compliant without university staff worrying about maintenance, backups or disasters.