Clinical Grade Email Peters M Hi091809

SECUREEMAIL

SECUREEMAILThe Challenge - Clinical Grade Electronic Mail

Rick Peters, MDOpenHealthConsulting, [email protected]

Confidential + Proprietary Information© 2009 OpenHealthConsulting, All Rights Reserved

9/18/2009 2

SecureEmailThe Problem

QuickTime™ and a decompressor

are needed to see this picture.

EmailTwitterSocial NetworksInstant MessagingText MessagingVoicemailVoIPeFaxScreen SharingConference CallsCalendarContactsDocument Sharing

Physicians + Patients have too many modes of communicationand too many desktop and mobile apps.


9/18/2009 3





With the exception of VoIP and cellular networks the majority ofthe Internet communications products we use on a daily basis


are not secure.

9/18/2009 4

SecureEmailLike Everything It’s A Matter of Definition‘Security’ Can Mean

Encryption

Virus, Spam + Malware Filtering

Secure or ‘Closed’ Network

Do we get security, confidentiality, or privacy?

Confidential + Proprietary Information© 2009 Rocket Technology Labs, All Rights Reserved

9/18/2009 5

SecureEmailReality Is We Want All Three


SecurityVirus, Spam + Malware Filtering

Backup + Recovery/Archiving

ConfidentialityEncryption

Secure Transport

PrivacyAuthentication

Access Control

Secure Storage [Encryption]

The only way to get that now is with a closed system!

9/18/2009 6

SecureEmailThe Real World

Options are available but they tend to be complex.


9/18/2009 7

SecureEmailWebmail

Webmail is by its very nature insecure.


9/18/2009 8

SecureEmailCorporate Mail Servers

Security has to be end-to-end or it’s incomplete.


9/18/2009 9

SecureEmailVPN Email

Closed networks are ‘secure’…(?)


9/18/2009 10

SecureEmailThe ‘Ideal’


For security, confidentiality, and privacy you need protection at all points of all transactions.

9/18/2009 11

SecureEmailPing-Pong


Gives you security but does not enforce confidentiality + privacy.

9/18/2009 12

SecureEmailThe Real World

Options are available but they tend to be complex.


9/18/2009 13

SecureEmailClosed EHR-PRH Email



9/18/2009 14





With the exception of VoIP and cellular networks the majority ofthe Internet communications products we use on a daily basis


are not secure.

9/18/2009 15

SecureEmailWhat We Really Want


Integrate all core communications within oneframework.

Make communications secure, confidential + mobile.

Provide a uniform, simple, clean + platform-independent user experience across a user’s desktop, portable,and mobile devices.

Give users 100% control over their data and their privacy.

We want to simplify and integrate our communications.

EmailTwitterSocial NetworksInstant MessagingGoogle WaveText MessagingVoicemailVoIPeFaxScreen SharingConference CallsCalendarContactsDocument Sharing

9/18/2009 16

SecureEmailBeen Tried Before…


Aggregate solutions have always looked good on paper, but…The Idea Has Failed To Date

Technology has been immature + infrastructure too expensive.Users have not been at a critical pain or inflection point.

This Has Led To FragmentationMeebo - Instant Messaging.TweetDeck, Seesmic - Twitter Clients.PhoneTag, Spinvox, Google Voice - Voicemail-to-Text.

Xobni, Postbox, OtherInbox, Zimbra, Postpath -incremental email.Facebook, LinkedIn, MySpace - cannibalizing email + chat.

Fragmentation Has Pushed Users To The Breaking PointFragmentation has built a market for an aggregated solution.

9/18/2009 17

SecureEmailMarket

Current Market - Niche/Partial Solutions

Acquirers - Buying Their Way Towards Integrated

Communications



This is a rapidly evolving, aggressive M&A market.




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SecureEmailClosed EHR-PRH Email



9/18/2009 19

SecureEmailClinical Reality


Between 2004-2007:Age/sex adjusted total office visit rate decreased 26.2%Primary care office visit rate decreased 21.5%Scheduled telephone visits increased eight-foldSecure email messaging increased six-fold

sex-adjusted total officevisit rate decreased 26.2 percent



ER visits increased >20%

Urgent Care visits increased >25%Email started at ground zero (not introduced until 2006)

sex-adjusted total officevisit rate decreased 26.2 percent

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SecureEmailWhat Physicians Really Want


Integrate all core communications within oneframework.

Make communications secure, confidential + mobile.

Provide a uniform, simple, clean + platform-independent user experience across a user’s desktop, portable,and mobile devices.

Give users 100% control over their data and their privacy.

We want to simplify and integrate our communications.

EmailTwitterSocial NetworksInstant MessagingGoogle WaveText MessagingVoicemailVoIPeFaxScreen SharingConference CallsCalendarContactsDocument Sharing

9/18/2009 21

SecureEmail


What do clinicians want?

Do physicians want patient generated Email?From patients to them - NO!From patients to their practice/group - Yes, as appropriate.To patients from them (selectively…).To patients from their practice/group - YES!

How about text messaging?To physicians? CATEGORICALLY NO!To patients as long as the reply is to the practice/group.As clinical and appointment reminders.To targeted demographics - MediCal, Millennials, Moms, Mobile Pros…

How about physician-to-physician?Email, text messaging, voicemail, voicemail-to-text, Twitter, chat, conference calling, screen sharing!

What physicians want and need is not available!

Date post:	01-Nov-2014
Category:	Technology
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