วันอังคารที่ 19 กรกฎาคม พ.ศ. 2554

The Hippocratic Oath Upheld Phi, Your Personal health data Kept inexpressive

"I will respect the privacy of my patients, for their problems are not disclosed to me that the world may know." (1) This extract from the contemporary Hippocratic Oath to which every physician swears by; it was set to ensure that each patient’s facts and condition is kept private.

The public spaces of a clinic pharmacy or hospital often don't mirror the tenet for medical privacy. For example, standing in line waiting to ask the pharmacist a personal quiz, can be an embarrassing and even traumatizing ordeal as perfect strangers stand within earshot. For many patients, naturally having to characterize personal condition facts (Phi) can be an uncomfortable occurrence in itself. Concentrate this fear with the security and privacy risks possible to anything of a personal nature, particularly one’s own medical information. Being sick today or even going in for an yearly exam or wellness visit connotes a hesitancy on patients who are all to wary of things like identity theft.

Phi Phi


Having entrance to a healthcare supplier online is less stressful and more practical for many patients. "People are often more comfortable talking to a computer than they are to a doctor," said Dr. Delbanco, a professor of rehabilitation at the Harvard medical School and the lead author of an article on doctors and e-mail in the current New England Journal of Medicine(2). However, the convenience of emailing your physician or clinic to ask your supplier questions brings up risks.As the digital and healthcare worlds advance their symbiotic connection into the 21st. Century new threats to personal condition facts have also emerged in recent years.

The Hippocratic Oath Upheld Phi, Your Personal health data Kept inexpressive

Did you email your quiz, to the literal, man at your clinic? Did they reply to the email directly or use perceive facts in their electronic medical article database? In a 2005 study 70% of Americans are concerned that personal condition facts could be disclosed as a ensue of weak data security(3). With each technological advance, both the medical field and patients must be aware of the severity of improper use of public condition facts (Phi). According to the Heath Privacy Project, a patient's ownership facts site, one in five patients are victims of improper disclosure (4).

Phi Phi

In spite of all these risks, patients continue to use email and the internet in order to seek out answers to various condition queries. Some visit sites such as WebMd's symptom Checker to find why they’re left leg is swollen, while others naturally spend time at sites such as the American Diabetes connection that are strictly devoted to definite condition issues. Patients often investigate and want to ask questions about their conditions after clinics are closed.

"It's a matter of both convenience and comfort level," Dr. Delbanco, an advocate for the prolonged connection of email, the internet and rehabilitation says. "In the office, a physician sits there in a white coat exuding authority, which can be scary. There's evidence that habitancy tend to be more open in front of a computer, especially with tricky stuff like alcohol or sexual behaviors." (5)

Online behavior shows that not only patients but many within the medical field want to take accessing medical facts a step further. Both medical providers and patients wish to use the internet as a tool in their personal healthcare communications. "The internet will increasingly turn patients' expectations of the clinicians, so that physicians will routinely need to offer services like e-messaging, instant messaging, video conferencing and other online services," According to Dr. Daniel Z. Sands, a original care internist and Assistant Professor of rehabilitation at Harvard medical School (6).



Trends in outpatient internet use show that now is the opportune time for both outpatient and physician to perform a cooperative symbiosis within the digital ether. The digital medical office is a true possibility, but measures need to be put into place to protect patients' private condition facts and a clinic’s electronic medical records.

The internet has changed where and how patients seek the help of doctors and medical providers. The e-medical caregiver can converse with his or her patients in a wide array of online communications tools, chronic the symbiotic connection in the middle of physician and patient. The Hippocratic Oath's tenets of treatment, respect and privacy can be upheld as long as electronic security is also a priority to clinicians.

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End Notes:
1.) Louis Lasagna, "Hippocratic Oath, contemporary Version," academic Dean of the School of rehabilitation at Tufts University, 1964. Reprinted on "Nova Online, Survivor Md," http://www.pbs.org/wgbh/nova/doctors/oath_modern.html

2.) Anahad O'Connor, "Take Two Aspirin, E-Mail Me Tomorrow," The New York Times, Section F; Column 5; condition & Fitness; Pg. 7. LexisNexis 30 September 2005.



3.) "Majority of Americans Have Privacy Concerns about Electronic medical article System," condition Privacy task (www.heathprivacy.org): [http://www.healthprivacy.org/info-url_nocat2303/info-url_nocat_show.htm?doc_id=263085]

4.) condition Privacy task "Homepage Animation" http://www.healthprivacy.org. 29 September 2005.

5.) Anahad O'Connor, "Take Two Aspirin, E-Mail Me Tomorrow," The New York Times, Section F; Column 5; condition & Fitness; Pg. 7. LexisNexis 30 September 2005.

6.) Dr. Daniel Z. Sands quoted in: Susannah Fox, Janna Quinney, Lee Rainie, "The hereafter of the Internet," Pew Internet and American Life Project, Published 4 January, 2005. 4.

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The Hippocratic Oath Upheld Phi, Your Personal health data Kept inexpressive

วันจันทร์ที่ 18 กรกฎาคม พ.ศ. 2554

Four Steps to Becoming Hipaa Compliant

Four Steps to Becoming Hipaa Compliant

When I was a little kid, I was afraid of Monsters under My Bed (Mumb). They couldn't be seen, of course, even when my mum made me look for them with her. They were all the time cleverly invisible, hiding just out of sight. But I knew they were there. And I think they knew that I knew.

Now that I've grown up, I no longer worry about monsters under my bed. But I do still worry about indiscernible monsters - far more dangerous than those who waited for me to have to get up and get a glass of water in the night. These monsters have a name - identity thieves. They're sort of grown-up monsters. Instead of eating little kids, they consume Protected condition data (Phi). Why Phi? Because it contains just about every vital statistic about me that an identity thief monster just dreams about obtaining. Yum!

Phi Phi

Well, if Phi is protected, how can the monsters get at it?  That's because it's not indeed protected at all. It's lying with its soft, white underbelly fully exposed in the biggest medical database of all - the Cms (Centers for Medicare & Medicaid Services). The condition and Human Services Office of the Inspector general recently released a record stating the "Cms has fallen short of its rent to impose the condition guarnatee Portability and responsibility Act's protection provisions" (Source: Inspector general Knocks Hipaa protection Oversight, Government condition It, October 2008). Monsters hiding in all the dark Internet under-beds threw a big party when that record came out.

We even got warnings from no less than the Inspector General's office about this risk. They looked into the issue last year and stated that as of August 2007, the Cms did not have mechanisms in place to decree if a covered entity was complying with Hipaa rules. It's a virtual smorgasbord for monsters.

I wasn't surprised, and even my mum didn't try to convince me that it was safe to turn out the lights. With so many "covered entities" exchanging Phi with Cms, I would have been surprised if Cms indeed Had the systems in place to ensure Hipaa yielding on behalf of all hospitals and other entities submitting data to them.

This is a real mess for Cms. Think of how difficult, if not impossible, it is to generate and impose rules across all the covered entities working with them. Of procedure once the rules are created, how can they perhaps be enforced and audited? Cms is not the only assosication out there with this problem. Is there a bedroom nightlight that can keep the monsters at bay?

Enter Data Classification. It identifies Phi, and allows it to be classified so it can be protected and audited on a regular basis. How do you do it? Just result the four key steps below to help guide your assosication to becoming Hipaa compliant.

Step 1, Define Phi


Data, protected per Hipaa's administrative Simplification provisions, is known as Protected condition Information. This is why the first step is defining what Phi exists in your organization. Without knowing what is determined Phi, you cannot begin to protect it. Some criteria are standard, such as public protection numbers and phone numbers. Other criteria are determined by your organization, such as account numbers and claim numbers. Because criteria are exact to private organizations, customizable and flexible criteria are critical.

Step 2, scrutinize Phi

Once you have defined Phi, you must find it. Seeing through all your Electronically Stored data (Esi) for Phi may seem like a huge undertaking, but there are products available which can fulfill this requirement.

 

Step 3, Classify Phi

Classify Phi based on need to know basis per your organizations policies. As an example, someone in billing does not need to know a patient's exact ailments or full medical history just as a nurse does not need to know a patient's public protection estimate or credit card information. Classifications can consist of Full History Phi, Billing Phi and/or Claims Phi.

Step 4, obtain and Audit Phi

Once you have classified and know what and where Phi is in your environment, you must obtain the data per policies defined by your assosication in conjunction with rules set forth by Hipaa. Reporting who has way to Phi, based on classification, will help this process. Reports that show who has way to what Phi can help an assosication efficiently audit their systems ordinarily to ensure compliance.

With products on the market that can automate the entire process, it's as straightforward to do as to describe. Sleep well! We'll leave the light on for you.


Four Steps to Becoming Hipaa Compliant

วันอาทิตย์ที่ 17 กรกฎาคม พ.ศ. 2554

How to travel From Singapore to Phuket, Samui, Krabi and Koh Phi Phi

Phuket, Koh Samui, Krabi and Koh Phi Phi are the extremely visited beach islands close to Thailand. It is the choice for a lot of city dwellers in Singapore for the weekend trip destination.

Koh Samui is also called as Samui. Phuket is the largest island and it is situated in the south side of Thailand.

Phi Phi


From Phuket, you can also check out the surrounding islands such as Krabi, Koh Phi Phi, and Koh Samui.

How to travel From Singapore to Phuket, Samui, Krabi and Koh Phi Phi

Flying from Singapore to Phuket:

Phi Phi

Phuket is outfitted with the huge international airport. When you get a flight from Singapore to Phuket, you will reach this international airport which is based at the north of the island. It is the 2nd huge hub,second to Bangkok.

Direct flights (one-way):

The below airlines supply direct flights to tour to Phuket from Singapore. They run 1 to 3 flights daily to Phuket. They have listed as follows:
AirAsia, Tiger airways and Jetstar are the three airlines that supply flights from Singapore to Phuket. The label fare is 0 during the peak seasons and it would come down during the off seasons and costs you only .



Phuket to Koh Phi Phi:

Ferry trip is accessible from Phuket to Koh Phi Phi. It can take approximately 1 hour and 30min to go by ferry and speedboats would wish at least 45 minutes.

It is a spectacular island. It charges 700 baht for adults, and departs at 8:30am and 1:30pm.

Travel to Samui from Phuket:

Traveling facilities from Phuket to Koh Samui is extremely comfortable. There are 3 to 5 flights daily from phuket to Koh Samui.



Also Bangkok airways offer direct flights to Koh Samui and it costs from 6.

Travel directly from Singapore to Krabi:

The charges differ according to the seasons. It charges while there is off season and it costs 0 through the peak seasons. Tiger airways operates a flight to Krabi daily from Singapore.

From Krabi to Koh Phi Phi:

Koh Phi Phi is reachable from Krabi and also from Phuket as we have seen above. The ferries depart from 9:30am and 2:30pm.

The label price will be 450 baht when obtained from a tour agent. Further ferry rides will be included for the period of the peak seasons.

Travel to Koh Samui from Singapore:

There is a direct flight ready to tour to Koh Samui from Singapore. Bangkok airways operates a flight and it charges 5.

It takes 90 minutes to enter Koh Samui from Singapore as it will take from Phuket.

Best time to go to Phuket:

If you adore water sports, go to Phuket during the hot season. Phuket is a humid island.

It has hot weather throughout March to early May. The summer season begins for the period of May to October.

It gets night rain during the summer months and it has unclear water. So it is not ideal to play the water sports.

November to February will get short and thunderous rainfalls in Phuket. The cool season starts in November and it ends in February.

The weather is uncostly and tolerable.Travelers can get pleasure from visiting the western seashores.

Climate in Koh Phi Phi:

Koh Phi Phi's very hot season is from January to April, while the rainy season is from May to December. The coarse temperature ranges from 25 ºC to 32 ºC.

Climate in Krabi:

The many occasions to visit Krabi is from November to April when it is warm with some rainfall. It is ideal to go to the seaside throughout this time and play water games such as rafting, diving etc.

Koh Samui:

Koh Samui is dry starting from the month of January till September. It gets rainfall through the month of October to December.


How to travel From Singapore to Phuket, Samui, Krabi and Koh Phi Phi

วันเสาร์ที่ 16 กรกฎาคม พ.ศ. 2554

Thai Ghosts (Phi)

Ghosts (Phi) are alive and well in Thailand. Cinemas are guaranteed a full house for the opportunity of a new ghost movie or surely a re-run of an old one. On television, ghost stories are extremely favorite and come in many varieties from the comic to the gruesome. But ghosts are no laughing matter in Thailand. If pressed, the majority of the Thai population will admit to believing in ghosts and many claim to have seen them. This phenomena is not restricted to the elderly in rural villages but is even taken seriously by university students and population in all walks of life and is particularly strong in Northern Thailand. It is bad luck and tempting fate to talk about ghosts but nearly everyone has a tale to tell. Many Thais wear amulets to safe them against evil spirits and everywhere you go in Thailand you will see Spirit Houses (San Phra Phum).
There are many dissimilar kinds of ghosts in Thailand all of them to be feared and each posing a dissimilar threat. To combat this proliferation of evil spirits Thailand has its own extra kind of "Ghost Buster", the Mho Phi or ghost doctor. dissimilar techniques are employed depending on the type of spirit to be banished and some of these Mho Phi have gained celebrity status.

Phi Graseu

Phi Phi


Phi Graseu is all the time depicted as a female with a head only and entrails hanging out. This is possibly the most feared ghost and she is all the time on the hunt for dead bodies or human excrement but will gladly consume live bodies. She is said to haunt the area colse to cemeteries and has the follow of lowering property values in areas colse to them.

Thai Ghosts (Phi)

Phi Tai Hong

Phi Phi

The Phi Tai Hong is a ghost with a grudge. These are the spirits of population who have died in particularly bad circumstances eg. Murder or traffic accidents or even a baby who has died shortly after birth. Their untimely deaths makes them want to take it out on the living.

Phi Tai Tong Glom
This is a seriously evil ghost. The Phi Tai Tong Glom is a female who died giving birth and her baby died also. This doubles the evil impel of this spirit and is absolutely one to avoid. This ghost is surely a variant of Phi Tai Hong and is sometimes referred to as Phi Tai Hong Tong Glom.

Phi Pret (Preta)



Phi Pret is a ghost with an great appetite for approximately everything, food, money, power or sex. The cause of this unending desire is that Phi Pret has has a tiny mouth no bigger than the eye of a needle. Never satisfied Phi Pret is ill tempered and aggresive.

Phi Pop

Phi Pop inhabits the living and eats off their intestines. Regularly depicted as a desirable female, Phi Pop lives on flesh and blood of humans. This ghost is one of the most difficult to get rid of. Mho Phi will accomplish a whirling dance to catch the concentration of Phi Pop and as the dance reaches a crescendo, the Phi Pop gets carried away in the whirl wind.

Phi Ton Mai

These are spirits that live in trees. Female tree living spirits are referred to as Phi Nang Mai. Travelling in Northern Thailand you will see many trees with cloth wrapped round them to show that it is the home of a spirit. In the past, Buddhist Monks used this fear of tree ghosts by blessing trees and wrapping them with saffron cloth to try and prevent de-forestation. These trees cannot be cut down without first providing an alternative abode for the occupying spirit.



Phi Tanee

Phi Tanee is a variant of Phi Ton Mai and lives in banana trees. It is said that when the banana tree blossom is about to open these spirits come to be descriptive to humans


Thai Ghosts (Phi)

วันศุกร์ที่ 15 กรกฎาคม พ.ศ. 2554

Healthcare Providers Using Fax-To-Email to Send Phi Are 'Negligent'

Healthcare Providers Using Fax-To-Email to Send Phi Are 'Negligent'

In the very regulated and litigious world in which we live, sending, receiving or managing sensitive documents and data through email or services that use email can be plain negligent. Unfortunately, many healthcare businesses are transporting Protected health data (Phi) and collective security details by email or services that use email every day because they misunderstand or dismiss the risks. This description seeks to state the issues and elucidate the key points that are often misunderstood.

Email risk
Although email is used every day by almost every organization, it is inherently insecure and the risks of using this type of data transmission for Phi are not fully appreciated.

Phi Phi

When a enterprise or club uses an internet fax service that utilizes fax-to-email or email-to-fax to transport the document, that email article gets read and stored many times en route by Isps, servers, firewalls, virus checkers and, maybe more worryingly, unscrupulous 'bots' that harvest email data. Additionally, It staff members may be able to access these emails, maybe using traffic monitors or packet sniffers (that look for particular article or key words), at any of the points at which an email might be stored or through which it transits.

It is not just the email article that is at risk either: typically 30% of emails contain attachments which are also at risk at each and every stage above. Some fax-to-email providers claim to use protocols that 'encrypt' the attachment but in truth all this does is put a 'wrapper' colse to that document which if decrypted means the unauthorized party has the whole document intact.

However, most fax-to-email providers use unencrypted emails which can be absolutely intercepted by unauthorized parties, sometimes with malicious intent. The consequences are serious and can supervene in indispensable fines, loss of customers and, possibly, enterprise failure.

Penalties
The current penalties for Hipaa (Health assurance Portability and responsibility Act) violations are ,000 to .5million, depending on the scale and nature of the violation. Furthermore, an personel who knowingly discloses individually identifiable health data may face a criminal penalty of ,000 and a one-year imprisonment. Many providers do believe they comply with the newest Hipaa encryption regulations but in reality they may only be 'compliant' in a very limited set of circumstances, which need high levels of It support.

A added point to note on the regulations above, is that if an unencrypted email that contains Phi is sent across the internet, a violation of Hipaa may have occurred even if the email was not intercepted. The fact that it was ready for reveal by an Isp or a third party is enough to expose penalties under Hipaa.

In addition, fax-to-email systems make it difficult, it not impossible, to track missing faxes. Often there is no genuine audit trail at all and there are major limitations in tracking document delivery.


Organizations that wish to successfully compete in the healthcare sector must deploy acceptable technologies to protect documents and data, at rest and during transmission. Failure to do so not only risks day-to-day patient confidentiality but can also jeopardize an club itself through potential fine, discount in customer belief and loss of business. However,it is potential to put a amount of physical, organizational and technical measures in place to protect Phi and ensure Hipaa compliance.


Healthcare Providers Using Fax-To-Email to Send Phi Are 'Negligent'

วันพฤหัสบดีที่ 14 กรกฎาคม พ.ศ. 2554

Window Dressing - A Technique Used by Mutual Funds to improve execution Perceptions

Window dressing is the name given to a whole custom of institutional investors, and particularly of mutual fund managers, that is commonly adopted to ensure that their quarterly reports to investors gift an artificially clear aspect about the investments they have brought into their portfolio.

This window dressing is achieved straight through the culling at quarter end of particularly poorly performing stocks. Such stocks, generally regarded as "losers" owing to their modern price performance, are supplanted with stocks that have been among the top performers of modern times. This custom is designed to maintain marketing efforts that seek to encourage new investors to spend in the fund. Window dressing has the result of production it appear that the fund boss has been smart enough to spend largely or exclusively in the winners he/she now lists as production up the portfolio.

Phi Phi


As a marketing tactic the custom makes excellent sense. Possible investors will check out the fund's current positions and will in their mind register that the fund boss appears to have been consistently victorious in selecting stronger-performing stocks.

Window Dressing - A Technique Used by Mutual Funds to improve execution Perceptions

However from the point of view of maximizing investment returns, window dressing is counter-productive as it brings the fund boss into a excellent "buy high, sell low" scenario, especially as the investments made for window dressing purposes are mostly reversed after the quarter end reporting duration has passed. The custom is so widespread, however, that at each quarter end there is a resulting clear tendency for losing stocks to be pushed further downwards as big institutions exit their positions en masse.

Phi Phi

Meanwhile, those stocks that have already been on a tear will find themselves pushed even higher as fund managers engaged in window dressing seek to include these success stories in their portfolio. For the contrarian investor/trader as a result, each quarter end offers a great opening to buy some already beaten down stocks at an even cheaper price and then watch them recover as the window dressing pressure subsides and reverses.






Window Dressing - A Technique Used by Mutual Funds to improve execution Perceptions

วันพุธที่ 13 กรกฎาคม พ.ศ. 2554

Phi revenue Insurance, What Is It All About?

Phi revenue Insurance, What Is It All About?

Phi wage protection insurance ~ Typical Key Features

  • Designed to pay out an wage not lump sum on crisis or sickness. It usually has a waiting or deferred period from 4/8/13/26/52 weeks. Phi Benefits are currently paid out tax-free on claim until you return to work or plan end date. wage insurance Benefits may be level or inflation linked. Curative evidence may be required and a Curative examination for those with condition issues. Premiums may be guaranteed or reviewable. Cover may be based on maximum of 50% to 65% of your chargeable income. If your self-employed terms usually based on every year net profits. Waiver of premium is where the Insurer waives/protects & covers your premiums after a deferred period of 4/8/13/26 weeks due to sickness or accident.
  • If you are an employee and you fall ill, your employer might pay you your full pay for a few weeks or months. By law, an employer currently must pay most employees statutory illness pay for up to 28 weeks, though this will probably be a lot less than your full earnings. After that, you would probably have to rely on state benefits. If you are self-employed then you will not have this option.

Phi Phi

So what is a good way to safe your income? The acknowledge is take out Phi Insurance.

How does wage protection Cover work?

  • "Phi wage Insurance" does not allow you to be great off sick than well. So the maximum estimate of wage you can replace is the after-tax wage you have lost, less an adjustment for any Uk State benefits you can maybe claim.
  • If you are employed this means that dependent on the Insurer - 50%/65% of your gross wage but then paid out tax free. If self employed then this is usually based on last 12 months every year net profits. Note that the old Phi insurance rules used to be based on 75% of wage but then chargeable (so beware of changing these old plans without advice).
  • Different rules also apply for executive Phi or Group Phi.However, some employers arrange group wage insurance protection for their employees as a perk of their job, which can pay out an long term illness wage after the statutory sick period. So check what you are entitled to.

Why not just take out needful Illness Cover instead?

  • Critical illness cover pays out a tax-free lump sum if you are diagnosed with a life-threatening condition for example cancer, heart attack, stroke, diabetes etc; listed in the policy. It is a inherent economy and simpler alternative to wage Insurance. But there are lots of coarse situations when needful illness would not pay out - for example, if you had back problems or a stress-related illness. Additionally, not all occurrences of the needful illnesses listed are covered, for example some early stages of cancer are not covered. Ideally you should have both plans if your funds allows this. For more facts on this & costs get needful illness cover quote or talk to a expert broker.

Is Phi wage insurance the same as Accident, Sickness & Unemployment or Mortgage payment protection Cover?


  • Accident, Sickness & Unemployment insurance can also be referred to as Mortgage payment protection insurance or redundancy insurance and will furnish you with an wage to meet your expenses if you are off work sick, have an crisis or are made redundant. It pays out a monthly advantage to cover your mortgage and other connected costs but for a petite period.
  • You may choose the estimate of advantage you would like to receive, although there are some limits on the maximum amount. The premium will be a percentage of the estimate of monthly advantage you would like to receive. Benefits are usually payable for a maximum of 12 or 24 months unlike wage insurance which may pay up to when you retire usually age 65. Some policies will also allow you to choose whether you want to receive benefits for crisis and sickness only, unemployment only or all three. Most policies will also have a deferment period of usually 30 days. This is the period of time you will have to wait after losing your source of wage until you may claim the policy benefit. Thank you for reading this report on Phi wage Insurance


Phi revenue Insurance, What Is It All About?