World MS Day – A Personal Perspective

World MS Day

World MS Day is officially marked on 30th May. It brings the global Multiple Sclerosis (“MS”) community together to share stories, raise awareness and campaign for everyone that MS affects. MS is the invisible disease, the one that sufferers deal with silently and courageously every day.

I’ve witnessed how life can turn on a coin in a matter of seconds with an MS diagnosis – from the initial fatigue, balance issues and flu like symptoms to the knowledge that you know life is never going to be the same again. There is no cure and there is no list of standard symptoms. It truly affects everyone in its own unique and cruel way. 

They say only the strong are afflicted – and I think that phrase was handcrafted for Mum. From day one of her MS diagnosis in 1992, she never once complained, and strove on when many around her were moaning about the minutiae of life. Her strength knew no bounds.

That is why the new theme for World MS Day 2020 – 2022 of “Connections” resonates so clearly today in 2020 more than ever. From a personal standpoint, and because of the times that we are living through right now. 

It’s a three-year theme with the aim of tackling social isolation for people living with MS; building community connection, self-connection and connections to quality care.

This is a massive step forward as MS is quite literally “the forgotten” disease (which is staggering when you look at the number of people affected across the globe). Social isolation and loneliness can have a seriously damaging effect on health and quality of life. People with MS need better services, access to support networks and the tools to help them champion self-care.

World MS Day Saturday 30th May 2020 is the dawning of a new era – it’s a time when people living with MS can start using the online platforms and resources created to keep the MS community feeling connected and supported – with the additional benefit of being able to share tips that can help others in the same predicament. Anything that helps generate a feeling of togetherness is something to get behind in my book. Even seeing someone’s face or hearing a friendly voice online can truly make someone living with MS smile. Let’s make everyone whose lives have been affected by MS feel brighter and happier through the power of connection.

Social interaction is part of the MS coping strategy, but so is a good dose of knowing yourself and connecting with yourself. Knowing what helps you cope, really assists in giving you the tools to live your best possible life – Mum taught me that. Her endless trust in life’s journey: that no matter what you face, human connection, kindness and knowing yourself is all that truly matters; these are the best golden tickets to help cope with the challenges that MS presents every day.

In Australia, MS Connections has a clear focus for the sub-themes it wants to address over the next 3 years.

Year One | 30 May 2020 | Saturday

Sub-theme: Connect to Self

Year Two | 30 May 2021 | Sunday

Sub-theme: Connect to Friends/Family

Year Three | 30 May 2022 | Monday

Sub-theme: Connect to Community

There are many options you could choose to focus on when celebrating World MS Day and here are a few ideas to get you thinking:

  • Challenge social barriers and stigma that can leave people with MS feeling alone and isolated;
  • Help build communities that support and nurture people affected by MS;
  • Promote self-care and healthy living for people with MS;
  • Lobby decision makers for better services and effective treatment for people with MS; and
  • Educate people affected by MS by connecting them to all the research and guidance materials available.

Please get behind this amazing initiative and raise awareness for MS in any way you can. MS Connections is such a diverse and flexible theme, and even small ripples of change can have a massive impact.

I Connect. We Connect.

#MSConnections #WorldMSDay

Authored by:

Deborah Stockings
Product Manager at Best Practice Software

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Supporting a Frontline Practice in the Battle Against COVID-19

Since mid-March, when warnings against overseas travel began, over 200,000 citizens and residents have returned home to Australia, with thousands more arriving by plane each week. An enforced, 14-day hotel quarantine required significant resources to be deployed by State Governments Agencies from organising the Hotels willing to provide the services to a massive logistical operation to provide healthcare resources in a very short space of time.

In Victoria the Department of Health and Human Services (DHHS)  sought out Dr. Nathan Pinskier, Director and Co-owner of the Medi 7 group of practices, and Clinical Advisor for the Australian Digital Health Agency to assist and manage the provision of medical services to the quarantined travellers. Working with DHHS, a group of Doctors was put together to support the healthcare needs of newly arrived quarantined Australians in hotels around Melbourne. 

Shortly after the medical service commerced, Dr. Pinskier contacted Dr. Frank and Lorraine Pyefinch at 4:00 pm on Thursday, 9th April with an urgent request for assistance. He explained, “what started as a requirement for one doctor the previous Saturday has rapidly expanded into the provision of five doctors today and possibly even more in the next week or so, as more and more repatriation flights arrive from overseas. Our team of doctors has been providing consults through both telehealth and face-to-face appointments.”

Initially, this rapidly formed and mobilised team did not have a practice management system to capture clinical notes electronically, therefore raising the issues of data privacy, record retention, long term storage, archiving and the decision support provided by Bp Premier when it comes to allergies and medication. Here enters Team Bp.

Within an hour of the request, our team had provided 15 Bp Premier licences and enablement material, which allowed Dr. Pinskier’s in house IT team to configure the software over the Easter long weekend. On Wednesday, 15th April, we issued Dr. Pinskier with a further 10 licences to support the expanding group of doctors. 

“We think it is fantastic that Nathan and his team have stepped up to help in this unprecedented public health emergency,” said Dr. Frank Pyefinch.  “So we were delighted to quickly deliver a solution that will ensure accurate recording of patient encounters and provide for a safe clinical handover when their isolation periods have completed”.

Dr Pinskier has provided a hosted environment to access Bp Premier. The doctors access the software via a remote desktop login using either wifi or 4G. They have full functionality including the ordering of pathology online and also prescriptions. “This is great solution for doctors working across a number of hotels. It allows for the provision of safer and better coordinated healthcare,” Dr Pinskier said. “We thank Frank and Lorraine and their team for their fantastic assistance.”

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COVID-19 and Calm Efficiencies in your Practice

COVID-19

We were very fortunate this week to have two industry experts, Katrina Otto and Margaret Windsor, present the “COVID-19 and Calm Efficiencies in your Practice” webinar via our Be In The Know platform.

During the presentation, Katrina and Margaret shared numerous tips and tricks for Bp Premier and offering potential workflow solutions as you navigate this new and evolving landscape.

As a valued member of our extended Best Practice family, we would like to support your Practices during these difficult times by sharing with you the following resources.

1. The Webinar Recording

If you missed either session, we’ve uploaded a copy of the video to our Bp Learning Vimeo Channel which can be found here. Feel free to share the Vimeo link with other Practice staff who might benefit from the information.

2. A copy of the Presentation

A copy of the PDF PowerPoint slides used during the presentation can be found here.

3. COVID-19 Related Information

Katrina has a wealth of COVID-19 related information available here on her website, including fact sheets, webinars, and a number of fantastic eLearning modules which can be accessed here.

4. Additional Resources

Margaret also has some fantastic additional resources from our Western QLD PHNs that she mentioned during the presentation which you can find here.

5. Best Practice Knowledge Base

Best Practice also has a number of COVID-19 specific resources at your disposal on our Knowledge Base. Look out for the COVID-19 banner to access these resources, including:

  • COVID-19 and Calm Efficiencies in your Practice FAQ
  • Most recent COVID-19 data updates
  • Grouping COVID-19 patients in your appointment book
  • COVID-19 database queries
  • Guidance on telehealth and telephone consultations
  • COVID-19 diagnosis and reason for visit
  • COVID-19 letter and Bp Comms templates

The Knowledge Base can be accessed from within Bp Premier from the Help menu > Online. Click here to watch a short demo on the help and training options available.

COVID-19

As mentioned in the webinar, if you’re not on the latest Jade version of Bp Premier, we strongly recommend upgrading NOW so you’re ready when Fast Tracked ePrescribing is released in the coming weeks. There are significant differences between older versions like Summit and Lava, so it’s a good idea to get up to speed on what’s changed between your current version and Jade SP2. To help make the transition as smooth and seamless as possible, Best Practice has prepared comprehensive Upgrade Guides for each version going back as far as Summit. The documents consolidate all changes to features, functions and workflows into one digestible list, with links to all available collateral.

To answer any upgrade related questions you might have, we’re also running free FAQ sessions four times a week in the lead up to the Jade SP3 release. Take advantage of 15 minutes of uninterrupted access to a Lead Support Specialist which you can register for here.

Should you have any further questions, please do not hesitate to email us at BpTraining.

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The Value of a Business Analyst – from the Product Management Team

Business Analyst - Jo Burton - Best Practice Software

Business Analyst is one of those job titles that you hear often, but many people aren’t really sure what it is that they do exactly. So if you’re left scratching your head when you hear the term, don’t worry – you’re certainly not alone.

A Business Analyst is someone who uses analysis to help guide organisations in the pursuit of improving their processes, products and services through the use of technology. We are the people who work in the background, ensuring that the technology you use every single day works seamlessly; we try to ensure that no matter the system you engage with, you are provided with a convenient and efficient user experience.

A day in the life of a Business Analyst often involves using a range of different software packages, each of which are integral to the success of our projects. Just as important, is the feedback and enhancement requests we receive directly from Best Practice Software customers.

Traditionally, a Business Analyst also acts as a conduit between business streams, Product Managers and Development teams to capture, define and translate business requirements in preparation for a development cycle. It is crucial that we understand the granular details of each potential business decision, and are able to translate how proposed changes could impact our products, processes and services. It is then our responsibility to present our findings to leadership and decision-making bodies, who will decide on the viability of these findings. If approved, it will find its way into our release cycle.

On a personal note, the work I find most challenging in e-health is distinguishing between clinical and non-clinical needs of our customers. Understanding this part of the process isn’t always easy, nor is it straight forward, and that can create a lot of ambiguity. This is where a Business Analyst shines; by applying analysis in a ‘grey area’ situation. The analysis we submit helps Best Practice Software make informed decisions to improve their products, processes and services for health Practices; it also helps the project team to improve communication, which is a win-win for all involved!

One of the most interesting things about working at Best Practice Software is understanding the ecosystems and product integrations within our e-health solutions. From a Business Analyst perspective, the health industry is one that is fast-paced and rapidly evolving as a result of becoming increasingly competitive. Competition breeds opportunity, and the prospect of improved systems and technology is one that is deeply exciting.

There is an immense sense of pride in being part of the Best Practice Software team, especially as the world is fighting to overcome the COVID-19 pandemic, which is proving to be one of the most significant health crises of the modern era. The project team at Best Practice recognises the importance of effective technology solutions for Practices during this time, and we are working very hard to provide our customers with telehealth products and services, so that they can provide their patients with the best quality ‘contactless’ care.

Authored by:
 
 
Joanne Burton
Business Analyst at Best Practice Software
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Managing Patient Records – Common Mistake and Remedies

Many practices are currently dealing with an influx of patients, both new and existing. With staff run off their feet in such a hectic time, small mistakes may begin to pop up with managing patient records and associated information.

The Most Common Mistake

The most common error made when managing patient records is accidentally creating a duplicate entry for a patient.

In such a stressful and busy time, it’s a forgivable oversight to inadvertently create a new record for an existing patient. Perhaps they have not been to the Practice in several years, they might have married and changed surnames, or they may even have started using a nickname rather than their given name when booking an appointment.

Quickly Identifying Duplicate Records

A database search can help you quickly identify any duplicate patient records. By using the Search Utility you will be able to run a loaded query and generate a list of duplicate records.

A number of useful queries are provided with a Bp Premier installation. These can be found in the folder C:\Program Files\Best Practice Software\BPS\SuppliedQueries.

  • From the Main Screen > Utilities menu > Search
  • Select Load Query
  • Highlight Demographic and double-click
  • Select Duplicated patients by dob,name.sql
  • Click Open or double-click
  • Click on Run query
  • Search query will generate a list of duplicate patient records. Print or save the list as a XML or CSV file.

Cleaning up your Patient List

Once duplicates patient records have been identified, you have the ability to merge the records. However, it is important to note that you must be very careful when merging records, as it is a permanent action and cannot be undone.

  • Select View > Patients from the main screen. The Patient list screen will appear.
  • Search for the patient by surname, firstname. Both records should be listed in the patient list. The records will have the same name and details.
  • Select the patient record that you want to keep.
  • Select Edit > Merge from the menu. If the Merge option is not available, speak to your system administrator to have the user permission added.
  • Read the Merge Patients warning prompt that appears. If you are sure you have the right patient, click Yes.
  • Search for the patient to merge by surname. The patient selected here will be merged with the first patient and the record removed from the database.
  • Select the patient and click Select.
  • The second patient record will now be removed and any notes, results, documents, and patient data recorded for the patient will be moved to the patient selected in step 3.

Avoid Creating Duplicate Records

As the saying goes, prevention is better than cure. The tips below will help to mitigate the risk of duplicate entries when managing patient records.

  • When creating an appointment or searching the patient list ensure you tick the checkbox ‘show inactive patients’.
  • Use more advanced search options such as the patient’s DOB or Medicare number.
  • On ‘adding appointment’ window use the View Details box to further check a patient’s demographic information.
  • Review your current Practice policies and procedures when creating new patient records to ensure all staff following the same system.
Authored by:
 
 
Belinda Bazant
Training and Deployment Specialist at Best Practice Software
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A Day in the Life of an Online Training Specialist…in Isolation

Online training specialist - Bec Bland - Best Practice Software

The commute into the home office is a very short one and frankly, I’m not sure trying replicate my local coffee shop in my kitchen is entirely worth it, but I’m caffeinated and ready to join my team for a day of online training at 8:00am sharp.

The small talk and chit-chat that would always serve to start my day has been replaced with tenuous negotiations with my dog for ownership of the comfy office chair. I don’t want to be that co-worker, so we meet in the middle, and share it.

Once logged in for the day, the first port of call is to work my way through the online training team email inbox, and to respond to the enquiries that are eagerly waiting for me. Recently, these emails have become even more of a mixed bag than usual. There are constant changes to MBS items and eligibility, new software features geared towards COVID-19 through the Bp Partner Network, along with the usual onslaught of industry news and updates to digest.  After replying to a few emails, I make a few phone calls to customers – it’s important to find the right online training product on a schedule that best fits. Then it’s time for a coffee break – just like at the office.

Much the Same But Different

Most of my day revolves around the part of my role that I love the most – providing online training for you, our Best Practice users.  This can take one of several forms; a customised online remote training session, one of our new Online Group Training sessions, or a large group session as part of our Masterclass, or Be In The Know free webinar series.  Despite all of the changes that come with working from home, it is comforting to know that my ability to train has not been hampered. The exception, of course, being the previously mentioned sub-par coffee facilities.

It’s also been fascinating to see how the needs of customers have changed, but also remained the same throughout such a challenging time for the health sector. The new necessity of telehealth in the current landscape has provided plenty of opportunities to ideate on the most suitable workflows for receptionist and clinicians alike, as well as perspective-opening discussions on new billing strategies to support the remote consult experience. However much remains the same; job seekers are still getting in touch to upskill and give themselves a competitive edge.  Practices are still hiring new team members, and are looking to help them hit the ground running.  GPs are returning from retirement, opening new clinics with the vision of exclusively performing telehealth consultations to relieve some of the burden on their fellow doctors.  Even long-time users of Best Practice Software are getting in touch to learn a few tips and tricks to maximise their efficiency in such a fast-paced and busy time.

So while much has changed about my working conditions and the flavor of questions that I help to answer, ultimately there is still a sense of normalcy in the broad range of online training needs that I can assist with each day.

The Afternoon Wrap-up

Finally, as the caffeine starts to wear thin, and my afternoon draws to a close, it’s time to follow up with the day’s customers and close the loop.  Every remote training session includes a video recording, so these are shared with the customer and any lingering questions are answered via email.  After one last peek at the inbound training team email inbox, I close the lid of my PC, and get ready to repeat it all over again tomorrow.

The dog can finally have the chair to himself.

Authored by:

Rebecca Bland
Training and Deployment Specialist at Best Practice Software

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Transitioning to a Work From Home Business

As the world continues to fight and adapt to this ever-changing situation, many businesses have needed to become more innovative and agile in the way they’re operating. Globally, businesses have had their normal work routines flipped upside down and are now being challenged with navigating the unknown. For many, this involves transitioning to a work from home business. This sudden loss of control is difficult for businesses, and for many, this will be a very scary time.

For businesses who already have systems and processes in place, adaptation to a work from home business will be simple. However, for others who may be less prepared, the ability to adapt won’t come as easily and this will present an enormous challenge in an already stressful time.

When considering what can be done to make this navigation of the unknown less stressful, I would like to share three key points that I think allow a business to easily adapt and continue (with some modification) with business as normal.

Well-considered WFH Policy and Procedures

Having a clear direction and an outline of requirements is important to ensure everybody remains safe and understands what is expected of them.

The introduction of any policy should be necessitated by a business need, or to set a minimum standard for the topic that is being covered. When introducing any policy or procedure, the author should always have the business in mind. A good start would be to ask questions such as, ‘what is the desired result of introducing this policy or procedure?‘, or, ‘what past changes have not gone so smoothly?‘. Also question the why, ‘what is the demographic of our people?‘ or ‘what are the minimum access requirements (role, home environment, etc.) and technology needs?‘.

Some basic inclusions for a work from home business policy should include: 

  • The purpose of the document;
  • Guidelines for request considerations – connectivity, role resources, role suitability and workspace; 
  • The frequency or period of this arrangement;
  • Guidance on the logistical or performance details, which may include attendance while working from home, communication and timeframes, home insurance needs, information privacy and security, safety and well-being and WFH expenses.

Items such as these will not only set a clear business requirements and objectives, it will also make it clear to employees what is expected from them to uphold the arrangement.

Required Documentation

I am not talking about paperwork for the sake of paperwork, but having some simple documentation to assist and protect your business and its people when adjusting to a work from home business. It is very important that, as a business, you understand your obligations when it comes to safety, and it is just as important that your team understands their obligations when entering into a work from home business arrangement.

Both the business and its people need to understand that work from home business arrangements are an extension of the workplace, and therefore all business policies and safety protocols will apply, albeit with some modifications. As a business, you have a few options to ensure that your staff’s WFH environment is safe and that the arrangement will not present additional risk to the business or the team member.

Conducting safety and risk assessments of the work from home business environment is a good place to start, and there are a few ways that this can be done. The first is by employing an external party who will conduct an in-house assessment of your staff’s WFH environment. Alternatively, you can have your staff complete a self-assessment that includes photographic evidence to support their self-assessment outcomes. These self-assessments should include such areas as ergonomics (chair, workstations and set-up); potential hazards (trip and slip); general walkways to common areas and exits; first aid; lighting (natural and artificial); work environment climate (air-conditioning, fans, fresh air); and location of power supplies.

The home working environment needs to be assessed as if it was an area in the workplace.

Communication

Communication is the conduit that brings all of this together. It’s the start of the process when the business introduces the work from home business arrangement. It’s the connectivity that the business will have with its people, it’s the checks and balances that managers will use to stay on top of their peoples’ outcomes, and it’s the best way to ensure businesses expectations are met and adequate support is being provided to the team.

The business should have – within its policy or setup within its teams, how people will connect and the frequency of these connections. At the start, this may be more frequent and as time progresses the frequency may become less. Ideally, contact and communication should still occur at least at the start of the day and once during the day, not dissimilar to how you’d greet your team at the start of each workday when you arrive, and chat casually or formally throughout the day. This will help remind staff that support is available if they need it.

There is an incredible variety of technology available to businesses these days. This includes platforms such as email, video conferencing, instant messages, use of collaboration software like MS Teams, Zoom, Skype and alike – and let’s not forget the good old telephone. Although not all of these platforms will be needed, it’s a good idea to review the communication needs of your business, the pros and cons of different software options and the volume of contact that your business will need when communicating with its people.

These three key points mentioned are only a guide to the endless possibilities that are available to assist in navigating the unknown in transitioning to a work from home business. It’s extremely important that organisations implement processes and systems that are right for their business. Take the time to ask questions, research and understand what value these changes will provide your business, especially in these unique times.

Authored by:


Brendon Croft
People, Culture and Capability Manager at Best Practice Softwar

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Staying Cyber-Secure: Cyber Security Risks During COVID-19

COVID-19 may not be the only virus health organisations need to worry about.

The current COVID-19 crisis afflicting the world has changed the lives of billions of people. Forced into isolation in both our private and working lives, more employees than ever before are now working from home across most industries. With this major crisis leaving many hospitals and healthcare organisations on the edge of their breaking point and more vulnerable to serious technological disruption, it was almost inevitable that the technological vultures known as cyber criminals would soon be circling, looking to maximise profits against vulnerable, high-value targets.

The following article is intended to shine a light on some of the recent concerns surrounding cyber security during COVID-19 that are occurring around the globe, and will provide readers with some quick safety tips and resources for further information. All information provided is general in nature, as we are not IT security advisers, and recommend specialist consultation where possible.

The Current Situation – Cyber Security During COVID-19

Healthcare organisations have traditionally prioritised spending (and rightly so) on equipment and staff over ICT infrastructure, which has unfortunately led to healthcare organisations often being behind the curve when it comes to cyber security with the perception of being “soft-targets” to cyber criminals.

Australia is no exception, as illustrated by the well-publicised ransomware attack affecting multiple Victorian hospitals in October of last year (ACS, 2019).  Figures released by the Office of the Australian Information Commissioner (OIAC) showed the Healthcare provider sector to have the highest number of reported data breaches for the entirety of 2019 (OAIC, 2019).

A worldwide increase in serious cyber crime attacks against vulnerable health industry targets has prompted a tightening of cyber security during COVID-19. Interpol has released a purple notice to its 194 member countries warning of the increased number of targeted ransomware attacks (Interpol, 2020), and the World Health Organisation has also reported a two-fold increase in attempted cyber attacks; both on their organisation, and other organisations in countries such as Spain, England, America and Thailand.

A particularly severe event in the Czech Republic left a major hospital and COVID-19 testing centre without access to critical equipment, forcing the delay of surgical procedures and relocation of some patients to other institutions (Humanitarian Law & Policy, 2020).

Cyber Attack Vectors

Though ransomware/crypto attacks are often the most publicised methods of attack, increases in multiple attack types have been observed and warned against by numerous security agencies including the FBI, Department of Homeland Security (DHS) Cybersecurity and Infrastructure Security Agency (CISA) and the United Kingdom’s National Cyber Security Centre (NCSC) to name a few (www.us-cert, 2020). Some of the more common ways in which attacks happen have been listed below.

Human/Social Engineering Risks

Regardless of the security posture of any organisation, and despite even the most robust IT systems, the weakest point in any infrastructure is always the user. Some common methods used to manipulate users into circumventing security controls are listed below.

Phishing

There is a reason phishing emails are such a common occurrence, despite “Nigerian Prince” type scams being the “oldest trick in the book”—people are still falling for them, so they’re still being used. In this context, likely scenarios are emails convincing users to open malicious attachments that steal personal information or install remote access trojans (RAT).

Emails can also convince the user to click links to malicious websites that mine the user’s IP address or install Remote Access Trojans.

Several recent phishing campaigns have been observed on our shores, with emails purporting to be from the WHO and Australia Post for the exact reasons listed above.

Business Email Compromise (BEC) Attacks

Closely related to the phishing, several email scams have been reported whereby users are conned into donating money to COVID-19 charities, including some purporting to be from the WHO.

An additional form of a BEC is a spoofed email pretending to be from one of the targeted business’s VIPs, directing an employee to provide passwords or transfer funds to different accounts.

Vishing

Closely related to the above voice phishing (vishing), is an impersonated phone call attempting to verbally achieve similar goals to phishing, by coercing a user into providing personal details, credit card numbers or browsing malicious web links.

Smishing

SMS phishing (Smishing) uses SMS messages for similar purposes to vishing.

Tech Support Scams

Tech support scams may take any of the above forms and usually involve a malicious actor attempting to convince a user that they need to “urgently” access their computer remotely to fix an issue, when in reality they are after computer access to install a RAT or otherwise cause harm.

Obtaining remote access to a target system is particularly effective in circumventing firewalls, as often rules are applied that ignore returning traffic if it was initiated inside the network. Meaning while a malicious actor can’t launch malicious traffic directly from an outside source, they can have a user initiate first contact and then gain access via the reply traffic.

Technical Risks

DDOS Attacks (Distributed Denial of Service)

There have been some minor increases in DDOS-type activities, where malicious individuals try to overwhelm systems with massive traffic volumes for botnet armies etc. Firewall policies can mitigate these as can most ISPs.

Software and Operating Systems

End of life or out of date OS software is always a security risk in organisations. Microsoft ended support for Windows 7 and Server 2008r2  in January of this year, meaning any newly discovered security vulnerabilities will not be patched in these operating systems and they should be upgraded as soon as possible.

Even the latest versions of operating systems are vulnerable without adequate security patching and up to date Anti-malware software.

Remote Access Technologies

The rapid expansion and increased reliance on work from home infrastructure, tools such as VPN appliances/concentrators, RDP endpoints, communications platform (Zoom, Skype) and remote access platforms such as Citrix, have exacerbated security risks and formed threats such as poor network design, configuration mistakes and out of date devices and software.

Several vulnerabilities were found to have been exploited in major vendor products including Citrix, Palo Alto and Fortinet. Likewise, an increase in phishing attacks centred around popular communications software products Zoom and Teams, where in some instances sessions were even hijacked by external sources.

A majority of these issues can be avoided, by merely ensuring OS, hardware and software products are up to date with the latest patches, and by using security controls such as strong passwords and two-factor authentication.

Risk Mitigation

With the increased in aforementioned risks, it is clear organisations and medical Practices should take steps to ensure they do not become victims as a result of lax cyber security during COVID-19.

Though by no means a replacement for specialist cyber security advice, some simple risk mitigation steps for the above threats include:

  • Stay abreast of current threats and trends. Links for some official advisories are included below.
  • Carefully read and ensure emails are from a legitimate source and don’t click on suspicious links or attachments.
  • Never give out account or personal information. Financial institutions will never ask you for passwords or account details.
  • Ensure you only use supported and up to date versions of operating systems and software, with particular emphasis on anti-malware products and communications. Outdated software is more likely to be a target for security vulnerabilities.
  • Ensure all remote access technologies are up to date with patches and monitor the vendor websites for notification of recommended updates.
  • Use strong, hard-to-guess password or better yet “passphrases”. “mydogsnameisspot” is vastly superior to “spot123”. HINT: Password1 (or similar) is not an acceptable password at any time.
  • Use two-factor authentication where ever possible. Though it can be frustrating at times, it is preferable to falling victim to a cyber attack.
  • Always ensure you have backups of critical data and systems, preferably offsite and encrypted. This is particularly important for Best Practice Software users. For details on how best to back up your Best Practice software, contact support.
  • Consult a cyber security specialist for tailored advice on cyber security during COVID-19.

This is a confusing and often daunting time, especially for those new to remote working arrangements, where the security and peace of mind of the office network is no longer present.

However, cyber security during COVID-19 starts with simple, manageable precautions that can and should be undertaken by everyone to ensure security for you and your organisation during this unprecedented time.

Security Advisory Services

Though by no means an exhaustive list, the following links are to official government security advisories for warnings, and should be monitored regularly for advice on cyber security during COVID-19.

Australian Cyber Security Centre
Australian Cyber Security Centre – Protecting Your Small Business
Department of Homeland Security – Risk Management for Novel Coronavirus

Authored by:

Mark Dexter Best Practice Software

Mark Dexter | Technical Operations Analyst
Best Practice Software

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Mental Health in the Age of COVID-19

It is 3:00am and I am awake. Again.

This is the third time this week. I reach for my phone and open up my social media app where I scroll through the latest COVID-19 updates in a group of doctors that is 13,000-strong. My eyes frantically try to keep up with numerous graphs, projections, news stories and the impacts of compromised mental health during COVID-19. Scattered in between these are personal stories of frustration, anger or even complete denial of the scale of the problem.

By the time I manage to get to work and see my first patient at 8:00, my mind has already spent 5 hours ruminating about COVID-19. My eyes are dry and my shoulders already feel heavy. Surely this behaviour is unsustainable? A chat in the tearoom with my colleagues, sitting 1.5m away from me, reveal this phenomenon to be common.

As we find ourselves in the midst of a one in 100-year event that has upheaved our daily schedules, it is normal to feel stressed, worried or anxious. With rapidly changing government policies regarding work and play, isolation and uncertainty prevails over consistency, routine and social interactions. Many of us in the healthcare and technology industries, who are still able to work and have a steady income, watch in fear as those in the hospitality, retail and tourism industries lose their jobs and livelihoods. We worry about the future and about the economy.

Is the government doing enough?
Why did they let all those people off the Ruby Princess?
Are we doing enough to look after mental health during COVID-19?
Will there be a global economic recession or a depression on the other side of this pandemic?

Stress occurs when there is a perceived threat that is beyond our ability to control. When we are are stressed, there are physiological changes within our body that cause us to be more alert and vigilant. This is commonly known as the ‘fight or flight’ response. If the threat is continuous or persistent, those physiological changes can affect our emotional health and well-being in the form of anxiety.

Anxiety, much like a chameleon, can manifest in many ways. It can be as subtle as mild irritability and a reduction in concentration, to a more noticeable insomnia, early morning rising or reduced appetite, to full blown panic attacks with physical symptoms. This can be compounded by our current situation of physical and social isolation, that has become an mandated part of life today.

How Can We Deal With the Constant Strain on Mental Health during COVID-19?

The first step to coping is to accept that there are many variables that are completely out of our control, such as the duration of this pandemic; how many people will be affected; how others are responding to the situation and if there is enough toilet paper at the shops.

The second step is focusing on the variables we do have control over – such as our daily routine, finding enjoyable things to do at home, connecting with and supporting our friends, families and colleagues. Practically this may involve simple things like going for daily exercise in the morning, getting ready everyday, going to ‘work’ in a dedicated room and clearing it away when work has finished, having breaks, doing activities with the family, debriefing with friends and colleagues and switching off the news and social media. Some workplaces have created virtual ‘tea rooms’ or ‘water coolers’ in their respective meeting applications where staff can drop in at random times, as they would if in an office, and catch up with other colleagues whom they may not interact with regularly.

Of the above, daily exercise is proven to be the most effective intervention for stress at a population level. This is likely because sunlight and the natural hormones that get released during exercise can elevate the mood. For me personally, limiting social media and the news has also helped significantly as my brain gets a break from the constant negative stimulus after 7pm every night. Re-discovering the myriad of enjoyable things to do at home such as gardening, board games and reading, to finally getting through the decade old to-do list of sorting travel photos and decluttering, these activities have provided a welcome sense of achievement.

The link below is a great resource that explains how our normal worries can become excessive, and it provides some methods on how we can stop ourselves from progressing through a negative chain of thoughts that can lead to heightened risk to our mental health during COVID-19. There are also some practical tools included, such as an Activity Menu to keep occupied and a Decision Tree about how to prevent ourselves from overthinking things which are out of our control.

Click here to download a helpful PDF on managing stress and anxiety during this difficult time.

If these simple measures do not help to improve how you are feeling, then it may be time to check-in with your GP.

Authored by:


Dr. Fabrina Hossain
Clinical Advisor at Best Practice Software

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Helping Patients Locate Practitioners Offering Virtual Consultations

As the government continues to expand funding for telehealth services in an effort to prevent the spread of COVID-19, practices are shifting to telehealth consultations to protect their practitioners and Practice staff.

Amongst patients, however, there still exists widespread confusion around what constitutes telehealth.

Is it bulk billed?
Do I need to pay a gap?
How do I get my scripts?
What if I need a physical examination?

These are all questions that frequently arise.

Whitecoat has recently launched a Telehealth Hub that connects practitioners with patients requiring telehealth services. Patients can view practitioner profiles, including customer reviews, and book a telehealth consultation directly with their chosen practitioner or Practice.

It’s particularly useful for those unable to access their regular GP, as a key feature is the ability to connect with practitioners offering virtual consultations Australia-wide.

The service also helps to de-mystify telehealth for patients with answers to frequently asked questions. These topics are being expanded as new threads arise and include links to relevant government resources.

Whitecoat is currently giving Best Practice Software customers the opportunity to offer a listing on the Whitecoat Telehealth hub for free. Doing so provides your Practice with access to the Whitecoat’s annual audience of 2.5 million users.

To list your Practice on the Whitecoat Telehealth directory, simply fill out this short form.

 

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