clinical grade email peters m hi091809
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SECUREEMAIL
SECUREEMAILThe Challenge - Clinical Grade Electronic Mail
Rick Peters, MDOpenHealthConsulting, LLCrpeters@openhealthdata.com
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.
Confidential + Proprietary Information© 2009 OpenHealthConsulting, All Rights Reserved
9/18/2009 3
SecureEmailThe Problem
QuickTime™ and a decompressor
are needed to see this picture.
EmailTwitterSocial NetworksInstant MessagingText MessagingVoicemailVoIPeFaxScreen SharingConference CallsCalendarContactsDocument Sharing
With the exception of VoIP and cellular networks the majority ofthe Internet communications products we use on a daily basis
Confidential + Proprietary Information© 2009 OpenHealthConsulting, All Rights Reserved
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
Confidential + Proprietary Information© 2009 Rocket Technology Labs, All Rights Reserved
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.
Confidential + Proprietary Information© 2009 Rocket Technology Labs, All Rights Reserved
9/18/2009 7
SecureEmailWebmail
Webmail is by its very nature insecure.
Confidential + Proprietary Information© 2009 Rocket Technology Labs, All Rights Reserved
9/18/2009 8
SecureEmailCorporate Mail Servers
Security has to be end-to-end or it’s incomplete.
Confidential + Proprietary Information© 2009 Rocket Technology Labs, All Rights Reserved
9/18/2009 9
SecureEmailVPN Email
Closed networks are ‘secure’…(?)
Confidential + Proprietary Information© 2009 Rocket Technology Labs, All Rights Reserved
9/18/2009 10
SecureEmailThe ‘Ideal’
Confidential + Proprietary Information© 2009 Rocket Technology Labs, All Rights Reserved
For security, confidentiality, and privacy you need protection at all points of all transactions.
9/18/2009 11
SecureEmailPing-Pong
Confidential + Proprietary Information© 2009 Rocket Technology Labs, All Rights Reserved
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.
Confidential + Proprietary Information© 2009 Rocket Technology Labs, All Rights Reserved
9/18/2009 13
SecureEmailClosed EHR-PRH Email
Confidential + Proprietary Information© 2009 Rocket Technology Labs, All Rights Reserved
Gives you security but does not enforce confidentiality + privacy.
9/18/2009 14
SecureEmailThe Problem
QuickTime™ and a decompressor
are needed to see this picture.
EmailTwitterSocial NetworksInstant MessagingText MessagingVoicemailVoIPeFaxScreen SharingConference CallsCalendarContactsDocument Sharing
With the exception of VoIP and cellular networks the majority ofthe Internet communications products we use on a daily basis
Confidential + Proprietary Information© 2009 OpenHealthConsulting, All Rights Reserved
are not secure.
9/18/2009 15
SecureEmailWhat We Really Want
Confidential + Proprietary Information© 2009 Rocket Technology Labs, All Rights Reserved
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…
Confidential + Proprietary Information© 2009 Rocket Technology Labs, All Rights Reserved
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
QuickTime™ and a decompressor
are needed to see this picture.
This is a rapidly evolving, aggressive M&A market.
QuickTime™ and a decompressor
are needed to see this picture.
Confidential + Proprietary Information© 2009 Rocket Technology Labs, All Rights Reserved
9/18/2009 18
SecureEmailClosed EHR-PRH Email
Confidential + Proprietary Information© 2009 Rocket Technology Labs, All Rights Reserved
Gives you security but does not enforce confidentiality + privacy.
9/18/2009 19
SecureEmailClinical Reality
Confidential + Proprietary Information© 2009 Rocket Technology Labs, All Rights Reserved
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
QuickTime™ and a decompressor
are needed to see this picture.
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
9/18/2009 20
SecureEmailWhat Physicians Really Want
Confidential + Proprietary Information© 2009 Rocket Technology Labs, All Rights Reserved
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
Confidential + Proprietary Information© 2009 Rocket Technology Labs, All Rights Reserved
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!
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