Richard

Doctors should ask if they don't know.  Most if not all GP's has a PC at
home (or their kids has one).  Install your software at home & test
backup-restore there.  Otherwise employ an IT person that will do it for
you.

Cedric



-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]
On Behalf Of Richard Hosking
Sent: Tuesday, 27 March 2007 9:43 AM
To: General Practice Computing Group Talk
Subject: Re: [GPCG_TALK] backup!


But the problem is - how to test a backup without touching the data on 
the server already? It is a potentailly dangerous process, particularly 
if only rarely done. This isue is not addressed because so few practices 
actually know they have a complete backup loop by testing it. Ideally you
should have a redundant system - maybe this is what the 
standard should be?
What about some sort of offsite service? This could provide backup 
services for many practices

R
 
Cedric Meyerowitz wrote:

>Greg
>
>Surely if RACGP standards advice we do backups, by implication we 
>should check if backups work ?  In all the years I have had computers, 
>the supplyers of my hardware, software (yes even 15 years ago) always 
>advised me to do regular backups.  And to also check if backup actually 
>works.  If RACGP standards say: "backups of electronic information are 
>performed at a frequency consistent with a documented information 
>disaster recovery plan", I would have thought that it implies to test 
>your backups - otherwise why do them ?  "Disaster recovery plan" 
>implies one is able to recover data and the only way to recover data is 
>to have backups and see if they work.
>
>Cedric
>
>
>-----------------------------------------------------------------------
>-----
>------------
>-----Original Message-----
>From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]
>On Behalf Of Greg Twyford
>Sent: Monday, 26 March 2007 5:00 PM
>To: General Practice Computing Group Talk
>Subject: Re: [GPCG_TALK] backup!
>
>
>[EMAIL PROTECTED] wrote:
>  
>
>>It has to be part of the Disaster Recovery Plan - Criterion 4.2.2 D It
>>doesnt seem to be whatever the accreditation companies decided, it is 
>>probably what has been added to RACGP 3rd Standards book after GPCG 
>>recommended it but it is definitely there.
>>
>>fee
>>    
>>
>
>Fee,
>
>If you can't see it in print from the standards, then it doesn't exist!
>
>This is from the RACGP website to-day.
>
>  
>
>>Indicators
>>
>>   1. Patient health information in our practice is neither stored nor
>>    
>>
>left visible in areas where members of the public have unrestricted 
>access, or where constant staff supervision is not easily provided 
>(interview, direct observation).
>  
>
>>   2. our facsimile machines, printers and other communication devices 
>> are
>>    
>>
>only accessible to authorised staff (direct observation).
>  
>
>>   3. our GP(s) and staff can describe how they ensure security of 
>> patient
>>    
>>
>health records (interview).
>  
>
>>   4. if our practice uses computers to store patient health 
>> information,
>>    
>>
>our practice ensures that:
>  
>
>>          * our GP(s) and staff have personal passwords to authorise
>>    
>>
>appropriate levels of access to health information
>  
>
>>          * screensavers or other automated privacy protection devices 
>> are
>>    
>>
>enabled
>  
>
>>          * backups of electronic information are performed at a 
>> frequency
>>    
>>
>consistent with a documented information disaster recovery plan
>  
>
>>          * backups of electronic information are stored in a secure
>>    
>>
>offsite environment
>  
>
>>          * antivirus software is installed and updated
>>          * all internet connected computers have hardware/software
>>    
>>
>firewalls installed (document review).
>  
>
>>   5. if our practice uses computers to store personal health
>>information, our practice has an information disaster recovery plan 
>>that has been developed, tested and is documented (document review).
>>    
>>
>
>It does NOT specify what should be in the disaster plan. It advises GPs
>to use the following resources, and it notes that these resources 
>contain 'suggestions for additional security procedures'. That's NOT the 
>same as a requirement.
>
>Again from the RACGP website to-day:
>
>  
>
>>The RACGP Handbook for the management of health information in private
>>medical practice (www.racgp.org.au), and the General Practice 
>>Computing Group's (GPCG) Computer security self assessment guide and 
>>checklist for general practitioners (www.gpcg.org) provide information 
>>and explanations on the safeguards and procedures that need to be 
>>followed by general practices in order to meet appropriate legal and 
>>ethical standards concerning privacy and security of patient health 
>>information. These documents also contain suggestions for additional 
>>security procedures.
>>    
>>
>
>What happens when you let human beings loose to measure the performance
>of other human beings is the problem. People change suggestions into 
>requirements. In the absence of any clear authority on the accreditation 
>bodies' part to 'improve' on the college's standards, I strongly suspect 
>that this has happened in the case of your survey and others.
>
>I prefer my keyboards to be black, so you'll have black ones too.
>Everyone knows that black ones go faster.
>
>Sorry, not part of the standard, it shouldn't be happening like that.
>
>Greg
>
>  
>
>>>-- Original Message --
>>>Date: Mon, 26 Mar 2007 15:18:22 +1000
>>>From: Greg Twyford <[EMAIL PROTECTED]>
>>>To: General Practice Computing Group Talk <[email protected]>
>>>Subject: Re: [GPCG_TALK] backup!
>>>Reply-To: General Practice Computing Group Talk
>>><[email protected]>
>>>
>>>
>>>[EMAIL PROTECTED] wrote:
>>>      
>>>
>>>>>-- Original Message --
>>>>>Date: Mon, 26 Mar 2007 11:49:55 +1000
>>>>>From: Greg Twyford <[EMAIL PROTECTED]>
>>>>>I'd suggest that you read 4.2.2 again. Test restores aren't
>>>>>mentioned.
>>>>>
>>>>>          
>>>>>
>>>>Try passing accreditation without being able to prove that test
>>>>restores are being done!
>>>>
>>>>We passed 3rd Standards in Nov and it was definitely a question. Yes
>>>>it
>>>>        
>>>>
>>>is
>>>      
>>>
>>>>a requirement, and staff ARE meant to understand how, when, where
>>>>and
>>>>        
>>>>
>>how
>>    
>>
>>>>often this is done. It is meant to be documented and surveyors take
>>>>this subject VERY seriously.
>>>>
>>>>fee
>>>>        
>>>>
>>>Fee,
>>>
>>>I don't doubt what you say, as it's exactly what the GP I referred to 
>>>experienced. However, all this tells me is that the accreditation 
>>>bodies
>>>
>>>themselves decide what is required.
>>>
>>>If they don't follow the College standards, what do they decide to 
>>>follow? And where do they get the right to pick and choose what they 
>>>include?
>>>
>>>Particularly if the surveyors have no particular IT knowledge.
>>>
>>>Moreover, how do practices know what they expect if it isn't in the 
>>>college's standards? Do the accreditation bodies send out their own 
>>>lists of requirements to practices beforehand?
>>>
>>>Greg
>>>--
>>>Greg Twyford
>>>Information Management & Technology Program Officer Canterbury 
>>>Division of General Practice
>>>E-mail: [EMAIL PROTECTED]
>>>Ph.: 02 9787 9033
>>>Fax: 02 9787 9200
>>>
>>>PRIVATE & CONFIDENTIAL
>>>
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>>>
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>>    
>>
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>>
>
>
>  
>
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