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Healthcare warms to remote access

Some hospitals are sidestepping traditional IPSec VPNs for newer SSL-based products.
By Toni Kistner , Network World , 11/25/2002
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The scenes are stereotypical. The phone rings in the dead of night, rousing the doctor from his sleep. He throws on some rumpled clothes, kisses his wife and promises to be back soon. Or, a doctor is enjoying her 10-year-old daughter's softball game when the beeper goes off. Game over.

The notion that healthcare professionals tend the sick and injured at all hours of the day and night is a comfort, even romantic - as long as you're not the doctor. While medical workers are inherently mobile, much of the old way they work - relying on phones, pagers and paper files - ensures they waste a great deal of time in transit between hospital and office, or mucking through paper charts, with little or no time left for a life.

While patient privacy concerns have made the healthcare industry slower than others to deploy remote-access products, new technologies are forcing it to play catch up. Spurred by doctor requests and induced to reduce costs and increase efficiencies, network executives are finding VPNs based on Secure Sockets Layer (SSL) technology suits their remote access needs in many cases better than IP Security (IPSec) VPN offerings.

SSL-based products and services from Aventail, Neoteris, NetSilica and others let users access data from any browser-based device, so long as it can authenticate to the central server. Network executives can configure the VPN to provide remote users access to a clinical records database, protecting the rest of the network from breach. Because SSL firewall ports typically are left open, there's little need to reconfigure the firewall, easing configuration and management.

Regardless of technology, network executives are finding fashioning doctors into teleworkers creates challenges. A rare early adopter, Doug Torre says his first attempt to roll out IPSec VPN to a group of radiologists at Catholic Heath System in Boston last year was a "miserable experience."

To maintain control over the remote systems, Torre, the director of networking and technical services, provided the doctors with ready-made PCs loaded with an IPSec VPN client. However, the complexity of the system had users frustrated. "But we still had to send integrators to their homes. These are not low-grade users, but they don't have a lot of patience. Their time is precious and very valuable," he says.

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