# Thursday, July 23, 2009
Voice quality is a major concern for organizations investing in a VoIP phone system or upgrading voice networks to IP.  There are several factors that can affect the quality of a voice call, also known as Quality of Service.  Engineered properly, an IP based phone system / network can provide the same quality as a traditional PBX using the PSTN network.  The issues listed below will be discussed in further detail in future posts to the Inphonite Blog.

Bandwidth.  The first and most important requirement is having sufficient bandwidth available.  Typically, networks are over-engineered to ensure voice quality.  However, throwing bandwidth at the situation is not always the best nor the most cost effective solution.

Latency or Delay.  There are many solutions on the market that will measure and detect delay.  Possible causes of latency include IP based premise equipment, the network, or Internet connectivity.

Jitter.  When a network is congested, packets can arrive at their destination early, late, or out of sequence.  Buffers can compensate for jitter by collecting the packets, storing them for a brief period, and then sending them on to their destination at regular intervals.  The jitter buffer is located at the receiving end of the network, and is often included in the hardware/equipment.  (Question: Is it included in a phone, or the phone system?)

Packet Loss.  In a data network, packet loss can result in a misspelled word, but packet loss on a voice call is considered more serious by users as it results in garbled conversations.  Packets can get lost because of collisions on the LAN, a high traffic network, and generally, insufficient bandwidth.

Before installing a VoIP phone system or upgrading a voice network to IP, be sure to conduct a Network Assessment.  Usually the service provider of the VoIP lines will provide this assessment.  They may also offer ongoing management services to proactively detect and resolve issues before they become critical.

David Clarke
Business Development Manager
PIKA Technologies Inc.
www.pikatechnologies.com

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posted on Thursday, July 23, 2009 10:03:06 AM (US Mountain Standard Time, UTC-07:00)  #    Comments [2] Trackback
# Monday, July 20, 2009
MGMA Connexion lists five reasons for using social networking (Facebook, Twitter, LinkedIn, etc.) to market your group practice:
  1. Social networking is a free way to gain exposure
  2. Your patients are looking for your medical practice online
  3. Your patients are reviewing your doctors online
  4. Communication online is easy and fast
  5. Social networking can help advance your career

MGMA Connexion, July 2009, page 17.

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posted on Monday, July 20, 2009 8:48:28 AM (US Mountain Standard Time, UTC-07:00)  #    Comments [0] Trackback
# Wednesday, July 15, 2009

Forbes.com reports that new US study shows that breast cancer screenings increased 17% through use of a reminder program at Kaiser Permanente. A similar article by Kathleen Hoheny can also be found in the Health News section of the WebMD site. The study itself appears in the August issue of the American Journal of Preventive Medicine.

The reminder program included postcard reminders, automated reminder calls and follow-up calls placed by the local health care team.

According to the study's lead author Adrianne Feldstein, MD, “This study is the first to show that these reminder programs can be effective in such a large group of women. If we could improve the country's mammography rate by the same amount, we could detect as many as 25,000 additional cases of breast cancer a year.”

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posted on Wednesday, July 15, 2009 4:18:17 PM (US Mountain Standard Time, UTC-07:00)  #    Comments [0] Trackback
# Monday, July 06, 2009
A new whitepaper is now available for download from the Inphonite website, “10 Questions to Ask When Evaluating an Appointment Reminder System.”
This paper covers important considerations when evaluating appointment reminder solutions such as hosted solutions vs. solutions implemented onsite and estimating call volume.

I invite you to download and read the whitepaper.  Thoughts?  Suggestions?  Did we leave out an important point?  Please let us know.

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posted on Monday, July 06, 2009 10:59:44 AM (US Mountain Standard Time, UTC-07:00)  #    Comments [1] Trackback
# Tuesday, June 30, 2009

The AIDS.gov blog has four excellent posts on SMS Text Messaging for appointment reminders, medication reminders, and treatment compliance.  These posts are very timely and the information provided is applicable to virtually all healthcare providers.


Several vendors mentioned in links below offer solutions that schedule and track appointment and medication reminders.  Our SaaS solution,  InphoniteVoice, offers the ability to send SMS text messages for as little as $.10 per message.


Part I - Why


Part II - How    

Part III - Costs

Part IV - Privacy


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posted on Tuesday, June 30, 2009 3:33:28 PM (US Mountain Standard Time, UTC-07:00)  #    Comments [1] Trackback
# Monday, June 29, 2009

We are pleased to announce that online training videos for ReminderPro are now available! If you are new to ReminderPro, or could simply use a refresher on some program basics, visit this page and select the video you would like to see.

In order to view the videos, you will need to have Adobe Flash Player installed.

We hope you find these videos useful.

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posted on Monday, June 29, 2009 3:04:39 PM (US Mountain Standard Time, UTC-07:00)  #    Comments [0] Trackback
# Tuesday, June 23, 2009

According to a study in the June 22 issue of the Archives of Internal Medicine, "Primary care clinicians and their staffs sometimes fail to inform all patients of the results of lab or screening tests -- or fail to keep records that patients were informed and thus have no proof."

For more information on this issue, here is link to the related WebMD article by Bill Hendrick

The study included a review of 1,889 abnormal test results (selected at random) and found that for approximately 7.1% of the tests, either the result was not communicated to the patient, or there was no record that the patient had been informed.

The article does not address specific solutions that offer patients secure, phone-based access to lab test results.  For example, at least one LabRetriever customer uploads between 450 and 500 lab results each day.  LabRetriever also provides an accurate record of those patients have not yet accessed their lab results.  This informs healthcare providers as to which patients require follow-up.

Some of our customers, including Del Mar Family Practice of San Diego, have implemented LabRetriever and ReminderPro as an integrated solution.  ReminderPro can automatically call patients to inform them that their lab results are available. A patient can then transfer to LabRetriever and access those lab results immediately with a secure access code.

According to the article above, Atlanta internist Sandra Fryhofer, MD, past president of the 120,000-member American College of Physicians said, "(I'm) glad they did a study like this that uncovers this problem. It's a wake-up call to doctors and patients".

Well, ReminderPro does wake-up calls too.

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posted on Tuesday, June 23, 2009 2:37:19 PM (US Mountain Standard Time, UTC-07:00)  #    Comments [0] Trackback
# Friday, June 19, 2009

I am pleased to announce that service pack 1 for ReminderPro 2008 DX is officially released. This service release fixes numerous problems reported to our technical support department. If you are a ReminderPro 2008 DX customer you can download the new service pack here:

http://www.inphonite.com/view/telephony-software-updates.aspx
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posted on Friday, June 19, 2009 12:40:18 PM (US Mountain Standard Time, UTC-07:00)  #    Comments [0] Trackback
# Wednesday, June 17, 2009

Here is a link to a March 2009 article in Physicians Practice regarding appointment reminder systems by Jonathan McCallister.

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posted on Wednesday, June 17, 2009 1:21:11 PM (US Mountain Standard Time, UTC-07:00)  #    Comments [0] Trackback

In previous articles, I have discussed using Windows' Remote Desktop to connect to your ReminderPro computer. It's actually a great tool you can use when the computer is in a location that is, well, less than convenient to get to. However, there are some things to be aware of.

The primary issues with using Remote Desktop center around sound. That is, how does Windows handle it? After all, we have two computers that are connected here, and both have the capability of having sound. Which computer gets it? And what if there are conflicts that can cause problems?

When you connect via Remote Desktop, the first thing you want to do is set the sound to remain at the remote computer. In other words, open your Remote Desktop connection window and click the Options button at the bottom. Then go to the Local Resources tab, and set the sound option to Leave at remote computer. In essence, this just leaves sound active at that other computer, ensuring ReminderPro can record messages and play them.

The other suggestion I want to make is that you disconnect your remote session after starting the call session. There can be problems arise when incoming messages are being recorded by a patient, or automatically due to an operator intercept — again, an issue with sound. Now, I want to emphasize the word disconnect. You do not want to log off, because that will close the programs you have running, including ReminderPro. But if you disconnect by clicking the X on the yellow toolbar at the top of that window, your programs will continue to run, and when you reconnect, you will see basically what you saw when you disconnected. In short: Disconnect — do not log off.

Hopefully these tips will help you use Remote Desktop more effectively with ReminderPro.

If you use Remote Desktop and have some tips you would like to share, please do so by clicking here.

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posted on Wednesday, June 17, 2009 8:36:19 AM (US Mountain Standard Time, UTC-07:00)  #    Comments [0] Trackback