Fighting ransomware, Nathan Littauer, U.S. hospitals stay ahead of hackers Posted on July 18, 2017July 19, 2017 by Dakota PikeNathan Littauer Hospital Vice President, Information Services and Chief Information Officer Martin Brown works on a computer in the hospital on Wednesday. (The Leader-Herald/Kerry Minor)The server room at Nathan Littauer Hospital is shown on Thursday. (The Leader-Herald/Kerry Minor)GLOVERSVILLE — It can start simply. Someone clicks on an email and types in a password to a prompt that seems official.The next thing the company knows, their data is being held ransom with a hacker demanding money to be paid through Bitcoin, or data will be deleted.As ransomware such as WannaCry have created headaches for hospitals and practices in other countries, the United States hasn’t been as affected.Nathan Littauer Hospital Vice President, Information Services and Chief Information Officer Martin Brown said much of that has to do with preparation and laws in place to protect patient information.“I didn’t lose any sleep over it because of the preparation that we’ve done is adequate to protect us from this ransomware and other viruses,” he said.He said ransomware attacks are a new take on viruses, which try to extort money directly instead of trying to obtain passwords of identity stealing information.“It encrypts all of your files that it can find on your computer and then says deposit money into Bitcoin and we’ll give you the key,” Brown said.Brown said he hasn’t heard of any successes through WannaCry.Brown said hospitals in the United States are not being affected like other countries due to Health Insurance Portability and Accountability Act, HIPPA, of 1996 and the American Recovery and Reinvestment Act, ARRA, of 2009. He said HIPPA put in place regulations to control and secure health information and ARRA provided funding to take care of HIPPA.Brown said hospitals across the country have been investing in systems to protect medical records. He said in addition, in order to keep ARRA funding, hospitals need to do annual risk assessments on their systems.“I think those two things that have become common practice for hospitals and providers has really resulted in a positive affect for our country and blocked this from occurring,” Brown said.Brown said hospitals use things such as standard firewalls, scanners for emails and Internet scanners that block certain websites.Brown said hospital IT personnel also do things such as paying attention to system updates. He said a recent one involved Microsoft XP.He said the hospital was given a date when Microsoft would no longer be making security updates to the XP system, so the hospital knew it need to update its systems. He said any medical device that can’t be updated is completely isolated from the Internet.“We protect our systems by keeping them up to date,” Brown said. “We have invested in systems that automatically load security updates on all of our machines in our organization.”Brown said the fix for this problem was released on March 14, almost two months before the issue hit the news, through an automated update.“Just our regular processes protected us,” Brown said.Brown said hospitals and medical centers can be targets since they have data and information that hackers want. He said the public hears about places like retail establishments that are locking down their systems and go looking for a soft target.“Maybe we have a reputation of not being technically savvy, but I don’t think that is true,” Brown said.Brown said NLH has very good and knowledgeable staff in its IT department who keep up to date on the latest developments and security measures.The hospital also trains its staff from the start on email security during orientation. Staff are also trained in HIPPA regulations.“The newest virus that there is no fix for can still get you, the most common way now is through opening an email,” Brown said.He showed one example recently sent to employees. It carried an official looking USAA bank logo and stated the recipient needed to long in with their banking information.“Those scare me the most, that someone is going to click on the link,” Brown said. “That’s not a virus probably, but it entices you to click.”Public relations coordinator at NLH Carla Kolbe said staff gets updates from IT officials about such emails that are going around.Brown said the hospital has had successful lockdowns in the past.“I know that we are capable of detecting these things within 10 or 15 minutes and shutting down the source and cleaning, and really staff. They react quickly when these things can and do happen,” Brown said. “We are able to contain and remove them from our system.”Brown said there is a good employee pool in Fulton County. He said having staff right on hand is helpful as well, allowing for quick response to issues.“It’s imperative to protect us from these kinds of things, having highly educated qualified staff,” Brown said.Brown said in a hospital protecting privacy and information is important, but at the same time, immediate access to patient information is needed for treatment by doctors and nurses. He said this fine line makes hospitals different from other places such as retail establishments.“Everyone needs to be aware of what is protect information. When requests come in when to say no,” Brown said. “It’s a constant balance that hospital staff and IT workers need to be aware of.”He said in addition, hospitals can’t shut down their entire system to make updates or repairs, since they are needed 24 hours a day.“We put the users at number one,” Brown said.Kerry Minor can be reached at kminor@leaderherald.com.
Wellness Words June 2017 Posted on June 19, 2017 by Dakota PikeHealthLink Littauer’sWELLNESS WORDSSubmitted by Carol Tomlinson, RN BSCommunity Health Educator Protect Your Heart In The HeatWhatever brings you outside this summer, it’s important to stay safe and healthy as the heat rises. According to the American Heart Association, heat can be hard on your heart. If you are a heart patient older than 55, overweight, have high blood pressure, or are on certain medications, you may need to take special precautions in the heat.Certain medications such as beta blockers, ace inhibitors, calcium channel blockers and diuretics can exaggerate the body’s response to the heat. Even if you are not on medications, seniors need to take extra precautions in the heat. When the temperature rises, getting enough to drink is important even if you are just sitting outside…and it is critical to heart health.Staying hydrated helps the heart more easily pump blood through vessels to the muscles. This helps the muscles work more efficiently. Remember, if you are well hydrated your heart doesn’t have to work as hard. Dehydration (lack of bodily fluids) can lead to problems ranging from swollen feet and ankles to headaches, and even life threatening illness such as heat stroke.A common misconception is that thirst is your best indicator that you need to drink. According to a study at the Mayo Clinic, if you are thirsty – you are already dehydrated. M. Batson, MD of this study says, “Drinking water before you go out in the heat is an important first step. Otherwise you are playing catch-up and your heart is straining to keep up.” It is also best to avoid drinks containing caffeine which is a known diuretic that can cause you to lose fluids.Think you’re ready to brave the heat? It is best to avoid the outdoors between 12-3 p.m. when the sun is usually the strongest. This time of day is the most likely to put you at risk for heat related illness.Remember to:Dress for the heat with lightweight, light-colored clothing in breathable fabrics.Wear a hat and sunglasses.Choose well ventilated shoes and socks that repel perspiration.Take regular breaks in some shade or go inside.Whatever you decide to do in the heat, keep in mind these symptoms of serious heat related illnesses.Symptoms of Heat Exhaustion:HeadachesHeavy sweatingCold, moist skin, chillsDizziness or faintingA weak or rapid pulseMuscle crampsFast, shallow breathingNausea, vomiting or bothIf you experience these symptoms, move to a cooler place and cool down as soon as possible by dousing yourself with cool water and rehydrating.Symptoms of Heat Stroke:Warm, dry skinStrong, rapid pulseConfusion and/or unconsciousnessHigh feverThrobbing headacheNausea and/or vomitingIf you experience these symptoms seek medical attention immediately!For more information, visit heart.org or mayoclinic.org, or call HealthLink Littauer at 518-736-1120. You can e-mail us at healthlink@nlh.org, see our website at nlh.org, or visit our wellness center at 2 Colonial Court in downtown Johnstown, Monday – Friday, 9 a.m. – 5 p.m. We’re your community health & wellness service of Nathan Littauer Hospital and Nursing Home.
Wellness Words May 2017 Posted on May 15, 2017 by Dakota PikeHealthLink Littauer’sWELLNESS WORDSSubmitted by Carol Tomlinson, RN BSCommunity Health EducatorCan You Spot The Symptoms Of Stroke?According to the National Stroke Association, every 40 seconds someone has a stroke. Sadly, only about 30% recognize the symptoms and get to a hospital in time to prevent disability. In fact, stroke is the leading cause of disability in adults. Together let’s change that…read on!You lose approximately 2 million brain cells a minute during a stroke. Therefore, it is important that everyone become aware of stroke signs and be able to get help quickly.BE FASTYou may have seen the FAST acronym from the American Heart Association. FAST stands for:F=FACE Ask the person to smile. Does one side of the face droop?A=ARMS Ask the person to raise both arms. Does one drift down?S=SPEECH Ask the person to say a simple sentence such as, “The sky is blue.” Do the words sound slurred or incomprehensible?T=TIME If you observe any of these signs, it is time to call 911!Do not allow anyone, especially the person with stroke signs, to drive to the hospital. Ambulance personnel are equipped to recognize stroke symptoms and relay them to the hospital immediately. Care will be faster and the emergency department will be ready to work with the patient when they arrive.The National Stroke Association has also added BE to the acronym.B=BALANCE Some stroke victims don’t have weakness but they do have severe balance difficulties. Do they stand with difficulty or appear to walk with difficulty?E=EYES Some people present with vision loss in one or both eyes, or parts of the visual field are missing. Ask them to read a few words.Once in the hospital, there are a number of possible new interventions that could reverse symptoms and/or limit further brain damage. However, these interventions are severely time limited. So recognition and quick action are the key to good outcomes.Should a stroke survivor be left with disability, there are plenty of services available help to reduce and/or compensate for any deficits the stroke survivor has. A team approach is usually the treatment of choice. The patient may have physical therapy, occupational therapy, speech therapy, and/or recreational therapy depending on the needs identified. Once again, the sooner therapy is started the better the outcomes.A stroke affects not only the stroke survivor, but also family members and other caregivers. Rehabilitation cannot reverse brain damage, but it can help the brain learn new ways of doing things so that people can achieve the best possible long-term outcomes.Nathan Littauer Hospital has a full complement of therapies. Research has shown that patients who receive occupational therapy interventions are significantly less likely to deteriorate and more likely to be independent in their ability to perform activities of daily living at the end of therapy.To learn more, attend this month’s Vitality Plus luncheon featuring a presentation on “Occupational Therapy” on May 24 from 11:30 a.m. to 1 p.m. in Littauer’s Auditorium. Shelly Coffin O.T. will discuss how occupational therapy can assist with decreases in strength, flexibility and movement. Reservations for the buffet-style luncheon are requested by calling HealthLink at 736-1120. There is a $6 fee payable at the door.
Yellow Dot Program provides first responders with critical information Posted on April 26, 2017 by Dakota PikeGLOVERSVILLE, NEW YORK (April 25, 2017) –Nathan Littauer Hospital & Nursing Home and the Fulton County Sheriffs’ Office have announced a partnership to bring the New York State Sheriffs’ Association’s Yellow Dot Program to Fulton County.Yellow Dot is a free program designed to help first responders provide life-saving medical attention during the first “golden hour” after a crash or other emergency.The Yellow Dot kit contains a medical information card and a Yellow Dot decal. Participants complete the card, attach a recent photo, place it in the glove compartment of their vehicle and place the Yellow Dot decal on the rear driver’s side window, and at their home’s main entry door. First responders arriving at the scene of an emergency will be alerted by the Yellow Dot decal to look for the medical information card in the glove compartment, or in the home’s freezer.“If an individual is involved in an accident or medical emergency, first responders will see the yellow dot and locate the medical packet in either the glove box or freezer in the home,’ said Fulton County Sheriff Richard C. Giardino. “While the freezer seems unusual, the program uses one set location to insure all individual’s information can be found quickly, rather than people leaving the medical packet anywhere they want.”Yellow Dot kits will be distributed through Nathan Littauer Hospital & Nursing upon discharge.“The Nathan Littauer Foundation, the charitable arm of Nathan Littauer Hospital, supports this project to increase patient’s safety in their homes and vehicles,” added Geoffrey Peck, Vice President, Executive Director/Nathan Littauer Foundation.Funded by the New York State Sheriffs’ Association, the Yellow Dot Program is a free service available to individuals of all ages. In Fulton County, Yellow Dot kits will be available through the Fulton County Sheriffs’ Office. For information about the Yellow Dot Program, or to schedule a community presentation, please contact the Sheriff’s Office at 518-736-2100. Additional information is available at http://nysheriffs.org/yellowdot.
Littauer job fair; We’re looking for a few good eggs Posted on April 13, 2017 by Dakota PikeGLOVERSVILLE, NEW YORK (April 12, 2017) – Nathan Littauer Hospital & Nursing Home, 99 E. State St., Gloversville is hosting a job fair Monday, April 24 from 1 to 4 p.m. in the hospital’s auditorium.“We’re looking for a few good eggs” is the theme and Littauer offers competitive salaries along with “egg”cellent benefits. There will be refreshments and giveaways for applicants. Applicants are encouraged to stop in and bring a resume. Onsite interviews will be available, and tours will be given upon request. In order to save time, you may apply online at www.nlh.org.Current open positions include: RNs, LPNs, CNAs, ward clerks, certified surgical techs, and medical receptionists. Additional positions are available in the lab, pharmacy, repertory, environmental aides, nutritional aides, nursing supervisors and site managers.For further information on employment at Littauer, contact human resources at (518) 725-8621 or refer to www.nlh.org.