POVISA Hospital choose CoSign Remote Digital Signatures approach

About the Speaker:

Raanan Dahari VP Sales EMEA Algorithmic Research (ARX)

ARX | 855 Folsom St. Suite 939 San Francisco, CA | (415) 839 8161 | www.arx.com | sales@arx.com

Povisa Hospital - About

Founded in 1973 in Vigo, Spain

Serves 140,000 patients from public & private sectors Equipped with 573 beds

About ARX the vendor of CoSign

ARX is the worlds leading supplier of standard digital signature solutions for enterprises and government agencies. ARX CoSign is used by more organizations globally than all other standard digital signature alternatives combined Leaders in regulated and security-minded markets, industries and governments

Life Sciences

Architectural, Engineering & Construction

US Federal, State and & Local Govt

Finance, Legal & Insurance

Healthcare
Payers & Providers

Labs, Research & Education

EU & Other Global Govt

Energy & Petrochem

The Problem
Povisa was in danger of suffocating under a mountain of paperwork while annually generating:

The Problem

689,000 medical reports

485,000 prescriptions 128,000 medication orders 750,000 nurse care orders 9,000,000 (!) nurse reports

The Need

We needed to find a solution that is efficient, easy to use and meets the requirements stipulated by law
Alexandre Perez Barreiro, IT Administrator at Povisa

Remote Signature Vs. Smart Cards

Usability Easy Deployment Easy Maintenance Easy Control Simple integration tools Support for web/central systems

Security and Integrity

Meet Regulation

CoSign - Remote Signing Architecture

Web Server Application Server
CoSign CoSign Connectors Agent

VPN Server
CoSign Agent+

User Directory
[AD, LDAP, Virtual]

CoSign Central Appliance(s)

CoSign Cloud

CoSign Agent+ CoSign Agent+

No Client

Electronic Prescription Platform

Povisa Hospital uses a central platform (Sergas) enabling the sharing of patient records among several public hospitals in the region.

Hospitals

Pharmacies

Platform Sergas
DB Prescription

Platform Colegial

Primary Prescription

DB Invoices

DB Medicines

DB Pharmacists

DB prescribers

Specialist Prescription

Deployment Architecture
Download CRL

OCSP / TSA

BBDD Cluster

OCSP / TSA

Povisa Active Directory CRL distribution Point for FNMT Times Stamp Protocol Request Timestamp Request OCSP CRL update every 8 hours
Online Certificate Status Protocol

CRL check OCSP

Online Certificate Status Protocol

Cluster High Availability

CRL download from FNMT

Primary Appliance

Alternate Appliance AVINFORMES

Signing on Prescription and Medical Records

SERGAS

CoSign Client FNMT qualified Certificate

Doctor logs in

Patient Prescription Screen

New Prescription Details

Applying Signature

Prescription is Signed!

Signed Prescription Stored

Doctor logs in

Patient Prescription Screen

New Prescription Details

Applying Signature

Prescription is Signed!

Signed Prescription Stored

Doctor logs in

Patient Prescription Screen

New Prescription Details

Applying Signature

Prescription is Signed!

Signed Prescription Stored

Doctor logs in

Patient Prescription Screen

New Prescription Details

Applying Signature

Prescription is Signed!

Signed Prescription Stored

Doctor logs in

Patient Prescription Screen

New Prescription Details

Applying Signature

Prescription is Signed!

Signed Prescription Stored

Doctor logs in

Patient Prescription Screen

New Prescription Details

Applying Signature

Prescription is Signed!

Signed Prescription Stored

Hospitals Platform Sergas

DB Prescription

Pharmacies Platform Colegial

Primary Prescription

DB Invoices

DB Medicines

DB Pharmacists

DB prescribers

Specialist Prescription

Signing on Medical Records

Povisa home-grown Medical Record application

Based on Citrix platform

Smart Card was not even an option, the only available approach could be central signing system

Diagnosis screen

Patient Prescription Screen

New Prescription Details

Applying Signature

Prescription is Signed!

Signed Prescription Stored

Diagnosis screen

Confirm diagnosis

New Prescription Details

Applying Signature

Prescription is Signed!

Signed Prescription Stored

Diagnosis screen

Confirm diagnosis

PDF is generated

Applying Signature

Prescription is Signed!

Signed Prescription Stored

Diagnosis screen

Confirm diagnosis

PDF is generated

Applying Signature

Prescription is Signed!

Signed Prescription Stored

Diagnosis screen

Confirm diagnosis

PDF is generated

Applying Signature

Diagnosis is Signed!

Signed diagnosis Stored

Diagnosis screen

Confirm diagnosis

PDF is generated

Applying Signature

Diagnosis is Signed!

Signed diagnosis Stored

CoSign in Italy

CoSign is THE leading Remote Digital Signature solution in Italy

CoSign is compliant with Italian rules about digital signature

Thank you!

Try CoSign for free today

Visit www.arx.com to get your free CoSign trial