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my name is David Lee and my topic today is electronic signature authentication an electronic signature is a legal concept and it is a relatively new technology in healthcare electronic health record systems provide the ability to sign entries electronically and authentication is the security process of verifying a user's identity that authorized the individual to access the system there are three main reports of using es a first an electronic signature e is a symbol that signifies the intent such as approval of terms confirmation that a signer reviewed and approved content or designer authored the document and approved the content second the signature identifies the person signing third a signature called the integrity of the document against the repudiation or alteration signature mechanism typically found today is in three levels in the order of their strength level one digital signature is an electronic representation of a handwritten signature the image may be created by various methods such as a signature pad or scanning a signature this is the wicked form because someone else could acquire a copy of the image of the handwritten signature it is often used for document such as agent consent agreement and authorizations level two is frequently used signature methodology in EHR systems and include clicking a button or entering a unique in numbers electronic identification token or biometric scan for the signature entry level 3 digital signature is a cryptographic signature that authenticate the Steinar provide non-repudiation and ensures message integrity this is a strongest signature because it protects testing Richard Meier type of tamper proof sale why electronic signature is important to a healthcare organization the software can automatically send complete on authenticated document to attending physicians for their signature authentication and retain them for viewing and storage physicians can approve transcribe and scan the document from any workstation with network access it also provides easy communication between clinicians and transcriptionist the bottom line is that patient document get completed quickly helping to improve the quality of medical record and save time there are lots of benefits of ESA and the heat signatures of all tools for healthcare organizations they can keep patient billing or administration documentation in pure digital form saving hundreds of thousands of dollars in paper and related cost and with the ability to sign and send the document anywhere there is an internet connection they drive efficiency and expediency in the patient's work for e-signatures software facilitate signature capture online while creating a process that result in a legally enforceable agreement also enhance integrity of the patient health record and health data if the process is implemented correctly there are some issues we encounter in ESA implementation the HIPAA Privacy Rule states that no standard exists under HIPAA for electronic signatures so we should ensure any electronic signature used will result in a legally binding contract under applicable state and other laws operational guidelines policy and procedures are required for each healthcare organizations implementing and using electronic signatures is complex and health care providers can need to make some basic errors when attempting to implement yeast signature protocols the application should be available at all times policies needs to address availability while backups are performed and during system upgrade or network downtimes confidentiality and security is a main issue in these signatures document must be safeguarded by appropriate security controls to prevent unauthorized access in a summary each signatures are complex by nature but they are critically important to support the organization's EHR system and legal health record for successful implementation and ongoing management of ESD a proper attention is required to system functionality regulatory requirement and organizational policies thank you