AppGini - building a webpage/db
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@Dashrender said in AppGini - building a webpage/db:
@IRJ said in AppGini - building a webpage/db:
@Dashrender said in AppGini - building a webpage/db:
@IRJ said in AppGini - building a webpage/db:
@Dashrender said in AppGini - building a webpage/db:
@IRJ said in AppGini - building a webpage/db:
I would say there is a never a case where you want to design something in house to store PHI. Unless, of course you are a software company that is willing to go through things like external code review, pen testing, HIPAA certification, etc. It is just a HUGE risk that could potentially put your upper management in a hot seat (or prison) if there is a breach.
This is in-house for in-house use only. How is this any worse than storing PHI in Excel?
Well - I still don't make the decisions.
I dont make final decisions either, but that doesnt mean I will fight doing the wrong thing.
Its your job to say NO sometimes. Plain and simple. If you dont say NO to something like this you aren't doing your job.
Interesting - I'm seriously believing that my EHR company doesn't have code review, other than internal review - is that good enough?
They certainly do more than that if you are using Athena Health. They are HIITRUST certified
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@Dashrender said in AppGini - building a webpage/db:
So basically, you're staying I'm stuck - I'm forced to hire someone to custom write me a system, and then hire someone to review that software before I can actually use something.
If dealing with PHI, then 100% yes you are not just able to design your shit on a whim.
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@IRJ said in AppGini - building a webpage/db:
If dealing with PHI, then 100% yes you are not just able to design your shit on a whim.
Why do you trust Excel but not this app? You trust MS?
Is it possible they put backdoors, etc into shit - yeah, but it's generating PHP would can all be audited, so I don't fear this like you do.
I can also lock the server down to prevent it from talking to the internet.
AppGini is self hosted solution, not a cloud solution.I think you're being over cautious.
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@Dashrender said in AppGini - building a webpage/db:
I think you're being over cautious.
Nope. Not something I am willing to ruin my career over.
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@IRJ said in AppGini - building a webpage/db:
@Dashrender said in AppGini - building a webpage/db:
I think you're being over cautious.
Nope. Not something I am willing to ruin my career over.
Nice to be in that position, I guess.
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@Dashrender said in AppGini - building a webpage/db:
@IRJ said in AppGini - building a webpage/db:
@Dashrender said in AppGini - building a webpage/db:
I think you're being over cautious.
Nope. Not something I am willing to ruin my career over.
Nice to be in that position, I guess.
Are you that afraid to say no?
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@IRJ said in AppGini - building a webpage/db:
@Dashrender said in AppGini - building a webpage/db:
@IRJ said in AppGini - building a webpage/db:
@Dashrender said in AppGini - building a webpage/db:
I think you're being over cautious.
Nope. Not something I am willing to ruin my career over.
Nice to be in that position, I guess.
Are you that afraid to say no?
This should be forked into a thread called "When is it ok to say no to your boss?"
We talk about this too much, not to have a thread on it.
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@IRJ said in AppGini - building a webpage/db:
@Dashrender said in AppGini - building a webpage/db:
@IRJ said in AppGini - building a webpage/db:
@Dashrender said in AppGini - building a webpage/db:
I think you're being over cautious.
Nope. Not something I am willing to ruin my career over.
Nice to be in that position, I guess.
Are you that afraid to say no?
As Scott says - IT's job is to enable the business. If they make decisions against our recommendations, that's really on them.
That said - I disagree with you. I do believe you're being over cautious. Our use of Excel with formulas, etc break your rules because those formulas are "design your shit on a whim" add-ons to a product that we are not going to pay someone to review before we use them. Hell, users create them all the time and IT has no clue they even exist.
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@Dashrender said in AppGini - building a webpage/db:
@IRJ said in AppGini - building a webpage/db:
@Dashrender said in AppGini - building a webpage/db:
@IRJ said in AppGini - building a webpage/db:
@Dashrender said in AppGini - building a webpage/db:
I think you're being over cautious.
Nope. Not something I am willing to ruin my career over.
Nice to be in that position, I guess.
Are you that afraid to say no?
As Scott says - IT's job is to enable the business. If they make decisions against our recommendations, that's really on them.
That said - I disagree with you. I do believe you're being over cautious. Our use of Excel with formulas, etc break your rules because those formulas are "design your shit on a whim" add-ons to a product that we are not going to pay someone to review before we use them. Hell, users create them all the time and IT has no clue they even exist.
You do not understand what everyone is trying to tell you.
- Nobody is saying Excel is a great solution, just a better one that using some random in house app with no review.
- Excel has code review and is patched super regularly with millions of users
- You and your management has a responsibility to first and foremost protect PHI.
- You will be scapegoat if anything happens (rightly so)
- Whatever you think is safe or isnt safe is irrelevant. Its about being HIPAA complaint which this solution is not.
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@IRJ said in AppGini - building a webpage/db:
@Dashrender said in AppGini - building a webpage/db:
@IRJ said in AppGini - building a webpage/db:
@Dashrender said in AppGini - building a webpage/db:
@IRJ said in AppGini - building a webpage/db:
@Dashrender said in AppGini - building a webpage/db:
I think you're being over cautious.
Nope. Not something I am willing to ruin my career over.
Nice to be in that position, I guess.
Are you that afraid to say no?
As Scott says - IT's job is to enable the business. If they make decisions against our recommendations, that's really on them.
That said - I disagree with you. I do believe you're being over cautious. Our use of Excel with formulas, etc break your rules because those formulas are "design your shit on a whim" add-ons to a product that we are not going to pay someone to review before we use them. Hell, users create them all the time and IT has no clue they even exist.
You do not understand what everyone is trying to tell you.
- Nobody is saying Excel is a great solution, just a better one that using some random in house app with no review.
- Excel has code review and is patched super regularly with millions of users
- You and your management has a responsibility to first and foremost protect PHI.
- You will be scapegoat if anything happens (rightly so)
- Whatever you think is safe or isnt safe is irrelevant. Its about being HIPAA complaint which this solution is not.
and what are you using to claim it's not compliant? This is why I disagree with you. HIPAA compliance is actually pretty easy, all things considered.
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@Dashrender said in AppGini - building a webpage/db:
@IRJ said in AppGini - building a webpage/db:
@Dashrender said in AppGini - building a webpage/db:
@IRJ said in AppGini - building a webpage/db:
@Dashrender said in AppGini - building a webpage/db:
I think you're being over cautious.
Nope. Not something I am willing to ruin my career over.
Nice to be in that position, I guess.
Are you that afraid to say no?
As Scott says - IT's job is to enable the business. If they make decisions against our recommendations, that's really on them.
There are things you let go, and things were you stand ground. I have not been in IT for nearly 15 years to have some hobby business owner tell me what to do and me just reply "yes daddy."
They are paying alot of money for my experience and expertise. So they will get my real unfiltered opinions. At the end of the day, I dont get what I always want. However, there are certain things which could be career ending, which I will not do.
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@Dashrender said in AppGini - building a webpage/db:
@IRJ said in AppGini - building a webpage/db:
@Dashrender said in AppGini - building a webpage/db:
@IRJ said in AppGini - building a webpage/db:
@Dashrender said in AppGini - building a webpage/db:
@IRJ said in AppGini - building a webpage/db:
@Dashrender said in AppGini - building a webpage/db:
I think you're being over cautious.
Nope. Not something I am willing to ruin my career over.
Nice to be in that position, I guess.
Are you that afraid to say no?
As Scott says - IT's job is to enable the business. If they make decisions against our recommendations, that's really on them.
That said - I disagree with you. I do believe you're being over cautious. Our use of Excel with formulas, etc break your rules because those formulas are "design your shit on a whim" add-ons to a product that we are not going to pay someone to review before we use them. Hell, users create them all the time and IT has no clue they even exist.
You do not understand what everyone is trying to tell you.
- Nobody is saying Excel is a great solution, just a better one that using some random in house app with no review.
- Excel has code review and is patched super regularly with millions of users
- You and your management has a responsibility to first and foremost protect PHI.
- You will be scapegoat if anything happens (rightly so)
- Whatever you think is safe or isnt safe is irrelevant. Its about being HIPAA complaint which this solution is not.
and what are you using to claim it's not compliant? This is why I disagree with you. HIPAA compliance is actually pretty easy, all things considered.
Dude, their own website says it isn't HIPAA compliant...
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@IRJ said in AppGini - building a webpage/db:
@Dashrender said in AppGini - building a webpage/db:
@IRJ said in AppGini - building a webpage/db:
@Dashrender said in AppGini - building a webpage/db:
@IRJ said in AppGini - building a webpage/db:
@Dashrender said in AppGini - building a webpage/db:
I think you're being over cautious.
Nope. Not something I am willing to ruin my career over.
Nice to be in that position, I guess.
Are you that afraid to say no?
As Scott says - IT's job is to enable the business. If they make decisions against our recommendations, that's really on them.
That said - I disagree with you. I do believe you're being over cautious. Our use of Excel with formulas, etc break your rules because those formulas are "design your shit on a whim" add-ons to a product that we are not going to pay someone to review before we use them. Hell, users create them all the time and IT has no clue they even exist.
You do not understand what everyone is trying to tell you.
- Nobody is saying Excel is a great solution, just a better one that using some random in house app with no review.
- Excel has code review and is patched super regularly with millions of users
- You and your management has a responsibility to first and foremost protect PHI.
- You will be scapegoat if anything happens (rightly so)
- Whatever you think is safe or isnt safe is irrelevant. Its about being HIPAA complaint which this solution is not.
I don't believe that Excel provides any HIPAA statements, either. And people have the same concerns about it as you do about AppGini.
https://www.excelforum.com/excel-general/1050696-protecting-patient-data-in-excel.html
Funny, they link a SW forum.
That MS has "review" and millions of users are really artefacts, not excuses. MS is actually famous for bad code review and being insecure. Yet I think we all feel confident that using an in house app like Excel, if treated properly, is "good enough" for HIPAA. It goes way above and beyond HIPAA compliance.
AppGini doesn't say it isn't compliant (unless I missed something), they refuse to sign indemnification for something that they aren't responsible for. That's unrelated.
You are assuming that Excel having "code review" and lots of users protects you. But it doesn't. And you are assuming that AppGini isn't patched or reviewed.
If you believe you have to be HIPAA certified end to end, that's impossible. No org in the world has that, at the end of the day, the final in house implementations in every shop, including medical research centers, comes down to their IT following proper practices. Always. This level of solution can't be HIPAA certified because the end users are part of the equation.
I think you'd find if we treated Excel with the scrutiny that we are applying to AppGini, it'd be ruled out as an option instantly. As would Windows. But HIPAA doesn't work that way.
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@IRJ said in AppGini - building a webpage/db:
@Dashrender said in AppGini - building a webpage/db:
@IRJ said in AppGini - building a webpage/db:
@Dashrender said in AppGini - building a webpage/db:
@IRJ said in AppGini - building a webpage/db:
@Dashrender said in AppGini - building a webpage/db:
@IRJ said in AppGini - building a webpage/db:
@Dashrender said in AppGini - building a webpage/db:
I think you're being over cautious.
Nope. Not something I am willing to ruin my career over.
Nice to be in that position, I guess.
Are you that afraid to say no?
As Scott says - IT's job is to enable the business. If they make decisions against our recommendations, that's really on them.
That said - I disagree with you. I do believe you're being over cautious. Our use of Excel with formulas, etc break your rules because those formulas are "design your shit on a whim" add-ons to a product that we are not going to pay someone to review before we use them. Hell, users create them all the time and IT has no clue they even exist.
You do not understand what everyone is trying to tell you.
- Nobody is saying Excel is a great solution, just a better one that using some random in house app with no review.
- Excel has code review and is patched super regularly with millions of users
- You and your management has a responsibility to first and foremost protect PHI.
- You will be scapegoat if anything happens (rightly so)
- Whatever you think is safe or isnt safe is irrelevant. Its about being HIPAA complaint which this solution is not.
and what are you using to claim it's not compliant? This is why I disagree with you. HIPAA compliance is actually pretty easy, all things considered.
Dude, their own website says it isn't HIPAA compliant...
Where does it say that? HIPAA compliance and not signing a BA are unrelated. You don't get a BA for every piece of in house software that you use. Imagine all the software that would have to be involved, and all the companies that would never, ever consider signing a BA for things that they have no control over, like in this case or Excels.
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A BA applies to service vendors. Not software vendirs or tools.
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@IRJ said in AppGini - building a webpage/db:
@Dashrender said in AppGini - building a webpage/db:
@IRJ said in AppGini - building a webpage/db:
@Dashrender said in AppGini - building a webpage/db:
@IRJ said in AppGini - building a webpage/db:
@Dashrender said in AppGini - building a webpage/db:
@IRJ said in AppGini - building a webpage/db:
@Dashrender said in AppGini - building a webpage/db:
I think you're being over cautious.
Nope. Not something I am willing to ruin my career over.
Nice to be in that position, I guess.
Are you that afraid to say no?
As Scott says - IT's job is to enable the business. If they make decisions against our recommendations, that's really on them.
That said - I disagree with you. I do believe you're being over cautious. Our use of Excel with formulas, etc break your rules because those formulas are "design your shit on a whim" add-ons to a product that we are not going to pay someone to review before we use them. Hell, users create them all the time and IT has no clue they even exist.
You do not understand what everyone is trying to tell you.
- Nobody is saying Excel is a great solution, just a better one that using some random in house app with no review.
- Excel has code review and is patched super regularly with millions of users
- You and your management has a responsibility to first and foremost protect PHI.
- You will be scapegoat if anything happens (rightly so)
- Whatever you think is safe or isnt safe is irrelevant. Its about being HIPAA complaint which this solution is not.
and what are you using to claim it's not compliant? This is why I disagree with you. HIPAA compliance is actually pretty easy, all things considered.
Dude, their own website says it isn't HIPAA compliant...
No, that was Airtable that says they aren't.
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@scottalanmiller said in AppGini - building a webpage/db:
@IRJ said in AppGini - building a webpage/db:
@Dashrender said in AppGini - building a webpage/db:
@IRJ said in AppGini - building a webpage/db:
@Dashrender said in AppGini - building a webpage/db:
@IRJ said in AppGini - building a webpage/db:
@Dashrender said in AppGini - building a webpage/db:
@IRJ said in AppGini - building a webpage/db:
@Dashrender said in AppGini - building a webpage/db:
I think you're being over cautious.
Nope. Not something I am willing to ruin my career over.
Nice to be in that position, I guess.
Are you that afraid to say no?
As Scott says - IT's job is to enable the business. If they make decisions against our recommendations, that's really on them.
That said - I disagree with you. I do believe you're being over cautious. Our use of Excel with formulas, etc break your rules because those formulas are "design your shit on a whim" add-ons to a product that we are not going to pay someone to review before we use them. Hell, users create them all the time and IT has no clue they even exist.
You do not understand what everyone is trying to tell you.
- Nobody is saying Excel is a great solution, just a better one that using some random in house app with no review.
- Excel has code review and is patched super regularly with millions of users
- You and your management has a responsibility to first and foremost protect PHI.
- You will be scapegoat if anything happens (rightly so)
- Whatever you think is safe or isnt safe is irrelevant. Its about being HIPAA complaint which this solution is not.
and what are you using to claim it's not compliant? This is why I disagree with you. HIPAA compliance is actually pretty easy, all things considered.
Dude, their own website says it isn't HIPAA compliant...
Where does it say that? HIPAA compliance and not signing a BA are unrelated. You don't get a BA for every piece of in house software that you use. Imagine all the software that would have to be involved, and all the companies that would never, ever consider signing a BA for things that they have no control over, like in this case or Excels.
Again - My copying of the - won't sign a BA - is from AirTable - not AppGini.
AppGini can be either locally hosted or cloud hosted - it's up to you. That is not the case with AirTable.
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@IRJ said in AppGini - building a webpage/db:
If dealing with PHI, then 100% yes you are not just able to design your shit on a whim.
This statement is the basis for my push back.
@IRJ said in AppGini - building a webpage/db:
- Nobody is saying Excel is a great solution, just a better one that using some random in house app with no review.
- Excel has code review and is patched super regularly with millions of users
- You and your management has a responsibility to first and foremost protect PHI.
- You will be scapegoat if anything happens (rightly so)
- Whatever you think is safe or isnt safe is irrelevant. Its about being HIPAA complaint which this solution is not.
- uh ok
- There is nothing in HIPAA that says you have to have code review, there is mention of patching, but I'd have to lookup the specifics,
- we can protect the data within reason with firewall rules, user logons, etc
- no one can protect themselves from this - if management is going to blame you, they are going to blame you
- You're right, my opinion doesn't matter, see above.
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@scottalanmiller said in AppGini - building a webpage/db:
@IRJ said in AppGini - building a webpage/db:
@Dashrender said in AppGini - building a webpage/db:
@IRJ said in AppGini - building a webpage/db:
@Dashrender said in AppGini - building a webpage/db:
@IRJ said in AppGini - building a webpage/db:
@Dashrender said in AppGini - building a webpage/db:
I think you're being over cautious.
Nope. Not something I am willing to ruin my career over.
Nice to be in that position, I guess.
Are you that afraid to say no?
As Scott says - IT's job is to enable the business. If they make decisions against our recommendations, that's really on them.
That said - I disagree with you. I do believe you're being over cautious. Our use of Excel with formulas, etc break your rules because those formulas are "design your shit on a whim" add-ons to a product that we are not going to pay someone to review before we use them. Hell, users create them all the time and IT has no clue they even exist.
You do not understand what everyone is trying to tell you.
- Nobody is saying Excel is a great solution, just a better one that using some random in house app with no review.
- Excel has code review and is patched super regularly with millions of users
- You and your management has a responsibility to first and foremost protect PHI.
- You will be scapegoat if anything happens (rightly so)
- Whatever you think is safe or isnt safe is irrelevant. Its about being HIPAA complaint which this solution is not.
I don't believe that Excel provides any HIPAA statements, either. And people have the same concerns about it as you do about AppGini.
https://www.excelforum.com/excel-general/1050696-protecting-patient-data-in-excel.html
Funny, they link a SW forum.
That MS has "review" and millions of users are really artefacts, not excuses. MS is actually famous for bad code review and being insecure. Yet I think we all feel confident that using an in house app like Excel, if treated properly, is "good enough" for HIPAA. It goes way above and beyond HIPAA compliance.
AppGini doesn't say it isn't compliant (unless I missed something), they refuse to sign indemnification for something that they aren't responsible for. That's unrelated.
You are assuming that Excel having "code review" and lots of users protects you. But it doesn't. And you are assuming that AppGini isn't patched or reviewed.
If you believe you have to be HIPAA certified end to end, that's impossible. No org in the world has that, at the end of the day, the final in house implementations in every shop, including medical research centers, comes down to their IT following proper practices. Always. This level of solution can't be HIPAA certified because the end users are part of the equation.
I think you'd find if we treated Excel with the scrutiny that we are applying to AppGini, it'd be ruled out as an option instantly. As would Windows. But HIPAA doesn't work that way.
Office 365 (Which includes Excel) is HIPAA compliant. I think @Dashrender is already using Office 365?
So on one side you have a very large company that has the best office suite in existence. Their office suite is well trusted and used by 90% of companies and releases common, well documented updates. Then on the other side you have some company with a few employees that is known by nobody outside of IT (even most in IT have never heard of it).
If you have ever done risk management the answer is quite clear on where the company takes a higher level of risk. Not only to actual infrastructure, but in dealing with auditors, courts, and government (which are not IT). Those people will not understand the decision, and honestly those are the ones you should be worried about.
Likelyhood is that dash's company will stay under radar and it wont be an issue. That's small IT thinking. If you were ever pull this stunt in a larger company and you have to not only show this type of stuff to auditors on a regular basis, but your large customers may audit you as well.
Everyone is going to ask "WTF is appgini? and do you have PHI in it." "What are your reasons for doing this?." "Show us a detailed diagram of how it works?"
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- There is nothing in HIPAA that says you have to have code review, there is mention of patching, but I'd have to lookup the specifics,
That's not the point. Code reviews catch the things that are required.
The app needs unique user identification, automatic logoff, possibly encryption at rest if the OS isn't going to handle it, emergency access to PHI, auditing to track access, etc. Unless the tool has that pre-built into it you're going to have to create all of that at the minimum.
You have some of that through Excel because you can audit from audit records in the OS who accessed files when and authentication is done at the OS level.
What you don't have it in is a tool to attempt make non-developers into people who can make web apps.
