practice management
The wireless office comes of age
It's cheap and easy for small practices to cut the computer cord

Did you ever wish you could pull up a patient's chart on your PDA while walking to the exam room? How about checking your email from the parking lot? With wireless networking this is all very possible, and what's more, it's inexpensive and usually takes just an hour to set up for a small practice.

Wireless networking technology, or Wi-Fi, has been around for 10 years. It was initially a pretty flakey affair, but new Wi-Fi gear is fast and reliable enough for all but the most demanding clinical uses.

The latest generation of Wi-Fi — called 802.11n or wireless n — is a big leap forward in terms of speed and reception. That's great news for doctors because typical medical practices, with their many walls and lead shielding for x-rays, tended to have interference problems when using earlier incarnations of Wi-Fi. And wireless networks don't force you to throw out any old gear — they're compatible with any garden-variety wired network (usually called a LAN or local area network).

Also the different types of Wi-Fi are compatible with one another — for instance, if you have a speedy network created with wireless n gear and a laptop with an older wireless b card, the old laptop will work just fine (although it won't be able to take advantage of the improved speed).


GETTING STARTED
If you decide to take the wireless plunge, you're probably best off choosing wireless n products. Some companies claim to offer up to 300 Mbps performance, which is better than some wired networks. In reality you'll likely see, at best, one-third of that speed — but that's still more than double the top clip of earlier wireless technologies. To get up and running you'll need a router ($150-$200) and a wireless card ($75-$100) — also called an adapter or receiver — for each computer that needs to connect wirelessly.


HOME ON THE RANGE
Wireless n is a great technology, but don't get fooled into thinking it's anywhere near as powerful as the salesmen say. For instance, most n routers boast they offer nearly 140 square metres of wireless coverage for your network. Now you might get that if you practise in the open air on the Saskatchewan prairie. But in a typical office, you'd be lucky to get reliable coverage over half of that range.

It's best to place the router near the centre of your office to maximize its range. Wander around your practice with your laptop or PDA to test how far away you can connect. If you still have dead spots, you can buy a wireless n access point (about $200) which works much like a radio station's repeaters.


LOCK UP
The expanded range of today's wireless networking gear is a double-edged sword for doctors. While improved reliability and fewer dead spots within an office is a boon to productivity, it also means hackers with hot-rod antennas could potentially sniff out your network — and its sensitive data — from kilometres away.

Thankfully, even cheap consumer Wi-Fi gear has powerful security features. But you have to use them. Many people just leave their router's security features turned off, which is the cyber-equivalent of leaving your front door wide open and posting a "trespassers welcome" sign in the window. This is because nearly all wireless routers ship with a feature called "SSID broadcasting" turned on. SSID broadcasting will announce your network's existence to any wireless-equipped computer that comes within range — practically goading hackers to do their thing.

This is very simple to turn off. Most routers have a numerical address printed on the bottom of the unit (it's called an IP address), just type this number into a web browser along with the user name and password and you can change your wireless network settings. It goes without saying that you should change the default username and password (for most units it's "admin" and "password" — incredibly easy for intruders to guess) for modifying router settings.

Also, most wireless routers give your network a very generic name (usually the manufacturer's name) that's easy for intruders to guess even if it's not announced. Changing your network's name to something a bit offbeat will help keep it under the radar.

Any medical practice that cares about patient privacy should also use the encryption features built into nearly all Wi-Fi gear. This will scramble the data in transit, making it difficult for hackers to make sense of it. If your router offers you a choice between "WEP" or "WPA" — choose the latter, it's much tougher to crack.

MORE FROM YOUR OFFICE
Wireless glossary

Computer networking practically has a language unto itself; thankfully you only really need to know some key terms.
Access point
A device that allows wireless-capable computers to connect to one another. They can also be used as repeaters to extend a wireless network's range.

Adapter The card that adds networking features to your computer. A wireless adapter usually goes into a desktop, laptop or PDA's expansion port but you can also buy USB adapters that look just like thumb-drives. Most new mobile computers, and many desktops, come with a wireless networking adapter built-in.

Broadband High-speed always-on internet connection. Even the slowest Wi-Fi connection is sufficiently fast for broadband internet surfing.

Ethernet The standard type of wired computer network.

LAN (Local Area Network) A small, private computer network.

Router A device that connects two networks together — like your practice's LAN and the internet. Most wireless routers also work as access points.

Throughput The speed at which data travels in a network, measured in megabits per second or Mbps. Real world speeds are often less than half of what's advertised.

WAN (Wide Area Network) Not to be confused with WLAN. It's a large geographically dispersed group of connected LANs. The internet itself is a WAN.

WEP (Wired Equivalency Privacy) A basic password-protected security feature that comes with most wireless networking equipment.

Wi-Fi A marketing name for 802.11 wireless networking technology.

WLAN (Wireless Local Area Network) This is just like a normal LAN, only it's wireless. You'll mainly see the benefits of new, faster wireless n equipment when transferring files and using a database over a WLAN.

WPA (Wi-Fi Protected Access) This is a newer, more secure technology for keeping hackers out of your network. It comes with most new wireless gear and it offers much better encryption than WEP and is a great choice for medical practices.

802.11 It's the Institute of Electrical and Electronics Engineers' not-so-snappy name for the technology behind wireless networking. So far, four varieties have come to market:

802.11b This was the first flavour of wireless networking to catch on, it's still plenty fast for surfing the net, but it can be quite sluggish for retrieving files on your own network.

802.11a Oddly enough, this came after 'b.' It was faster but it was never widely adopted.

802.11g Currently the most widely used wireless technology.

802.11n The wireless wave of the future. Its real-world performance comes close to rivalling wired networks.

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