Sigmark
Sign In Software Solutions
Keeping track of who has crossed your theashold has always been a part of modern
business practices. Historically the customer or patient has been asked to print or sign a paper sign in sheet which would be reviewed and stored for future reference. Knowing just "who
your customer is" has paled compared to the burden of proof issues that have arisen in the
healthcare field. With the introduction of the Federal Medicare program in 1963, it has
been a necessity to provide reasonable proof that a patient who has received medical
services was in fact at the medical facility.
With the introduction and proliferation of computers over the last twenty years, many
areas of business transaction have been computerized including the electronic signature capture. Credit card use is the most widely accepted form of
electronic signature capture.
Lagging behind this wave of digital signature capture by businesses is the individual
healthcare provider. Until recently there has been little attention paid to the simple
patient sign in sheet used in most doctors offices and medical facilities across the country. Paper sign in sheets, in this day
of digital everything, is still used and filed and retrived with great effort and lost efficiency.
Only in the last couple of years has cost effective software come to the market matched
with new computer hardware that makes patient signature capture simple and
efficient. As the healthcare industry continues to replace paper documents, contracts
and forms withmore efficient and cost-effective electronic substitutes, electronic signature capture becomes an increasingly important investment.
In the United States, electronic signatures are covered under the Uniform
Electronic Transactions Act (UETA) and Electronic Signatures in Global and
National Commerce (ESIGN) law. Passed by the US Congress in 1999 and 2000,
respectively, these two laws serve as the framework for electronic commerce
implementation in the United States, as most state-level E-commerce laws are
identical to UETA or a slightly altered version. These laws specify exactly what
constitutes a valid electronic signature, as well as the conditions under which it
is legally binding. An electronic signature is a "sound, symbol, or process,
logically associated with a document" such that it is:
1) unique to each user
2) under the sole control of the signer
3) linked to a document in such a way as to prevent tampering, and
4) capable of being authenticated
Several different methods and technologies exist for attaching "electronic
signatures" to documents according to these stipulations. Digitized handwritten
signatures are captured with special pen-and-tablet systems that convert
a user’s signature accurately into pen events or a summary image.
While the use of any pen-and-tablet signature technology may seem to be the logical
replacement for traditional "wet" ink-on-paper signatures, there are several
issues to consider when choosing a system for your business.
An important characteristic of ink-on-paper signatures is that they can be
individually studied and analyzed by forensic handwriting experts, then
compared to other existing samples for authentication. Perhaps the most
significant challenge to the validity of an electronic signature is the issue of
authentication, since few technology providers support their technology with
verifi cation tools. If a signature cannot be attributed to the purported signatory,
it is worthless. Electronic signatures are no exception to this, and must be
capable of authentication to be valid and binding. Insist that a technology
provider have authentication tools and training in-place before selecting their
solution.
Systems that embed an electronic signature image into an electronic document
have less legal weight than faxed or photocopied
signatures. Like "rubber-stamp" signatures, the object representing the
signature is a superficial representation with no data linking the image to a
biometric performance, and unlike a fax transaction, there is no 3rd-party
record of the transmission. A bitmap, tif, or jpg image is not useful to a forensic
examiner as it provides no detailed characteristics for analysis as is provided
with original pen data.
The most accurate, reliable, and secure method of capturing an electronic signature is in
the form of raw pen events. A file of this type contains no images or analysis of
the electronic signature, just the pen events and position converted at high speed. This
data has the additional advantage of being stored in a database or bound to
the contents of a document very securely since it does not exist as a common
image file format. It cannot be easily copied, viewed or used as a reference
for forgers since there is no embedded image. Furthermore, since all original
captured pen events are present in the electronic signature itself, a forensic expert can
later examine it point-by-point using specialized signature analysis software, if
available.
In general, when deciding which electronic signature system best suits the
needs of your business, use traditional paper-based practices as a gold
standard. If a specific technology mimics or matches these practices closely, it
is probably a safe and reliable choice. The more technical shortcuts a system
employs, such as creating multiple signatures with one stroke of a pen or
keypad, or saving flat images in place of real, forensic-quality signatures, the
more likely the system is to encounter difficulties and fraud in practice. With old
ink-on-paper characteristics as your guide, your electronic signature document solution
should be a signature success.
Signature capture hardware manufacturers have their own specifications,
data formats, and software methodologies that affect security, authentication,
and legality.
For the sake of privacy and legal enforceability, an electronic
signature capture must remain under the "sole control of the signer" to be valid under
the national ESIGN electronic commerce law. To satisfy this requirement, an electronic signature must be placed or linked into the relevant document directly, with no interlopers
or copies, and then bound to the document in such a way as to render document
tampering detectable. Without these critical features, it would not be possible to
prove that a signatory did indeed assent to the terms of the written agreement,
or that the language in the document was identical in form to the state in which
it was initially signed.
There is no substitute for an effective security policy which prevents viruses,
worms and data sniffers from residing on a client or server computer.
Encryption gimmicks in a signature pad connected to a PC provide a false sense
of security if a rogue program or keyboard, printer, screen, memory, or usb data
sniffer is also on the PC.
Matters can be made worse if overly powerful and
un-necessary processors and operating systems are employed in electronic
signature devices, due to latent bugs and viruses or internal data storage
and encryption; as these techniques further jeopardize and remove security
monitoring and update capability from the hands of IT personnel.