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DocuSign’s eSignature solutions
modernize healthcare and
life science organizations
by eliminating paper and
antiquated signature processes
while meeting compliance
requirements and reducing costs
and errors.
Introduction
Your management and IT departments are driving towards tomorrow’s
wholly digital world, making critical technology investments in an
effort to streamline your business. Unfortunately, they often overlook a
critical last step.
A hospital or medical office might be state of the art—until a patient
walks in the door and is handed a clipboard full of paper forms to fill
out, which then must be manually keyed in, costing precious time, and
possibly resulting in serious errors.
A pharmaceutical company may be conducting clinical trials on a
groundbreaking new drug, but their crucial documentation and
signature procedures are often stuck in the past. They must wait
for forms to be e-mailed, faxed or overnighted, and then wait for
documents to be signed and returned, often back and forth between
multiple locations, adding significant time to the approval processi
.
There is a hefty price tag to this inefficiency: The Association for
Information and Image Management estimates that signed paper
documents cost an average of $6.50 per page to handle and process.
However, there is a better, quicker, and cost-efficient solution to
streamlining critical healthcare and life science processes in a
paperless way; with DocuSign’s fast and secure eSignature solutions.
The dotted line affects your bottom line, and the following
demonstrate how your business can take those final steps into the
paperless future.
Struggling Along the Paper Trail
Time is money, as the old saying goes, and never has this concept
been more applicable than in today’s fast-paced world where many
business processes are conducted instantly and globally. Of course,
any technology is only as fast as its slowest point, and paper forms,
contracts, and documents are the quicksand that bogs down your
entire way of providing care and doing business.
However, time is not the only issue with those stacks of paperwork.
The following are some of the issues involved with the collection and
processing of paper.
•	Slow
In a medical office, there’s a waiting room full of patients filling
out clipboards full of forms, which then must be manually keyed
in before the doctor can actually see the patient, with the backlog
growing throughout the day.
During clinical trials, consent and result forms must be mailed or
faxed, then resent if any information is missing. Days of waiting
can easily turn into weeks or months trying to track down everyone
and get their signatures.
The Paperless Future of Healthcare
and Life Sciences
“DocuSign’s eSignature solution for patient on-boarding
has had a significant impact on our organization.
Patients are delighted because they no longer have
to arrive early to fill out paperwork–instead, they can
complete it anytime, anywhere, on any device when
they have all information available to them. Providers
are pleased because the charts are populated with
correct information before the visit which allows for a
more efficient visit and eliminates frustration. Staff is
happy because the data is 100% legible, all required
information is provided and the administrative
processing time is reduced from 8 hours to 30 minutes.”
Kate Griggs
Performance Improvement Leader
GreenField Health
WHITE PAPER docusign.com
Continued
•	Expensive
It’s estimated that every piece of paper costs an average of
$6.50 to process. Then there is the cost of mailing, especially for
overnight services, and rates are constantly increasing. Many man
hours are needed to handle the printing, distribution, collection,
processing, and storage of all those papers, and extra staff may be
required to handle the backlog.
•	Full of Errors
In a crowded waiting room with phones ringing and babies
crying, someone has to manually key in all of the patient’s crucial
medical history. Mistakes are bound to happen, and a single errant
keystroke may have serious consequences by failing to provide
correct family history, drug allergies, test results, etc.
Successful clinical trials hang in the balance of the test results and
compliance to regulations. Transcription errors can void results
from entire segments of participants or bring trials to a halt.
•	Security Issues
It doesn’t take an expert hacker to find sensitive material left on
a copy machine, or stacks of file folders sitting on a desk or in
unsecured storage areas.
•	Compliance Risks
Failure to comply with HIPAA regulations can be extremely
costly. With mountains of paperwork being generated every year,
complete patient privacy and 100% compliance becomes less and
less likely.
When you prepare your clinical trial for that final review, can
you be certain all of the FDA regulations have been addressed
somewhere in those piles of papers? Have they all been properly
filled out and signed? Is anything missing?
•	Storage and Availability
Where are all those paper forms and documents going to be
stored, and how accessible will they be when needed? How is
it even possible to work efficiently, error-free, and be compliant
with file cabinets full of paperwork in different rooms, buildings,
or even geographic locations? One document in the wrong folder
can spell disaster.
•	Unhappy Patients, Unhappy Staff
Going to the doctor or having procedures is stressful enough,
without the patient being bothered filling out and signing
redundant stacks of forms. And while the primary focus of a
medical facility’s staff should be on patient care, they can spend
hours a day keying in forms, gathering and verifying all of the
necessary paperwork, and making sure results and requests get
into the right hands.
The entire paper trail from start to finish is slow, costly, inefficient, full
of errors, vulnerable to security breaches and compliance failures, and
just simply aggravating for all involved. How much better would the
patient/doctor experience and business environment be if it could be
paper-free?
Paperless is the Future of Healthcare
Imagine a medical office that starts the day with all of their patients’
accurate medical histories, signed consent forms, and insurance
information already updated and in their systems, and all of the co-
pays already paid for and processed? What if patients had the ability to
fill out and sign all of the required paperwork on their home computer
or handheld device before arriving for their appointments? What if
physicians and staff could also enter all findings and test results, and
authorize recommended treatments, prescriptions, and procedures?
How would patients and staff benefit?
Imagine clinical trials where signed consent forms have a turnaround
time of just days or hours, and test results can immediately be
processed and analyzed? What would be the time and financial savings
of such paperless procedures?
•	Fast and Efficient
Staff could immediately check in both existing and new patients
with accurate information. Immediately after the consultation or
procedure, patient follow up actions can commence, insurance
claims can be filed, and billing initiated.
During clinical trials, what once took weeks or months waiting for
signatures and results could now only take days or even just hours.
•	Compliant and Safe
Multiple levels of verification and encryption protect Personal
Health Information (PHI) for complete privacy and HIPAA
compliance for medical offices and their patients.
KOL event data, sampling, and clinical trial information is verified
at the point of entry, so when trials are complete, there won’t
be any surprises with lost documents, empty fields, or missing
signatures. Documents are 100% in good order.
How Does DocuSign Work?
The goal of DocuSign is to allow people to complete and sign
anything, anywhere, anytime, and on any device. The process is simple
and easy: choose a document, select recipients, use the DocuSign
drag and drop icons to highlight where data entry and signatures
are required, and then send. Recipients fill out and sign the required
information and send it back—and it’s all safe, secure, and legally
binding.
DocuSign enables end-to-end automation of document workflows
as data fields can be collected, captured, and verified at the point
of signature, eliminating the need to “pop out” paper documents
that must be re-keyed after completion. Complete automation saves
significant time and money, guarantees that no forms are incomplete,
eliminates re-keying errors, while ensuring compliance.
WHITE PAPER docusign.com
About DocuSign
DocuSign®
is the global standard for electronic signature®
. DocuSign accelerates transactions to increase speed to results, reduce costs, and delight
customers with the easiest, fastest, most secure global network for sending, signing, tracking, and storing documents in the cloud.
For U.S. inquiries: toll free 866.219.4318 | docusign.com
For European inquiries: free phone +44 (0) 800 098 8113 | docusign.com/europe
Copyright © 2003-2013 DocuSign, Inc. All rights reserved. DocuSign, the DocuSign logo, “Close it in the Cloud”, SecureFields, Stick-eTabs, PowerForms, “The fastest way
to get a signature”, The No-Paper logo, Smart Envelopes, SmartNav, “DocuSign It!”, “The World Works Better with DocuSign” and ForceFields are trademarks or registered
trademarks of DocuSign, Inc. in the United States and or other countries. All other trademarks and registered trademarks are the property of their respective holders.
Follow Us:
WHITE PAPER docusign.com
In terms of security, DocuSign is the only eSignature company that is
ISO 27001 certified as an information security management system,
which is the highest level of global information security assurance
available today. DocuSign offers the strongest levels of enforceability
in eSignature, with multiple levels of security, including clear, non-
repudiation audit trails, encryption, tamper-sealed certificates, and
chain of custody, so you can be certain your documents are safe and
signatures are authentic and legally binding.
Specifically in terms of HIPAA compliance:
•	Documents containing PHI are never e-mailed
•	Signers receive a link to an encrypted envelope that contains the
document
•	Multi-factor authentication is available
•	A compliant audit trail captures complete details of the entire
sending and signing process
For 21 CFR Part 11 compliance, DocuSign offers:
•	Authenticity, integrity, non-repudiation, and confidentiality
•	Controls for identification of codes and passwords
•	Identification to access system and for serial signing
•	Identity verification of signers before signing
•	Falsification protection (signature linking)
As documents are prepared and executed, the comprehensive
DocuSign platform allows users to monitor the status of their
document at every stage, along with a complete and extensive audit
trail, which provides all pertinent details about the transactions. Finally,
DocuSign’s tamper-proof storage system securely saves all of your
documents, while enabling immediate access whenever and wherever
you need them.
Paperless Success Stories
Healthcare and Life Sciences companies using DocuSign have seen
the following results:
•	Turnaround times for diagnostic result documents cut by 15 days
•	A saving of $1.1 million in overnight shipping costs on research
consent forms
•	Increased rep efficiency by eliminating time spent sending in
paper forms with doctors’ signatures
The case of Wellmark Blue Cross Blue Shield exemplifies the benefits
of going paperless. In order to achieve the mandated Medical Loss
Ratio (MLR) of 80/20, it was essential to trim administrative costs
to meet the goal of no more than 20 cents for every dollar spent.
According to Ombud, one company was “ahead of the curve in
implementing technologies to reduce excessive administrative
expenses”—Wellmark Blue Cross Blue Shield.
They achieved this using “DocuSign to replace manual, paper-based
administrative processes to eliminate excessive expenses with legally-
binding electronic signatures. E-Signatures have been part of the
solution to achieve compliance, increase efficiency and save resources.
They have exceeded the government-mandated MLR and reduced the
need for printing, faxing, scanning and shipping documents.”
Kenny Chasten, Vice President and Chief Procurement Officer of
Wellmark, confirmed that, “DocuSign has transformed the way
we conduct business, created numerous process efficiencies, and
recognized significant administrative cost savings.”
Utilizing DocuSign, Wellmark has been able to:
•	Eliminate spreadsheets from the contract tracking process and
reduce contract cycle time by half
•	In the first year alone, Wellmark eliminated the need for
over 200,000 sheets of paper and saved over $35,000 in two
departments
•	By reducing non-health-related expenses, they achieved
sustainable compliance with the federal 80/20 MLR regulations
Another example comes from a Fortune 250 pharmaceutical company.
With DocuSign, they achieved the following:
•	Streamlined compliance with Corporate Integrity Agreement and
ultimately the Affordable Care Act
•	Reduced cycle time from three to six weeks to three days
•	Gained easy access to signatures via mobile signing
•	Eliminated unauthorized contract modification
Summary and Conclusion
DocuSign is the global standard for eSignatures for healthcare and
life science companies, and is being utilized in 189 countries and in 39
languages. With their powerful platform, they offer the rigorous levels
of security necessary to protect PHI, and maintain 100% compliance
with HIPAA and 21 CFR Part 11. Complete visibility, accessibility, and
accountability is available to customers at every step of the document
process, so they can be confident that they can efficiently go paperless
for anything, anywhere, anytime, and on any device.
i
Embracing electronic signatures - myths, benefits and tips, Deanna
Ferrante, InContext, Jan 27, 2012

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Whitepaper: The Paperless Future of Healthcare and Life Sciences

  • 1. Continued Share:WHITE PAPER DocuSign’s eSignature solutions modernize healthcare and life science organizations by eliminating paper and antiquated signature processes while meeting compliance requirements and reducing costs and errors. Introduction Your management and IT departments are driving towards tomorrow’s wholly digital world, making critical technology investments in an effort to streamline your business. Unfortunately, they often overlook a critical last step. A hospital or medical office might be state of the art—until a patient walks in the door and is handed a clipboard full of paper forms to fill out, which then must be manually keyed in, costing precious time, and possibly resulting in serious errors. A pharmaceutical company may be conducting clinical trials on a groundbreaking new drug, but their crucial documentation and signature procedures are often stuck in the past. They must wait for forms to be e-mailed, faxed or overnighted, and then wait for documents to be signed and returned, often back and forth between multiple locations, adding significant time to the approval processi . There is a hefty price tag to this inefficiency: The Association for Information and Image Management estimates that signed paper documents cost an average of $6.50 per page to handle and process. However, there is a better, quicker, and cost-efficient solution to streamlining critical healthcare and life science processes in a paperless way; with DocuSign’s fast and secure eSignature solutions. The dotted line affects your bottom line, and the following demonstrate how your business can take those final steps into the paperless future. Struggling Along the Paper Trail Time is money, as the old saying goes, and never has this concept been more applicable than in today’s fast-paced world where many business processes are conducted instantly and globally. Of course, any technology is only as fast as its slowest point, and paper forms, contracts, and documents are the quicksand that bogs down your entire way of providing care and doing business. However, time is not the only issue with those stacks of paperwork. The following are some of the issues involved with the collection and processing of paper. • Slow In a medical office, there’s a waiting room full of patients filling out clipboards full of forms, which then must be manually keyed in before the doctor can actually see the patient, with the backlog growing throughout the day. During clinical trials, consent and result forms must be mailed or faxed, then resent if any information is missing. Days of waiting can easily turn into weeks or months trying to track down everyone and get their signatures. The Paperless Future of Healthcare and Life Sciences “DocuSign’s eSignature solution for patient on-boarding has had a significant impact on our organization. Patients are delighted because they no longer have to arrive early to fill out paperwork–instead, they can complete it anytime, anywhere, on any device when they have all information available to them. Providers are pleased because the charts are populated with correct information before the visit which allows for a more efficient visit and eliminates frustration. Staff is happy because the data is 100% legible, all required information is provided and the administrative processing time is reduced from 8 hours to 30 minutes.” Kate Griggs Performance Improvement Leader GreenField Health
  • 2. WHITE PAPER docusign.com Continued • Expensive It’s estimated that every piece of paper costs an average of $6.50 to process. Then there is the cost of mailing, especially for overnight services, and rates are constantly increasing. Many man hours are needed to handle the printing, distribution, collection, processing, and storage of all those papers, and extra staff may be required to handle the backlog. • Full of Errors In a crowded waiting room with phones ringing and babies crying, someone has to manually key in all of the patient’s crucial medical history. Mistakes are bound to happen, and a single errant keystroke may have serious consequences by failing to provide correct family history, drug allergies, test results, etc. Successful clinical trials hang in the balance of the test results and compliance to regulations. Transcription errors can void results from entire segments of participants or bring trials to a halt. • Security Issues It doesn’t take an expert hacker to find sensitive material left on a copy machine, or stacks of file folders sitting on a desk or in unsecured storage areas. • Compliance Risks Failure to comply with HIPAA regulations can be extremely costly. With mountains of paperwork being generated every year, complete patient privacy and 100% compliance becomes less and less likely. When you prepare your clinical trial for that final review, can you be certain all of the FDA regulations have been addressed somewhere in those piles of papers? Have they all been properly filled out and signed? Is anything missing? • Storage and Availability Where are all those paper forms and documents going to be stored, and how accessible will they be when needed? How is it even possible to work efficiently, error-free, and be compliant with file cabinets full of paperwork in different rooms, buildings, or even geographic locations? One document in the wrong folder can spell disaster. • Unhappy Patients, Unhappy Staff Going to the doctor or having procedures is stressful enough, without the patient being bothered filling out and signing redundant stacks of forms. And while the primary focus of a medical facility’s staff should be on patient care, they can spend hours a day keying in forms, gathering and verifying all of the necessary paperwork, and making sure results and requests get into the right hands. The entire paper trail from start to finish is slow, costly, inefficient, full of errors, vulnerable to security breaches and compliance failures, and just simply aggravating for all involved. How much better would the patient/doctor experience and business environment be if it could be paper-free? Paperless is the Future of Healthcare Imagine a medical office that starts the day with all of their patients’ accurate medical histories, signed consent forms, and insurance information already updated and in their systems, and all of the co- pays already paid for and processed? What if patients had the ability to fill out and sign all of the required paperwork on their home computer or handheld device before arriving for their appointments? What if physicians and staff could also enter all findings and test results, and authorize recommended treatments, prescriptions, and procedures? How would patients and staff benefit? Imagine clinical trials where signed consent forms have a turnaround time of just days or hours, and test results can immediately be processed and analyzed? What would be the time and financial savings of such paperless procedures? • Fast and Efficient Staff could immediately check in both existing and new patients with accurate information. Immediately after the consultation or procedure, patient follow up actions can commence, insurance claims can be filed, and billing initiated. During clinical trials, what once took weeks or months waiting for signatures and results could now only take days or even just hours. • Compliant and Safe Multiple levels of verification and encryption protect Personal Health Information (PHI) for complete privacy and HIPAA compliance for medical offices and their patients. KOL event data, sampling, and clinical trial information is verified at the point of entry, so when trials are complete, there won’t be any surprises with lost documents, empty fields, or missing signatures. Documents are 100% in good order. How Does DocuSign Work? The goal of DocuSign is to allow people to complete and sign anything, anywhere, anytime, and on any device. The process is simple and easy: choose a document, select recipients, use the DocuSign drag and drop icons to highlight where data entry and signatures are required, and then send. Recipients fill out and sign the required information and send it back—and it’s all safe, secure, and legally binding. DocuSign enables end-to-end automation of document workflows as data fields can be collected, captured, and verified at the point of signature, eliminating the need to “pop out” paper documents that must be re-keyed after completion. Complete automation saves significant time and money, guarantees that no forms are incomplete, eliminates re-keying errors, while ensuring compliance.
  • 3. WHITE PAPER docusign.com About DocuSign DocuSign® is the global standard for electronic signature® . DocuSign accelerates transactions to increase speed to results, reduce costs, and delight customers with the easiest, fastest, most secure global network for sending, signing, tracking, and storing documents in the cloud. For U.S. inquiries: toll free 866.219.4318 | docusign.com For European inquiries: free phone +44 (0) 800 098 8113 | docusign.com/europe Copyright © 2003-2013 DocuSign, Inc. All rights reserved. DocuSign, the DocuSign logo, “Close it in the Cloud”, SecureFields, Stick-eTabs, PowerForms, “The fastest way to get a signature”, The No-Paper logo, Smart Envelopes, SmartNav, “DocuSign It!”, “The World Works Better with DocuSign” and ForceFields are trademarks or registered trademarks of DocuSign, Inc. in the United States and or other countries. All other trademarks and registered trademarks are the property of their respective holders. Follow Us: WHITE PAPER docusign.com In terms of security, DocuSign is the only eSignature company that is ISO 27001 certified as an information security management system, which is the highest level of global information security assurance available today. DocuSign offers the strongest levels of enforceability in eSignature, with multiple levels of security, including clear, non- repudiation audit trails, encryption, tamper-sealed certificates, and chain of custody, so you can be certain your documents are safe and signatures are authentic and legally binding. Specifically in terms of HIPAA compliance: • Documents containing PHI are never e-mailed • Signers receive a link to an encrypted envelope that contains the document • Multi-factor authentication is available • A compliant audit trail captures complete details of the entire sending and signing process For 21 CFR Part 11 compliance, DocuSign offers: • Authenticity, integrity, non-repudiation, and confidentiality • Controls for identification of codes and passwords • Identification to access system and for serial signing • Identity verification of signers before signing • Falsification protection (signature linking) As documents are prepared and executed, the comprehensive DocuSign platform allows users to monitor the status of their document at every stage, along with a complete and extensive audit trail, which provides all pertinent details about the transactions. Finally, DocuSign’s tamper-proof storage system securely saves all of your documents, while enabling immediate access whenever and wherever you need them. Paperless Success Stories Healthcare and Life Sciences companies using DocuSign have seen the following results: • Turnaround times for diagnostic result documents cut by 15 days • A saving of $1.1 million in overnight shipping costs on research consent forms • Increased rep efficiency by eliminating time spent sending in paper forms with doctors’ signatures The case of Wellmark Blue Cross Blue Shield exemplifies the benefits of going paperless. In order to achieve the mandated Medical Loss Ratio (MLR) of 80/20, it was essential to trim administrative costs to meet the goal of no more than 20 cents for every dollar spent. According to Ombud, one company was “ahead of the curve in implementing technologies to reduce excessive administrative expenses”—Wellmark Blue Cross Blue Shield. They achieved this using “DocuSign to replace manual, paper-based administrative processes to eliminate excessive expenses with legally- binding electronic signatures. E-Signatures have been part of the solution to achieve compliance, increase efficiency and save resources. They have exceeded the government-mandated MLR and reduced the need for printing, faxing, scanning and shipping documents.” Kenny Chasten, Vice President and Chief Procurement Officer of Wellmark, confirmed that, “DocuSign has transformed the way we conduct business, created numerous process efficiencies, and recognized significant administrative cost savings.” Utilizing DocuSign, Wellmark has been able to: • Eliminate spreadsheets from the contract tracking process and reduce contract cycle time by half • In the first year alone, Wellmark eliminated the need for over 200,000 sheets of paper and saved over $35,000 in two departments • By reducing non-health-related expenses, they achieved sustainable compliance with the federal 80/20 MLR regulations Another example comes from a Fortune 250 pharmaceutical company. With DocuSign, they achieved the following: • Streamlined compliance with Corporate Integrity Agreement and ultimately the Affordable Care Act • Reduced cycle time from three to six weeks to three days • Gained easy access to signatures via mobile signing • Eliminated unauthorized contract modification Summary and Conclusion DocuSign is the global standard for eSignatures for healthcare and life science companies, and is being utilized in 189 countries and in 39 languages. With their powerful platform, they offer the rigorous levels of security necessary to protect PHI, and maintain 100% compliance with HIPAA and 21 CFR Part 11. Complete visibility, accessibility, and accountability is available to customers at every step of the document process, so they can be confident that they can efficiently go paperless for anything, anywhere, anytime, and on any device. i Embracing electronic signatures - myths, benefits and tips, Deanna Ferrante, InContext, Jan 27, 2012