
It’s easy to get a false sense of security and assume that your Microsoft 365 data is safe and secure because M365 automatically backs up your SaaS data for simple recovery, right?
Well, not so fast.
While M365 and most other SaaS platforms offer some sort of data protection and recovery features, it’s bare bones at best. For healthcare organizations, this opens Pandora’s box for compliance and continuity issues that can end up costing hundreds of thousands of dollars in fines. And on top of that, add the inability to serve patients and conduct daily business.
It’s critical to have timely and secure access to patients’ highly sensitive personally identifiable information (PII), protected health information (PHI), financial information, intellectual property, and credentials. However, given how this information has grown exponentially, data loss prevention has never been more necessary to ensure business continuity.
It’s crucial to understand that retention requirements far exceed what SaaS applications typically deliver natively, making it vital to close the gap with a reliable backup and recovery tool.
For healthcare organizations, compliance and continuity are the two main factors driving the need for third-party SaaS backup.
Regulatory Compliance
The Health Insurance Portability and Accountability Act of 1996 (HIPAA) makes healthcare delivery organizations legally obligated to preserve certain types of information for periods that exceed a SaaS service’s built-in capabilities.
As the HIPAA Journal explains, each state has its own laws governing the retention of patients’ medical records. To complicate things further, those retention periods can vary considerably. 50 states with 50 retention requirements: Is this something your healthcare organization wants to (or can afford to) manage?
Individual U.S. state laws govern the retention of patients’ medical records, while HIPAA imposes requirements on how long HIPAA-related documents must be retained.
According to the HIPAA Journal, “In Florida, physicians must maintain medical records for five years after the last patient contact, whereas hospitals must retain them for seven years. In North Carolina, hospitals must maintain patients’ records for 11 years from the date of discharge, and records relating to minors must be retained until the patient has reached 30 years of age.”
The hard truth is that SaaS services do not deliver the level of backup and recovery required for healthcare organizations, and what they do provide isn’t seamless.
Business Continuity
Imagine the worst-case scenario where your mission-critical data is suddenly gone—it’s not hard to imagine since it happens to companies every day. Healthcare organizations rely on the information stored in SaaS systems to maintain their business continuity. If the information suddenly becomes unavailable, then significant disruption results.
Continuity Considerations
Things can (and do) go wrong with SaaS data: a simple misconfiguration can cause primary data sources to become unavailable, making accidental deletion a real risk, which may not be discovered until it’s too late to recover from the SaaS app – and may be unrecoverable even if you do find it quickly.
In fact, according to ESG Research, the most common reasons for data loss are service outages and accidental deletion, as seen here:

2 Reasons Why: M365 Data Backup for Healthcare Organizations
Compliance 26.10.22 9 Minutes
It’s easy to get a false sense of security and assume that your Microsoft 365 data is safe and secure because M365 automatically backs up your SaaS data for simple recovery, right?
Well, not so fast.
While M365 and most other SaaS platforms offer some sort of data protection and recovery features, it’s bare bones at best. For healthcare organizations, this opens Pandora’s box for compliance and continuity issues that can end up costing hundreds of thousands of dollars in fines. And on top of that, add the inability to serve patients and conduct daily business.
It’s critical to have timely and secure access to patients’ highly sensitive personally identifiable information (PII), protected health information (PHI), financial information, intellectual property, and credentials. However, given how this information has grown exponentially, data loss prevention has never been more necessary to ensure business continuity.
It’s crucial to understand that retention requirements far exceed what SaaS applications typically deliver natively, making it vital to close the gap with a reliable backup and recovery tool.
For healthcare organizations, compliance and continuity are the two main factors driving the need for third-party SaaS backup.
Regulatory Compliance
The Health Insurance Portability and Accountability Act of 1996 (HIPAA) makes healthcare delivery organizations legally obligated to preserve certain types of information for periods that exceed a SaaS service’s built-in capabilities.
As the HIPAA Journal explains, each state has its own laws governing the retention of patients’ medical records. To complicate things further, those retention periods can vary considerably. 50 states with 50 retention requirements: Is this something your healthcare organization wants to (or can afford to) manage?
Individual U.S. state laws govern the retention of patients’ medical records, while HIPAA imposes requirements on how long HIPAA-related documents must be retained.
According to the HIPAA Journal, “In Florida, physicians must maintain medical records for five years after the last patient contact, whereas hospitals must retain them for seven years. In North Carolina, hospitals must maintain patients’ records for 11 years from the date of discharge, and records relating to minors must be retained until the patient has reached 30 years of age.”
The hard truth is that SaaS services do not deliver the level of backup and recovery required for healthcare organizations, and what they do provide isn’t seamless.
Business Continuity
Imagine the worst-case scenario where your mission-critical data is suddenly gone—it’s not hard to imagine since it happens to companies every day. Healthcare organizations rely on the information stored in SaaS systems to maintain their business continuity. If the information suddenly becomes unavailable, then significant disruption results.
Continuity Considerations
Things can (and do) go wrong with SaaS data: a simple misconfiguration can cause primary data sources to become unavailable, making accidental deletion a real risk, which may not be discovered until it’s too late to recover from the SaaS app – and may be unrecoverable even if you do find it quickly.
In fact, according to ESG Research, the most common reasons for data loss are service outages and accidental deletion, as seen here:
Still, accidents, misconfigurations, and other ‘innocent’ causes aren’t the only ways to lose data.
In recent years, ransomware gangs have set their sights on the healthcare sector and, unfortunately, have been successful in their efforts to disrupt and demand payment for the data’s return.
Fulfilling Regulatory Obligations
Few people like being told what to do, but it turns out that governments do have the authority to compel action.
In the U.S., federal and state laws impose strict requirements around data retention for different healthcare records and information types. Additionally, regulations are subject to change, adding more pressure to comply to avoid a regulatory audit and heavy fines. Failure to comply can lead to significant financial and legal exposure, such as lawsuits, fines, settlements, and certification losses, further increasing the risk of data breaches.
For Healthcare delivery organizations (HDOs) committed to minimizing or avoiding these risks, having a proper backup and recovery practice in place is key to compliance.
Third-party backup and recovery services help you stay compliant by ensuring your data remains immutable and tamperproof. Immutable data and metadata make it possible for you to document and recover not just all data but all data processing, ensuring that auditors have complete visibility of everything that has impacted the data.
If complying with laws (and avoiding potentially hefty fines) isn’t enough to secure the budget, there are other reasons to invest in SaaS backup, such as mitigating downtime and costs.
Protecting Business Continuity
In a presentation titled “Conti Ransomware and the Healthcare Sector,” the United States Department of Health and Human Services (HHS) relayed that:
the average length of a general ransomware incident is 19 days.
Cybersecurity provider Sophos reported that 25% of healthcare organizations disrupted by ransomware took up to a month to restore operations. Sophos’ research also suggests that:
the average remediation cost for healthcare organizations soared to USD 1.85M in 2021 (up from USD 1.27M in 2020).
Keeping services operational is essential for maintaining the revenue that sustains an organization. That’s why having reliable backups that can quickly and easily be restored is paramount.
Unfortunately, the reality is that data outages are a matter of when, not if, making your ability to recover key data (and fast!) a necessary part of business continuity planning. Additionally, the shorter the outage, the lower the recovery and remediation costs, making loss avoidance a compelling part of the value proposition.
Recovery processes and costs can also include Digital Forensics and Incident Response (DFIR) activities, whether mandated by cyber insurance coverage, necessary for root cause analysis, driven by a motivation to prosecute, or some other reason.
Third-party backups assist DFIR activities by providing trustworthy information that extends further back in time than what can be pulled from SaaS applications.
But being able to restore services quickly from a dedicated SaaS backup doesn’t just protect revenue and minimize recovery costs, it also means you avoid paying the ransom and lower your cyber insurance fees.
Protect Your SaaS Data Today
If you can recognize some of the data backup and recovery vulnerabilities discussed here within your own healthcare organization, the good news is that it’s easy and cost effective to address those challenges and help secure your organization’s data.
Unintentional and malicious data losses don’t offer the convenience of a “heads up,” so it’s a wise business decision to have a proper backup and recovery solution in place before you need it – and as such, it should be an integral part of your cybersecurity approach. Only backup allows you to go back in time and recover to before bad things happened!
If you’d like to learn more about compliance and continuity for healthcare organizations, access the
About Keepit
At Keepit, we believe in a digital future where all software is delivered as a service. Keepit’s mission is to protect data in the cloud Keepit is a software company specializing in Cloud-to-Cloud data backup and recovery. Deriving from +20 year experience in building best-in-class data protection and hosting services, Keepit is pioneering the way to secure and protect cloud data at scale.
About Version 2 Digital
Version 2 Digital is one of the most dynamic IT companies in Asia. The company distributes a wide range of IT products across various areas including cyber security, cloud, data protection, end points, infrastructures, system monitoring, storage, networking, business productivity and communication products.
Through an extensive network of channels, point of sales, resellers, and partnership companies, Version 2 offers quality products and services which are highly acclaimed in the market. Its customers cover a wide spectrum which include Global 1000 enterprises, regional listed companies, different vertical industries, public utilities, Government, a vast number of successful SMEs, and consumers in various Asian cities.







The Keepit Approach to the Five Quality Components of Usability
One prominent aspect of Keepit’s cloud backup and recovery solution that customers rave about most is its simplicity and ease of use. Where other similar solutions often require weeks of training, the Keepit solution is plug and play, capable of being implemented and fully operational within minutes – and by everyone on the team. No extensive courses and diplomas are required.
The intuitive ease with which Keepit locates and restores files also means our customers are actively incorporating it into their day-to-day internal support operations, rather than just using it for finding and recovering files that have simply gone astray. The ease of use comes from a dedicated design process, which puts usability up front and users in the driver’s seat.
There are many different opinions on what the word usability means, so here at Keepit — as with many other things — we are inspired by what we observe in the workplace and then have our take on it that fits our product.
The Keepit Design Hierarchy
Creating and following a design hierarchy goes to the heart of how we build and continue to improve Keepit’s backup solution.
For every design and feature we implement, Keepit follows a clear usability vision that strongly focuses on following a design code.
The hierarchy in which we make design and usability decisions is built around Principles, Pillars, and Patterns.
Starting with our Design Principles, everything we do is based on these principles: They are abstractions of how we design our products and help designers make the right decisions.
Design Pillars are more focused on how we implement designs and how the user should experience the Keepit solution. Pillar example: “The right functionality, at the right time, to the right person.” This Pillar is used rigorously for each feature we create throughout the entire user flow.
Is this the right functionality being presented to the user?
Is this the right time to show this functionality?
Will it work for the person who is going to use it?
Finally, we have Patterns.
Design Patterns are specific implementations of functionality. This could be how we implement breadcrumbs, how we handle truncation, checkboxes, dropdowns, and wizards, just to name a few.
Defining Usability
Usability is a quality attribute that assesses how easy user interfaces are to use. The word ‘usability’ also refers to methods for improving ease of use during the design process.
The most popular definition of Usability has five components, as explained by the
Learnability: How easy is it for users to accomplish basic tasks the first time they encounter the design?
Efficiency: Once users have learned the design, how quickly can they perform tasks?
Memorability: When users return to the design after a period of not using it, how easily can they re-establish proficiency?
Errors: How many errors do users make, how severe are these errors, and how easily can they recover from the errors?
Satisfaction: How enjoyable is it to use the design?
There are many other important quality attributes, one of which is utility, which refers to the design’s functionality. In other words, does it do what users need?
How Keepit Measures Usability
Learnability in Keepit:
Let us look at the first item: Learnability. The nature of a backup application is not something our users check in to merely to “get a dopamine kick” from watching cool facts about their running backups. Instead, backup is more “set it and forget it,” and usually, our users come to the platform for one of two reasons. One, is to make sure that everything is running as it should. Two, is to restore data that was lost.
For many of our users, the fact that the application is so easy to learn and understand saves them much time, money, and the frustration of being unable to find the data that needs to be restored.
Memorability in Keepit:
Our approach is not just that things should be easy to learn but also that they must be easy to get back into after being away for a period of time. We do this with a consistent system: most things work in a predictable, similar way, following the same ideas. This increases the chance that something is memorable and easy to re-learn. There are, of course, many things we do to improve the memorability of Keepit, with consistency and recognizability of the applications they are backing up being just some of them.
Efficiency in Keepit:
All of this leads to Keepit’s Efficiency. We like to look at efficiency from the point of view that you should “take the time to look before you jump.” This means we do not consider “few clicks” a success criterion in itself, but rather, we consider “carefully placed” clicks as a step in the right direction – i.e., solving the problem with just the right number of clicks.
Errors in Keepit:
Naturally, we do everything within our power to ensure the number of mistakes made in relation to the task being solved is at a minimum and that a tight correlation exists between the number of errors the user is making and the solution’s efficiency. Every time the user makes an error, it sends them back into the flow, and they will have to redo actions, which again leads to an ineffective solution. Learnability and memorability directly impact the user’s errors, so everything is connected, as you can see.
Satisfaction in Keepit:
Finally, there is one more thing to address: satisfaction. Satisfaction is a tricky topic to discuss when talking about a solution that’s practical in nature and does not contain any real incentive to be a pleasurable experience. In the Keepit design, we have gone to great lengths to fight against the tendency of “functional design” that flourishes in the world of IT management tools. Instead, we have moved toward the concept of “emotional design” because IT administrators also deserve good tools.
In functional design, where the idea that showing everything all at once means more control and empowered admins, Keepit believes showing the right thing, at the right time, to the right person offers the ultimate degree of control and empowerment. We also believe that creating a pleasurable and satisfying experience with administration tools like Keepit, where everything “just works,” frees up administrators to focus on other priorities.
Final Thoughts
Despite our mission to create the perfect solution that requires no previous knowledge to recover data, we are painfully aware that achieving perfect usability is a goal yet to be reached. But we strive every day to get there.
That said, we recommend that our users regularly make sure they understand the flows and the emergency training so that in the case of an emergency, they know exactly what to do and when to do it, which we’ll save for a future blog post.
At Keepit, we put a lot of effort into ensuring that the design leaves little room for mistakes and is easy to pick up again after a long vacation – even for an inexperienced administrator.
Help The Keepit Design Team
We are always looking for people who would like to provide feedback on our solution and help us create the best design in the world. Please if you are interested in becoming part of the user feedback forum. 

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