CustodyTap

Estimate what device record-keeping costs your practice

Enter a few numbers about your practice. The estimate runs in your browser, and nothing you type leaves this page.

Built for independent practices and clinics with about 10 to 200 laptops, drives and other devices that hold patient data. This is an estimate from our assumptions, not a measurement, and we'll update it as pilots give us real figures. See how it works.

Your practice

Laptops, workstations, tablets, external drives, and copiers or scanners with a hard drive.

How you keep track of them today
Are all your laptops and portable drives encrypted?

Your security risk analysis, a cyber-insurance form, an auditor or a payer. Leave blank to use 0.5 to 3 a year.

Putting together the device list, who has each one, and two years of disposal records. Leave blank to use 2 to 8 hours.

Change our other assumptions

Leave blank to use $26 to $34.

Leave blank to use $45 to $85.

Check-outs, hand-offs, repairs, loaners and office moves. Leave blank to use 1 to 12.

Each gets a short training in the first year. Leave blank to use 10 to 40.

Your estimate

 

Working out your estimate…

A year of device record-keeping, averaged over the simulations
SpreadsheetCustodyTap
Staff and manager hours
Cost of that time
Setup, spread over 3 years
Tools and tags
Expected losses
Total

* Before CustodyTap's own subscription, which isn't included anywhere on this page. † Replacing lost devices, plus the cost of a breach response or an OCR finding, weighted by its chance of happening.

Chance of at least one, in five years
SpreadsheetCustodyTap
A breach from a lost or unwiped device
An OCR finding about your device records

OCR rarely investigates small practices: in 2024 it opened investigations into 2 of 74,299 breaches that affected fewer than 500 people. Most of what a better record saves is staff time.

How the estimate works

Your browser runs 10,000 simulations. Each one picks a value from a range for everything you didn't enter, then works out a year of record-keeping two ways, your current method and CustodyTap, with the same picks, so the two are compared fairly. The figures above are averages over those simulations, and the range shows where 8 in 10 of them fall.

What's an assumption

Almost everything. How long each method takes per move, per inventory count, per disposal and per request, how many moves actually get written down, and how often a retired device leaves without being wiped are our estimates, each with a range. CustodyTap's own figures are estimates of how the product is used. We haven't yet measured them at a practice. Most of the saving rests on them: if each task took as long with CustodyTap as with a spreadsheet, nothing would be left after the cost of the tags. A pilot measures them for yours, and we'll update this page as pilots give us real figures.

Where the outside numbers come from

  • Staff and manager pay: U.S. Bureau of Labor Statistics, medical secretaries (median $19.54 an hour, May 2023) and medical and health services managers (median $117,960 a year, May 2024), with benefits at about 30% of total pay.
  • Lost laptops: 5% to 10% over a three-year life, from a 2010 Ponemon Institute study for Intel. It's old and about large companies, so we use it only as a range.
  • Breach rate: the HHS Office for Civil Rights (OCR) received 74,299 reports of breaches affecting fewer than 500 people in 2024, in its report to Congress. We assume 5% to 15% of them involved lost, stolen or improperly disposed devices, across 500,000 to 800,000 covered entities. That puts a 30-device practice that uses a spreadsheet at roughly 0.4% to 2.5% a year, and each method moves it up or down from there.
  • Breach costs: legal advice, the risk assessment and staff time ($5,000 to $50,000), plus $3 to $25 per patient notified. OCR investigated all 663 large breaches in 2024 but only 2 small ones, so we put the chance of a federal penalty after a small breach at 0 to 0.5%.
  • Compliance findings: OCR received about 30,000 complaints in 2024 and closed most without an investigation. We assume 0.1% to 0.4% of practices face an OCR investigation in a year, that 5% to 30% of those ask for device records, and that a weak record turns into a finding more often than a complete one. A finding costs 10 to 80 hours of a manager's time and up to $15,000 of outside help, and rarely a settlement. None of OCR's 2024 penalties cited device and media controls; most cited the risk analysis.

What it leaves out

Lessor charges for equipment that isn't returned, collecting devices from staff who leave, cyber-insurance premiums, and the cost to your reputation after a breach. It also assumes your staff tap the tags: if they skip it, the saving shrinks.

What it isn't

It isn't a quote, a guarantee, or legal, actuarial or financial advice. It doesn't make a practice compliant with anything.

Measure it at your practice

A pilot runs 90 days at one office. We time how long your device record-keeping takes now and again at the end, so you can see your own figures, not ours.

Email David Brown

dbrown@enthropicdata.com