Newton is dense with professional practices — dental and medical offices, law firms, accountants, therapists and consultancies, mostly in converted houses and small commercial buildings across Newton Centre, Newton Corner, the Highlands and Nonantum.

That shapes the work in a specific way: these offices run one or two pieces of software that the entire business depends on, hold sensitive client or patient records, and have nobody on staff whose job is technology.

What we see in Newton specifically

Everything hinges on one application. Practice management, case management or tax software. When it is slow, the day is slow. The cause is usually the network path to a shared database rather than the software, which is why the vendor’s support line cannot help.

Converted houses with improvised networks. A lot of Newton offices are in buildings that were homes. Cable runs were done by whoever was available, wireless has to cross plaster walls, and the “server closet” is often a converted cupboard with no ventilation — which is its own failure risk in August.

Regulated data, informal handling. Dental and medical practices are under HIPAA. Accounting firms are under the FTC Safeguards Rule and IRS Publication 4557 — see IT support for accounting firms. Everyone holding personal information about Massachusetts residents is under 201 CMR 17.00. In practice most small Newton practices have good intentions and no written program.

Backups nobody has tested. An external drive someone remembers to rotate, or a cloud service configured years ago that has been failing silently. For a practice, the question is not whether you have backup but how many hours until you can see patients again.

Aging workstations. Machines kept until they fail, then replaced in a panic during a workday.

What we do

Assess the actual bottleneck rather than replacing hardware hopefully. Get backup working and prove it by restoring. Put the security controls in place and write the program the regulations require. Then keep it maintained — see managed IT support.

For dental and medical practices we will sign a BAA and be clear about scope: we can put the technical safeguards in place, but full HIPAA compliance also involves policies and training beyond IT, and we will say so rather than implying otherwise.

Frequently asked questions

Do you support dental and medical practices?
Yes. We handle the network, workstations, backup and security around practice management and imaging systems. We do not service the imaging hardware itself, and we will sign a business associate agreement where HIPAA applies.
Our practice management software vendor says the problem is our network. Is it?
Often, and it is worth checking properly rather than taking either side’s word. The usual culprits are a slow or misconfigured share holding the database, a workstation short on memory, or a switch quietly dropping packets. We can measure it and tell you where the time is actually going.
How much does IT support cost for a small practice?
Managed plans in this market typically run $75 to $150 per user per month. For a practice with six to twelve staff that is usually less than the cost of the downtime it prevents, but below about eight people, ad-hoc support is often the honest answer.

Tell us what stopped working

Text or email is usually faster than a call. We serve Boston and everything within 20 miles — and remote support has no radius.