BITS  /  Medical Practices

Built for the practices large MSPs overlook and hospital systems can't absorb.

BITS specializes in the day-to-day IT and HIPAA reality of independent medical practices around Reno, Sparks, and Carson City. EHR, imaging, secure messaging, BAAs, MFA, audit logs — the stack and the paperwork, run by people who know healthcare.

Why specialise

Healthcare IT is its own discipline. We chose it.

Independent clinics carry the same regulatory exposure as a hospital, with a fraction of the staff. Generic MSPs run their playbook and miss what matters; hospital IT departments won't take a 12-person practice as a customer. BITS sits in the middle — by design.

  • EHR fluency. We've stood up, migrated, hardened, and troubleshot the major EHR/EMR platforms. We speak directly with your vendor instead of routing tickets through you.
  • PHI on every endpoint. Every workstation, phone, and printer in your office is in scope. Our delivery model assumes that — yours doesn't have to.
  • 2026 Security Rule ready. MFA across the board, annual risk analysis, network segmentation, encryption at rest and in transit, tested incident response — wired into how we run the account.
  • Your IT department, not a call centre. Once onboarded, you have direct access to Dustin and the same handful of people every time you call.
Design principle
“The goal has always been to make the IT so well-integrated that the practice doesn't notice it's there. Technology should disappear into the workflow — not interrupt it.”
— Dustin DeBard, Founder

Who we serve

Independent practices, across disciplines.

Most of our clients fall into one of four shapes. Yours probably fits too — and if it doesn't, we'll tell you honestly on the first call.

Primary care & family medicine

Multi-provider practices balancing high patient volume with full HIPAA coverage. EHR uptime is mission-critical — an EMR slow-down halts the schedule.

  • Workstation refresh + endpoint hardening
  • Secure remote access for after-hours charting
  • Front-desk printer / scanner / label-printer reliability

Specialty practices

Orthopaedics, allergy, sleep medicine, age management, dermatology — practices with imaging, infusion, or device-integrated EHR workflows that generic MSPs underestimate.

  • PACS / imaging integration & storage
  • Device-on-network segmentation (per 2026 rule)
  • Vendor coordination across multiple specialty platforms

Behavioural & mental health

Higher-than-average PHI sensitivity and a workforce that's often remote or hybrid. Compliance documentation matters more here, not less.

  • Encrypted telehealth & secure messaging
  • BYOD policy + remote-wipe enrolment
  • Documented sanction & access-control workflows

Spinning out of a hospital system

Providers leaving a larger health system to start or join an independent practice. You inherit the patients but not the IT — you need to build a HIPAA-compliant environment from scratch, fast.

  • Full IT stack stand-up: identity, endpoint, network, M365 tenancy
  • BAA paperwork pack on day one, not month nine
  • Migration of any retained data with documented chain-of-custody

What practice owners actually get

A complete IT operation, documented down to the credentials.

Our onboarding produces a written record of every piece of hardware, software, vendor, credential, and configuration in your environment. That document lives in our system — and yours — so the day we leave (we won't) you don't lose institutional knowledge.

Included by default

  • 24/7 monitoring & managed patching of every workstation and server
  • HIPAA-grade backups with tested restorability for PHI systems
  • MFA enforcement on email, EHR, remote access — not just the front door
  • Annual Security Risk Analysis with remediation roadmap
  • Documented incident response plan, tested on a real cadence
  • Workforce HIPAA + phishing simulation training, tracked per employee
  • BAA pack — signed agreements on file with every vendor touching PHI

Start with a conversation

Free HIPAA assessment. Written report. No obligation.

Sixty minutes, on-site or remote. We review your current environment, identify your gaps against the 2026 Security Rule, and leave you with a written summary — whether or not we become your IT.