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Optimizing Remote EEG Monitoring: A Secure and Efficient Alternative to Citrix

  • Callie Klotka
  • Aug 27
  • 3 min read

Enhancing Security and Performance in Remote EEG Monitoring

As hospitals continue to adopt remote EEG monitoring, ensuring security, efficiency, and high-quality patient care is essential. Many institutions rely on Citrix for remote access, but its limitations can introduce unnecessary delays, security vulnerabilities, and administrative burdens. A more effective solution involves establishing a direct connection to the acquiring computer, offering improved patient safety, optimized workflow, hospital efficiency and reduced IT overhead.


Protecting Patient Data with a Secure Direct-Connection Model

Security is a top priority in remote EEG monitoring, and a direct-connection model using solutions like BeyondTrust or Splashtop Enterprise for Healthcare ensures compliance with industry-leading standards such as HIPAA, SOC 2, and ISO 27001. These platforms provide robust security features, including end-to-end AES-256 encryption to prevent unauthorized access, multi-factor authentication (MFA) to verify user identities, and role-based access controls to ensure that only approved EEG technologists can connect. Additionally, session logging and audit trails offer full visibility into all remote access activity, further enhancing security measures, and meeting cyber security officer’s requirements.

While Citrix does provide security protocols, it also presents vulnerabilities due to its reliance on Active Directory credentialing for large teams. Managing credentials for dozens of technologists can create access gaps, administrative burdens, and IT challenges increasing the risk of unauthorized access or disruptions in monitoring capabilities.


Eliminating Delays to Improve Patient Care

Effective remote EEG monitoring depends on real-time, high-quality video, and data streaming. Citrix’s virtualization and session-based access can introduce latency issues, affecting the ability of EEG technologists to interpret data quickly and accurately. Slow login processes and unexpected session terminations further delay patient care, which can be critical in emergency situations or EMUs where immediate response is required.

By contrast, direct access to the acquiring computer eliminates these performance barriers. Without virtualization bottlenecks, EEG technologists experience uninterrupted streaming of EEG data, allowing for rapid interventions when necessary. The removal of Citrix related IT failures, such as license timeouts, overnight updates, and access disruptions, ensures a more reliable monitoring experience, directly benefiting patient safety and outcomes.


Understanding EEG Software Limitations in Remote Environments

Each EEG software; Cadwell, Natus, and Nihon Kohden, comes with its own set of limitations when accessed remotely, particularly through Citrix. For example, Natus restricts users to a single Citrix session, and within that session, only two EEG windows can be opened at a time. This constraint cuts the standard monitoring ratio from four patients per technologist to just two, reducing efficiency. More broadly, EEG software accessed within the Citrix environment is confined to a single browser window. This means technologists cannot freely move patient studies across multiple monitors, severely limiting screen space. When several patients must be viewed in one cramped window, it becomes difficult to maintain clear visibility and focus, increasing the risk of missed events. Additionally, all three platforms; Cadwell, Natus, and Nihon Kohden, experience noticeable latency when accessed through Citrix, impacting the real-time responsiveness required for high-quality monitoring. These limitations are not inherent to the software itself but stem from the virtualized access model. A direct-connection approach eliminates these barriers, allowing techs to open multiple windows across multiple screens and monitor patients efficiently with minimal delay or display restrictions.


Streamlining IT Operations and Reducing Costs

Managing remote EEG monitoring through Citrix requires significant IT oversight, particularly for hospitals supporting large teams of technologists. Maintaining Active Directory accounts, resetting passwords, and renewing credentials demands continuous IT and administrative resources. Additionally, Citrix licensing costs can be substantial, particularly when managing concurrent connections for a large workforce.

By transitioning to a direct-access model, hospitals can eliminate many of these challenges. Direct connections remove the need for frequent password resets and reduce reliance on expensive Citrix licenses. This shift allows hospital IT teams to focus on their in-house critical infrastructure needs rather than troubleshooting access issues for remote companies, ultimately improving operational efficiency while lowering costs.


A Smarter and More Secure Future for Remote EEG Monitoring

Implementing a direct-connection solution for remote EEG monitoring presents numerous advantages for hospitals and EEG technologists. By moving away from Citrix and embracing secure, real-time access, healthcare institutions can ensure faster response times, enhanced patient safety, and stronger compliance with security protocols. Additionally, reducing IT complexity and administrative overhead allows for more efficient resource allocation and cost savings.

For hospitals seeking to optimize their remote EEG monitoring capabilities, direct access offers a forward-thinking solution that prioritizes patient care, security, and operational efficiency. Exploring the implementation of this approach can lead to improved outcomes for both patients and healthcare providers, ensuring a more seamless and secure monitoring experience.

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