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Eko Administration and IT Support Guide

Downloading Eko App (Android, iOS, or Windows)

To Install the Eko mobile app on your supported iOS or Android device, simply visit your respective app store and search “Eko Stethoscope.” If your institution will be using the built in Telemedicine/Video Conferencing feature or connecting with a patient out of their home, then be sure to download the “Eko Telehealth” app (left).

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*Note: If you are downloading the app on an iPad, ensure that your search settings are set to “iPhone only.”

Eko Windows App

  1. The Eko Windows application is available for download from Eko’s website: https://www.ekohealth.com/download-windows-app

unnamed.pngClick on “Download the Eko Windows App” to initiate the download. The latest version will always be listed.

A dialogue box will appear on your screen requesting permission to install the Eko Windows Application. Click on ‘Install’ as seen in Figure 2 below.

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  1. Installing the Eko Windows Application for single users or for all users 

During the installation process, users can choose to download the application to their own computer. Windows Administrators can also choose to install for all users within a system 

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  1. Enabling Automatic Updates

Users can choose to enable automatic updates during the installation process. When Eko releases updates, they will be downloaded when users subsequently open the Eko Windows Application. If this setting is not selected during the installation process, users will need to update the Eko Windows Application manually by re-downloading it from the Eko website.

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  1. Installation

Once users select installation scope and update preferences installation can be completed. Clicking Install completes the download and installation process. This may take several seconds. The Eko Windows Application will then be accessible as a desktop shortcut following installation.
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Eko Web Dashboard Glossary 

Site: Initiating telemedicine endpoint equipped with the Eko device and application. 

  • Can initiate a Live Stream using the Eko app and Eko device
  • Can access their own Patients 
  • Can access other Live Streams but only from the Eko Institutional Dashboard (Live Stream menu is absent from Eko mobile and windows app)
  • Eko recommends that Sites are designated to the locations, specialties, or individuals where the patient is being assessed. These users will need the Eko app and hardware to initiate a Live Stream session. These users will not likely need to utilize the Customized Eko Dashboard.

Member: A clinician or staff member with the ability to access live stream end points and patient data. 

  • Can access their own Patients
  • Can access Site Live Streams but only from the Eko Institutional Dashboard (Live Stream menu is absent from Eko mobile and windows app)
  • Cannot invite new Members
  • Cannot create new Sites

Admin: A staff member with admin capabilities, can create/remove/edit sites, add/remove members, create/remove/edit groups. 

  • Designated by institution super admin
  • Can access their own and other institution members patients
  • Can access all Live Streams (including Sites)
  • Can invite new Members but cannot make them Admins 
  • Can create or edit Sites
  • Can create groups and group sites and clinician members
  • If your clinician members need access to all recordings or visibility into all patients, they should be granted Admin level access.

Super Admin: The designated administrator of the site, can create/remove/edit sites, add/remove members, create/remove/edit groups, designate other members as admins. Your Eko rep can assist with designating a super admin following the creation of your dashboard. (If the super admin ever needs to change, please reach out to your Eko Customer Success Manager)

  • The Eko representative will assign the Super Admin.
  • Can access all Patients
  • Can access all Live Streams (including Sites)
  • Can create Admin users (“New Member” upgraded to an Admin) 
  • Can create or edit Sites
  • Can create groups and group sites and clinician members
  • Eko recommends that the Super Admin be the individual overseeing the deployment of the Eko hardware and software  

Eko Web Dashboard user guide and Navigation

  1. To access your institution’s live stream sites (to set up sites, scroll to “sites” section below), click the Telehealth tab.unnamed-6.png
  2. Once on the Telehealth tab, the list of available live streams will appear with the option to copy the URL or navigate directly to the livestream site in a new tab by selecting “Join Live Stream.”unnamed-7.png
  3. The “Clinician” tab provides a list of the clinicians who have been granted access to your institution.unnamed-8.png
  4. The Home Health tab hosts live stream links for patients who have been enrolled in provider-to-home telehealth. Providers can select “join live stream” to initiate a home telehealth session with their patients.unnamed-9.png
  5. The “patients” tab houses patient recordings, to access a recording, click on the patient’s name. To add a new patient, select the “add patient” button and enter the requisite patient information. 

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Eko Web Dashboard Admin Features 

  1. To access the super admin features for managing the dashboard, select the admin button and the appropriate section you wish to edit- Clinician Members, Telehealth Sites, or Groups. 

unnamed-11.pngMembers

  1. A clinician member is an individual who is granted access to the dashboard for the purposes of accessing telehealth and home health sites, as well as saved patient data.
  2. From the members tab, the Super Admin and Admin may add new members to the institution by selecting “Invite Member” and entering the desired email address.unnamed-12.png
  3. The Super Admin can assign additional Admin privileges to clinician members by selecting the three dots next to the member’s name and selecting “Make Admin.” You may also remove members and email members directly from this selection. See glossary for user definitions and privileges.unnamed-13.png

Sites 

  1. In the sites section of the administrative portal, a Super Admin or Admin can perform the following actions: create new sites, delete, and edit existing sites. 
  2. Creating New Sites: Select the blue “Create New Site” button unnamed-14.png
  1. Deleting Existing Sites: Click the three dots next to the site that will be deleted, and select “Delete Site”, a pop-up will appear asking to confirm deletion of the site, select “Confirm Delete”unnamed-15.png
  1. Editing Existing Sites: Click the three dots next to the site that will be edited and select “Edit Site”, a pop-up will appear that will enable the ability to edit the site name or password. Once the site has been updated, select “Update Site.”

unnamed-16.pngGroups 

The grouping feature enables admins to add clinicians to specific groups of locations such that when the provider logs in to the dashboard, only their relevant sites will be visible. 

  1. To create a new group, navigate to the “Groups” selection in the admin dropdown and select “Create new group” unnamed-17.png
  2. You will be prompted to name the group and from there, you may begin adding clinician members to the group using the dropdown menu.unnamed-18.png
  3. Once a provider has been selected they will appear in the list of members, more than one provider may be added at a time.unnamed-19.png
  4. To add a site, select the sites tab and from the dropdown menu, select the sites you wish to include in the group and click “add sites.unnamed-20.png
  5. You may continue editing and adding members as needed, when the provider logs into their account, only the sites that have been added to their group will be visible (see below).unnamed.png

 ** Please note that if you decide to use the grouping feature, it is the admin and super admins responsibility to keep the members and sites within each group up to date. If a new member is added and has not been assigned to a group, they will not see any sites when they log in. 

Eko Infrastructure, Security

System requirements

Eko Windows app

Note: The Eko Windows app can only be used with Windows 10

PC Requirements: 

  • Windows 10 version 1803 and newer 
  • 4GB RAM, 8GB RAM Recommended
  • The PC will need an audio output source (speaker/headphones) for proper app functionality.

Eko Requirements:

  • Bluetooth 4.2 connection
  • The second generation Eko CORE is only compatible with Windows 10 PCs and Eko Windows app v1.5.0 and above.
  • Only Eko DUOs with firmware version 3.6 or above will connect effectively with the Eko Windows application.
  • Some users may receive an error message upon downloading the application reading: “This application requires Microsoft Visual C++ 2017 X86 14.1 or greater.”

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Users can download this from the Microsoft website:

https://support.microsoft.com/en-us/help/2977003/the-latest-supported-visual-c-downloads

Please ensure that x86: vc_redist_x86.exe is the option downloaded. The Eko Windows app should then install without issue.

Eko recommends the following BLE dongle if native BLE drivers are not able to initiate an Eko stethoscope connection: https://www.amazon.com/gp/product/B08DFBNG7F/ref=ppx_yo_dt_b_search_asin_title?ie=UTF8&psc=1  

System Requirements and Compatibility Table

Click Here

Information for IT Professionals (sites to whitelist)

Proxy Compatibility: the Eko Windows app supports proxies with manual configuration but does not support WAPD (Web Proxy Auto-Discovery Protocol).

Whitelist

In order to successfully use Eko software, you will need to whitelist the following URLs:

Domain

Port

Use

amazonaws.com

80, 443

Saving recording data (only applies to Eko iOS and Android platforms)

amazon.com

80, 443

Saving recording data (only applies to Eko iOS and Android platforms)

ekodevices.com

443

Main Eko website

ekohealth.com

443

Main Eko website (alternate domain)

dashboard.ekodevices.com

443

Eko Web Application

dashboard.ekohealth.com

443

Eko Web Application (alternate domain)

live.ekodevices.com

443

Handles live streaming service

live.ekohealth.com

443

Handles live streaming service (alternate domain)

rink.hockeyapp.net

443

Reports crash logs

api.mixpanel.com

80, 443

Tracks users and gathers metrics to help with debugging

ekodevices.zendesk.com

443

Customer support website

ekohealth.zendesk.com

443

Customer support website (alternate domain)

app.ekodevices.com

443

Handles live streaming service (alternate domain)

 

Eko Telehealth + Video

If customers are using Eko’s Telehealth solution with video, they will need to whitelist the ports and URLs listed above. Eko uses Twilio to support the video platform built into the Eko application. Users may also have to consult Twilio’s website in order to ensure that the corresponding service is appropriately whitelisted, link to Twilio’s information below:

https://www.twilio.com/docs/video/ip-address-whitelisting

Please contact support@ekohealth.com or your Eko representative with any additional questions.

Updating drivers

If you are experiencing problems with the operation of devices connected to your USB port, it’s most likely due to one of the factors listed below:

  • The USB driver has become outdated and causes conflicts with hardware devices connected to the USB port.
  • The computer operating system has been upgraded. Note: This is especially true for the release of Windows 7 when a new USB communication protocol was implemented and is known as USB 2.0.
  • The USB driver has been corrupted during a system crash or malware infection that has compromised system security and deleted or infected files.

How do I resolve USB Driver problems?

There is sometimes an issue where the USB port has not sensed the device you’ve connected and a system re-boot is needed for the device to be ‘found.’

Obsolete USB drivers can also be an issue and result in a high share of the errors found with USB operation. On a Windows system you can update your driver by following these steps:

  • Click Start/Control Panel/ System.
  • Click the Hardware tab, and then Device Manager.
  • Click Universal Serial Bus controllers
  • Click to highlight and select the USB component to be updated. 
  • Eko uses Bluegiga Bluetooth Low Energy (COM3) USB dongles.

Right click on the highlighted selection and choose Update Driver Software from the dropdown menu.

Follow the instructions from the Update Driver Software Wizard to update USB drivers.

Reference image below for correct drivers (enlarge screen to view image better):

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Security Overview

Security and HIPAA

Data security is one of our highest priorities. Eko maintains HIPAA compliant policies, procedures, and technical safeguards for patient and customer data.

Policies and Procedures

Eko maintains industry recommended HIPAA compliant policies and procedures for securing patient data.

Encryption

Eko uses HIPAA-compliant and NIST recommended 256 bit AES encryption using managed keys for patient data. Encrypted backups are taken daily.

Backups

We conduct nightly backups and regularly test our backups to ensure data recoverability.

BAA Agreements

Eko maintains BAA agreements with subcontractors and our hosting providers to ensure HIPAA compliance.

Secure Facilities (SOC 2)

Eko is Service Organization Control 2 (SOC 2 Type 2) certified to keep health system and patient data safe.

Security Contact

To report security issues or concerns, please contact: security@ekohealth.com

SSO Configuration

-Eko is always happy to work with your organization in order to improve the ease of use for your users, including defining a Single sign on process, allowing your providers to use their regular logins to access the Eko Dashboard. Please reach out to csteam@ekohealth.com for questions or to request guidance. 

LBL 262, Rev A, April 30, 2021.

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