The frustrating truth about IT support is that you often cannot tell if it is working until something breaks. When everything runs smoothly, you assume your provider deserves the credit. When something fails, you find out how much or how little was actually being maintained.
You should not have to wait for a crisis to evaluate your IT provider. Here are the indicators that separate providers who are actively protecting your practice from those who are simply collecting a monthly fee.

A proactive IT provider produces documentation. Backup reports that confirm your data was successfully backed up. Security scan results that show what was found and what was done. Monitoring alerts that show your server health is being watched. If you have never received a report from your IT provider, that silence is not evidence that everything is fine. It is evidence that your systems may not be monitored at all.
Good IT support is largely invisible. Your provider should be identifying failing hard drives, low storage warnings, software update conflicts, and security vulnerabilities before they cause downtime. If you only ever hear from your provider after something stops working, they are operating reactively, and reactive IT in a dental practice means patient-hours downtime.
If you call your IT provider about a Dentrix error and they need to look it up, that is a red flag. A dental IT provider should know the common error codes, the update history, the backup structure, and the imaging integration for the platform you run. Dental software has specific quirks that only come from daily experience supporting it.
HIPAA requires a signed BAA with every vendor who could access your patient data. Your IT provider almost certainly qualifies. If you do not have a signed BAA with your IT provider, you are out of compliance, and a competent dental IT provider should have raised this issue with you, not waited for you to discover it.
Running a backup is not the same as having a working backup. A good IT provider periodically tests restoration from backup to confirm the files are complete and recoverable. If your provider has never demonstrated a successful test restore, you do not know if your backup actually works.

The absence of the above indicators is itself meaningful. If your provider has never sent you a report, never mentioned HIPAA compliance, never tested a backup restore, and only shows up when you call with a problem, your practice is being underserved.
Other warning signs include slow response times during business hours, an inability to answer specific questions about your dental software, reluctance to provide documentation, and no clear escalation process for critical issues.
The standard is not perfection. IT systems fail. What separates good providers from poor ones is how quickly they identify issues, how transparently they communicate, and how proactively they prevent the next failure.
At minimum, monthly reporting on backup status and system health. More frequent contact during periods of change, such as software updates, hardware upgrades, or new staff. You should never go a full quarter without any proactive communication from your IT provider.
A backup report should confirm what was backed up, when, whether the backup completed successfully, and where the backup is stored. It should cover both the practice management database and the imaging data separately. If your provider cannot provide this level of detail, they may not know what your backup actually covers.
Ask for documentation. Request the last backup report, the last security scan result, and the log of any alerts or issues that were detected and resolved in the past 90 days. A provider with nothing to show you does not have active monitoring in place, regardless of what they tell you.
Yes. Ekim IT Solutions provides IT assessments for dental practices across all 50 states, remotely. We can evaluate your current backup configuration, security posture, software support coverage, and HIPAA compliance status, and give you a clear picture of what is in place and what is missing. Practices in New England and New York can also receive on-site assessments.
Ekim IT Solutions works exclusively with dental practices. We serve New England and New York with on-site support and dental practices nationwide with remote support. Security, compliance, and everything in between so you can focus on patients.
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