how prepared are health information services for system failures due to internal disasters?
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How prepared are Health Information Services for system failures due to internal disasters?. Cheens Lee, Kerin Robinson, Kate Wendt and Dianne Williamson. 26 th September 2008. What if?. What is a disaster?. - PowerPoint PPT PresentationTRANSCRIPT
How prepared are Health Information
Services for system failures due to
internal disasters?
Cheens Lee, Kerin Robinson,
Kate Wendt and Dianne Williamson
26th
September 2008
What if?
What is a disaster?
‘An occurrence that causes serious disruption or disables necessary business
functions’ (Corrigan 1995)
• External Disasters
Internal disaster definition
• is any disaster or event that originates in the wider organisation (i.e. the hospital or network) or within the Health Information Service, and affects the infrastructure, staff, equipment, systems, services, normal functioning or business continuity of the Health Information Services.
Examples of internal disasters
– Hardware or software malfunction
– Power failure– Water pipe breaks– Construction accidents– Fire– Sabotage– Employee/ex-
employee violence
– Sewer blockages– Equipment failure– Hazardous material
leak– Security breach
Context of study
• Risk Management
• Contingency Plans
• Business Continuity Plans
Documented disasters in Victorian Health Information Services
• Warringal Private Hospital
• The Royal Children’s Hospital
Aim of the study
To investigate the level of preparedness of Victorian public and private sector hospitals’ Health Information Services in the event of system failures due to internal disasters or events that severely impede normal functioning.
Methodology
• Combined quantitative-qualitative methodology.
• Hospitals surveyed(i) a Health Information Service department
(ii) a bed capacity of 80-plus admitted beds; and
(iii) a manager of the Health Information Service department
Who responded?
• 38 hospitals– 30 metropolitan; equal public and private– 8 non-metropolitan; 7 public
Metropolitan and rural hospitals overall questionnaire response rate, according to hospital size
Metropolitan
Rural
Hospital size Public Private Public Private Total
Small 2 11 2 1 16
Medium 4 3 4 0 11
Large 9 1 1 0 11
Total 15 15 7 1 38
Internal disasters experienced by the organisation within the last 10 years, according to hospital size
Hospital size Yes No Total
Small9
(56%) 7 16
Medium4
(36%) 7 11
Large6
(55%) 5 11
Total19
(50%) 19 38
Types of internal disasters experienced by the respondents’ organisations within the last 10 years
0
2
4
6
8
10
12
Computersystemfailure
Powerfailure
Fire Flood Storm Staffindustrial
action
Types of internal disasters
No.
of i
nter
nal d
isas
ters
Respondents
Types of disaster contingency plans within Health Information Services, according to hospital size.
Hospital size
Internal only %
External only %
Internal & External %
Did not answer Total
Small 3 19 0 0 8 50 5 16
Medium 1 9 2 18 7 64 1 11
Large 2 18 0 0 9 82 0 11
Total 6 16 2 6 24 63 6 38
Types of scenarios provided for in the internal disaster plan(s)
0
5
10
15
20
25
30
35
Computersystemfailure
>30mins
Powerfailure
>30mins
Fire Sabotage Flood Staffindustrial
action
Scenarios
No.
of r
espo
nden
ts
Respondents
Resource allocation to disaster planning
• Equipment back-up
• Staff
• Procedures/equipment
• Budget
• Back-up Patient Master Index
• Fire training
Health Information Services that have a back-up system in the event of an internal disaster
Hospital Size Yes (%) NoDid not answer Total
Small10
(62.5%) 5 1 16
Medium8
(72.7%) 3 0 11
Large9
(81.8%) 1 1 11
Total27
(71%) 9 2 38
Types of back-up systems in place in the event of an internal disaster
0
2
4
6
8
10
12
14
Medical recordtracking
Patient MasterIndex
Computersystems
UR number issue
Back-up system
No. o
f res
pond
ents
Respondents
Recovery plan ready to take effect following an internal disaster
Hospital Size Yes (%)
Small6
(37.5%)
Medium6
(54.5%)
Large8
(72.7%)
Total20
(52.6%)
What was interesting?
• Within the last 10 years 50% of hospitals have experienced at least 1 internal disaster
• Larger hospitals are better prepared to avoid and recover from internal disasters
• Respondent hospitals generally rate themselves at a ‘medium’ level of preparedness
Thank You