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How dbtech Supports Ambulatory Clinics Running Smaller EHR Platforms


The healthcare downtime conversation is dominated by the large EHR platforms. Epic goes down at a major health system. Cerner experiences a connectivity issue across a hospital network. MEDITECH undergoes a planned upgrade window. These events are visible, well-documented, and drive most of the investment in downtime preparedness infrastructure. What gets far less attention is […]

ambulatory clinic staff using a downtime workstation with a smaller EHR platform

July 20, 2026


How the Shift to Value-Based Care Changes the Stakes of EHR Downtime


The shift from fee-for-service to value-based care is the most significant structural change in healthcare reimbursement in a generation. For most clinical and financial discussions, that shift is understood as a change in how care is paid for. What is less frequently discussed is how it changes the stakes of EHR downtime. In a fee-for-service […]

hospital IT team reviewing value-based care quality metrics impacted by EHR downtime


How Long Should Healthcare Organizations Retain EHR Data: A Compliance Guide


Healthcare data retention is one of those compliance areas that most organizations believe they have under control and few have examined closely enough to be confident about. The general awareness that medical records must be kept for a certain number of years is widespread. The specific requirements, including how those requirements vary by record type, […]

compliance officer reviewing state and federal EHR data retention requirements


How to Calculate the True ROI of a Downtime Solution


Every healthcare CFO who receives a proposal for a downtime solution asks the same question: what is the return on this investment? It is a reasonable question, and for most downtime solution vendors, it is one that gets answered with vague references to per-minute downtime costs and a general assertion that the solution pays for […]

hospital CFO reviewing a financial ROI calculation for a downtime solution investment


How Managed eForms Reduce the IT Burden of Keeping Forms Current Across Departments


Healthcare organizations that implement electronic forms solutions quickly discover that the initial deployment is the easier part of the project. Getting the forms library built, configuring the forms to match clinical and administrative workflows, and training staff to use the system is a defined project with a beginning and an end. What comes after is […]

IT administrator updating a hospital electronic forms library through Managed eForms


The Hidden Cost of Paper Forms in Healthcare and What to Do About It


Paper forms feel like a small problem. They are familiar, they work well enough, and nobody has time to build the internal case for replacing them with something better. The result is that most healthcare organizations are running significant volumes of paper forms across registration, consent, clinical documentation, HR, and administrative workflows, absorbing costs that […]

hospital registration staff manually processing paper intake forms


FAQ Friday: Does dbtech Work If the Internet Is Also Down?


Does dbtech Work If the Internet Is Also Down? Yes. This is one of the most important architectural distinctions between dbtech and cloud-based downtime solutions, and it is a question every healthcare organization should ask before purchasing any downtime product. The scenario where both the EHR and the internet go down simultaneously is more common […]

Hospital IT administrator reviewing dbtech on-premise downtime workstation architecture showing local patient data storage that remains accessible without internet connectivity

July 17, 2026


The Top Five Reasons Healthcare Organizations Delay Downtime Preparedness and Why Each Costs More Than the Solution


Downtime preparedness is one of those investments that almost every healthcare IT leader acknowledges is necessary and almost none prioritizes until something forces the issue. The pattern is consistent across organizations of every size and type: the risk is understood, the solution exists, and the purchase keeps getting deferred. The reasons given for the delay […]

A hospital IT budget meeting weighing the cost of downtime preparedness delays

July 14, 2026


Why Smart Interactive eForms Are Better Than Static PDFs for Downtime Procedures


When healthcare organizations move away from paper-based downtime procedures, the first instinct is often to replace paper forms with PDFs. It feels like progress. The forms are digital. They can be stored on a shared drive or loaded onto a tablet. Staff can type into them rather than writing by hand. The organization can check […]

A nurse completing an interactive eForm on a tablet during an EHR outage


Downtime Documentation and HIPAA: What You Are Required to Have in Writing


HIPAA compliance during an EHR downtime event is an area where many healthcare organizations have significant gaps, often without realizing it. The conversation about HIPAA and downtime tends to focus on the obvious risk: if patient data is exposed or breached during an outage, HIPAA breach notification obligations may be triggered. That risk is real […]

A HIPAA contingency plan document open beside a hospital downtime workstation


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