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How to Build a Downtime Command Center That Coordinates Response Across Departments
When an EHR goes offline, the immediate challenge is not just activating backup procedures. It is coordinating those procedures across a complex organization where dozens of departments are simultaneously shifting to different workflows, generating different information needs, and making decisions that affect each other. A nursing unit that activates its downtime workstations without coordinating with […]
September 17, 2026
How to Align Your Downtime Preparedness Program with Your Cyber Incident Response Plan
Most healthcare organizations have two relevant plans for managing significant technology failures: a downtime preparedness program that addresses EHR unavailability, and a cyber incident response plan that addresses the organizational response to a cybersecurity event. In most organizations, these two plans were developed independently, are owned by different teams, and are not explicitly coordinated with […]
How to Use Downtime Data to Drive Continuous Improvement in Your Preparedness Program
Most healthcare organizations treat a downtime event as something to survive and move past. The EHR comes back online, the reconciliation gets done, the staff returns to normal workflows, and the event is filed away in organizational memory as a difficult period that was managed. Occasionally a brief after-action discussion happens. Rarely does that discussion […]
FAQ Friday: Can dbtech Support a Downtime Event That Begins During a Shift Change?
Yes, and a downtime event that begins during a shift change is one of the scenarios that most effectively reveals gaps in a preparedness program that are invisible under normal conditions. It is also, unfortunately, a scenario that is not rare. Shift changes are periods of elevated system activity as the outgoing team finalizes documentation […]
How Long-Term Acute Care Hospitals Face Different Downtime Risks Than Standard Acute Care Facilities
Long-term acute care hospitals occupy a distinct and often underappreciated position in the healthcare continuum. They serve patients who are too medically complex for skilled nursing facility care but who no longer require the resources of a traditional acute care hospital. These patients typically have multiple comorbidities, require extended ventilator weaning, wound management, or infectious […]
September 14, 2026
How to Digitize Your Charity Care Application Process with dbtech
The charity care application process is one of the most administratively complex and paper-intensive workflows in healthcare. A patient seeking financial assistance must provide income documentation, tax information, household size verification, and a completed application form. Financial counselors must collect, review, and store that documentation, determine eligibility, communicate the determination, and maintain a complete record […]
How to Set and Communicate Downtime Response Expectations Across a Large Clinical Staff
Setting downtime response expectations in a small clinic where every staff member knows each other and shares a single workflow is a manageable communication challenge. Setting them across a 500-bed hospital with multiple nursing units, an ED, an OR, a pharmacy, dozens of ancillary departments, and a staff that includes permanent employees, agency nurses, and […]
What a Mature Downtime Preparedness Program Looks Like After Three Years of Consistent Investment
Most healthcare organizations that invest in downtime preparedness are thinking about the immediate problem: getting a functional downtime solution in place before the next significant outage. That is the right place to start. What is less often discussed is what the program looks like three years later when the initial implementation is behind them, the […]
How to Create a Downtime Tabletop Exercise That Prepares Leadership for Real Decisions
Tabletop exercises in healthcare tend to follow a predictable pattern. A scenario is presented. Participants describe what they would do. Someone notes that the policy covers this. The facilitator moves to the next scenario. The session ends with a general sense that the organization has thought through the relevant situations. Nothing changes. The problem is […]
September 7, 2026
FAQ Friday: How Does dbtech Support Multi-Site Organizations with Different EHRs at Each Location?
How Does dbtech Support Multi-Site Organizations with Different EHRs at Each Location? This is one of the most common questions we receive from health systems and regional hospital networks that have grown through acquisition and now operate with two, three, or more different EHR platforms across their portfolio. The concern is understandable: if a downtime […]
September 4, 2026
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