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How to Know If Your Downtime Program Is Keeping Pace with Your Organization’s Growth


Healthcare organizations grow continuously. New service lines are added. Acquisitions bring new facilities into the network. Patient volume increases and departments expand. A health system that had three hospitals two years ago may have six today. A regional medical center that added a new surgical tower last year has clinical workflows in that tower that […]

Hospital IT team reviewing downtime workstation coverage across multiple facilities

September 22, 2026


How to Turn Every Planned Maintenance Window into a Preparedness Asset


Every healthcare organization experiences planned EHR maintenance windows. They are a routine part of managing enterprise software: vendors release updates, hospitals schedule upgrades, and systems go offline for defined periods to accommodate the work. For most organizations, these windows are treated as operational inconveniences to be managed and endured. Staff are notified in advance, IT […]

Hospital staff using downtime workstations during a scheduled EHR maintenance window


FAQ Friday: Can dbtech Generate a Patient Census Report for Leadership at Any Point During a Downtime Event?


Can dbtech Generate a Patient Census Report for Leadership at Any Point During a Downtime Event? Yes, and this capability is more operationally important than it might initially appear. The patient census is not just a clinical tool. It is the information foundation that leadership uses to make operational decisions during a downtime event: decisions […]

administrator reviewing a printed patient census report generated from a downtime workstation

September 18, 2026


How eForms and eFolders Work Together to Create a Fully Paperless Intake Workflow


Healthcare organizations that have invested in electronic forms often stop short of the full paperless workflow benefit because they have implemented eForms without implementing the document management infrastructure needed to store, organize, and retrieve what those forms produce. The result is a partially digital workflow: patients complete forms electronically, but the completed forms are stored […]

Patient completing an electronic intake form that routes automatically into a secure eFolder

September 17, 2026


What Healthcare Organizations Get Wrong When They Think They Are Prepared for Downtime


Confidence in downtime preparedness is inversely correlated with the rigor of the evaluation that produced it. Organizations that have conducted thorough, honest assessments of their downtime readiness tend to have a clear-eyed view of their gaps. Organizations that have not tend to believe they are more prepared than they are. This confidence gap is not […]

Healthcare IT and clinical leaders assessing true downtime readiness beyond written policy


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 […]

IT and nursing leaders coordinating from a downtime command center during an EHR outage


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 […]

IT and clinical leaders aligning downtime preparedness with cyber incident response planning


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 […]

Downtime program coordinator reviewing activation timing and recovery data after an EHR outage


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 […]

Nursing staff completing a handoff documentation form during a shift change downtime event


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 […]

Respiratory therapist reviewing a ventilator patient's downtime records in an LTACH facility

September 14, 2026


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