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How to Know When Your Downtime Solution Has Outgrown Your Organization’s Needs


Healthcare organizations change continuously. They acquire new facilities. They migrate to new EHR platforms. They add service lines, expand departments, and grow their patient volume. Their regulatory environment evolves. Their staff turns over. Their IT infrastructure is upgraded or replaced. Through all of this change, the downtime solution that was implemented several years ago often […]

IT team evaluating whether their downtime solution has outgrown current needs

August 25, 2026


Why Downtime Preparedness Should Be Part of Every Healthcare M&A Due Diligence Checklist


Healthcare M&A activity has accelerated dramatically over the past decade. Health systems are acquiring hospitals, physician groups, specialty practices, and post-acute facilities at a pace that shows no signs of slowing. The due diligence processes that precede these transactions have become increasingly sophisticated, covering financial performance, revenue cycle integrity, regulatory compliance, clinical quality metrics, workforce […]

Executives reviewing healthcare M&A due diligence documents for downtime risk


FAQ Friday: How Does dbtech Handle Downtime for Patients Who Are Mid-Procedure When the EHR Goes Offline?


A patient who is mid-procedure when the EHR goes offline is one of the most acute downtime scenarios a clinical team can face. Unlike a patient in a waiting room or a stable inpatient who can tolerate a brief pause in workflow, a patient on the operating table, in the middle of an interventional procedure, […]

A clinical team referencing a downtime workstation during an active procedure

August 21, 2026


How to Prioritize Which Departments Get Downtime Workstations First


The decision to implement a downtime solution is often made at the organizational level. The decision about where to put the workstations first is made at the operational level, and it is frequently made without a rigorous framework for evaluating relative risk across departments. The result is that workstations end up in the departments whose […]

Hospital IT staff installing a downtime workstation in the emergency department

August 18, 2026


How to Write a Downtime After-Action Report That Actually Improves Your Program


Every significant EHR downtime event is followed by some version of an organizational review. An email goes out summarizing what happened. A meeting is held. People describe what was difficult. Someone notes that the procedures need to be updated. The meeting ends, everyone returns to their normal work, and six months later the same gaps […]

Hospital IT team reviewing a downtime after-action report following an EHR outage


What Is a Managed eForm and How Is It Different from a Standard eForm?


When healthcare organizations evaluate dbtech’s forms solutions, one of the most common points of confusion is the distinction between eForms and Managed eForms. Both produce electronic forms. Both integrate with the downtime workflow. Both support e-signature and structured data capture. On the surface, they appear to be versions of the same thing. The difference is […]

Healthcare IT staff comparing managed eForms and standard eForms configuration screens


HIPAA and EHR Data Access: What Covered Entities Must Maintain During an Outage


Healthcare organizations spend considerable effort ensuring HIPAA compliance during normal operations. Access controls are implemented and audited. Workforce training is conducted. Business associate agreements are maintained. The privacy and security infrastructure of the typical covered entity reflects years of investment and ongoing operational commitment. What receives far less systematic attention is what HIPAA requires during […]

IT and compliance staff reviewing HIPAA contingency plan documentation during an EHR outage


How Behavioral Health Units Have Unique Downtime Needs That Generic Solutions Miss


When a hospital deploys a downtime solution, the typical scope covers registration, nursing units, the ED, pharmacy, and the OR. Behavioral health units are frequently treated as an afterthought, included in the general deployment without any specific configuration for their distinct workflows, regulatory environment, or patient population. The assumption is that downtime is downtime, and […]

Clinical staff using a downtime workstation on a behavioral health hospital unit


FAQ Friday: Can dbtech Generate Downtime Reports for Leadership After an Outage?


Yes, and post-outage reporting for leadership is one of the most underutilized capabilities of a well-implemented downtime program. Most organizations focus their downtime preparedness investment on the during-outage experience: keeping workstations running, maintaining patient data access, and managing clinical workflows. Fewer give the same attention to what happens after the EHR is restored, including what […]

A post-outage summary report prepared for hospital leadership review

August 14, 2026


The Case for Treating Downtime Preparedness as a Clinical Quality Initiative Rather Than an IT Function


Ask most healthcare IT directors who owns downtime preparedness at their organization and the answer is almost always the same: IT does. The servers are in the data center. The HL7 interface is managed by the integration team. The vendor relationship belongs to IT procurement. The monitoring dashboard lives in the IT operations center. From […]

hospital leadership reviewing downtime preparedness metrics alongside other clinical quality indicators

August 11, 2026


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