HEALTHCARE DISASTER RECOVERY CHECKLIST: BUSINESS CONTINUITY & RESILIENCE

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--- PRE-DISASTER PLANNING & MITIGATION ---
[ ] Last Disaster Recovery Plan Review Date
[ ] Frequency of Data Backups (per day/week)
[ ] Critical Systems Identified (Select All) (EHR, Billing System, Pharmacy System, Lab System)
[ ] Description of Alternate Care Site(s)
[ ] Location of Primary Alternate Care Site
[ ] Copy of Current Risk Assessment
[ ] Method for Notification of Staff (Select One) (Email, Phone Tree, SMS)

--- EMERGENCY RESPONSE ACTIVATION ---
[ ] Disaster Declaration Authority (CEO, Incident Commander, Designated Disaster Response Team)
[ ] Disaster Declaration Time
[ ] Brief Description of Event Triggering Activation
[ ] Emergency Response Team Notification Method (Phone Call, Email, SMS, Mass Notification System)
[ ] Estimated Number of Impacted Patients (Initial Estimate)
[ ] Date of Activation
[ ] Key Personnel Notified (Select All That Apply) (Medical Director, Nursing Supervisor, Security Personnel, Facilities Manager)

--- DATA BACKUP & RECOVERY ---
[ ] Last Full Backup Cycle Completion (Days)
[ ] Date of Last Successful Backup
[ ] Time of Last Successful Backup
[ ] Backup Type (Full/Incremental/Differential) (Full, Incremental, Differential)
[ ] Description of Backup Locations (Onsite/Offsite/Cloud)
[ ] Screenshot of Backup Verification Log (Optional)
[ ] Data Loss Tolerance (RPO - Recovery Point Objective, Hours)
[ ] Maximum Downtime Tolerance (RTO - Recovery Time Objective, Hours)
[ ] Notes on Backup Procedures or Issues

--- COMMUNICATION & NOTIFICATION ---
[ ] Emergency Contact Notification Sequence
[ ] Primary Communication Method (Initial Alert) (Email, SMS/Text Message, Phone Call, Pager)
[ ] Communication Channels for Staff Updates (Email, Intranet, Phone Tree, Group Chat (e.g., Slack, Microsoft Teams))
[ ] Pre-Drafted Emergency Communication Template (Staff)
[ ] Pre-Drafted Emergency Communication Template (Patients & Families)
[ ] Designated Spokesperson(s) (CEO, Communications Manager, Medical Director)
[ ] Last Communication Plan Review Date
[ ] Emergency Communication Hub Location

--- FACILITY RESTORATION & OPERATIONS ---
[ ] Estimated Restoration Start Date
[ ] Estimated Restoration Start Time
[ ] Number of Staff On-Site for Restoration
[ ] Primary Restoration Location (e.g., Specific Wing/Floor)
[ ] Critical Systems to Restore (Select All) (Power, HVAC, Water, Communication Systems, Medical Gases)
[ ] Damage Assessment Photos
[ ] Brief Description of Restoration Progress

--- BUSINESS PROCESS RECOVERY ---
[ ] Estimated Time to Resume Core Clinical Services (Hours)
[ ] Primary Method for Patient Scheduling Post-Disaster (Online Portal, Phone Calls, Manual Scheduling)
[ ] Brief Description of Alternative Billing Processes
[ ] Target Date for Full Billing System Restoration
[ ] Critical Business Functions to Prioritize (Select all that apply) (Patient Admissions, Emergency Services, Pharmacy Services, Laboratory Services, Medical Records Access)
[ ] Estimated Time to Restore Telehealth Capabilities
[ ] Description of Contingency Plans for Supply Chain Disruptions

--- POST-DISASTER EVALUATION & IMPROVEMENT ---
[ ] Estimated Downtime (Hours)
[ ] Overall Plan Effectiveness Rating (Excellent, Good, Fair, Poor)
[ ] Summary of Lessons Learned
[ ] Areas Requiring Improvement (select all that apply) (Communication Protocols, Data Backup Procedures, Staff Training, Vendor Coordination, Facility Restoration)
[ ] Date of Next Plan Review
[ ] Detailed Account of Unexpected Challenges Encountered

--- LEGAL & REGULATORY COMPLIANCE ---
[ ] Applicable Regulations (select all that apply) (HIPAA, HITECH Act, State-Specific Data Breach Laws, Emergency Public Assistance Act, CMS Emergency Preparedness Rule)
[ ] Last Reviewed/Updated Legal Documentation Date
[ ] Summary of Legal Counsel Consultation Regarding Disaster Recovery Plan
[ ] Number of Legal Staff Involved in Plan Development
[ ] Current Status of Business Associate Agreements (BAAs) (All BAAs Reviewed & Current, Some BAAs Need Review, All BAAs Need Review)
[ ] Copy of Business Associate Agreements (BAAs)
[ ] Documentation of Compliance with Emergency Public Assistance Act Requirements

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