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6/14/21, 3:51 PMPrint Standard
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Effective Date: July 1, 2021
Chapter: Information Management
IM.01.01.03: The hospital plans for continuity of its information management processes.
Rationale: Not applicable.
Introduction: Introduction to Standard IM.01.01.03
The primary goal of the information continuity process is to return the hospital to normal operations as soon as possible with minimal downtime and no data loss. The hospital needs to be prepared for events that could impact the availability of data and information regardless of whether interruptions are scheduled or unscheduled (due to a local or regional disaster or an emergency). Interruptions to an organization’s information system can potentially have a devastating impact on its ability to deliver quality care and continue its business operations. Planning for emergency situations helps the organization mitigate the impact that interruptions, emergencies, and disasters have on its ability to manage information. The hospital plans for interruptions by training staff on alternative procedures, testing the hospital’s Emergency Operations Plan, conducting regularly scheduled data backups, and testing data restoration procedures.
Regardless of whether an organization uses a paper-based system or an electronic system, a plan to address the process for information continuity, including knowledge-based information, should be in place. Hospitals that plan for maintaining access to electronic information systems by using various electronic backup and restoration procedures can quickly recover from interruptions with minimal downtime and data loss.
Elements of Performance
1 The hospital follows a written plan for managing interruptions to its information processes (paper-based, electronic, or a mix of paper-based and electronic). (See also EM.01.01.01, EP 6)
EP Attributes
New FSA CMS DOC ESP
§482.15(b)(5) D ESP-1
2 The hospital's plan for managing interruptions to information processes addresses the following: - Scheduled and unscheduled interruptions of electronic information systems (See also IM.03.01.01, EP 1) - Training for staff and licensed independent practitioners on alternative procedures to follow when electronic information systems are unavailable - Backup of electronic information systems (See also EM.01.01.01, EP 6)
EP Attributes
New FSA CMS DOC ESP
§482.15(b)(5) ESP-1
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Program: Hospital