Disaster Recovery Case

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THE ADMITTING SYSTEM CRASHES Disaster Recovery case Emily D. Orellana Danita Hunter Health Information System Week 8 Jones Regional Medical Center (JRMC) is a large academic health center. With 900 beds, JRMC had 47,000 admissions in 2007. JRMC frequently has occupancy in excess of 100 percent; requiring diversion of ambulances. In addition, JRMC had 1,300,000 ambulatory and emergency room visits in 2007. JRMC is internationally renowned for its research and teaching programs. The IT staff at JRMC is highly regarded. They support over 300 applications and 12,000 workstations. The admitting system at JRMC is provided by the vendor Technology Med (TechMed). The TechMed system supports master patient index; registration; inpatient charge and payment entry; medical records abstracting and coding; hospital billing and patient accounting; reporting; and admission, discharge and transfer capabilities. The Tech1\1ed system was implemented in 1995 and uses now obsolete technology, including a rudimentary database management system. The organization is concerned about the fragility of the application and has begun plans to replace the TechMed system two years from now. On December 20, the link between the main data center (where the TechMed servers were housed) and the disaster recovery center was taken down to conduct performance testing. On December 21, power was lost to the disaster recovery center but emergency power was instantly put in place. However, as a precaution, a backup of the TechMed database was performed. During the afternoon of December 21, the TechMed system became sluggish and then unresponsive. Database corruption was discovered. The backup performed earlier in the day was also corrupt. The link to the disaster recovery data center had not been restored following the performance testing. Because

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