THE STATE OF HEALTHCARE SECURITY Past, Present, and Future Jeff Aldridge, CEO Security Assessments International June 16, 2005

3 / GE / June 16, 2005 THE ANATOMY OF HEALTHCARE SECURITY As a healthcare professional or as a security systems integrator it is important to understand how healthcare security differs from the rest of the security industry.

4 / GE / June 16, 2005 Healthcare Security Healthcare Security In The Past Healthcare Security At Present Healthcare Security In The Future How Integrators And Business Partners Can Be Successful In The Healthcare Market Questions & Answers

5 / GE / June 16, 2005 THE PAST

6 / GE / June 16, 2005 In The Past Free Public Access A Public Facility An Open Environment Considered A Safe Place Little Security In Effect Separate And Often Dysfunctional Systems

7 / GE / June 16, 2005 In The Past Open Door Policy Numerous Entrances Exterior Doors Often Unlocked Emergency Department Open To All Little Scrutiny Of Lobby Traffic

8 / GE / June 16, 2005 In The Past Free To Wander Individual Identification For Staff Not Required Hospital Service Personnel Had Full Access Vendors And Contractors Were Unescorted Little Physical Security To Challenge Access

9 / GE / June 16, 2005 In The Past Public Viewing Of Babies Individual Identification Not Required Easy Access To Maternity And Pediatrics Access To Babies Not Closely Monitored Almost No Physical Security To Stop Infant Swapping Or Abduction

10 / GE / June 16, 2005 THE PRESENT

11 / GE / June 16, 2005 The Present Increase In Criminal Assault On Healthcare Setting Workplace Stress And Potential For Violence Staff Access To Drugs And Pharmaceuticals Criminal Assault On Hospital Pharmacies Healthcare Facilities A Named Target For Al Qaeda Security Of Medical Records And Data Systems

12 / GE / June 16, 2005 The Present Increase In Criminal Assault On Healthcare Setting (continued)

13 / GE / June 16, 2005 The Present Emergency Department Violence Street Altercations Continue At Hospital Revenge For Street Violence Is Sought At Hospital Armed Confrontations Necessitate Armed Security

14 / GE / June 16, 2005 The Present Infant Abduction From Hospitals A Major Liability Issue For Hospitals Maternity Areas Require Special Security Measures Electronic Infant Tracking Systems Required To Avoid:  Abduction  Infant/Mother Mix-Ups

15 / GE / June 16, 2005 The Present Loss Of Assets And Theft At Any Time Many Pieces Of Essential Medical Equipment Are Missing High Value Assets Can Be Stolen

16 / GE / June 16, 2005 THE FUTURE

17 / GE / June 16, 2005 The Future Major Paradigm Shift (JCAHO Requirements) Under the security standards, accredited hospitals are required to establish and maintain a security management program The security management plan must establish a staff orientation and education program with program performance monitoring provisions and program review. Emergency security procedures also must be established to address actions in the event of a security incident or failure, handling of civil disturbances.

18 / GE / June 16, 2005 The Future September 11, 2001 The emergency management plan describes how the hospital will establish and maintain a program to ensure effective response to disasters or emergencies that includes a terrorist attack in the community. The plan should address the following four phases of emergency management:  Mitigation  Preparedness  Response  Recovery

19 / GE / June 16, 2005 The Future September 11, 2001 (continued) The hospital conducts proactive risk assessments that evaluate the potential adverse impact of the external environment and the services provided on the security of patients, staff, and other people coming to the hospital facility.

20 / GE / June 16, 2005 The Future Sensitive Areas The hospital controls access to and egress from security-sensitive areas, as determined by the hospital.  Maternal – Child / Pediatrics  Emergency Department  Pharmacy  Surgical Services  Intensive Care Units  Psychiatry A security education program that addresses minimizing security risks in sensitive areas.

21 / GE / June 16, 2005 The Future State-Of-The-Art Infant Protection Appropriate protocols, policies, and procedures State-of-the-art electronic infant protection system Mother-Baby mix-up protection

22 / GE / June 16, 2005 The Future Emergency Department Access Control Card Access Panic Alarms CCTV Surveillance Digital Video Archiving Photo Identification Visitor Pass System

23 / GE / June 16, 2005 The Future Hospital Lock-Down Capability Bioterrorism Incident Criminal Threat Threats Due To Contamination Mass Causalities Immediate Lock-Down

24 / GE / June 16, 2005 How Can Business Partners Succeed In The Healthcare Security Marketplace

25 / GE / June 16, 2005 Questions & Answers

26 / GE / June 16, 2005 Questions & Answers Should we run out of time before getting to your question, please let us know. We’re here as a resource for you to answer your questions about the healthcare security industry. Jeff Aldridge, CEO Security Assessments International We are available by phone at or, if you prefer, you can us at