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Technology Business Continuity/Disaster Recovery - 2025
*
1.
Today's Date
(Required.)
Date
Date
January
February
March
April
May
June
July
August
September
October
November
December
1900
1901
1902
1903
1904
1905
1906
1907
1908
1909
1910
1911
1912
1913
1914
1915
1916
Su
Sunday
Mo
Monday
Tu
Tuesday
We
Wednesday
Th
Thursday
Fr
Friday
Sa
Saturday
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
*
2.
Type
(Required.)
Disaster Recovery Drill
Actual Event
*
3.
Loss of Access to Electronic Medical Record (Optional)
(Required.)
*
4.
Temporary Methods to Maintain Documentation
(Required.)
*
5.
Uploading Information into Electronic "Medical Records" when Access is restored and Achieved
(Required.)
*
6.
Loss of Administrative and/or Financial Data
(Required.)
*
7.
Need to Restore Lost Data
(Required.)
*
8.
Temporary Methods to Maintain Documentation in Place
(Required.)
*
9.
Restoring damaged or corrupted data successful
(Required.)
*
10.
Summary / Analysis of Continuity / Recovery Drill
(Required.)
*
11.
Were procedures in place to deal with loss effective?
(Required.)
Yes
No
Other (please specify)
*
12.
Is there a need for actions to be taken or the development of a Performance Improvement Plan?
(Required.)
Yes
No
13.
If yes, add suggestion Action Plan
*
14.
Are there indications for education / training for staff?
(Required.)
Yes
No
*
15.
Training Needs
(Required.)
*
16.
Names of Staff Involved in the Drill/Event
(Required.)
*
17.
Name of Drill/Event Coordinator
(Required.)
