Hospital and Healthcare Security


  • Tony York, Tony York, CPP, CHPA, M. S., MBA, Chief operating officer, HSS Inc., Denver, CO, USA
  • Russell Colling, C.P.P, CHPA, M.S. Security Management - Michigan State
  • Tony York, Tony York, CPP, CHPA, M. S., MBA, Chief operating officer, HSS Inc., Denver, CO, USA

Hospital and Healthcare Security, Fifth Edition, examines the issues inherent to healthcare and hospital security, including licensing, regulatory requirements, litigation, and accreditation standards. Building on the solid foundation laid down in the first four editions, the book looks at the changes that have occurred in healthcare security since the last edition was published in 2001. It consists of 25 chapters and presents examples from Canada, the UK, and the United States. It first provides an overview of the healthcare environment, including categories of healthcare, types of hospitals, the nonhospital side of healthcare, and the different stakeholders. It then describes basic healthcare security risks/vulnerabilities and offers tips on security management planning. The book also discusses security department organization and staffing, management and supervision of the security force, training of security personnel, security force deployment and patrol activities, employee involvement and awareness of security issues, implementation of physical security safeguards, parking control and security, and emergency preparedness. Healthcare security practitioners and hospital administrators will find this book invaluable.
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Book information

  • Published: October 2009
  • ISBN: 978-1-85617-613-2


"No other healthcare professionals have created a complete text on healthcare security; it stands alone."-Dan Krefting, Corporate Manager, Security & Protection Services, Provincial Health Services Authority, Vancouver, BC, Canada

"This book gives a great overview of the issues inherent to healthcare and hospital security, and shows what makes it unique. It offers readers an understanding of how to create a great security operation or department."-Bonnie Michelman, Director of Police, Security, and Outside Services, Massachusetts General Hospital, Boston, MA

"Hospital and Healthcare Security has served as an industry resources since its first publication several decades ago. In the fifth edition, coauthors Russell Colling and Tony York carry on that tradition…. This newest edition is the best single resource for the healthcare security practitioner."--Security Management magazine

Table of Contents

AcknowledgementsIAHSS Healthcare Basic Security Guideline Placement1. The Healthcare Environment Categories of Healthcare Types of Hospitals Nonhospital Side of Healthcare Diverse Stakeholders Staffing the Medical Care Facility Physician Role Impacted The Healthcare Security Administrator The Joint Commission Health Insurance Portability and Accountability Act (HIPAA) The Centers for Medicare and Medicaid Services (CMS)2. Protecting a Healing Environment Defining Healthcare Security Basic Rationale of Healthcare Security Evolution of Healthcare Security Security, Risk Management, Safety Developing the Security System Psychological Deterrents Basic Security Program Objectives External Forces Body of Knowledge3. Security Risks and Vulnerabilities Basic Healthcare Security Risks/Vulnerabilities Primary Security Risks Facility Security Risk Assessment4. Security Management Planning Security Management Plan Security Strategic Plan5. Managing the Basic Elements of Healthcare Security Customer Service Maintaining an Orderly Environment Preventative Patrol Incident Reporting and Investigation Response to Requests for Service Security Communications Parking and Traffic Control Accident Reporting and Investigation Security Education and Training Applicant Background Investigation Reaction to Internal and External Emergencies Enforcement of Rules and Regulations Access Control Liaison with Law Enforcement and Other Government Agencies Internal and External Audits Locks and Keys Other Support Services Public/Employee/Community Relations6. Security Department Organization and Staffing Security Function Reporting Level and Support Types of Security Staff7. Security Force Administration Management Supervision Relationship with Officers Motivation Performance Management The Security Officer Selecting Security Personnel Full-Time Versus Part-Time Security Officers Wage Compensation Retention Performance Expectations8. Security Attire and Equipment Uniforms Use of Firearms Other Equipment Considerations Use of Force Training Security Operations Manual9. Training and Development Training Concepts Types of Training New Security Officer Training IAHSS Progressive Certification Program Specialized or Supplemental Training Elective Training Leadership Development Training Resources and Records Requirements10. Deployment and Patrol Activities Flexing the Security Staffing Plan Deployment Objectives Scheduling the Security Staff Deployment Patterns and Concepts Post Assignments Basic Patrol Deployment Plans Patient Care Units/Areas Entrances and Exits Basic Patrol Concepts Security Officer Response Patrol Problems11. Program Documentation Purpose of Records Administrative Records Computer-Generated Reports Basic Records Security Supplemental Report Security Condition Report12. Patient Care Involvement Patients Assisting with Patients Patient Risk Groups Patient Property Visitors13. Public Safety Liaison Dynamics of Security and Law Enforcement Liaison Police and Security Cooperative Programs Requests for Law Enforcement Service Police Interaction with Patients and Employees Security and Law Enforcement Liaison Security and Nonpolice Liaison14. Human Resources and Staff Responsibilities Human Resources Office Selecting Staff Through Due Diligence Applicant Suitability Information Employment Application Forms Applicant Background Verification Deceptive Applicant Information Background Screening Providers Security Role in the Hiring Process Staff Identification Badges Security-Oriented Employment Guidelines15. Employee Involvement and Security Awareness Employee Security Education and Motivation Hospital Watch16. Investigative Activity Fair Credit Reporting Act (FCRA) Security Versus Police Investigation Types of Investigation Incident Investigations/Two Phases Investigator Attributes Interviewing and Interrogation Undercover (Covert) Investigations Employee Informants17. Physical Security Safeguards Basics of Physical Security Designing a System of Perimeters Barriers Lighting Trees and Shrubs Locks and Keys Seals Glazing (Glass) Fastening Down Equipment Marking Property Safes Signage Crime Prevention Through Environmental Design18. Electronic Security System Integration Security Master Plan Security Design Considerations The Central Security Station Alarms Access Control Video Surveillance Other Security Technology Applications in Healthcare Testing of Security System Components Security Technology Implementation Tips19. Preventing and Managing Healthcare Conflict and Violence The Who (Perpetrators/Visitors) The What and the Why The When and the Where The Management of Healthcare Violence Preventing Violence in the Workplace20. Security Sensitive Areas Security Sensitive Areas Infant Abductions from HCFs Identification ED Security The Hospital Pharmacy21. Areas of Special Concern Health Information Management Child Development Centers Business Office/Cashiers Information Technology Intensive Care Units Gift Shops Compressed Medical Gases Food Service Roof Areas22. Off-Campus Considerations The Need for Off-Campus Facilities and Services23. Parking Control and Security Types of Parking Areas Parking Shuttle Service Valet Service Types of Parkers Automated Controls Traffic Flow and Space Allocation Pay-for-Parking Parking System Violators24. Emergency Preparedness-Planning and Management Basics of Emergency Planning Primary Manmade Emergency Events Accidental and Natural Emergency Events General Administrative and Operational Issues25. A Primer for Healthcare ExecutivesGlossaryAppendix I Monthly Occurrence ReportAppendix II Security Services Request for ProposalIndex