Hospital and Healthcare Security - 5th Edition - ISBN: 9781856176132, 9780080886022

Hospital and Healthcare Security

5th Edition

eBook ISBN: 9780080886022
Paperback ISBN: 9781493303922
Hardcover ISBN: 9781856176132
Imprint: Butterworth-Heinemann
Published Date: 27th October 2009
Page Count: 720
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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.

Key Features

Practical support for healthcare security professionals, including operationally proven policies, and procedures
Specific assistance in preparing plans and materials tailored to healthcare security programs
Summary tables and sample forms bring together key data, facilitating ROI discussions with administrators and other departments
General principles clearly laid out so readers can apply the industry standards most appropriate to their own environment
* Quick-start section for hospital administrators who need an overview of security issues and best practices


Healthcare security supervisors, managers, and directors; facility directors, risk managers, safety and emergency staff; healthcare administrators; vendors of healthcare security products and services; students of Healthcare Administration and Criminal Justice

Table of Contents


IAHSS Healthcare Basic Security Guideline Placement

1. 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 Knowledge

3. Security Risks and Vulnerabilities

Basic Healthcare Security Risks/Vulnerabilities

Primary Security Risks

Facility Security Risk Assessment

4. Security Management Planning

Security Management Plan

Security Strategic Plan

5. 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 Relations

6. Security Department Organization and Staffing

Security Function Reporting Level and Support

Types of Security Staff

7. Security Force Administration



Relationship with Officers


Performance Management

The Security Officer

Selecting Security Personnel

Full-Time Versus Part-Time Security Officers

Wage Compensation


Performance Expectations

8. Security Attire and Equipment


Use of Firearms

Other Equipment Considerations

Use of Force


Security Operations Manual

9. 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 Requirements

10. 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 Problems

11. Program Documentation

Purpose of Records

Administrative Records

Computer-Generated Reports

Basic Records

Security Supplemental Report

Security Condition Report

12. Patient Care Involvement


Assisting with Patients

Patient Risk Groups

Patient Property


13. 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 Liaison

14. 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 Guidelines

15. Employee Involvement and Security Awareness

Employee Security Education and Motivation

Hospital Watch

16. 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 Informants

17. Physical Security Safeguards

Basics of Physical Security

Designing a System of Perimeters



Trees and Shrubs

Locks and Keys


Glazing (Glass)

Fastening Down Equipment

Marking Property



Crime Prevention Through Environmental Design

18. Electronic Security System Integration

Security Master Plan

Security Design Considerations

The Central Security Station


Access Control

Video Surveillance

Other Security Technology Applications in Healthcare

Testing of Security System Components

Security Technology Implementation Tips

19. 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 Workplace

20. Security Sensitive Areas

Security Sensitive Areas

Infant Abductions from HCFs


ED Security

The Hospital Pharmacy

21. 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 Areas

22. Off-Campus Considerations

The Need for Off-Campus Facilities and Services

23. Parking Control and Security

Types of Parking Areas

Parking Shuttle Service

Valet Service

Types of Parkers

Automated Controls

Traffic Flow and Space Allocation


Parking System Violators

24. Emergency Preparedness—Planning and Management

Basics of Emergency Planning

Primary Manmade Emergency Events

Accidental and Natural Emergency Events

General Administrative and Operational Issues

25. A Primer for Healthcare Executives


Appendix I Monthly Occurrence Report

Appendix II Security Services Request for Proposal



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"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

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