Hospital and Healthcare Security

Chapter 1. The Healthcare Environment

• Categories of Healthcare
• Types of Hospitals
• Nonhospital Side of Healthcare
• Diverse Stakeholders
• Staffing the Medical Care Facility
• The Healthcare Security Administrator
• The Joint Commission
• The Environment of Care Committee
• The Centers for Medicare and Medicaid Services
• Health Insurance Portability and Accountability Act

Chapter 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

Chapter 3. Healthcare Security Risks and Vulnerabilities

• Basic Healthcare Security Risks/Vulnerabilities
• Primary Security Risks
• Facility Security Risk Assessment

Chapter 4. Security Management Planning

• Security Management Plan
• Security Strategic Plan

Chapter 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

Chapter 6. Security Department Organization and Staffing

• Security Function Reporting Level and Support
• Systems (Multifacility) Security Management Control
• Types of Security Staff

Chapter 7. Leadership and Professional Development

• Defining Leadership
• Leadership Competencies
• The Security Leadership Role
• Leadership Development
• The Healthcare Security Supervisor
• Motivation
• Performance Management

Chapter 8. The Healthcare Security Officer

• The Security Officer
• Selecting Security Personnel
• Full-time Versus Part-time Security Officers
• Wage Compensation
• Retention
• Performance Expectations

Chapter 9. The Security Uniform and Defensive Equipment

• Uniforms
• Use of Firearms
• Other Security and Defensive Equipment Considerations
• Use of Force
• Training
• Security Operations Manual

Chapter 10. Training and Development

• Training Concepts
• New Security Officer Training
• IAHSS Progressive Certification Program
• IAHSS Basic Security Officer Training
• IAHSS Supervisory Training
• Specialized or Supplemental Training
• Elective Training
• Training Resources and Records Requirements

Chapter 11. Deployment and Patrol Activities

• Deployment Objectives
• Flexing the Security Staffing Plan
• 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

Chapter 12. Program Documentation and Performance Measures

• Purpose of Records
• Basic Records
• Key Performance Indicators

Chapter 13. Patient Care Involvement and Intervention

• Patients
• Assisting with Patients
• Patient Risk Groups
• Patient Property
• Visitors

Chapter 14. Human Resources and Staff Responsibilities

• Healthcare Employee Selection
• Staff Identification Badges
• Security-Oriented Employment Guidelines

Chapter 15. Employee Involvement and Security Awareness

• Employee Security Education and Motivation
• Hospital Watch

Chapter 16. Investigative Activity

• Security versus Police Investigation
• Types of Investigation
• Investigator Attributes
• Interviewing and Interrogation
• Undercover (Covert) Investigations

Chapter 17. Security Design Considerations for Healthcare

• Security Master Plan
• IAHSS Security Design Guidelines
• Security Design Considerations
• Crime Prevention Through Environmental Design (CPTED)
• Emergency Management Design

Chapter 18. Physical Security Safeguards

• Basics of Physical Security
• Barriers
• Bollards
• Lighting
• Trees and Shrubs
• Locks and Keys
• Security Seals
• Glazing (Glass)
• Fastening Down Equipment
• Marking Property
• Safes
• Signage

Chapter 19. Electronic Security System Integration

• The Security Operations Center
• Alarms
• Access Control
• Video Surveillance
• Other Security Technology Applications in Healthcare
• Testing and Maintaining Security System Components
• Security Technology Implementation Tips

Chapter 20. Preventing and Managing Healthcare Aggression 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
• Culture of Tolerance

Chapter 21. Areas of Higher Risk

• Security Sensitive Areas
• Infant Abductions from Healthcare Facilities
• The Basics of the Infant Security Plan
• Emergency Department Security
• The Hospital Pharmacy

Chapter 22. Areas of Special Concern

• Protected Health Information
• Information Technology
• Materials Management
• The Research Laboratory (Animal)
• Child Development Centers
• Business Office/Cashiers
• Other Areas Needing Special Security Consideration
• Security Areas of Concern Specific to the Organization

Chapter 23. Parking and the External Environment

• Types of Parking Areas
• Parking Shuttle Service
• Valet Service
• Types of Parkers
• Automated Controls
• Traffic Flow and Space Allocation
• Pay for Parking
• Parking System Violators

Chapter 24. Nonacute Facilities and Off-campus Programs and Services

• The Need for Off-campus Facilities and Services
• Home Healthcare (Community Provider Services)
• Off-campus Patient Treatment Facilities
• Long-term/Residential Care Facilities
• Nonclinical Off-campus Facilities

Chapter 25. Emergency Preparedness: Planning and Management

• Regulations for Healthcare Emergency Preparedness
• Emergency Management Planning
• Bomb Threat
• Active Shooter Prevention and Response
• Patient Decontamination
• Evacuation
• Emergency Preparedness Exercise Design and Conduct

Chapter 26. A Primer for Healthcare Executives

• What Basic Objectives Should We Have for the Security Program?
• What Leadership Characteristics Should the Healthcare Security Administrator Possess?
• Where Should Security Report?
• What Customer Service Expectations Should Be Established for Security?
• Why Do I Need a Security Master Plan?
• How Do We Identify Our Security Risks and Vulnerabilities?
• Does the Community Standard have a Role?
• The Security Staffing Model: How Large a Staff Is Needed?
• Security Training: What Should I Expect?
• How Do I Know My Security Staff Are Competent?
• How Much Involvement Should Security Have with Patients?
• What Type of Uniform Should Security Officers Wear?
• What Use of Force Options Should Be Made Available to Our Security Staff?
• How Should Security Be Designed into the Healthcare Facility?
• How Important is Access Control?
• Where are Alarms Needed?
• Why Invest in Video Surveillance?
• What Other Security Technology Applications Should be Considered?
• The Investment in Security Technology Has Been Made, But How Do We Know it Works?
• How Concerned Should We Be about Violence in Healthcare?
• Are We Doing Enough to Protect Our Infant and Pediatric Patients?
• What Should We Do Differently to Manage Forensic/Prisoner Patients?
• Are We Doing Enough to Protect the Privacy of Our Data?
• How Do We Get Employee Involvement in the Protection Effort?
• What Security-related Policy and Procedures Do I Need?
• What Performance Metrics Should I Be Using for Benchmarking My Security Program?