Sam Auciello

Part 6 of our Security in Healthcare series Lockdown capabilities are an important aspect of safety and security for hospitals, doctor’s offices and medical facilities Hospitals and healthcare institutions increasingly face a reality of workplace violence, attacks on patients, and threats to doctors and other support staff. When these types of conflicts arise, there is an urgent need to lock the facility down quickly. Security professionals and their teams need access control options that allow lockdowns to occur at the touch of a button. Lockdown capabilities are an important aspect of safety and security for hospitals, doctor’s offices and medical facilities, says Mitchell Kane, President, Vanderbilt, a provider of security products and systems encompassing access control, intruder detection, CCTV and integrated security management. Security Management Systems Implementing an enterprise-wide Security Management System takes the necessary steps to ensure certain locations within these facilities remain protected from intruders and unwanted visitors, says Kane. The features that define an SMS include the ability to lock down portions of a hospital or doctor’s office during non-office hours, or to lock rooms that might store valuable patient data and medical files. The features that define an SMS include the ability to lock down portions of a hospital or doctor’s office during non-office hours Having a system in place that allows security officials to communicate these rules quickly and efficiently, through an easy-to-use interface, is a key to adhering to the rules and regulations that govern healthcare facilities. Going further, it helps to have these programmes on a Web-based platform, which streamlines the process and allows changes to be made by security directors wherever there is internet access, says Kane. Mobility is crucial Mobility is also a critical factor in the event of an emergency. Having a mobile application to help grant access, freeze access or change permissions instantaneously is important to this vertical market, along with the ability of security teams and professionals to be able to stay on the move throughout a facility, says Kane. Mobile applications allow security officers to control systems remotely without client software in place, a capability that can give healthcare facilities and hospitals the flexibility to provide access as needs change – and to respond at a moment’s notice.  Vanderbilt’s products range from single-user systems to highly customisable applications that fit the needs of leading multi-national corporations. Vanderbilt serves enterprise-level businesses and organisations, such as hospitals and healthcare facilities, with the access control and integrated systems they need to protect assets. It is important that security teams and professionals are able to stay on the move throughout a facility Mass notification possibilities The need for mass notification – another aspect of responding in an emergency – is also growing in the healthcare environment, says Sam Auciello, Business Development, Pasek Corp., an integrator company that serves the healthcare vertical. Various systems can communicate through the fire alarm public address (PA) system to notify people in an emergency, or, alternately, to use email notification, text messaging, pagers, smart phones and/or personal computers (PCs). In lockdown situations, access control systems provide an emergency button with various triggers in the system – a hospital can lockdown specific units or the entire facility. Flexible lockdown capabilities Access control systems offering lockdown capabilities have demonstrated their usefulness in the hospital environment. For example, Henry County Health Center in Mt. Pleasant, Iowa, installed Threat Level Manager, a feature of AMAG’s Symmetry access control system, to provide a lockdown capability in the event of an emergency. The health centre can increase its security based on the threat level defined by them. For example, the Obstetrics and Gynaecology department can lock down the entire hospital in the event of a security breach. Active shooter incidents would receive the same response. After a three-phase building upgrade, the Henry County Health Center upgraded to AMAG’s Symmetry Professional access control system to provide the flexibility to add people to groups and grant access. Exterior doors are locked automatically at 10 p.m., and Emergency Room doors are secure throughout the night with ER staff manually granting access to individuals needing medical care. Readers placed outside of elevator doors opening to the surgery centre provide increased access control pharmacies and biohazard areas are more secure because the health centre limits who enters these areas. Henry County Health Center in Iowa installed AMAG's Threat Level Manager to provide emergency lockdown capability Responding to specific threats AMAG sees a trend toward hospitals taking more specific lockdown preventative measures as a result of active shooter and other disruptive threats. AMAG’s Symmetry Threat Level Manager system allows a preconfigured response to be activated immediately that can assist greatly with the operations side of HIPAA [Health Insurance Portability and Accountability Act] privacy regulations. Henry County Health Center also installed many AMAG Symmetry EN-1DBC Power-over-Ethernet Controllers, which provide a fast, affordable option. Network-based door controllers installed as edge devices close to the doors have proven to be popular for healthcare security system upgrades, according to AMAG. They come online automatically. Integrated solution AMAG Technology manufactures access control, video management and identity management solutions. Hospitals and healthcare facilities install the Symmetry access control system and Symmetry CompleteView Video Management to manage and control and access and provide HIPAA compliance throughout their buildings and campuses.  Symmetry’s role as a complete physical security management system is to bring together all the different technologies into one integrated solution for the hospital. Symmetry has a lot of different mechanisms, including XML software development kits (SDKs), which allow all the different components from nearly 100 manufacturers to come together. One of the fastest growing trends is the addition of low-cost and easy-to-install electronic locks to pharmaceutical closets, labs, server racks and rooms of all types. Read Part 7 of our Security in Healthcare series here Save

 Part 1 of our Security in Healthcare series Hospitals have a continuous need for security, to update their systems,and to make repairs The healthcare vertical provides plenty of opportunities for security integrator companies. A single large hospital system can supply a dependable ongoing source of revenue to integrator companies, says David Alessandrini, Vice President, Pasek Corp., an integrator. Hospitals have a continuous need for security, to update their systems, to make repairs, he says. “It’s cyclical. Funding for large projects might span one to two years, and then they go into a maintenance mode. Departments are changing constantly, and they need us to maintain the equipment to make sure it’s operating to its full potential.” Hospitals are “usually large enough to provide enough work for several people for an extended length of time.” Healthcare customers in Pasek’s service area around Boston provide the potential for plenty of work. “We have four major hospitals, each with in excess of 250 card readers and 200 cameras, in the Boston area,” Alessandrini says. Pasek Corp. began as a lock company in 1876, and evolved a century later into an integrator of alarm systems, access control, video and integrated systems. With about 80 employees in all, Pasek has about 35 service vehicles on the road and 18 or so electronic service technicians. Mitigating installation challenges with technology Technology now allows integrators in the healthcare vertical to work on access systems remotely. The ability to spend fewer resources and less on overtime created a return on investment Installations in hospitals have their challenges, Alessandrini says. All the installation work has to happen inside a containment booth, and kept away from patient areas. “Wiring a unit takes about 40 percent more labour,” he says. Technology now allows integrators in the healthcare vertical to work on access systems remotely, says Sam Auciello, Business Development, Pasek Corp. “The technology allows us to work smarter rather than harder,” says Auciello. “We don’t have to send an officer off site to check on a door, we can stay on the main campus.” The ability to spend fewer resources and less on overtime created a return on investment (ROI). Active shooter training Other trends in healthcare security include the need to create systems to respond in case of an active shooter. Hospitals require active shooter training and exercises, and must develop policies and procedures to best handle the situation. “Do you fight the person or take off or shelter in place?” asks Auciello. Formerly a chief of detectives with the Manchester, N.H., Police Department, Auciello later worked as security manager for the Gillette company and then as Director of Security for Elliot Health System, a healthcare services company that includes a 275-bed hospital, and 21 other locations with 4,000 employees providing urgent care, general medical practice and specialty offices. When Auciello came to Eliott Hospital (in 2007), there were only six cameras. He created a five-year transition plan to update the systems. When he left eight years later, there were 260 all-IP cameras and 400 access control readers (using an AMAG system installed by Pasek). He now works with Pasek, Eliott Hospital’s integrator. Psychiatric wards, geriatric wards, and areas that house opioids and other drugs require extra security in hospitals Securing vulnerable areas Pasek sees other trends in the healthcare vertical, too. Covert cameras can be used where there is a high incidence of theft. Cameras also view various lobby and office areas. The card access system restricts entry into areas that house medical records. Areas that require extra security in hospitals include psychiatric wards, geriatric wards, and areas that house opioids and other drugs, says Auciello. A WanderGuard system from Stanley can keep patients in specific areas; the technology is like a global positioning system (GPS). Patients can be tracked throughout a facility, and WanderGuard integrates with access control systems. Entry points can be monitored by CCTV. Special anti-ligature hardware is required for doors in hospitals. Over-the-door switches can be installed in psychiatric units to alert behavioural healthcare staff in the event a patient tries to hang himself. Protecting assets Keeping up with assets in a hospital is another important function – and security can help. Assets are tagged with various bar codes or RFID systems, and they can interface with the access control system. Use of facial recognition and iris scanning biometrics in medical environments can avoid the need to touch sterile or infectious services; also, users can wear gloves without having to remove them as they would to use a fingerprint reader. The Joint Commission on Accreditation of Healthcare Organisations (JCAHO) addresses areas of security such as control of visitors, access into secure areas, access to operating rooms, and sterile conditions. While Auciello was at Elliot Hospital, the JCAHO recommended installation of a secure maternity unit, given that the hospital delivers 2,500 babies a year. Read Part 2 of our Security in Healthcare series here