Beth Israel Deaconess Medical Center
IS Support Services
Business Impact Analysis Worksheet
Solution Name: ______
Solution Owner:Subject Matter Expert (SME):
Backup SME:
Solution Type:
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5 Direct Patient Care
5 Ancillary Services
5 Financial Services
5 Decision Support
5 Executive Services/Support
5 Administrative/ Operations Support
5 Human Resources
5 Information Systems
5 Data Collection
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Is the solution critical to providing services to the solution type above? Yes/No? ____
Solution Data Type:
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5 EPHI
5 Private Data
5 Research/ Intellectual Property
5 PCI-related data
5 Other ______
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Solution Description: (Describe the solution and user workflow)
Solution Dependencies:
· Internal Departments:· External Organizations/Partners:
· State/Federal Regulatory:
· IT Dependencies:
Solution Use Times:
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· Peak Use Time: ______
· Minimal Use Time: ______
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What processes occur during peak times?
Business Continuity:
Impact of unplanned downtime:
Tolerable unplanned downtime:
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5 30min
5 1hr
5 2hrs
5 4hrs
5 6hrs
5 8hrs
5 24hrs
5 Other: ______
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Impact of unplanned downtime beyond tolerable parameters: (Any legal/regulatory concerns? Business processes?)
What is in place to minimize the impact a loss of the solution would cause?
Yes/No / Detail / Will this cause backlogs/ impact solution dependents? Yes/NoDescribe if Yes
Contingency Plans/Procedures
Manual Processes
Additional Resources/ Staff Call back
Divert to other institution(s)
Redundant/Backup System
How is data collected using downtime procedures protected, and compliant with any local/state/federal guidelines or regulations?
When systems returned, how do you insert the data collected during the downtime, into the production system?
Business Impact Analysis Worksheet Page 2 of 2
V1.0
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