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DISASTER
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Click
Here for a Printable Version
HIPAA
Checklist
for Dealing with SARS Outbreak
By HENRY EE, MBCI, CBCP
The
outbreak of Severe Acute Respiratory Syndrome (SARS), commonly known
as Atypical Pneumonia (AP) that spread like wildfire recently, has been
posing a big health risk to many people around the world.
By as early as June 2003, statistics showed that more than 8,500 people
were already infected with the virus with more than 800 deaths worldwide.
There is no known cure for this illness except fighting it by using
one’s own immune system. Companies, especially those with front
line staff who need to interact with customers, are more prone to the
virus. They have been busy drawing up their contingency plans for the
past weeks.
So what is the big fuss all about? A typical contingency plan consists
of the combination of technology, manpower, critical document and an
alternative site. In a SARS contingency, the primary site may be still
available but no manpower as the staff may be quarantined at home. That
means the normal contingency strategies cannot be used under these circumstances.
Here are some tips for SARS contingency you could adopt:
1) Meet the expectation of the regulator
Check with your regulators on any guideline with which you need to comply.
For example, Hong Kong Monetary Authority (HKMA) is currently requesting
its members provide a manpower contingency plan if there is an infected
case in the company (www.info.gov.hk/hkma/eng/guide/circu_date/20030402e1.htm).
It would be equally important for companies in all industries to stay
alert and plan for the unplanned.
Singapore Ministry of Health invoked the Infectious Disease Act on March
24, 2003, to isolate all persons who have close contact with persons
diagnosed with SARS. The home quarantine information can be found at
http://app.moh.gov.sg/sar/sar08.asp. All persons under home quarantine
must not leave the house, not even to see the doctor or go to work.
Affected employers which have employees under home quarantine had to
follow the wage guidelines provided by the Ministry of Manpower.
2) It is the people, not facilities
Many companies have recovery sites (hot, cold or dedicated) ready. But
in a situation like SARS it will affect your staff, not the facility.
The facilities will still be there, but what if your staff is infected?
You may not need to get your recovery site to standby, unless you plan
to split your workforce to a different working area.
3) Communicate, communicate, communicate
Communication is one of the most vital tools in determining the success
of any BCP plan.
Although the spread of SARS may reduce the number of face-to-face meetings,
communication should not stop here. Try to use other media such as video
conferencing, e-mail or merely using the phone to pass the message.
Communicating your SARS contingency plan to all staff is equally important.
Without an effective communication plan, your BCP plan will not work
as well as it is being planned.
Consider the following for a command and control in your SARS contingency:
a) Crisis management team: Consisting
mainly of the department heads and the function group like legal, compliance
and facilities; this is the decision-making committee that makes major
decisions like declaring emergency and activation of SARS contingency
or an recovery plan.
b) BCP working group: Consists of the respective department BCP coordinators;
this is the working group that determines the SARS contingency needs
and keeps all departments informed of the SARS contingency status.
c) Escalation procedure: If a staff member is identified with SARS,
what should the immediate superior or manager do? Whom should they escalate
the report to? And what immediate action should they or the crisis management
team take? Remember: timing is the key issue in this.
4) Let the staff know you care
Provide masks. Although most of the staff may have already brought a
mask themselves, it is still heartening to see that management cares.
Keep the staff updated on the conditions of their fellow colleagues
who may have been isolated for some reason. Have cleaners clean and
sterilize the offices daily. Make sure staff are comfortable working
in the environment and know that you care and are taking the necessary
measures.
If possible, provide staff with access to medical advisors such as a
medical hotline or have a nurse or doctor stationed for a few hours
per day in the office. In case there is any person who is feeling ill,
he or she can go to see the medical staff directly without having to
go to the clinic which may pose higher risks. If there is no sick bay,
convert one of the smaller meeting rooms as isolation room.
5) Quick Win
The SARS contingency plan is different from any traditional BCP or even
Y2K contingency in that you cannot afford to take the next few months
or even years to develop a full SARS contingency plan. You need to react
as quickly as possible and have some quick-win actions that you can
execute almost immediately. For instance, decide what you will do if
your business becomes affected by SARS tomorrow. One suggestion is to
have some laptops and remote access set up for more people than you
usually do. Have managers think about special work assignments that
could be done at home while people are in quarantine, but not sick.
This will help your staff continue to feel productive, and benefit your
company at the same time.
6) Consider the preventive measures (identify
and isolate)
Be proactive in identifying staff members with SARS symptoms. With fever
as the first symptom in identification of the virus, it may be advisable
to have a thermometer in every department and get the staff to check
their temperatures once per day. Educate staff not to overreact to rumors
and suspected incidents. Maintain high standards of personal and environmental
hygiene in the working area. Issue management guidelines on travel;
minimize unnecessary travel and keep track of staff traveling to high-risk
areas. You may need to isolate the staff that travels to SARS infected
areas, regardless of whether it is for personal or business purpose.
7) Preparations for plan invocations
Define different scenarios that could likely affect your operation and
work out the action plan such as evacuation, cleaning up process, activation
of SARS contingency, return to normal operation.
Pre-define what is the likely outage if one or more staff members are
identified with SARS virus. If it happens, should you do an overnight
clean up? Or close the office and wait for five days, seven days or
10 days? Consult with medical support and obtain advice before you make
this decision. Establish recovery strategies and priorities of business
functions in the affected scenarios for all office facilities. Consider
what you would do if a cafeteria worker contracted SARS and your entire
building was quarantined for 10 days. What if the public health authorities
decided to quarantine people in your building (i.e., not allow them
to go home)?
8) Be sensitive to the needs of others
In April, about a month after SARS affected Hong Kong and Singapore,
lots of companies considered using their recovery sites or overseas
offices as the alternate site. You need to be sensitive to your staff
and even your vendors’ consideration. While you may be moving
your staff to another location as a preventive measure, will the staff
at the other location worry that the staff you are moving over pose
a high risk to them?
9) Face the world and tell the truth
Plan for the worst and in case it happens, get the press release ready
and tell the truth. Don’t cover up. Your customers, shareholders
and staff have the right to know what is happening.
10) Our SARS recovery strategy
After multiple brainstorming sessions, our team came up with the following
strategies. We trust that by sharing this information, BCP practitioners
in the region will benefit.
a) Split workforce. If you have more
than one office facility, you can consider splitting the workforce.
For example, front office in Zone A and back office in Zone B. Separate
the functions and move some of the back office operation staffs to work
in Zone A and vice versa. In the worst case, back office operation will
still be able to function if Zone B is identified to be infected with
the SARS virus and need to be isolated. If you have only one office
facility, you may consider moving part of your workforce to the recovery
site.
b) Transfer the function or staff overseas. To be honest, we always
have this reservation in the last few years when a business manager
told me they can transfer my function to another location and resume
work as normal. However, it is difficult to test this strategy with
so many factors involved (e.g. airfare, border regulations, travel visa,
family commitments, etc...). For the SARS contingency, this is a perfect
solution. Don’t expect a 100 percent recovery of your work or
even an 80 percent at another location. But at least if you start to
plan for it now, you can get it to work and your business can still
go on. If you consider transferring staff overseas as a preventive measure,
you need to check what is the receiving country health policy and also
be sensitive to the needs of others.
c) Work from home. With today’s technology, many job functions
can be considered for work from home. However, you will need to consider
compliance issues like voice recording, human and environmental issues.
For example, does the staff member’s home allow him/her to work
effectively? Don’t forget that schools are closed; their children
might be more keen to get their parents’ attention than allowing
them to work.
Remember, a combination of the above
strategies is likely for your SARS contingency to work rather than choosing
just a single approach.
Henry Ee, MBCI, CBCP, is the director of Business Continuity Planning
Asia (www.bcpasia.com). Contact Ee by e-mail at: henry@bcpasia.com.
To comment on this article, go to 1603-08
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2003 Systems Support Inc. All rights reserved. Reproduction in whole
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