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Clinical Care Resilience: Ensuring Healthcare Business Continuity When IT Fails

As cyberattacks and outages grow more frequent, healthcare organizations must move beyond IT recovery planning to build clinical and operational readiness that protects patients and sustains care delivery.

IN THIS ARTICLE

Unscheduled IT outages are no longer rare events; they’re expected risks with serious consequences for patient safety, clinician performance and financial stability. To manage those risks, a growing number of healthcare organizations are working to build clinical care resilience to ensure they can continue to deliver care safely during an outage.

Clinicians who lose access to electronic health records and other technological resources experience a disruption in critical capabilities upon which they have come to rely. These issues multiply when teams haven’t rehearsed manual processes or are unsure what to expect when systems go down, especially for extended periods of time. Organizations must assess clinical workflows to understand the impact of various outage scenarios, develop remediation plans and practice them to build organizational readiness.

Clinical care resilience is an operational, clinical and cultural imperative that extends beyond IT. With the proper preparation, healthcare organizations can proactively enhance their resilience, which enables them to deliver better outcomes for patients and clinicians.

CDW can help your organization improve its resilience and ensure that patients get the care they need.

Unscheduled IT outages are no longer rare events; they’re expected risks with serious consequences for patient safety, clinician performance and financial stability. To manage those risks, a growing number of healthcare organizations are working to build clinical care resilience to ensure they can continue to deliver care safely during an outage.

Clinicians who lose access to electronic health records and other technological resources experience a disruption in critical capabilities upon which they have come to rely. These issues multiply when teams haven’t rehearsed manual processes or are unsure what to expect when systems go down, especially for extended periods of time. Organizations must assess clinical workflows to understand the impact of various outage scenarios, develop remediation plans and practice them to build organizational readiness.

Clinical care resilience is an operational, clinical and cultural imperative that extends beyond IT. With the proper preparation, healthcare organizations can proactively enhance their resilience, which enables them to deliver better outcomes for patients and clinicians.

CDW can help your organization improve its resilience and ensure that patients get the care they need.

Cityscape

The Need for Resilience in a Hyperconnected Healthcare Ecosystem

Achieving clinical care resilience demands a mindset shift: Resilience is not about preventing failure but rather enabling clinicians to deliver care safely and confidently when failure occurs. Healthcare organizations face escalating cyberthreats, third-party outages, cloud dependency and system fragmentation — each capable of disrupting care at critical moments. In a recent survey, 72% of healthcare organizations that experienced a cyberattack reported patient care disruptions. Clinical care resilience is both an operational and ethical imperative.

The threat landscape has intensified sharply. Health-ISAC tracked 575 breaches of health sector organizations in 2025, up from 179 in 2021. Ransomware is now an expected risk, with outages tending to be intentional, widespread and prolonged. In addition, most organizations depend on cloud-based solutions, from core infrastructure to electronic health records (EHRs), creating vulnerabilities that providers cannot manage directly. All such events affect organizations in ways that leaders often don’t anticipate, with consequences spanning patient safety, clinician readiness and financial stability.

To deliver care during an outage, organizations must address the disconnect between how care is designed (highly integrated and digitally automated) and how it must be delivered during failure (manually, episodically and with limited information). Clinicians who lose EHR access also lose automation, institutional memory and built-in safety guardrails. Teams that are unfamiliar with alternative workflows and clinical downtime procedures will face heightened stress, slower processes and greater patient risk. To prevent these outcomes, organizations must assess clinical workflows to understand the impact of various outage scenarios, develop remediation plans and practice them to build organizational readiness.

Clinical care resilience extends beyond traditional disaster recovery and well beyond IT. It is operational, clinical and cultural. With strong executive leadership and cross-functional coordination, healthcare organizations can move from reactive survival to proactive resilience, improving outcomes for both patients and clinicians.

190

The number of ransomware attacks against U.S. health sector organizations in Q4 2025

Merely surviving isn’t enough. CDW can help your organization build the resilience needed to support patients and clinicians.

The Need for Resilience in a Hyperconnected Healthcare Ecosystem

Achieving clinical care resilience demands a mindset shift: Resilience is not about preventing failure but rather enabling clinicians to deliver care safely and confidently when failure occurs. Healthcare organizations face escalating cyberthreats, third-party outages, cloud dependency and system fragmentation — each capable of disrupting care at critical moments. In a recent survey, 72% of healthcare organizations that experienced a cyberattack reported patient care disruptions. Clinical care resilience is both an operational and ethical imperative.

The threat landscape has intensified sharply. Health-ISAC tracked 575 breaches of health sector organizations in 2025, up from 179 in 2021. Ransomware is now an expected risk, with outages tending to be intentional, widespread and prolonged. In addition, most organizations depend on cloud-based solutions, from core infrastructure to electronic health records (EHRs), creating vulnerabilities that providers cannot manage directly. All such events affect organizations in ways that leaders often don’t anticipate, with consequences spanning patient safety, clinician readiness and financial stability.

To deliver care during an outage, organizations must address the disconnect between how care is designed (highly integrated and digitally automated) and how it must be delivered during failure (manually, episodically and with limited information). Clinicians who lose EHR access also lose automation, institutional memory and built-in safety guardrails. Teams that are unfamiliar with alternative workflows and clinical downtime procedures will face heightened stress, slower processes and greater patient risk. To prevent these outcomes, organizations must assess clinical workflows to understand the impact of various outage scenarios, develop remediation plans and practice them to build organizational readiness.

Clinical care resilience extends beyond traditional disaster recovery and well beyond IT. It is operational, clinical and cultural. With strong executive leadership and cross-functional coordination, healthcare organizations can move from reactive survival to proactive resilience, improving outcomes for both patients and clinicians.

Merely surviving isn’t enough. CDW can help your organization build the resilience needed to support patients and clinicians.

Care Resilience by the Numbers

54%

The percentage of healthcare organizations that reported increased complications from medical procedures because of a cyberattack

Source: Proofpoint, “The 2025 Study on Cyber Insecurity in Healthcare,” October 2025

29%

The percentage of healthcare organizations that reported an increase in patient mortality rates because of a cyberattack

Source: Proofpoint, “The 2025 Study on Cyber Insecurity in Healthcare,” October 2025

46%

The percentage of healthcare organizations that have disaster recovery and infrastructure resilience practices in place

Source: College of Healthcare Information Management Executives, “National Trends Report 2025,” November 2025

Care Resilience by the Numbers

54%

The percentage of healthcare organizations that reported increased complications from medical procedures because of a cyberattack

Source: Proofpoint, “The 2025 Study on Cyber Insecurity in Healthcare,” October 2025

29%

The percentage of healthcare organizations that reported an increase in patient mortality rates because of a cyberattack

Source: Proofpoint, “The 2025 Study on Cyber Insecurity in Healthcare,” October 2025

46%

The percentage of healthcare organizations that have disaster recovery and infrastructure resilience practices in place

Source: College of Healthcare Information Management Executives, “National Trends Report 2025,” November 2025

cdw

Reframing Resilience Around Clinicians and Patients

When healthcare providers lack clinical resilience, outages have ripple effects across the organization. Patients experience delays, uncertainty, and the risk of lower-quality care and poorer outcomes. Clinicians’ work is stressful, confusing and poorly coordinated. Costs rise as organizations lose revenue and revert to slower, more expensive manual processes.

CLINICAL RESILIENCE: Clinical care resilience differs from traditional IT resilience, which focuses on systems uptime, redundancy and recovery speed. It is also distinct from disaster recovery, which prioritizes the ability to restore systems quickly and smoothly. Clinical resilience ensures that disruptions are manageable by enabling care delivery during an outage.

WHEN SYSTEMS FAIL: Technology typically supports care through automation and information retention. In an outage, tools that have become central to clinical workflows may suddenly be unavailable. Without EHRs, communication platforms or clinical decision support, clinicians must revert to manual workflows that many have never practiced. Stress increases, handoffs degrade and risks multiply.

TRAINING FOR OUTAGES: Providers must prepare employees through simulations and cross-department drills that establish or refresh manual workflows and identify resources that teams would need in various outage scenarios. This is crucial for building the confidence, familiarity and muscle memory that allows employees to function under pressure so they can deliver care safely.

PATIENT SAFETY RISKS: Cyber incidents and outages can disrupt clinical workflows in ways that affect patient safety if providers are unprepared. For example, many hospitals have adopted technology tools to reduce medication errors, manage fall risks and surface critical alerts by analyzing patient telemetry, while EHR access plays a critical role in decision-making.

OPERATIONAL COSTS: Downtime and outages have a significant operational impact. Ransomware attacks can be far more expensive and take longer to resolve than leaders may realize, with one study estimating that healthcare organizations lost $1.9 million per day and had 17 days of downtime, on average, after an attack.

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The Costs of Downtime

A ransomware attack on a major claims clearinghouse in 2024 sent shockwaves through the entire healthcare sector, with 74% of hospitals reporting patient care impacts, such as delayed authorizations for medically necessary treatments, and 33% reporting a disruption of more than half of their revenue. Nearly all reported a financial impact, including the high administrative expense of reverting to manual processes.

In 2024, a ransomware attack against a Midwestern hospital exposed sensitive information belonging to nearly 800,000 patients and took the EHR system and patient portal offline for nearly four months. Subsequent impacts included a class-action lawsuit and the time-consuming process of transferring patient data recorded manually into the restored EHR.

In May 2025, a ransomware attack led to a data breach and a shutdown of data systems across a New England provider’s entire network. That same month, an attack disrupted operations at a Midwestern system’s 14 medical centers as well as its call center. In the latter incident, nurses described serious risks to patient safety as a result of providing care without EHRs and the usual safety guardrails, such as pharmacy cross-checks.

cdw

Reframing Resilience Around Clinicians and Patients

When healthcare providers lack clinical resilience, outages have ripple effects across the organization. Patients experience delays, uncertainty, and the risk of lower-quality care and poorer outcomes. Clinicians’ work is stressful, confusing and poorly coordinated. Costs rise as organizations lose revenue and revert to slower, more expensive manual processes.

CLINICAL RESILIENCE: Clinical care resilience differs from traditional IT resilience, which focuses on systems uptime, redundancy and recovery speed. It is also distinct from disaster recovery, which prioritizes the ability to restore systems quickly and smoothly. Clinical resilience ensures that disruptions are manageable by enabling care delivery during an outage.

WHEN SYSTEMS FAIL: Technology typically supports care through automation and information retention. In an outage, tools that have become central to clinical workflows may suddenly be unavailable. Without EHRs, communication platforms or clinical decision support, clinicians must revert to manual workflows that many have never practiced. Stress increases, handoffs degrade and risks multiply.

TRAINING FOR OUTAGES: Providers must prepare employees through simulations and cross-department drills that establish or refresh manual workflows and identify resources that teams would need in various outage scenarios. This is crucial for building the confidence, familiarity and muscle memory that allows employees to function under pressure so they can deliver care safely.

PATIENT SAFETY RISKS: Cyber incidents and outages can disrupt clinical workflows in ways that affect patient safety if providers are unprepared. For example, many hospitals have adopted technology tools to reduce medication errors, manage fall risks and surface critical alerts by analyzing patient telemetry, while EHR access plays a critical role in decision-making.

OPERATIONAL COSTS: Downtime and outages have a significant operational impact. Ransomware attacks can be far more expensive and take longer to resolve than leaders may realize, with one study estimating that healthcare organizations lost $1.9 million per day and had 17 days of downtime, on average, after an attack.

Click Below To Continue Reading

arrow

The Costs of Downtime

A ransomware attack on a major claims clearinghouse in 2024 sent shockwaves through the entire healthcare sector, with 74% of hospitals reporting patient care impacts, such as delayed authorizations for medically necessary treatments, and 33% reporting a disruption of more than half of their revenue. Nearly all reported a financial impact, including the high administrative expense of reverting to manual processes.

In 2024, a ransomware attack against a Midwestern hospital exposed sensitive information belonging to nearly 800,000 patients and took the EHR system and patient portal offline for nearly four months. Subsequent impacts included a class-action lawsuit and the time-consuming process of transferring patient data recorded manually into the restored EHR.

In May 2025, a ransomware attack led to a data breach and a shutdown of data systems across a New England provider’s entire network. That same month, an attack disrupted operations at a Midwestern system’s 14 medical centers as well as its call center. In the latter incident, nurses described serious risks to patient safety as a result of providing care without EHRs and the usual safety guardrails, such as pharmacy cross-checks.

CDW can help healthcare organizations build clinical resilience to support clinicians and protect patient care during an outage.

Eli Tarlow

CDW Expert

Eli Tarlow is a Healthcare Strategist at CDW, where he advises healthcare IT executives nationwide to improve clinical outcomes and patient experience. Prior to joining CDW, Eli held CIO positions at several healthcare organizations, including Bellevue Hospital, Brookdale Hospital, Metropolitan Hospital, and other long-term care facilities and diagnostic centers.