Will outages like this motivate a backup paper process? The automated process should save enough information on paper so a switch over to paper process at any time is feasible. Similar to elections.
Maybe a handheld device for scanning in drugs or entering procedure information that stores the data locally which can then be synced with a larger device with more storage somewhere that is also 100% local and immutable which then can sync to online systems if that is needed.
there are backup paper processes, but they start fresh when the systems go down
If it was printing paper in case of downtime 24/7, it would be massive wasteage for the 99% of time system is up
If medical data were synced to the cloud but also stored on the endpoint devices and local servers, you’d have more redundancy. Obviously much more complexity to it but that’s what it would take. Epic as single source of truth means everyone is screwed when it is down. This is the trade off that’s been made.
That's a recipe for a different kind of disaster. I actually used Google Keep some years ago for medical data at home — counted pills nightly, so mom could either ask me or check on her phone if she forgot to take one. Most of the time it worked fine, but the failure modes were fascinating. When it suddenly showed data from half a year ago, I gave up and switched to paper.