Urgent Care Clinic Research Paper

Introduction
A disaster is one of the biggest challenges that tests the organizational structure of an urgent care clinic. Given that in disaster situations we are under an abnormal condition characterized by confusion, urgency and often danger, it implies planning in advance the care clinic response, in order to minimize the danger of possible damage to the integrity of patients and the security of the building. The internal and external disasters reduce the attention capacity of the institutions [4]. The daily clinical activities are altered and it is of vital importance for the success of the task of facing disasters of different magnitude, to have in advance all the human, physical and technological resources that this deserves.
The computer

networks of an urgent care clinic and the access to its data can be eliminated without previous warning, as much by the occurrence of natural disasters as by accidents caused by the people.
It is impossible to prevent this type of eventuality from happening, but a disaster recovery plan can prepare any organization to adequately deal with the unexpected.
Hurricanes, tornadoes, earthquakes, fires or floods are not alien to any business environment. In the same way, terrorist attacks and cyber attacks are the order of the day, are one of the main concerns of companies.

Disaster Recovery Plan Urgent Care Clinic
A disaster is defined as an event or incident that occurs in most cases in a sudden and unexpected, causing intense alterations on the elements presented, represented by the loss of life and health of the population, destruction or loss of property of a community and severe damage to the environment, which exceed the capacity of the community, or the affected society to face the situation through the use of its own resources.

Although access to health is a fundamental right, in a society such as ours, this service is quite limited, the relationship between offer and demand is very unbalanced, since urgent care clinics do not manage to treat all patients who require this service, as a result of a limited budget, corruption and different factors that prevent an adequate provision of this fundamental right. Therefore, it is vital to protect urgent care clinics so that they are prepared for any interruption or catastrophe that threatens the provision of health services and access to emergencies.
The Urgent Care Clinic has 4 doctors, 10 nurses and 2 nurse practitioners. It supports its strategic, missionary and evaluation processes with a technological platform implemented more than 13 years ago, which is vulnerable to natural, human and technical

threats.
The foregoing evidences the need for the Urgent Care Clinic has a disaster recovery plan for information and communication technologies that will mitigate the impact that any eventuality that could jeopardize the integrality and access to the information of the institution, both in physical and electronic media (SIMPKINS 2016) [8].
The recovery plan of Information and Communications Technologies of Urgent Care Clinic includes the following aspects:
• Failure of continuity of the Electric Fluid.
• Internet service failure.
• Failure of the Laboratory Software service.
• Failure of the Service Data Checking Rights - Different Payers - Intranet Failure of the telephone communication service.
• Failure due to massive virus attacks.
The general objective of disaster recovery plan is allowing the agile and structured development that guarantees the continuity of the operations of Information Technology and communications of the Urgent Care Clinic in the face of a critical situation that could threaten, partially or totally, the provision of the service and of which all the officials of the institution are aware (AL-KATTAN and ABBOUD 2009)[6].
The appropriate level of physical security, or degree of security, is a set of actions used to prevent failure and reduce the consequences that may arise from a disaster or eventuality.
During abnormal situations such as disasters, natural or provoked, and intentionally or not, the objective of the Information and Communication Technologies Disaster Recovery Plan is to ensure that the Urgent Care Clinic can continue to operate its services.
The Systems Professional will carry out the following actions:
• Analyze the type of risk and the impact at Urgent Care Clinic.
• Determine the priorities of the process, which indicate which are the critical applications and systems at the time of the disaster and the correct process order.
• Coordinate with the different people responsible for the recovery plan processes.
• Recovery of backup copies.
• Ensure the capacity of communications.
• Ensure the capacity of the servers.

Failure of Internet Service
The Urgent Care Clinic has two Asymmetric Digital Subscriber Line ADSL type internet channels, in any failure of one of the two is replaced by the other. The support is made by professionals in the Systems area.
The personnel of Systems should be informed of the occurrence of any failure in the information system; who should have a 24-hour availability 7x24.
Failure of The Clinical Laboratory Service
The Clinical Laboratory service has automated some clinical analysis procedures through an outsourcing contract with the company Technical Analysis Integral Solutions Ltd, with the Winlab software "Information System for the management of private laboratories" [1]. Only outsourcing company employees can review, uncover and give support on the Urgent Care Clinic computer equipment.
Failure of The Service of Databases - Intranet
The Urgent Care Clinic has an Intranet system where the databases of the different payers with which the entity has an active contract are available, which allows the Billing staff to check the rights of patients who request services from the Urgent Care Clinic. The recovery disks will be used in the event of a failure [3].
Failure of The Telephone Communication Service
The Urgent Care Clinic has a telephone plant, at the moment when there is a cut service by the telephony provider, the Urgent Care Clinic maintenance area immediately communicates with the provider to size the fault and the correction time is expected.

Failure by Virus Attack
Urgent Care Clinic has a Firewall Server at the entrance of the network to control Internet access and possible attacks that can be made by hackers or malicious crackers, their server has established certain security policies which prevents violations to their information, not allowed access to internet pages to users, there are categories (catalog types of information sites such as nude pages, finance, games, among others.) and policies (profiles are assigned to each of the categories created and assigned to the users determined by groups in the Domain server) given by areas for Internet access, Urgent Care Clinic has a pre-established database for the detection of intruders, there are two antivirus which perform a process of scanning incoming emails according to policies established on the server [9]. Additionally, Urgent Care Clinic’s internal data network is protected by the NOD32 Antivirus, which controls the attack of viruses by the use of USB, CDs, etc connected to the computer equipment of the Urgent Care Clinic (Fichter and Wisniewski 2016)[5].
The staff responsible of the restoration of the service in each one of the computers is the Systems Professional who will establish the following actions:
• Identification of the origin of the virus attack.
• Impact on computer assets.
• Take actions to restore computer assets.
• Establish communication with the company that supports the antivirus.
• Restore the necessary antivirus services.
• Report findings and procedures performed.
Recovery Information of Computer Equipment
Regarding the recovery of computer assets (Work Files).

Backup copies are processes that are used to save information. It is to say, a user wants to save all the information or part of the information available on the PC up to this moment; will make a backup copy in such a way that it will save the information in some technologically available storage, the urgent care clinic, the Systems area has two of the Servers as Backups administrator (Allen 2004)[2]; for later if a loss occurs in the computer equipment of one of the users and information is lost, from the Systems area the process of restoring the information to the date of the last backup made by the end user can be performed. In order for the process to be functional, users must periodically complete the process according to the indications given by the Systems

area.

Conclusion
The Disaster Recovery Plan must consider as a preventive mechanism the socialization and knowledge of the same by all the levels of the institution since once an event that affects the integrity, security or access to the information, the training and response of the human resource is presented. Timely is a key factor in responding to the event.
It is possible that the Disaster Recovery Plan also requires modifications despite its proper functioning. This occurs when there are substantial changes in the organization itself.
It is true that the preparation of a Disaster Recovery Plan requires considerable dedication and the attribution of a series of resources. However, it is a critical factor when it comes to guaranteeing the survival of a company (Omar, Alijani and Mason 2011) [7].