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Lichten, Pg.6 instruments, diagnostic imaging equipment, etc.) and information systems across the hospital." The only saving grace that's discussed is the use of health information market. Since Minghella clarifies; "Our participation in a Health Information Exchange (HIE) played an significant part in helping people recover from this information lossAs a consequence of the effort, lab tests, diagnostic imaging outcomes and transcribed reports such as operative reports, discharge summaries and inpatient progress notes were offered to be used in re-creating the individual record." Using health information exchange clearly been shown to be a key component in their recovery. Minghella further goes on to stress the significance of paper records as a backup. She shows the requirement as she states, "through an extended IT outage you are going to appreciate a paper-based fallback system like a kid wanting cold, soothing ice cream after a tonsillectomy". I feel this situation is a choice example of the importance of contingency programs. Additionally, I feel it impeccably illustrates the dynamics of contingency plans, in addition to their real use. Concerning the use of EHRs in catastrophe response, Hurricane Katrina is a prime example. Due to the size of Hurricane Katrina and its devastating consequences, the support interruptions were of a far larger scale than those confronted at Boulder Community Hospital. This is clearly shown as Brown, Fischetti and Kolodner elucidate; "The inability of 3 sites that were up and running but without national network connections to transmit routine prescription data underscored the criticality of data communications to maintaining operations." This excerpt clearly proves the necessity for contingency plans regarding large scale.