Escrow in the healthcare sector
Healthcare depends on EHRs, LIMS, PACS/VNA, e-Health, and data exchange. System failures impact both patients and care providers immediately. Continuity, data integrity and privacy are critical. Escrow safeguards access to applications and healthcare data so that care processes can continue securely.
Escrow in the healthcare sector
In healthcare, reliable and continuous access to medical data and systems is vital. Hospitals, care institutions, and e-health providers rely on software for electronic health records (EHR), medication management, lab systems, and care planning. But what if this software suddenly fails, or the supplier goes bankrupt? In a sector where availability directly affects patient safety, such risks are unacceptable.
Escrow4all’s escrow services ensure that healthcare organisations always retain access to source code, data and mission-critical applications. This guarantees continuity of care—even if the vendor is no longer available.
1) Healthcare Systems as Lifeline
From medical records and prescriptions to imaging and triage: without digital systems, the care chain breaks down. Software Escrow secures source code, configurations, and integration documentation (HL7, FHIR, DICOM, IHE). Data Escrow safeguards datasets and data models, including mapping overviews and export procedures—ensuring uninterrupted care delivery, even if the vendor fails.
2) Patient Safety and Continuity
In critical events, quick recovery or development is needed (e.g., security patches, integration fixes). Escrow enables controlled release so internal or external teams can take over management—with minimal impact on care continuity and patient safety. Release criteria are carefully aligned with clinical risk levels.
3) IP Protection & Custom Solutions
Healthcare organisations often use customised solutions for integrations, decision logic or devices. Escrow ensures access without infringing on IP and records everything necessary for a safe restart (version control, test environments, deployment steps, validations).
4) Standards & Legislation: NEN 7510/7512/7513, GDPR, NIS2
Escrow supports controls for information security and continuity. This includes logging/traceability (7512/7513), data minimisation and recovery procedures. Verification reports assist in audits and executive accountability. For NIS2-regulated care providers, escrow serves as a concrete chain-level control.
5) What We Secure
Source code, integration profiles (HL7/FHIR), DICOM configurations and viewer scripts
Data models, migration steps, pseudonymisation/ anonymisation procedures
Validation and test protocols, installation/upgrade manuals
Emergency runbooks, RTO/RPO assumptions, fallback workflows
6) Verification & Clinical Reality
In addition to integrity checks, we conduct clean-room builds and functional smoke tests where appropriate. Reports detail dependencies (hardware, drivers, connectors) and outline steps to safely activate in an alternative environment.
Partners within the healthcare sector
In the healthcare sector, everything depends on certainty and continuity. In partnership with healthcare providers, Escrow4all ensures uninterrupted digital continuity of mission-critical systems.
Every client is unique. That’s why we follow a proven, tailored procedure:
Analyses
Insight into your specific business case and requirements.
Advice
Tailored recommendations based on our expertise and years of experience.
Execution
A secured, technical and legal implementation process.
Yes. NEN 7510 and NIS2 require structured safeguards for availability, recovery, and information security. The GDPR demands accountability over access and continuity of medical data processing. A properly arranged escrow agreement helps meet these standards and enhances patient safety.
In case of system failure or vendor insolvency, escrow ensures access to source code, configurations, and datasets. Hospitals or care partners can continue managing or restoring systems without interrupting patient care—essential for EHRs, LIMS, medication or triage platforms.
Healthcare providers often use customised integrations, logic, or device-related software. Escrow protects access to this software without infringing on the vendor’s IP. It enables secure continuation, with documentation for validation and certification.
Escrow is designed for hospitals, mental health organisations, labs, EHR vendors, and e-health providers. Costs vary based on the software type, customisation level and verification scope. You can calculate your escrow fees directly on our website or book a free intake session.
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