Sectors

Escrow in the healthcare industry

Digital certainty for healthcare continuity.

Introduction

In healthcare, reliable and continuous access to medical data and systems is vital.

Healthcare organisations depend heavily on digital systems to deliver safe and effective care. Hospitals, care providers and e-health organisations rely on software for electronic health records (EHR), medication management, laboratory systems (LIMS), PACS/VNA, care planning and secure data exchange. These applications are at the core of daily clinical and operational processes.

If such systems become unavailable or a software vendor fails, the impact is immediate. Patient safety, continuity of care and data integrity are at risk. In a highly regulated sector where availability, privacy and compliance are essential, these risks cannot be ignored.

Escrow4all’s software escrow services provide healthcare organisations with certainty. By guaranteeing access to source code, data and mission-critical healthcare applications, software escrow safeguards continuity of care and reduces dependency on vendors. This ensures that healthcare processes can continue safely and reliably, even in unexpected situations.

Healthcare

Escrow in the healthcare sector

1) Healthcare Systems as Lifeline

From medical records and prescriptions to imaging and triage, healthcare cannot function without reliable digital systems. Software and SaaS Escrow secure access to source code, configurations, and essential integration documentation (HL7, FHIR, DICOM, IHE). Data Escrow protects critical datasets and data models, including mapping overviews and export procedures. Together, they ensure continuity of care — even if a vendor encounters issues or 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 industry

In the healthcare sector, everything depends on certainty and continuity. In partnership with healthcare providers, Escrow4all ensures uninterrupted digital continuity of mission-critical systems.

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Every client is unique. That’s why we follow a proven, tailored procedure:

01

Analysis

Insight into your specific business case and requirements.

02

Advice

Tailored recommendations based on our expertise and years of experience.

03

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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