Healthcare and Hospital Security and Workplace Violence Consultant and Expert

Are Your People Safe?   Do They Feel Safe?  Do They Know You Care?

How do you balance your need to be an open, nurturing and welcoming facility against your duty to properly and reasonably protect your people, assets and reputation? 


Is your Hospital and Clinic Security Program a strategically planned and synergistic system that cost effectively prevents and mitigates your real threats and risks, or is it a relatively random collection of measures applied over the years as a reaction to particular incidents and concerns?

Does your Healthcare Workplace Violence Program and Plan include the comprehensive components of Prevention, Mitigation/Threat Management and Response?  Does it address the prevention and mitigation of all too common assaults against healthcare staff?  Does it meet and exceed regulatory requirements? 


Have you implemented an early intervention, multi-disciplinary team-based, risk assessment and management process to safely identify, assign a level of risk and manage patients, family members and employees with a proclivity toward violence as they move through your system? 

Hospital Security Consultant
Healthcare Security and Workplace Violence Consulting Experience

All work is performed by a board-certified security and workplace violence consultant and expert with 47 years’ security management experience

As a hospital security consultant we’ve served large and small healthcare systems in almost every U.S. state

We worked with 16 hospitals and clinics following deaths by shootings and stabbings and bring lessons learned to our work

We've identified and apply the latest and most effective and efficient healthcare industry best practices

We understand the unique healthcare culture and business challenges and structure our recommendations and plans to support and reflect your culture while protecting people, assets and reputation and while managing budgets

Healthcare Security Consultant
Hospital Security and Workplace Violence Consulting Services Provided

Comprehensive Healthcare Security and Violence Management Assessments or “Targeted” (i.e. Emergency, Security Department, Workplace Violence, Accessibility, Behavioral Health, Outlying Facilities, etc.) Vulnerability and Risk Assessments and Surveys

Development of Related Policies, Procedures and Plans

Review and Enhancement of Contract or Proprietary Security Officer and Police Programs to include numbers/staffing, posts, scheduling, training, recruitment, retention, tasks, motivation, supervision, equipment, etc.

Review and Development of Healthcare and Hospital Workplace Violence Programs and Plans to Include the Key Components of Prevention, Mitigation/Threat Management, Response and Recovery

Review and Development of Processes to better protect staff from assault to include early intervention, multi-disciplinary team-based patient risk assessment and management

Training of Staff and Security Officers on Security and Safety Awareness and Responsibilities, Recognizing the Early Warning Signs of Violence, Safety During Threats and Violence, etc.

Support During and Following Incidents such as Active Shooters, Assaults, Threats and Related Crises

Trends Affecting Healthcare Security and Violence Management


  • Increase in assaultive behavior against healthcare staff, especially in Emergency Departments and Behavioral Health facilities and units

  • Resultant ED and BH staff who feel less safe

  • Increased admittance of behavioral health patients, largely due to diminishing availability of area mental health resources

  • Increase in aggressiveness of drug seekers

  • The Opioid empidemic

  • Decline in civility and respect among many

  • Domestic violence spill-over into the healthcare workplace against patients and employees

  • Expansion throughout service regions with smaller facilities like clinics, urgent care, elder care, MOB’s, smaller hospitals, rehab, pain management, family health centers, etc.  Note that staff at these facilities can face the same sorts of aggressive and even threatening behavior, but lack the resources, of the larger hospitals

  • Security departments and programs becoming more proactive, innovative and system-based

  • System and Hospital Consolidations and Mergers

Our Clients

Our healthcare security and workplace violence clients include Children’s Hospital of Wisconsin, Good Shepherd Medical Centers (now Christus) of Longview and Marshall, TX, four hospitals of Alexian Brothers Health in Chicago (now Amita), three hospitals of Adventist Health in Chicago, (now Amita) Florida Hospital in Orlando, FL (Adventist), St. Peter’s Hospital and Albany Memorial Hospital in Albany, NY, Samaritan Medical Center in Watertown, NY, Regions Hospital in St. Paul, MN (Health Partners), St. Vincent’s Medical Center in Bridgeport, CT (Ascension Health), SMS Healthcare in St. Louis, MO, Lawrence + Memorial Hospital in New London, CT, Norwalk Hospital in Norwalk, CT, Gillette Children’s Hospital in St. Paul, MN, Harrison County Hospital in IN, Intermountain Healthcare in Utah, Marshfield Clinic in WI, Children’s Hospital of Central CA in Fresno, CA, Danbury Hospital (Western CT Health) in Danbury, CT, Good Samaritan Hospital in Troy, NY, Frederick Memorial Hospital in Frederick, MD, three hospitals of Scottsdale Health in Scottsdale, AZ, Central Peninsula Hospital in Soldotna, AK, three hospitals of Baptist Hospital in Jacksonville, FL, Covenant Medical Center in Lubbock, TX, Denver Health, East LA Doctors Hospital in Los Angeles, CA, Wabash General Hospital in Mt. Carmel, IL, Memorial Hospital of South Bend, IN, Avera McKennan Hospital in Sioux Falls, SD, New Milford Hospital in New Milford, CT, Southeast AL Medical Center in Dothan, AL, Satilla Regional Medical Center in Waycross, GA, Rogers Memorial Psychiatric Hospitals in Wisconsin, Community Memorial Hospital in Ventura, CA, Hospital for Special Surgery in NYC, NY, Clifton-Fine Hospital in Star Lake, NY, Jackson-Madison County Medical Center in Jackson, TN,  three hospitals of Sacred Heart Health around Pensacola, FL, St. John’s Hospital in Detroit, MI, Univ. of MN Medical Center/Fairview Health in MN, Essentia Health in Duluth, MN, Marshfield Clinic in Marshfield, WI, North Memorial Health Hospital in Robbinsdale, MN, four hospitals of HealthQuest in NY and CT, Hollywood Presbyterian Medical Center in Hollywood, CA, Advent Health Hospital in Hendersonville, NC, and Doctors Hospital at Renaissance in McAllen, Texas

Hospital Security Consultant, Healthcare Security Consultant, Hospital Security Assessment, Clinic Security Consultant, Hospital Workplace Violence, Hospital Security Review

Workplace Violence and Security Planning During and After the COVID-19 Crisis

As the COVID-19 crisis continues and evolves, safety and security-related risks and vulnerabilities with also evolve.  Some will likely increase including workplace violence, often driven by domestic violence spill-over, and thefts of newly marketable materials.

While at the present we're properly focused upon protecting each other from exposure, preserving our businesses and workers, and supporting and protecting our front-line workers, other risks will likely magnify as new and increased stressors also evolve.   Such stressors could include reduction or complete loss of wages, lack of access to mental health support, domestic conflicts against spouses and family members, heightened resentments based upon conspiracy theories and racism, placing blame upon past or current employers or fellow employees, fear and bitterness driven by little access to food, drugs and other necessities, etc.

During this crisis we perform virtual security and workplace violence assessments with the objective of determining related risks and vulnerabilities during and after the crisis and analyzing whether existing and planned physical and procedural countermeasures will suffice.


This process would consist of:

  • Sending to me, by email, thumb drive or dropbox, relevant materials to review which could include relevant policies, procedures and plans, training programs, recent security incident reports, security officer training programs and post orders, related measurements and contracts/agreements, facility diagrams, etc.

  • Conducting virtual staff interviews by teleconference or videoconference.   I typically interview employees at all levels, departments and shifts, including:

    • Relevant administrators and executives

    • Staff responsible for security, safety and emergency preparedness

    • Risk management and Legal

    • Front line employees (receptionists, greeters, admissions, clerks, etc.)

    • Late shift supervisors

    • Nursing

    • Emergency Department

    • Behavioral Health

    • Human Resources

    • Facilities Management and Engineering

    • Local Law Enforcement Leaders (optional)

    • Managers, supervisors and employees working in higher-risk areas

    • Etc.

  • Performing a crime analysis of the area of your facility(s) to include crime trends

  • "Touring" your facility(s) virtually by means of teleconference or videoconference, supported by videos/photos of key and critical areas and using provided facility layouts, with Facilities Management and/or Security leaders.

    • Note that much of this process could also be applied to smaller outlying facilities

  • Close-out conferencing with key executives and leaders to outline my preliminary findings and possible recommendations

  • Within a few weeks, submitting an assessment report outlining steps taken, findings, discussion of current risks and vulnerabilities, recommendations and items for consideration/best practices

While not quite as advantageous as an in-person assessment, this process will be less costly and will provide a useful and objective perspective on a facility, department or area of concern.

Following the assessment we can, as needed, develop related security and/or workplace violence policies, procedures and plans.

Please call or write if you would like to discuss this process.  In any case, don't hesitate to contact me should you have any questions or would like to discuss a related issue or concern.

Let's do all we can to be safe and secure through this unique and challenging crisis.

Richard Sem, CPP


Sem Security Management

Burlington, WI