Healthcare · Access & entrances · Instrument
How open is the door — and who decided that?
Everything here you can see by walking to the entrance and asking one or two questions at the desk. It takes about twenty minutes. It isn’t looking for a failure — it’s looking for a decision, and whether anyone can point to where it was made.
Nothing is stored. Nothing is sent. No email, no login — this sheet is yours.
Access & entrances · who-and-who-decided
Eight things to count and ask
Note the answer, not a score. An “I don’t know” is itself a finding — it means the door has never been asked.
1. Count the ways into the space you’re protecting. How many are there really — including staff, service, and after-hours doors?
The number is usually higher than the one people say.
2. How many of those are screened or attended? How many are simply open during the day?
You’re not judging the ratio yet — just establishing it.
3. Pick one unscreened door. Who decided it could stay open — and is that decision written down anywhere?
If the reason lives only in what the day shift knows, that’s the finding.
4. Stand at the main entrance. Walk in the way a visitor would. Does anything ask you who you are or where you’re going?
Recognition by a familiar face isn’t verification — note which one you got.
5. Ask someone at the desk how they’d verify a visitor they didn’t recognize.
“We don’t really have a way” is a finding, and a common one.
6. Ask the front desk what they do when someone won’t sign in, or walks past.
What they actually do, not what the policy says.
7. Who owns the front door day-to-day — security, registration, or nobody in particular?
If the answer is “it depends,” that’s the governance gap this page is about.
8. If someone asked you next week to show how you control who gets in, could you produce it — a policy, a log, a decision on paper?
Enforceable and auditable, or known-but-unwritten. Both are answers.
Nothing on this sheet asks you to judge a person or a clinical decision. It asks how open the door is and who decided that — observed on an ordinary day.