TAMPA, Fla., Nov. 23, 2016 /PRNewswire/ -- Black Book's annual poll of public relations and crisis management firm clients noted the key shift from past years' workforce issues, physician satisfaction and medico-legal problems, to the reputation-challenging technology and financial problems facing both provider and payers in 2017. Photo - http://photos.prnewswire.com/prnh/20161122/442265 "A hospital's reputation may be its most important attribute," said Doug Brown, Managing Partner of Black Book Research. "And, of course, reputation is subjective which can deteriorate quickly from a single negative event." The potential catastrophes caused by technology-related events ranked first on the 2017 list compiled from healthcare industry executives, followed by financial issues, patient dissatisfaction events, nursing staff issues, clinical and disease emergencies, hospital performance outcomes and patient safety mishaps, and social media impacts. While patient, staff and physician related challenges remain top alerts for potential crisis management preparedness and response, polling results manifest a rising anxiety on technology-related events. "System issues effect an entire organization and could seriously threaten or immobilize cash flow, payroll, asset and supply chain management, record security, connectivity, and cost controls," said Brown. 1,895 executive level officers participated over the seven-month crowdsourced survey which included Chief Executive, Operations, Financial, Information, Marketing, Medical and Nursing Officers from 334 hospitals, 218 physician groups and ambulatory organizations, and 107 payers. In the survey, Black Book asked respondents to rank 20 issues that present the highest level of unease in order of how pressing they were in 2016 and to identify specific areas of concerns within each issue for 2017. 280 single events, separated into 26 emergency-group situations reflected 2016 engagements with external Crisis Management and Public Relations firms. These 26 subject areas were: External Emergencies and Disasters, Internal Emergencies and Disasters, Patient/Clinical and Disease Emergencies, Governmental Issues, Man-Made Emergencies and Disasters, Physical Structure Emergencies, Medio-Legal Suits, Environmental Emergencies, Visitor Emergencies, Staff Emergencies, Workforce Issues, Technology and Information Systems Issues, Competitor Problems, Nursing Emergencies, Patient Satisfaction, Physician Satisfaction, Employee Satisfaction, Contractual and Temporary Staffing Issues, Medical Staff Issues, Hospital Outcomes and Patient Safety, Social Media, Marketing and Public Relations Concerns, Financial Issues, Community Issues, Crime, and Other.