Yes NoTHE PLANYour organization has a comprehensive Emergency preparedness/management program based upon an all-hazards approach?Your organization conducts a Hazard Vulnerability Analysis at least annually EM plan is reviewed, revised as needed and approved annually?Policies and Procedures have been reviewed and align with the Emergency Preparedness/Management PlanP&P’s address all required considerations?These policies and procedures are reviewed, revised as needed and approved annually?A system to track the location of on-duty staff and sheltered patients has been established?The EP/M Plan provides details on the Safe Evacuation Plan for the hospital?Plan addresses the use of volunteers ( including State and Federally designated health care professionals).COMMUNICATIONThe Plan for communication during an emergency is reviewed, revised as needed and approved annuallyContact information for staff, physicians, volunteers, agencies that provide staff and services and other hospitals is current and accuratePrimary and alternate means of communication are definedPlan addresses the sharing of general condition and locations of patientsTRAINING AND TESTINGTraining and testing plan if reviewed, revised as needed and approved annuallyTraining on emergency preparedness P&P occurs on hire, appointment or placement and annuallyA full-scale exercise is conducted in conjunction with its community (unless an actual event triggering the EM Plan has occurred) annuallyA second full-scale or tabletop exercise is also conducted annuallyData is collected on the organization’s performance during testingEMERGENCY AND STANDBY POWER SYSTEMSEmergency generator(s) are properly locatedEmergency generator(s) are tested per regulationsIf an on-site fuel source exists, there is a plan for long term sustainment

2017 Emergency preparedness/ Management checklist