Are We Ready?

The BCPWHO* Survey on Disaster Preparedness of US Healthcare Facilities

by Ric Skinner, GISPGIS DirectorTighe & Bond, IncWorcester, MA

Jennifer Davey,Emergency Management SpecialistChildrens Hospital & Regional Medical CenterSeattle, WA

Angela Devlen,Emergency Management DirectorCaritas Christi Healthcare SystemBoston, MA

*Business Continuity Planning Workgroup for Healthcare Organizations

National Emergency Management Summit -- February 3-5, 2008 -- Washington, DC

An Insiders PerspectiveWhy we did the survey

Baystate Medical Center (Baystate Health) Springfield, MAChildrens Hospital & Regional Medical Center Seattle, WA

Caritas Christi Healthcare System -- Boston, MA

Background Documents

AMA/APHA report (http://www.ama-assn.org/ama1/pub/upload/mm/415/final_summit_report.pdf) HSPD-21 (http://www.whitehouse.gov/news/releases/2007/10/20071018-10.html)

Joint Commission 1/1/08 revised standards, EC.4.10 and EC.4.20Regional Approaches to Hospital Preparedness (http://www.upmc-biosecurity.org/website/resources/publications/2007_orig-articles/2007-04-09-regionalapproacheshospitalprep.html) Trust for Americas Health (http://healthyamericans.org/reports/bioterror07/)

Report FindingsRecurring Issues

Public health, EMS and medical preparedness at state and local levels are poorly integrated.

Under-preparedness to deal with mass casualties, including lack of capability for coordinating resources.

No all-hazards standards or guidelines for measuring health system preparedness.

No shared platform for public health and healthcare organizations to build advocacy and legislative agenda to improve and sustain preparedness.

(Improving health system preparedness for terrorism and mass casualty events Recommendations for Action (AMA & APHA, July 2007)

Priority Categories & Issues

Collaboration, coordination and planning

Communications and information exchange

Disaster recovery and health systems

Education and training

Funding

Health system surge capacity

Legislation and regulation

Research

The Survey

Participants

Academic Medical CentersTrauma CentersCommunity HospitalsHealth Clinics Childrens HospitalsPsychiatric HospitalsLong Term Care FacilitiesHealth SystemsOthers

Survey OrganizationResponse ProfileEmergency Management InfrastructureDisaster PreparednessBusiness Continuity Planning/Disaster Recover PlanningHazard & Vulnerability Assessment/Business Impact Analysis CommunicationsGeneral Comments

Survey DistributionListservs & ForumBCPWHOYahoo groups EMIAEM Region 1 ESF8MA DPH HospitalAmerican Nurses AssociationEmergency Nurses Association

OtherAMA TIIDE PartnersState Hospital Preparedness/Bioterrorism CoordinatorsPersonal contactsForwarded to colleagues by primary recipients

Analysis

Analysis

Analysis ChallengesDuplicate responsesCleaning up the entriesThe Others Multiple facilities in single responseMultiple states in single responseFree text information

Results Survey Period -- August 13 to Sept. 28, 2007 (46 days)

1429 Total Individual Surveys

1055 Total Acceptable Individual Surveys

Results & DiscussionResponse Profile - % of Total (n=1429)

Chart1

930.0650804759

1430.100069979

530.0370888733

410.0286913926

4950.3463960812

140.0097970609

810.0566829951

2780.1945416375

1480.1035689293

830.0580825752

Comm. Hosp.34%

Specialty Hosp.1%

Comm. Health Ctr.6%

Long Term Care19%

Acad. Med. Ctr. 7%

Trauma Ctr.10%

Psych. Hosp.3%

Child. Hosp.4%

HealthSyst10%

Summary

1. What type of healthcare entity are you responding for (select all that apply)?3. Is your hospital/medical center an American College of Surgeons (ACS) designated trauma center?4. Is your facility or system accredited by The Joint Commission?6. Does your facility or system have an Emergency Department?8. Where is your facility or system located? Enter multiple states/locations if applicable.9. How many people are employed by the facility or system for which your survey responses apply?

#1-TypeNumber ReportedPercent of TotalLevel 1Level 2Level 3NoDoes not applySee Master Data TableYesNoDoes not applySee Master Data TableNoDoes not applyYesNumber of States with Facility TypeNumber of Territories with Facility TypeNumber of non-US countries with Facility Type50000See Master Data Table

Acad. Med. Ctr.937%5255.91%88.60%55.38%2021.51%99.68%148793.55%00.00%44.30%233.23%33.23%8692.47%320422.15%11.08%44.30%3537.63%3335.48%1111.83%55.38%00.00%3

Trauma Ctr.14310%5236.36%4229.37%149.79%2416.78%117.69%2413292.31%32.10%21.40%610.70%10.70%14097.90%350453.50%74.90%106.99%6243.36%3524.48%139.09%53.50%21.40%4

Child. Hosp.534%2954.72%611.32%23.77%1324.53%35.66%65298.11%00.00%00.00%159.43%00.00%4890.57%270111.89%35.66%11.89%1935.85%2037.74%59.43%23.77%00.00%2

Psych. Hosp.413%1331.71%12.44%12.44%1946.34%717.07%43995.12%00.00%00.00%21229.27%512.20%2458.54%230112.44%819.51%49.76%1639.02%49.76%512.20%37.32%00.00%0

Comm. Hosp.49535%275.45%469.29%479.49%33768.08%397.88%7837074.75%9118.38%51.01%2961.21%10.20%48497.78%4302204.04%18437.17%10320.81%14829.90%244.85%61.21%30.61%20.40%5

Specialty Hosp.141%00.00%00.00%00.00%964.29%535.71%11071.43%321.43%00.00%0964.29%17.14%428.57%900214.29%857.14%214.29%214.29%00.00%00.00%00.00%00.00%0

Comm. Health Ctr.816%89.88%67.41%00.00%4251.85%2530.86%103948.15%2024.69%1619.75%62227.16%1619.75%4251.85%33022733.33%2530.86%44.94%1012.35%44.94%67.41%22.47%33.70%0

Long Term Care27819%62.16%72.52%41.44%13749.28%12444.60%75319.06%13247.48%8530.58%913749.28%8229.50%5519.78%290212243.88%10939.21%82.88%248.63%41.44%31.08%10.36%20.72%5

Health Syst.14810%3120.95%2718.24%1510.14%6443.24%128.11%2013188.51%42.70%64.05%774.73%64.05%13490.54%360110.68%1912.84%96.08%6443.24%2919.59%149.46%74.73%21.35%4

"Other"836%22.41%11.20%00.00%1113.25%6983.13%456.02%67.23%6173.49%111619.28%5566.27%1012.05%31113036.14%2125.30%56.02%1113.25%33.61%00.00%11.20%33.61%9

Column Total:142922015.40%14410.08%886.16%67647.31%30421.27%16891864.24%25918.12%17912.53%7321815.26%17011.90%102771.87%29811821114.77%38526.94%15010.50%39127.36%15610.92%634.41%292.03%140.98%32

Total Surveys:1055

Details

#1-TypeNumber Reported#2-Facility Name#2-phone#2-email#3-ACS-1ACS-2#3-ACS-3#3-ACS-None#3-ACS-NA#3-ACS-Comm#4-JC-Yes#4-JC_No#4-JC-NA#4-JC-Other#5-Beds-No#5-Beds-NA#5-Beds-Yes#5-Beds-Num#6-ED-No#6-ED-NA#6-ED-Yes#6-ED-Visits#7-ZIP#8-Number of States#8-US-Terr#8-Non-US#9-Emp_1#9-Emp_2#9-Emp_3#9-Emp_4#9-Emp_5#9-Emp_6#9-Emp_7#9-Emp_8#9-Emp_Oth

AMC93757071528520914870424782see post-cleaned table3386see post-cleaned tablenot summarized3204214353311503

TC14311511011252421424112413232665132see post-cleaned table11140see post-cleaned tablenot summarized35045710623513524

ChildH5345404129621336520012150see post-cleaned table5048see post-cleaned tablenot summarized270113119205202

PsychH4140404013111974390022237see post-cleaned table12524see post-cleaned tablenot summarized23011841645300

CommH49541440440427464733739783709152964485see post-cleaned table61484see post-cleaned tablenot summarized430220184103148246325

SpecH14141413000951103000014see post-cleaned table914see post-cleaned tablenot summarized900282200000

CommCln817271688604225103920166192240see post-cleaned table221642see post-cleaned tablenot summarized3302272541046230

LTC278226226212674137124753132859611261see post-cleaned table1378255see post-cleaned tablenot summarized290212210982443125

Syst14812512412131271564122013146747137see post-cleaned table76134see post-cleaned tablenot summarized36011199642914724

Other836260622101169456611117624see post-cleaned table165510see post-cleaned tablenot summarized3111302151130139

Column Total:14291188115911442201448867630416891825917973661211242218170102729811821138515039115663291432

Total Surveys:1055

Results and Discussion

Key observationsA Standardized Framework for Healthcare Emergency Management Does Not Exist

Significant Gaps and Inequity Exist Weakening the Preparedness of the Overall Health System

Business Continuity Planning/Disaster Recover Planning is Not Standard Practice in Healthcare Emergency Management Communications in Healthcare is Fractured

Tying it all togetherKey ObservationsA Standardized Framework for Healthcare Emergency Management Does Not Exist

AMA/APHA ReportResearchEducation and trainingFundingLegislation and regulation

Tying it all togetherKey ObservationsSignificant Gaps and Inequity Exist Weakening the Preparedness of the Overall Health System

AMA ReportCollaboration, coordination and planningHealth system surge capacity

Tying it all togetherKey ObservationsBusiness Continuity Planning/Disaster Recover Planning is Not Standard Practice in Healthcare

AMA ReportDisaster recovery and health systems

Tying it all togetherKey ObservationsEmergency Management Communications in Healthcare is Fractured

AMA ReportCommunications and information exchange

Key Observation #1A Standardized Framework for Healthcare Emergency Management Does Not Exist

Titles Responsible for EM Functions Across Survey Respondents

Chart1

0.3617914626

0.0965710287

0.177746676

0.0342897131

0.3596920924

0.0881735479

0.1728481456

0.0993701889

0.0055983205

0.0720783765

0.1700489853

Summary

Facility TypeNumber Reported10. Which title at your facility or in your system most adequately defines the organization level(s) having "overall" direct responsibility for hospital emergency management? Select all that apply.11. At your facility or system, emergency management functions are primarily performed by which department(s)? Select all that apply.12. Does your facility or system have an emergency management committee that meets on a regular basis?

#1-TypeNumberAdministratorChief, Emerg. Med.CoordinatorCorp. OfficerDirectorExec. DirectorManagerSr. VPSuperintendentSupervisorOther*AdministrationClinical/NursingEmerg. Dept.Emerg. Mgmt.Environ. Svcs.EngineeringFacilitiesRisk Mgmt.SafetySecurityTraumaOther*YesNoWhy Not*

AMC933437%2123%1920%44%3841%1213%1516%1112%22%44%1314%4649%3639%4447%5559%2527%2830%2325%1617%4751%3538%2325%1516%8692.47%11.08%Committee exists but no recent meetings

TC1434531%1913%3424%43%6848%1712%3122%1712%21%96%43%5438%4834%7653%7955%3021%3625%3827%2215%7653%5639%5337%2115%13393.01%53.50%See Below **

ChildH531834%917%815%36%2955%611%1121%59%00%12%48%2649%1936%2547%2445%1223%1223%1528%1019%3566%2343%1426%1325%4890.57%23.77%>Function has been performed by Safety Committee. Seperate committee is being formed>It is incorperated into our safety committee meetings when necessary.

PsychH411434%25%615%00%1946%615%512%410%12%25%717%1844%1332%2151%1127%1127%1434%1332%1127%2561%1639%717%512%3995.12%24.88%>New to the facility , is the EOC the same?>to small

CommH49518838%5311%10221%153%17936%255%10621%6112%20%469%9018%21143%19139%29359%16032%11924%13427%13728%13227%26654%17135%7215%6714%40381.41%7515.15%See Below ******

SpecH14750%214%429%00%750%321%536%321%00%321%750%750%857%17%429%643%429%536%536%964%643%00%214%1071.43%321.43%See Below *******

CommCln812126%810%2328%22%3240%1012%1721%45%00%1114%1721%3746%3240%2025%2328%810%79%1519%1215%2936%1417%79%1822%6377.78%1518.52%14, See Below ##

LTC27817663%73%135%124%5018%3111%2910%135%00%207%3814%19169%12043%2710%3412%8932%269%3613%3513%8731%2910%83%3713%17362.23%8630.94%67, See Below ####

Syst14811%1611%3121%96%7249%149%2618%2316%11%75%3020%5638%5537%7853%7249%3624%4933%4530%3423%9464%6846%3322%1510%13591.22%85.41%10, See Below $

Other831316%11%1417%00%2024%22%22%11%00%00%3340%2631%1822%45%1720%1012%11%56%56%1720%810%22%2935%5060.24%1821.69%11, See Below $$$

Column Total:142951736%13810%25418%493%51436%1269%24717%14210%81%1037%24317%67247%54038%58941%47934%34624%31122%33223%28220%68548%42630%21915%22216%114079.78%21515.05%

*See Details*See Details*See Details

#1-TypeNumberAdministratorAdministratorChief, Emerg. Med.Chief, Emerg. Med.CoordinatorCoordinatorCorp. OfficerCorp. OfficerDirectorDirectorExec. DirectorExec. DirectorManagerManagerSr. VPSr. VPSuperintendentSuperintendentSupervisorSupervisorOther*Other*AdministrationClinical/NursingEmerg. Dept.Emerg. Mgmt.Environ. Svcs.EngineeringFacilitiesRisk Mgmt.SafetySecurityTraumaOther*YesNoWhy Not*

Column Total:142951736%13810%25418%493%51436%1269%24717%14210%81%1037%24317%67247%54038%58941%47934%34624%31122%33223%28220%68548%42630%21915%22216%114079.78%21515.05%

Details

#1-TypeNumberTitle-AdminTitle-Ch_EMTitle-CoordTitle-CorpOffTitle-DirTitle-XdirTitle-MgrTitle-SVPTitle-SupintTitle-SuprvTitle-OthEMDpt_AdmEMDpt_CNrsEMDpt_EDEMDpt_EMDEMDpt_ESEMDpt_EngrEMDpt_FaclEMDpt_RMEMDpt_SafEMDpt_SecEMDpt_TrauEMDpt_OthEMComm_YesEMComm_NoEMComm_Wnot

AMC933421194381215112413463644552528231647352315861Committee exists but no recent meetings

TC143451934468173117294544876793036382276565321, See Below *1335See Below **

ChildH5318983296115014261925241212151035231413, See Below***482>Function has been performed by Safety Committee. Seperate committee is being formed>It is incorperated into our safety committee meetings when necessary.

PsychH4114260196541271813211111141311251675, See Below ****392>New to the facility , is the EOC the same?>to small

CommH49518853102151792510661246902111912931601191341371322661717267, See Below *****40375See Below ******

SpecH1472407353037781464559602, >Infection Control / Quality>PT/OT103See Below *******

CommCln81218232321017401117373220238715122914718, See Below #631514, See Below ##

LTC2781767131250312913020381911202734892636358729837, See Below ###1738667, See Below ####

Syst148116319721426231730565578723649453494683315, See Below #####135810, See Below $

Other83131140202210033261841710155178229, See Below $$501811, See Below $$$

Column Total:14295171382544951412624714281032436725405894793463113322826854262191140215

Other Titles/Comments:* Comments** Comments

We aren't a hospital, though.We use the HICS system and have all departments participating through Emergency Preparedness CommitteeFacility administration doesn't feel that any disaster will ever happen so we don't need to be prepared

We are responsible or citywide emergency management and assisting with surge capacity in public health emergencies.Trauma assumes lead role in clinical management. However clinical and trauma system input are lacking.we have patient safety committee

We are organized under the Corporate Command Center.The departments you list all serve on the committee. The chair is the director of security.Committee has never been formed

we are not a hospital, we are SNF and RCFRespiratory Carethis planning falls under the safety committee but we meet monthly

We are not a hospitalInformation Technology/ISlack of inservices

We are not a hosp. But in a disaster the administrator and the DON would make decisions as to any need for ER needs or evacuationInformation Services

We are an associationInfection Control

We are a stand alone RCF. Not a hospital. The Administrator has overall responsibility for emergency management.I am a senior nurse with background in ED , also wehave a physician as medical director and deputy CEO as the managemet representative******Comments

We are a nursing home and we do have a disaster plan.However, all departments participate with some having more in depth roles.working on it, small hospital with limited staff

VPO'sEnvironmental Health & Safety,Will be starting one next month

VP of Patient Care Services and Safety Officer and Infection Control/Emerg PrepEMS - hospital based ambulancewho knows

Vice_PresidentEmployee HealthWe utilize our Safety Committe to handle this.

Vice Presidents (2)Emergency Preparedness is under the Trauma Admin departmentWE used to meet and for some reason we stopped meeting together. WE are just talking about bringing together another committee continue working on all the requirements again.

Vice President of Nursing ServicesEmergency Medical Services- Ambulance Services hospital basedWe participate in J-RAC committee meetings

Vice President of Medical AffairsEmergency Medical ServicesWe only have a code-trauma review of issues/cases every quarter and this includes MD's and EMS.

Vice President for Performance ImprovementEmergency Medical ServicesWe meet as part of The Environment of Care Committee - not separate EP

Vice PresidentDisaster ManagementWe just started meeting again

Vice PresidentAlso my positionWe have met but it is not a regularly scheduled meeting.

Vice PresidentAll respond and have input in the emergency management functions.We have a safety committee that addresses disaster prepardness.

Vice Presidentall participate when HICS is enacted.unknown

Vice PresidentAll department have a functionTrama committee only

Vice PresidentTime involved and lack of participation

varies by location, only indirect corporate responsibility***Commentsthis planning falls under the safety committee but we meet monthly

varies by location, indirect corporate responsibilityTrauma assumes lead role in clinical management. However clinical and trauma system input are lacking.This is part of the Safety committee - not a separate committee.

University Risk ManagerThe departments you list all serve on the committee. The chair is the director of security.This is a section of our Environment of Care committee

This is a Long Term Care SNF, not a hospitalperformance improvement/quality managementThe Safety/Risk Management works with the local Emergency Management Services

The Emergency Preparedness CoordinatorIT/IS, PR, Volunteers, Radiology, Human Resources, Occupational Health.The only meeting that are conducted on a regular basis is the Homeland Security meeting that are attend by the Director of Plant Operations and the Infection Control nurse. The Emergency Management program is one of the responsibilities of the Director of

System Director Emergency PreparednessInformation Technology/ISsmall hospital. Same people show up at most meetings where emergency management can be part of the discussion. Usually through Safety/Risk Management committee

System DirectorInfection ControlSmall department, Safety Committee meets 1 time a month and from this meeting Emergency Management Issues are discussed and addressed

Superintendent has overall resposibility for emergency preparedness in the school system.I am a senior nurse with background in ED , also wehave a physician as medical director and deputy CEO as the managemet representativeSize and number of visits in ER.

Some of our physicians are on call for local hospital ER coverage.Environmental Health and SafetySafety Officer doesn't see the need

Senior ManagerEnvironmental Health & Safety,Safety Committee meets quarterly.. the rest is left up to me and the Infection Control nurse

Senior Executive OfficerEmployee HealthSafety Committee

see number 1 above.Emergency Medical ServicesRisk Management. The hospital also heads up the local REPC comprised of four Towns which meets monthly since October 2001

Security; Safety OfficerAlso my positionPossible committee members have been selected, but no commitments have been made, and the committee has never met.

Secretary of Public Health and Human servicesAll department have a functionPart of Safety Committee

SAFETY STEERING COMMITTEE, & VP POST ACUTE CARE SERVICESpart of Hospital Safety

Safety Officer/Infection Control coordinator****CommentsPart of Environment of Care Committee

Safety Officer, Emergency Preparedness Committeemaintancepart of enviroment of care committee

Safety Officer with Emergency Management WorkgroupInformation ServicesOur Safety Committe that meets every two months discusses emergency management needs and works up the plan

Safety OfficerInfection ControlNot yet organized

safety officerEnvironmental Health & Safety,Not sure. It has ben suggested, but EM seems to take a backseat to treating patients and making money

Safety OfficerAll department have a functionMy new system did away with the emergency management committee and is now replaced with the Business Continuity, Emergency and Special Events Committee. This committee receives reports from HICs subgroups that meet monthly throughout the facilities and Cl

Safety OfficerMembers of the safety committee share responsibility for emergency management.

Safety Officer*****Commentsmeets infrequently..small facility..adm. staff have numerous responsiblities

Safety OfficerWhen our ICS is activated we utilize a wide variety of individuals based upon the event size and scopemeets ad hoc only.

Safety OfficerWe use the HICS system and have all departments participating through Emergency Preparedness CommitteeManagers meetings are held once per month and this is one of the areas of discussion. No independant committee other than this

Safety officerWe have representation from checked depts as well as others. I am chair and am a Emergency Dept nurse manager, but primarily do EP.Limited staff, limited time, and staff resturcture. Trying to find a exsisting committee to address these issues.

Safety OfficerWe have an Emergency Preparedness team with different disciplines participatingLack of participation by staff

Safety OfficerWe have a "decontamination team" which is composed of all of Public Safety (security), and a scattering of other hospital employees including nurses, maintenance, lab, and radiology personnel.lack of inservices

Safety OfficerVP of Patient Care Services with Chief of ER, CEO and Safety OfficerJust getting started with this. Eventually we will meet regularly

Safety OfficerThe Emergency Management program day to day activity is run by the hospital Safety Department. The Emergency Department assist in co-chairing the Emergency Management Committee with the Safety Department. Security is the initial Incident Commander duringIt is part of the Safety Committee which meets monthly

Safety OfficerTelecommunications, Marketing & Public Relations, Infection Prevention & Control, Ambulatory Care, Home Care, and Information Services.It is part of our Safety/Infection Control Committee. We don't have a separate committee.

safety officerSecurity assistsIt is our Safety Committee but EM is one of the items discussed every time we meet which is every other month.

Safety OfficerRespiratory CareIs included in our safety committee

Safety OfficerRadiology Materials ManagementIs considered a function of the Safety Committee

Safety Manager / Safety Department is responsible for the Emergency Management function.Quality Management, Materials/Purchasingincorporated within another committee

Safety DirectorQuality ManagementIn progress of forming a committee

Safety CoordinatorQualityin progress

Safety and Security OfficerQualityHave not started meeting yet.

Safety and Security ManagerQA/QIHave disaster committee meetings twice per year. Due to now having bioterrorism coordinator more available, will look into having more disaster meetings.

Safety and Security DirectorProject Managerhave a committee but it meets sporadically. Would like to see it meet regularly and be more focused

SafetyPotentially any department if the emergency falls under their area of expertise or focus.Function of the hospital's safety committe.

Regulatory State AgencyPlant operationsFunction has been performed by Safety Committee. Seperate committee is being formed.

Quality ManagerPIfairly new facility not yet established.

Quality Management Coordinatorone person as the disaster coordinatorEvery 2nd Weds of each month

Public Health Preparedness DirectorNurse that functions as director of surgical services, the infection control practitioner and the disaster preparedness coordinatorEnvironment of Care committee addresses Emergency Management issues internally. Representatives from the committee attend meetings with the local Emergency managment planning committee.

Public Health Preparedness CoordinatorMultidisciplinary.Emergency Mgmt is discussed at the monthly Safety committee

public health officerMarketing Director and Maintenance DepartmentEmergency Management is incorporated into our safety committee. There is not a sole committee set up for this purpose.

Public Health NurseInformation ServicesEmergency Management is a function of the Safety Committee which meets monthly.

President/CEOInfection Control,B/T CoordinatorDone with Safety Committee

president of medical staffInfection Control and Patient SafetyDoes not meet on a regular basis.

PresidentInfection ControlDiscouraged

Plant Operations Directorinfection controlCurrently, this is incorporated into Safety Committee. We also have an additional Exercise & Design group that meets as necessary.

Plant Operation DirectorInfection Controlcovered in eoc

Paramedic Education CoordinatorInfection ControlCovered by the Environment of Care Committee

Overall Direct responsiblity has not been defined at corporate level. Safety Officer at one facility serves all.Infection controlCommittee has never been formed

Our system is for the laboratory within the hospitalInfection controlCombined with Safety Committee

Our Emergency Preparedness Group has members from all over the institution.I wear many hats and areas of Environmental Services, Engineering, Facilities, safety and security fall under myself, the Director of Plant Operations.CEO and CNO not motivated I guess, not sure they think anything will actually happen in small rural texas town. Expense, lack of time, lack of knowledge...combination of many things I think.

Our emergency management plan calls for staffing of multiple emergency centers to serve various needs.I have created a new system of emergency management at our facility that integrates all departments. The new integrated system is a three year implementation process.bi monthly

othrI am a senior nurse with background in ED , also wehave a physician as medical director and deputy CEO as the managemet representativeAS part of out enviromental safety committee

Operations Managerfunctions as overseer adn coordinatorAbsorbed into Environment of Care Committee

Nursing Supervisor, Facilities DirectorEnvironmental Health & Safety,

Nurse CoordinatorEnvironment of Care Committee******Comments

Note: Delmar Gardens West is not a hospital as stated above - we are a skilled nursing facilityEnvironment of Care Commission.Smallness. We talk when we have an issue or concern without a formalized Emergency Management Commitee. We have people involved in our state's Regional disaster/ emergency planning committee.

Not directly responsible for HOSPITAL emergency management.Environment of CareFacility open just 1 year and in development of committee

not a hospital -- the Administrator and Director of NursingEMS ServiceAs a component of our Safety Committee

Not a hospitalEMS director

naEMS - hospital based ambulance## Comments

N/A -- we're not a hospitalEmergency Preparedness is under the Trauma Admin departmentWE used to meet and for some reason we stopped meeting together. WE are just talking about bringing together another committee continue working on all the requirements again.

n/aEmergency PreparednessWe meet with the various communities to assist with emergency planning of that community. This frequently involves the following community members: Law enforcement, emergency management, hospitlal, clinics. public health, & EMS.

N/AEmergency Medical Services- Ambulance Services hospital basedWe collaborate all emergency meetings with community agencies. In-house emergency issued are raised during regular leadership meetings.

Medical ReadinessEmergency Medical ServicesThru HOTCOG

Medical Group CommanderEmergency Medical ServicesSafety committee

Margarita Valdez Administrator of all health programsEmergency Medical ServicesNot yet developed

Mantenance, ICEducation and TrainingNo such committee exists

Maint. supervisorEducationManagers meetings are held once per month and this is one of the areas of discussion. No independant committee other than this

Maint. DirectorDisaster Planninglack of participation and representation due to no administrative buy-in

Long term health care - this question does not applyDisaster CommitteeJust getting started with this. Eventually we will meet regularly

Liaison to all health centers in an emergency situation. Coordinates collaborations between health care facilities and levels of government. Holds a seat at the EOC.Director of Infection Prevention & Control who is also responsible for Disater Preparedness for SystemHealth and Safety Committee

Incident FacilitatorDecisions are made through Emergency Management Committee made up of multidisciplinary departments. The program is managed and coordinated through the Safety/Security Manager.Have only met one time so far

I, the Director of Plant Operations along with the Infection Control Nurse attend the Home Land Security meeting that are being conducted for our area.committee made up of above servicesEmergency Management is incorporated into our safety committee. There is not a sole committee set up for this purpose.

I am a clerk doing the day to day work, reporting to the Manager of the Emergency Department who works with the Safety Officer/Engineering Manager. We are a small facility.care managementDisaster Preparedness structure and planning handled by CEO and Director of Special Projects. Meet at least every quarter.

house superviosr onb site in the event of an emergencyBusiness Office IT

Hospital preparedness/Disaster CoordinatorBioterrorism coordinator####Comments

Hospital Emergency Preparedness Committee and Committee ChairpersoAmbulance Manager is the Emergency Preparedness Cordinator and a Certififed EMWe're a small business

Hospital Emergency Management CoordinatorAlso my positionWe plan to start meeting next month. Otherwise it has been just my efforts.

Hospital Directorall staffWe only have approx. 10 employess

Hospice supervisorAll departmentsWe meet with other non for profit homes to develope our emergancy needs and stratagies

general managerAll department and the Board of TrusteesWe have VP's responsible for various areas but we should probably meet collectively

Fire Chief Emergency Medical Director (2 separate positions)AllWe have safety committee that meets quarterly

EXECUTIVE VICE PRESIDENTA committee and the manager of Infection control and emergency prepardeness coordinator (same person) over see the programwe have other committees that incompase emergency management

ER Unit Coordinator CNO Administrative Assistant Risk ManagerWe have monthly QA meetings which include information about emergency management. We do not have one specific committee that does this - all staff are invited to participate.

ER director, Bioterriorism coordiator, all department heads, one physician,# CommentsWe have a safety that meets monthly

EOC CommitteeRadiology Materials ManagementWe have a safety committee meeting each month which includes emergency preparedness.

Environmental SupervisorPHCWe have a Safety Committee and a QA committee. Maintenance and Administration have a "disaster plan" book at the nurses station and it is reviewed yearly and kept current

Environmental Services Dir.Operations DepartmentWe do not have a committee,but the manager,staff and myself meet annually to discuss emergency issues.

Environment of Care CommitteeOcc Health ClinicWe are small and staff are given inservice on hire and then regular basis

Emergency Room Medical DirectorInformation ServicesWe are in the process of understanding the emergency management process, and preparing to design and then institute a new emergency management plan.

Emergency Preparedness OfficerInfection Control,B/T CoordinatorWe are a small agency and have a office management team and aquality management team which may incorporate issues related to emergency management into those meetings.

Emergency Preparedness DirectorInfection ControlWe are a Residential Care Facility

Emergency Preparedness CoordinatorIncident Management Departmentvery small facility

Emergency Preparedness Committee has been responsible for planning.I am a senior nurse with background in ED , also wehave a physician as medical director and deputy CEO as the managemet representativeunknown

Emergency Preparedness CommitteeHuman ResourcesToo small of a facility.

emergency plannerHowever, all departments participate with some having more in depth roles.Too small

Emergency ManagerEnvironmental Health & Safety,To be developed

Emergency Management FacilitatorEmergency Medical ServicesTime involved and lack of participation

Emergency Management Committee Chair one Physician one nurse coordinatorDisaster ManagementThis is incorporated into facility-level department head meetings

Emergency Department RNCenter ManagersThis is discussed at nursing in services

EMCoord. reviews, writes and implements policies, responses and trains direct providers in response activities. All of the above is reviewed and approved by the EC Committee.this is a family run facility, we discuss many subjects including EM regularly but have no scheduled meeting expectations.

ED Nurse Manager and Plant Services Director### CommentsThe larger hospital does. The other 2 smaller hospitals discuss disaster preparedness during Safety/Environment of Care Committee.

DONSupervisors in all DepartmentsThe facility is small and we keep each other informed on changes as needed.

does not apply. we have a school health clinic for studentsQuality ImprovementThe entire staff is trained on what to do in an emergency situation and receives ongoing training related to this. This is done under direction of supervisors and local emergency officials.

Does not apply.QualitySafety Department meets monthly

Does not applyQualitySafety Committee and Emergency Preparedness

Does not applyQISafety Committee

Division DirectorPlant Operations (Maintenance and Security)Safety Committe performs this function

Disaster CommitteePhysical Plant Managersafety commettee

Directoriate and Emergency committee composed of Deputy director general, deputy chief Nurse, Deputy Administrator, security officer, Head of Department - Internal medicine, heAD OF TRAUMAowner/managerpolicies in place

Director of SafetyOther Departments such as Social Service and Food Service are also involved in our Emergency Management functions.PART OF NEW PLAN, NOT YET IN EXISTENCE

Director of Nursing ServicesOperationspart of admin responsiblities

Director of Nursing as Emergency Preparedness CoordinatorOperationsOur safety committee meets monthly

Director of Nursing Materials Management ManagerMaintenance, Resident Life, Resident AdvocatesOUR FACILITY IS NOT LARGE ENOUGH TO HAVE A COMMITTEE.

Director of NursingMaintenance SupervisorOur committee does not hold regular in-person meetings, but rather remains in regular contact via e-mail.

Director of Facility Mgt./Safety-Security OfficerMaintenanceNot sure

director of facilities (also safety officer) and emergency preparedness coordinatormaintenanceNot large enough to have committee. Admin. does it.

director of emergency services with security manager as co-chairMaintenanceNot deemed important enough by senior management

Director of Emergency ServicesMaintenanceNot called that, but team meetings bi-weekly discuss all disaster planning and review and revise the manual

Director of Emergency PreparednessMaintenanceNEED TO BE INCORPORATED IN QA

Director of Clinical OperationsMaintenanceN/A

Directed through Safety CommitteemaintanceJust getting started with this. Eventually we will meet regularly

Dircetor of NursingITIt's just me

Department Heads, Chief of Staff, EMS DirectorInfection ControlIt would only be a committee of two.

CO-ORDINATERI am a senior nurse with background in ED , also wehave a physician as medical director and deputy CEO as the managemet representativeIt is reviewed quarterly in our safety committee.

COOHouskeeping, laundry, dietary, activities all departments are involvedIs reviewed at Department Managers monthly meeting when need be.

consultant inputHospital Emergency ManagementHaven't ever been exposed to this.

COMMISSIONER OF HEALTHHome Health and Hospice nurseshave not met lately. we plan to start to meet quarterly.

CommissionerEnvironmental Health & Safety,Have not implemented yet.

Combination of these 3. The Director of Emergency Services is responsible for Emergency Preparedness.EMS directorHave never felt the need. Emergency procedures and policies are reviewed and approved annually.

Co-COOEach individual that's on duty provides there own emergency drills.Has not been a high enough priority

cnoDirector of Infection Prevention & Control who is also responsible for Disater Preparedness for SystemHad not considered it. We do have a safety committee that meets regularly and addresses emergency management

Clinical side is handled by a Director/Dr. All of the other areas are handles by Safety Supervisordietary dept. purchasing dept. maintainance dept. social services dept.Environment of Care committee addresses Emergency Management issues internally. Representatives from the committee attend meetings with the local Emergency managment planning committee.

Chief Operating OfficerdietaryEmergency management is part of our facility EOC/Safety committee.

Chief Operating Officerall staff are involved, including any visitors if in the building and volunteersEmergency Management is incorporated into our safety committee. There is not a sole committee set up for this purpose.

Chief Operating Officerall staffDoes not meet on a regular basis.

Chief Nursing OfficerAll department staff participate in training.Discouraged

chief Nurse ExecutiveAll department head personnel direct emergancy needs for their dept. All management personnel work together until the emergancy is overBusiness is too small to require a committee.

Chief Executive Office (CEO)all care givers are active in emergency dutiesBecause we are affiliated with CVMC and they are responsible for emergency management plans.

charge nursesBecause all staff participates

Chair, Disaster Committee##### CommentsAwaiting approval for commencement of services.

Chair of the Emergency Management Committee. This is an additional resposibility and not a dedicated position. Oversight is also provided through senior leader representation on the committee as well as JCAHO compliance monitoring.The Emergency Management program day to day activity is run by the hospital Safety Department. The Emergency Department assist in co-chairing the Emergency Management Committee with the Safety Department. Security is the initial Incident Commander duringAs part of Safety

CEOSocial Services, Mental Health and Ministry/Religious Serviceadministrator attends county/state meetings, but has not initiated facility meetings

CEOIS

CEOInformation Technology/IS$ Comments

both of the co-safety directors.Information ServicesThe only meeting that are conducted on a regular basis is the Homeland Security meeting that are attend by the Director of Plant Operations and the Infection Control nurse. The Emergency Management program is one of the responsibilities of the Director of

Board of DirectorsI wear many hats and areas of Environmental Services, Engineering, Facilities, safety and security fall under myself, the Director of Plant Operations.The larger hospital does. The other 2 smaller hospitals discuss disaster preparedness during Safety/Environment of Care Committee.

Associate Chief Operating OfficerEnvironmental Health & Safety,Not organized

ASSOCIATE ADMINISTRATOR/FACILITY ADMINISTRATOREmergency Preparedness is under the Trauma Admin departmentin progress

Associate AdministratorEmergency PreparednessHave not set one up

Assoc General CounselEmergency Medical ServicesFunction has been performed by Safety Committee. Seperate committee is being formed.

Assistant CommissionerEmergency Medical ServicesFacility administration doesn't feel that any disaster will ever happen so we don't need to be prepared

Assistant AdministratorEmergency Medical ServicesETMC TYLER

All within our Emergency management committeeDirector of Infection Prevention & Control who is also responsible for Disater Preparedness for SystemCurrently, this is incorporated into Safety Committee. We also have an additional Exercise & Design group that meets as necessary.

All Vice PresidentsCllinical Services Groupbi monthly

All supervisorsAlso my position

again answered for facility not system$$$ Comments

advocacy$$ CommentsWe are a office based organization. We do have a safety committee, but we do not provide health care

Administrative Directorwork in conjuction with the local health dept, and town EMS system.There are only 5 of us. We don't have a committee. The Director makes all the decisions.

A Corporate Officer would be involved in making the decision to initiate the ICS. Subsequently the primary decisions are made by the IC with concurrence from the Corporate Officer if necessary.we are an associationthe need hasn't yet arisen

The Executive Leadership Team provides oversight and key staff from each of the Department's Branches (Planning, Operations, and Local Health Administration) have been identified to coordinate Emergency Management and response efforts.see number 1 above.

student health or school of nursing respondersSafety Officer responsible

see number 1 above.NO need for it.

Readiness Officena

Public Safety or First Responders, fire, police, EMS, Citizen Corps Programs volunteersN/A

Public Health Preparedness Sectionn/a

performed by myself onlyfrequent basis, not regular

otherdon't know about regular meetings

Operations Branch

Operations

Office of Public Health Preparedness Bureau of Laboratories Division of Acute Disease Epidemiology

na

N/A we are not a health care facility

Medical Readiness

legal, regulatory and professional affairs

Information technology Dept

infection control informatics and information technology

Infection Control

Infection Control

HEALTH DEPT

EMS, MMRS, Command Staff, others

Emergency Medical Services

Emergency medical response volunteer group

Education

consultant input

Bureau of Emergency Management, Bureau of Communicable Disease, Bureau of Enviornmental Health

American Red Cross

Where Do EM functions live within hospitals & healthcare organizations?

Chart1

0.3617914626

0.0965710287

0.177746676

0.0342897131

0.3596920924

0.0881735479

0.1728481456

0.0993701889

0.0055983205

0.0720783765

0.1700489853

Chart2

0.4702589223

0.377886634

0.4121763471

0.3351994402

0.2421273618

0.2176347096

0.2323303009

0.1973407978

0.4793561931

0.2981105668

0.1532540238

0.155353394

Security30%

Safety48%

Risk Mgmt.20%

Facilities23%

Engineering22%

Environ. Svcs.24%

Emerg. Mgmt.34%

Emerg. Dept.41%

Clinical/Nursing38%

Administration47%

Other*16%

Trauma15%

Summary

Facility TypeNumber Reported10. Which title at your facility or in your system most adequately defines the organization level(s) having "overall" direct responsibility for hospital emergency management? Select all that apply.11. At your facility or system, emergency management functions are primarily performed by which department(s)? Select all that apply.12. Does your facility or system have an emergency management committee that meets on a regular basis?

#1-TypeNumberAdministratorChief, Emerg. Med.CoordinatorCorp. OfficerDirectorExec. DirectorManagerSr. VPSuperintendentSupervisorOther*AdministrationClinical/NursingEmerg. Dept.Emerg. Mgmt.Environ. Svcs.EngineeringFacilitiesRisk Mgmt.SafetySecurityTraumaOther*YesNoWhy Not*

AMC933437%2123%1920%44%3841%1213%1516%1112%22%44%1314%4649%3639%4447%5559%2527%2830%2325%1617%4751%3538%2325%1516%8692.47%11.08%Committee exists but no recent meetings

TC1434531%1913%3424%43%6848%1712%3122%1712%21%96%43%5438%4834%7653%7955%3021%3625%3827%2215%7653%5639%5337%2115%13393.01%53.50%See Below **

ChildH531834%917%815%36%2955%611%1121%59%00%12%48%2649%1936%2547%2445%1223%1223%1528%1019%3566%2343%1426%1325%4890.57%23.77%>Function has been performed by Safety Committee. Seperate committee is being formed>It is incorperated into our safety committee meetings when necessary.

PsychH411434%25%615%00%1946%615%512%410%12%25%717%1844%1332%2151%1127%1127%1434%1332%1127%2561%1639%717%512%3995.12%24.88%>New to the facility , is the EOC the same?>to small

CommH49518838%5311%10221%153%17936%255%10621%6112%20%469%9018%21143%19139%29359%16032%11924%13427%13728%13227%26654%17135%7215%6714%40381.41%7515.15%See Below ******

SpecH14750%214%429%00%750%321%536%321%00%321%750%750%857%17%429%643%429%536%536%964%643%00%214%1071.43%321.43%See Below *******

CommCln812126%810%2328%22%3240%1012%1721%45%00%1114%1721%3746%3240%2025%2328%810%79%1519%1215%2936%1417%79%1822%6377.78%1518.52%14, See Below ##

LTC27817663%73%135%124%5018%3111%2910%135%00%207%3814%19169%12043%2710%3412%8932%269%3613%3513%8731%2910%83%3713%17362.23%8630.94%67, See Below ####

Syst14811%1611%3121%96%7249%149%2618%2316%11%75%3020%5638%5537%7853%7249%3624%4933%4530%3423%9464%6846%3322%1510%13591.22%85.41%10, See Below $

Other831316%11%1417%00%2024%22%22%11%00%00%3340%2631%1822%45%1720%1012%11%56%56%1720%810%22%2935%5060.24%1821.69%11, See Below $$$

Column Total:142951736%13810%25418%493%51436%1269%24717%14210%81%1037%24317%67247%54038%58941%47934%34624%31122%33223%28220%68548%42630%21915%22216%114079.78%21515.05%

*See Details*See Details*See Details

#1-TypeNumberAdministratorAdministratorChief, Emerg. Med.Chief, Emerg. Med.CoordinatorCoordinatorCorp. OfficerCorp. OfficerDirectorDirectorExec. DirectorExec. DirectorManagerManagerSr. VPSr. VPSuperintendentSuperintendentSupervisorSupervisorOther*Other*AdministrationAdministrationClinical/NursingClinical/NursingEmerg. Dept.Emerg. Dept.Emerg. Mgmt.Emerg. Mgmt.Environ. Svcs.Environ. Svcs.EngineeringEngineeringFacilitiesFacilitiesRisk Mgmt.Risk Mgmt.SafetySafetySecuritySecurityTraumaTraumaOther*Other*YesNoWhy Not*

Column Total:142951736%13810%25418%493%51436%1269%24717%14210%81%1037%24317%67247%54038%58941%47934%34624%31122%33223%28220%68548%42630%21915%22216%114079.78%21515.05%

Details

#1-TypeNumberTitle-AdminTitle-Ch_EMTitle-CoordTitle-CorpOffTitle-DirTitle-XdirTitle-MgrTitle-SVPTitle-SupintTitle-SuprvTitle-OthEMDpt_AdmEMDpt_CNrsEMDpt_EDEMDpt_EMDEMDpt_ESEMDpt_EngrEMDpt_FaclEMDpt_RMEMDpt_SafEMDpt_SecEMDpt_TrauEMDpt_OthEMComm_YesEMComm_NoEMComm_Wnot

AMC933421194381215112413463644552528231647352315861Committee exists but no recent meetings

TC143451934468173117294544876793036382276565321, See Below *1335See Below **

ChildH5318983296115014261925241212151035231413, See Below***482>Function has been performed by Safety Committee. Seperate committee is being formed>It is incorperated into our safety committee meetings when necessary.

PsychH4114260196541271813211111141311251675, See Below ****392>New to the facility , is the EOC the same?>to small

CommH49518853102151792510661246902111912931601191341371322661717267, See Below *****40375See Below ******

SpecH1472407353037781464559602, >Infection Control / Quality>PT/OT103See Below *******

CommCln81218232321017401117373220238715122914718, See Below #631514, See Below ##

LTC2781767131250312913020381911202734892636358729837, See Below ###1738667, See Below ####

Syst148116319721426231730565578723649453494683315, See Below #####135810, See Below $

Other83131140202210033261841710155178229, See Below $$501811, See Below $$$

Column Total:14295171382544951412624714281032436725405894793463113322826854262191140215

Other Titles/Comments:* Comments** Comments

We aren't a hospital, though.We use the HICS system and have all departments participating through Emergency Preparedness CommitteeFacility administration doesn't feel that any disaster will ever happen so we don't need to be prepared

We are responsible or citywide emergency management and assisting with surge capacity in public health emergencies.Trauma assumes lead role in clinical management. However clinical and trauma system input are lacking.we have patient safety committee

We are organized under the Corporate Command Center.The departments you list all serve on the committee. The chair is the director of security.Committee has never been formed

we are not a hospital, we are SNF and RCFRespiratory Carethis planning falls under the safety committee but we meet monthly

We are not a hospitalInformation Technology/ISlack of inservices

We are not a hosp. But in a disaster the administrator and the DON would make decisions as to any need for ER needs or evacuationInformation Services

We are an associationInfection Control

We are a stand alone RCF. Not a hospital. The Administrator has overall responsibility for emergency management.I am a senior nurse with background in ED , also wehave a physician as medical director and deputy CEO as the managemet representative******Comments

We are a nursing home and we do have a disaster plan.However, all departments participate with some having more in depth roles.working on it, small hospital with limited staff

VPO'sEnvironmental Health & Safety,Will be starting one next month

VP of Patient Care Services and Safety Officer and Infection Control/Emerg PrepEMS - hospital based ambulancewho knows

Vice_PresidentEmployee HealthWe utilize our Safety Committe to handle this.

Vice Presidents (2)Emergency Preparedness is under the Trauma Admin departmentWE used to meet and for some reason we stopped meeting together. WE are just talking about bringing together another committee continue working on all the requirements again.

Vice President of Nursing ServicesEmergency Medical Services- Ambulance Services hospital basedWe participate in J-RAC committee meetings

Vice President of Medical AffairsEmergency Medical ServicesWe only have a code-trauma review of issues/cases every quarter and this includes MD's and EMS.

Vice President for Performance ImprovementEmergency Medical ServicesWe meet as part of The Environment of Care Committee - not separate EP

Vice PresidentDisaster ManagementWe just started meeting again

Vice PresidentAlso my positionWe have met but it is not a regularly scheduled meeting.

Vice PresidentAll respond and have input in the emergency management functions.We have a safety committee that addresses disaster prepardness.

Vice Presidentall participate when HICS is enacted.unknown

Vice PresidentAll department have a functionTrama committee only

Vice PresidentTime involved and lack of participation

varies by location, only indirect corporate responsibility***Commentsthis planning falls under the safety committee but we meet monthly

varies by location, indirect corporate responsibilityTrauma assumes lead role in clinical management. However clinical and trauma system input are lacking.This is part of the Safety committee - not a separate committee.

University Risk ManagerThe departments you list all serve on the committee. The chair is the director of security.This is a section of our Environment of Care committee

This is a Long Term Care SNF, not a hospitalperformance improvement/quality managementThe Safety/Risk Management works with the local Emergency Management Services

The Emergency Preparedness CoordinatorIT/IS, PR, Volunteers, Radiology, Human Resources, Occupational Health.The only meeting that are conducted on a regular basis is the Homeland Security meeting that are attend by the Director of Plant Operations and the Infection Control nurse. The Emergency Management program is one of the responsibilities of the Director of

System Director Emergency PreparednessInformation Technology/ISsmall hospital. Same people show up at most meetings where emergency management can be part of the discussion. Usually through Safety/Risk Management committee

System DirectorInfection ControlSmall department, Safety Committee meets 1 time a month and from this meeting Emergency Management Issues are discussed and addressed

Superintendent has overall resposibility for emergency preparedness in the school system.I am a senior nurse with background in ED , also wehave a physician as medical director and deputy CEO as the managemet representativeSize and number of visits in ER.

Some of our physicians are on call for local hospital ER coverage.Environmental Health and SafetySafety Officer doesn't see the need

Senior ManagerEnvironmental Health & Safety,Safety Committee meets quarterly.. the rest is left up to me and the Infection Control nurse

Senior Executive OfficerEmployee HealthSafety Committee

see number 1 above.Emergency Medical ServicesRisk Management. The hospital also heads up the local REPC comprised of four Towns which meets monthly since October 2001

Security; Safety OfficerAlso my positionPossible committee members have been selected, but no commitments have been made, and the committee has never met.

Secretary of Public Health and Human servicesAll department have a functionPart of Safety Committee

SAFETY STEERING COMMITTEE, & VP POST ACUTE CARE SERVICESpart of Hospital Safety

Safety Officer/Infection Control coordinator****CommentsPart of Environment of Care Committee

Safety Officer, Emergency Preparedness Committeemaintancepart of enviroment of care committee

Safety Officer with Emergency Management WorkgroupInformation ServicesOur Safety Committe that meets every two months discusses emergency management needs and works up the plan

Safety OfficerInfection ControlNot yet organized

safety officerEnvironmental Health & Safety,Not sure. It has ben suggested, but EM seems to take a backseat to treating patients and making money

Safety OfficerAll department have a functionMy new system did away with the emergency management committee and is now replaced with the Business Continuity, Emergency and Special Events Committee. This committee receives reports from HICs subgroups that meet monthly throughout the facilities and Cl

Safety OfficerMembers of the safety committee share responsibility for emergency management.

Safety Officer*****Commentsmeets infrequently..small facility..adm. staff have numerous responsiblities

Safety OfficerWhen our ICS is activated we utilize a wide variety of individuals based upon the event size and scopemeets ad hoc only.

Safety OfficerWe use the HICS system and have all departments participating through Emergency Preparedness CommitteeManagers meetings are held once per month and this is one of the areas of discussion. No independant committee other than this

Safety officerWe have representation from checked depts as well as others. I am chair and am a Emergency Dept nurse manager, but primarily do EP.Limited staff, limited time, and staff resturcture. Trying to find a exsisting committee to address these issues.

Safety OfficerWe have an Emergency Preparedness team with different disciplines participatingLack of participation by staff

Safety OfficerWe have a "decontamination team" which is composed of all of Public Safety (security), and a scattering of other hospital employees including nurses, maintenance, lab, and radiology personnel.lack of inservices

Safety OfficerVP of Patient Care Services with Chief of ER, CEO and Safety OfficerJust getting started with this. Eventually we will meet regularly

Safety OfficerThe Emergency Management program day to day activity is run by the hospital Safety Department. The Emergency Department assist in co-chairing the Emergency Management Committee with the Safety Department. Security is the initial Incident Commander duringIt is part of the Safety Committee which meets monthly

Safety OfficerTelecommunications, Marketing & Public Relations, Infection Prevention & Control, Ambulatory Care, Home Care, and Information Services.It is part of our Safety/Infection Control Committee. We don't have a separate committee.

safety officerSecurity assistsIt is our Safety Committee but EM is one of the items discussed every time we meet which is every other month.

Safety OfficerRespiratory CareIs included in our safety committee

Safety OfficerRadiology Materials ManagementIs considered a function of the Safety Committee

Safety Manager / Safety Department is responsible for the Emergency Management function.Quality Management, Materials/Purchasingincorporated within another committee

Safety DirectorQuality ManagementIn progress of forming a committee

Safety CoordinatorQualityin progress

Safety and Security OfficerQualityHave not started meeting yet.

Safety and Security ManagerQA/QIHave disaster committee meetings twice per year. Due to now having bioterrorism coordinator more available, will look into having more disaster meetings.

Safety and Security DirectorProject Managerhave a committee but it meets sporadically. Would like to see it meet regularly and be more focused

SafetyPotentially any department if the emergency falls under their area of expertise or focus.Function of the hospital's safety committe.

Regulatory State AgencyPlant operationsFunction has been performed by Safety Committee. Seperate committee is being formed.

Quality ManagerPIfairly new facility not yet established.

Quality Management Coordinatorone person as the disaster coordinatorEvery 2nd Weds of each month

Public Health Preparedness DirectorNurse that functions as director of surgical services, the infection control practitioner and the disaster preparedness coordinatorEnvironment of Care committee addresses Emergency Management issues internally. Representatives from the committee attend meetings with the local Emergency managment planning committee.

Public Health Preparedness CoordinatorMultidisciplinary.Emergency Mgmt is discussed at the monthly Safety committee

public health officerMarketing Director and Maintenance DepartmentEmergency Management is incorporated into our safety committee. There is not a sole committee set up for this purpose.

Public Health NurseInformation ServicesEmergency Management is a function of the Safety Committee which meets monthly.

President/CEOInfection Control,B/T CoordinatorDone with Safety Committee

president of medical staffInfection Control and Patient SafetyDoes not meet on a regular basis.

PresidentInfection ControlDiscouraged

Plant Operations Directorinfection controlCurrently, this is incorporated into Safety Committee. We also have an additional Exercise & Design group that meets as necessary.

Plant Operation DirectorInfection Controlcovered in eoc

Paramedic Education CoordinatorInfection ControlCovered by the Environment of Care Committee

Overall Direct responsiblity has not been defined at corporate level. Safety Officer at one facility serves all.Infection controlCommittee has never been formed

Our system is for the laboratory within the hospitalInfection controlCombined with Safety Committee

Our Emergency Preparedness Group has members from all over the institution.I wear many hats and areas of Environmental Services, Engineering, Facilities, safety and security fall under myself, the Director of Plant Operations.CEO and CNO not motivated I guess, not sure they think anything will actually happen in small rural texas town. Expense, lack of time, lack of knowledge...combination of many things I think.

Our emergency management plan calls for staffing of multiple emergency centers to serve various needs.I have created a new system of emergency management at our facility that integrates all departments. The new integrated system is a three year implementation process.bi monthly

othrI am a senior nurse with background in ED , also wehave a physician as medical director and deputy CEO as the managemet representativeAS part of out enviromental safety committee

Operations Managerfunctions as overseer adn coordinatorAbsorbed into Environment of Care Committee

Nursing Supervisor, Facilities DirectorEnvironmental Health & Safety,

Nurse CoordinatorEnvironment of Care Committee******Comments

Note: Delmar Gardens West is not a hospital as stated above - we are a skilled nursing facilityEnvironment of Care Commission.Smallness. We talk when we have an issue or concern without a formalized Emergency Management Commitee. We have people involved in our state's Regional disaster/ emergency planning committee.

Not directly responsible for HOSPITAL emergency management.Environment of CareFacility open just 1 year and in development of committee

not a hospital -- the Administrator and Director of NursingEMS ServiceAs a component of our Safety Committee

Not a hospitalEMS director

naEMS - hospital based ambulance## Comments

N/A -- we're not a hospitalEmergency Preparedness is under the Trauma Admin departmentWE used to meet and for some reason we stopped meeting together. WE are just talking about bringing together another committee continue working on all the requirements again.

n/aEmergency PreparednessWe meet with the various communities to assist with emergency planning of that community. This frequently involves the following community members: Law enforcement, emergency management, hospitlal, clinics. public health, & EMS.

N/AEmergency Medical Services- Ambulance Services hospital basedWe collaborate all emergency meetings with community agencies. In-house emergency issued are raised during regular leadership meetings.

Medical ReadinessEmergency Medical ServicesThru HOTCOG

Medical Group CommanderEmergency Medical ServicesSafety committee

Margarita Valdez Administrator of all health programsEmergency Medical ServicesNot yet developed

Mantenance, ICEducation and TrainingNo such committee exists

Maint. supervisorEducationManagers meetings are held once per month and this is one of the areas of discussion. No independant committee other than this

Maint. DirectorDisaster Planninglack of participation and representation due to no administrative buy-in

Long term health care - this question does not applyDisaster CommitteeJust getting started with this. Eventually we will meet regularly

Liaison to all health centers in an emergency situation. Coordinates collaborations between health care facilities and levels of government. Holds a seat at the EOC.Director of Infection Prevention & Control who is also responsible for Disater Preparedness for SystemHealth and Safety Committee

Incident FacilitatorDecisions are made through Emergency Management Committee made up of multidisciplinary departments. The program is managed and coordinated through the Safety/Security Manager.Have only met one time so far

I, the Director of Plant Operations along with the Infection Control Nurse attend the Home Land Security meeting that are being conducted for our area.committee made up of above servicesEmergency Management is incorporated into our safety committee. There is not a sole committee set up for this purpose.

I am a clerk doing the day to day work, reporting to the Manager of the Emergency Department who works with the Safety Officer/Engineering Manager. We are a small facility.care managementDisaster Preparedness structure and planning handled by CEO and Director of Special Projects. Meet at least every quarter.

house superviosr onb site in the event of an emergencyBusiness Office IT

Hospital preparedness/Disaster CoordinatorBioterrorism coordinator####Comments

Hospital Emergency Preparedness Committee and Committee ChairpersoAmbulance Manager is the Emergency Preparedness Cordinator and a Certififed EMWe're a small business

Hospital Emergency Management CoordinatorAlso my positionWe plan to start meeting next month. Otherwise it has been just my efforts.

Hospital Directorall staffWe only have approx. 10 employess

Hospice supervisorAll departmentsWe meet with other non for profit homes to develope our emergancy needs and stratagies

general managerAll department and the Board of TrusteesWe have VP's responsible for various areas but we should probably meet collectively

Fire Chief Emergency Medical Director (2 separate positions)AllWe have safety committee that meets quarterly

EXECUTIVE VICE PRESIDENTA committee and the manager of Infection control and emergency prepardeness coordinator (same person) over see the programwe have other committees that incompase emergency management

ER Unit Coordinator CNO Administrative Assistant Risk ManagerWe have monthly QA meetings which include information about emergency management. We do not have one specific committee that does this - all staff are invited to participate.

ER director, Bioterriorism coordiator, all department heads, one physician,# CommentsWe have a safety that meets monthly

EOC CommitteeRadiology Materials ManagementWe have a safety committee meeting each month which includes emergency preparedness.

Environmental SupervisorPHCWe have a Safety Committee and a QA committee. Maintenance and Administration have a "disaster plan" book at the nurses station and it is reviewed yearly and kept current

Environmental Services Dir.Operations DepartmentWe do not have a committee,but the manager,staff and myself meet annually to discuss emergency issues.

Environment of Care CommitteeOcc Health ClinicWe are small and staff are given inservice on hire and then regular basis

Emergency Room Medical DirectorInformation ServicesWe are in the process of understanding the emergency management process, and preparing to design and then institute a new emergency management plan.

Emergency Preparedness OfficerInfection Control,B/T CoordinatorWe are a small agency and have a office management team and aquality management team which may incorporate issues related to emergency management into those meetings.

Emergency Preparedness DirectorInfection ControlWe are a Residential Care Facility

Emergency Preparedness CoordinatorIncident Management Departmentvery small facility

Emergency Preparedness Committee has been responsible for planning.I am a senior nurse with background in ED , also wehave a physician as medical director and deputy CEO as the managemet representativeunknown

Emergency Preparedness CommitteeHuman ResourcesToo small of a facility.

emergency plannerHowever, all departments participate with some having more in depth roles.Too small

Emergency ManagerEnvironmental Health & Safety,To be developed

Emergency Management FacilitatorEmergency Medical ServicesTime involved and lack of participation

Emergency Management Committee Chair one Physician one nurse coordinatorDisaster ManagementThis is incorporated into facility-level department head meetings

Emergency Department RNCenter ManagersThis is discussed at nursing in services

EMCoord. reviews, writes and implements policies, responses and trains direct providers in response activities. All of the above is reviewed and approved by the EC Committee.this is a family run facility, we discuss many subjects including EM regularly but have no scheduled meeting expectations.

ED Nurse Manager and Plant Services Director### CommentsThe larger hospital does. The other 2 smaller hospitals discuss disaster preparedness during Safety/Environment of Care Committee.

DONSupervisors in all DepartmentsThe facility is small and we keep each other informed on changes as needed.

does not apply. we have a school health clinic for studentsQuality ImprovementThe entire staff is trained on what to do in an emergency situation and receives ongoing training related to this. This is done under direction of supervisors and local emergency officials.

Does not apply.QualitySafety Department meets monthly

Does not applyQualitySafety Committee and Emergency Preparedness

Does not applyQISafety Committee

Division DirectorPlant Operations (Maintenance and Security)Safety Committe performs this function

Disaster CommitteePhysical Plant Managersafety commettee

Directoriate and Emergency committee composed of Deputy director general, deputy chief Nurse, Deputy Administrator, security officer, Head of Department - Internal medicine, heAD OF TRAUMAowner/managerpolicies in place

Director of SafetyOther Departments such as Social Service and Food Service are also involved in our Emergency Management functions.PART OF NEW PLAN, NOT YET IN EXISTENCE

Director of Nursing ServicesOperationspart of admin responsiblities

Director of Nursing as Emergency Preparedness CoordinatorOperationsOur safety committee meets monthly

Director of Nursing Materials Management ManagerMaintenance, Resident Life, Resident AdvocatesOUR FACILITY IS NOT LARGE ENOUGH TO HAVE A COMMITTEE.

Director of NursingMaintenance SupervisorOur committee does not hold regular in-person meetings, but rather remains in regular contact via e-mail.

Director of Facility Mgt./Safety-Security OfficerMaintenanceNot sure

director of facilities (also safety officer) and emergency preparedness coordinatormaintenanceNot large enough to have committee. Admin. does it.

director of emergency services with security manager as co-chairMaintenanceNot deemed important enough by senior management

Director of Emergency ServicesMaintenanceNot called that, but team meetings bi-weekly discuss all disaster planning and review and revise the manual

Director of Emergency PreparednessMaintenanceNEED TO BE INCORPORATED IN QA

Director of Clinical OperationsMaintenanceN/A

Directed through Safety CommitteemaintanceJust getting started with this. Eventually we will meet regularly

Dircetor of NursingITIt's just me

Department Heads, Chief of Staff, EMS DirectorInfection ControlIt would only be a committee of two.

CO-ORDINATERI am a senior nurse with background in ED , also wehave a physician as medical director and deputy CEO as the managemet representativeIt is reviewed quarterly in our safety committee.

COOHouskeeping, laundry, dietary, activities all departments are involvedIs reviewed at Department Managers monthly meeting when need be.

consultant inputHospital Emergency ManagementHaven't ever been exposed to this.

COMMISSIONER OF HEALTHHome Health and Hospice nurseshave not met lately. we plan to start to meet quarterly.

CommissionerEnvironmental Health & Safety,Have not implemented yet.

Combination of these 3. The Director of Emergency Services is responsible for Emergency Preparedness.EMS directorHave never felt the need. Emergency procedures and policies are reviewed and approved annually.

Co-COOEach individual that's on duty provides there own emergency drills.Has not been a high enough priority

cnoDirector of Infection Prevention & Control who is also responsible for Disater Preparedness for SystemHad not considered it. We do have a safety committee that meets regularly and addresses emergency management

Clinical side is handled by a Director/Dr. All of the other areas are handles by Safety Supervisordietary dept. purchasing dept. maintainance dept. social services dept.Environment of Care committee addresses Emergency Management issues internally. Representatives from the committee attend meetings with the local Emergency managment planning committee.

Chief Operating OfficerdietaryEmergency management is part of our facility EOC/Safety committee.

Chief Operating Officerall staff are involved, including any visitors if in the building and volunteersEmergency Management is incorporated into our safety committee. There is not a sole committee set up for this purpose.

Chief Operating Officerall staffDoes not meet on a regular basis.

Chief Nursing OfficerAll department staff participate in training.Discouraged

chief Nurse ExecutiveAll department head personnel direct emergancy needs for their dept. All management personnel work together until the emergancy is overBusiness is too small to require a committee.

Chief Executive Office (CEO)all care givers are active in emergency dutiesBecause we are affiliated with CVMC and they are responsible for emergency management plans.

charge nursesBecause all staff participates

Chair, Disaster Committee##### CommentsAwaiting approval for commencement of services.

Chair of the Emergency Management Committee. This is an additional resposibility and not a dedicated position. Oversight is also provided through senior leader representation on the committee as well as JCAHO compliance monitoring.The Emergency Management program day to day activity is run by the hospital Safety Department. The Emergency Department assist in co-chairing the Emergency Management Committee with the Safety Department. Security is the initial Incident Commander duringAs part of Safety

CEOSocial Services, Mental Health and Ministry/Religious Serviceadministrator attends county/state meetings, but has not initiated facility meetings

CEOIS

CEOInformation Technology/IS$ Comments

both of the co-safety directors.Information ServicesThe only meeting that are conducted on a regular basis is the Homeland Security meeting that are attend by the Director of Plant Operations and the Infection Control nurse. The Emergency Management program is one of the responsibilities of the Director of

Board of DirectorsI wear many hats and areas of Environmental Services, Engineering, Facilities, safety and security fall under myself, the Director of Plant Operations.The larger hospital does. The other 2 smaller hospitals discuss disaster preparedness during Safety/Environment of Care Committee.

Associate Chief Operating OfficerEnvironmental Health & Safety,Not organized

ASSOCIATE ADMINISTRATOR/FACILITY ADMINISTRATOREmergency Preparedness is under the Trauma Admin departmentin progress

Associate AdministratorEmergency PreparednessHave not set one up

Assoc General CounselEmergency Medical ServicesFunction has been performed by Safety Committee. Seperate committee is being formed.

Assistant CommissionerEmergency Medical ServicesFacility administration doesn't feel that any disaster will ever happen so we don't need to be prepared

Assistant AdministratorEmergency Medical ServicesETMC TYLER

All within our Emergency management committeeDirector of Infection Prevention & Control who is also responsible for Disater Preparedness for SystemCurrently, this is incorporated into Safety Committee. We also have an additional Exercise & Design group that meets as necessary.

All Vice PresidentsCllinical Services Groupbi monthly

All supervisorsAlso my position

again answered for facility not system$$$ Comments

advocacy$$ CommentsWe are a office based organization. We do have a safety committee, but we do not provide health care

Administrative Directorwork in conjuction with the local health dept, and town EMS system.There are only 5 of us. We don't have a committee. The Director makes all the decisions.

A Corporate Officer would be involved in making the decision to initiate the ICS. Subsequently the primary decisions are made by the IC with concurrence from the Corporate Officer if necessary.we are an associationthe need hasn't yet arisen

The Executive Leadership Team provides oversight and key staff from each of the Department's Branches (Planning, Operations, and Local Health Administration) have been identified to coordinate Emergency Management and response efforts.see number 1 above.

student health or school of nursing respondersSafety Officer responsible

see number 1 above.NO need for it.

Readiness Officena

Public Safety or First Responders, fire, police, EMS, Citizen Corps Programs volunteersN/A

Public Health Preparedness Sectionn/a

performed by myself onlyfrequent basis, not regular

otherdon't know about regular meetings

Operations Branch

Operations

Office of Public Health Preparedness Bureau of Laboratories Division of Acute Disease Epidemiology

na

N/A we are not a health care facility

Medical Readiness

legal, regulatory and professional affairs

Information technology Dept

infection control informatics and information technology

Infection Control

Infection Control

HEALTH DEPT

EMS, MMRS, Command Staff, others

Emergency Medical Services

Emergency medical response volunteer group

Education

consultant input

Bureau of Emergency Management, Bureau of Communicable Disease, Bureau of Enviornmental Health

American Red Cross

Emergency Management Committee that Meets on a Regular Basis

Chart1

0.3617914626

0.0965710287

0.177746676

0.0342897131

0.3596920924

0.0881735479

0.1728481456

0.0993701889

0.0055983205

0.0720783765

0.1700489853

Chart2

0.4702589223

0.377886634

0.4121763471

0.3351994402

0.2421273618

0.2176347096

0.2323303009

0.1973407978

0.4793561931

0.2981105668

0.1532540238

0.155353394

Security30%

Safety48%

Risk Mgmt.20%

Facilities23%

Engineering22%

Environ. Svcs.24%

Emerg. Mgmt.34%

Emerg. Dept.41%

Clinical/Nursing38%

Administration47%

Other*16%

Trauma15%

Chart3

0.9247311828

0.9300699301

0.9056603774

0.9512195122

0.8141414141

0.7142857143

0.7777777778

0.6223021583

0.9121621622

0.6024096386

Long Term Care62%

Comm. Health Ctr.78%

Specialty Hosp.71%

Comm. Hosp.81%

Psych. Hosp.95%

Child. Hosp.91%

Trauma Ctr.93%

Acad. Med. Ctr.92%

"Other"60%

Health Syst91%

Summary

Facility TypeNumber Reported10. Which title at your facility or in your system most adequately defines the organization level(s) having "overall" direct responsibility for hospital emergency management? Select all that apply.11. At your facility or system, emergency management functions are primarily performed by which department(s)? Select all that apply.12. Does your facility or system have an emergency management committee that meets on a regular basis?

#1-TypeNumberAdministratorChief, Emerg. Med.CoordinatorCorp. OfficerDirectorExec. DirectorManagerSr. VPSuperintendentSupervisorOther*AdministrationClinical/NursingEmerg. Dept.Emerg. Mgmt.Environ. Svcs.EngineeringFacilitiesRisk Mgmt.SafetySecurityTraumaOther*YesNoWhy Not*

AMC933437%2123%1920%44%3841%1213%1516%1112%22%44%1314%4649%3639%4447%5559%2527%2830%2325%1617%4751%3538%2325%1516%8692%11.08%Committee exists but no recent meetings

TC1434531%1913%3424%43%6848%1712%3122%1712%21%96%43%5438%4834%7653%7955%3021%3625%3827%2215%7653%5639%5337%2115%13393%53.50%See Below **

ChildH531834%917%815%36%2955%611%1121%59%00%12%48%2649%1936%2547%2445%1223%1223%1528%1019%3566%2343%1426%1325%4891%23.77%>Function has been performed by Safety Committee. Seperate committee is being formed>It is incorperated into our safety committee meetings when necessary.

PsychH411434%25%615%00%1946%615%512%410%12%25%717%1844%1332%2151%1127%1127%1434%1332%1127%2561%1639%717%512%3995%24.88%>New to the facility , is the EOC the same?>to small

CommH49518838%5311%10221%153%17936%255%10621%6112%20%469%9018%21143%19139%29359%16032%11924%13427%13728%13227%26654%17135%7215%6714%40381%7515.15%See Below ******

SpecH14750%214%429%00%750%321%536%321%00%321%750%750%857%17%429%643%429%536%536%964%643%00%214%1071%321.43%See Below *******

CommCln812126%810%2328%22%3240%1012%1721%45%00%1114%1721%3746%3240%2025%2328%810%79%1519%1215%2936%1417%79%1822%6378%1518.52%14, See Below ##

LTC27817663%73%135%124%5018%3111%2910%135%00%207%3814%19169%12043%2710%3412%8932%269%3613%3513%8731%2910%83%3713%17362%8630.94%67, See Below ####

Syst14811%1611%3121%96%7249%149%2618%2316%11%75%3020%5638%5537%7853%7249%3624%4933%4530%3423%9464%6846%3322%1510%13591%85.41%10, See Below $

Other831316%11%1417%00%2024%22%22%11%00%00%3340%2631%1822%45%1720%1012%11%56%56%1720%810%22%2935%5060%1821.69%11, See Below $$$

Column Total:142951736%13810%25418%493%51436%1269%24717%14210%81%1037%24317%67247%54038%58941%47934%34624%31122%33223%28220%68548%42630%21915%22216%114080%21515.05%

*See Details*See Details*See Details

#1-TypeNumberAdministratorAdministratorChief, Emerg. Med.Chief, Emerg. Med.CoordinatorCoordinatorCorp. OfficerCorp. OfficerDirectorDirectorExec. DirectorExec. DirectorManagerManagerSr. VPSr. VPSuperintendentSuperintendentSupervisorSupervisorOther*Other*AdministrationAdministrationClinical/NursingClinical/NursingEmerg. Dept.Emerg. Dept.Emerg. Mgmt.Emerg. Mgmt.Environ. Svcs.Environ. Svcs.EngineeringEngineeringFacilitiesFacilitiesRisk Mgmt.Risk Mgmt.SafetySafetySecuritySecurityTraumaTraumaOther*Other*YesNoWhy Not*

Column Total:142951736%13810%25418%493%51436%1269%24717%14210%81%1037%24317%67247%54038%58941%47934%34624%31122%33223%28220%68548%42630%21915%22216%114080%21515.05%

Details

#1-TypeNumberTitle-AdminTitle-Ch_EMTitle-CoordTitle-CorpOffTitle-DirTitle-XdirTitle-MgrTitle-SVPTitle-SupintTitle-SuprvTitle-OthEMDpt_AdmEMDpt_CNrsEMDpt_EDEMDpt_EMDEMDpt_ESEMDpt_EngrEMDpt_FaclEMDpt_RMEMDpt_SafEMDpt_SecEMDpt_TrauEMDpt_OthEMComm_YesEMComm_NoEMComm_Wnot

AMC933421194381215112413463644552528231647352315861Committee exists but no recent meetings

TC143451934468173117294544876793036382276565321, See Below *1335See Below **

ChildH5318983296115014261925241212151035231413, See Below***482>Function has been performed by Safety Committee. Seperate committee is being formed>It is incorperated into our safety committee meetings when necessary.

PsychH4114260196541271813211111141311251675, See Below ****392>New to the facility , is the EOC the same?>to small

CommH49518853102151792510661246902111912931601191341371322661717267, See Below *****40375See Below ******

SpecH1472407353037781464559602, >Infection Control / Quality>PT/OT103See Below *******

CommCln81218232321017401117373220238715122914718, See Below #631514, See Below ##

LTC2781767131250312913020381911202734892636358729837, See Below ###1738667, See Below ####

Syst148116319721426231730565578723649453494683315, See Below #####135810, See Below $

Other83131140202210033261841710155178229, See Below $$501811, See Below $$$

Column Total:14295171382544951412624714281032436725405894793463113322826854262191140215

Other Titles/Comments:* Comments** Comments

We aren't a hospital, though.We use the HICS system and have all departments participating through Emergency Preparedness CommitteeFacility administration doesn't feel that any disaster will ever happen so we don't need to be prepared

We are responsible or citywide emergency management and assisting with surge capacity in public health emergencies.Trauma assumes lead role in clinical management. However clinical and trauma system input are lacking.we have patient safety committee

We are organized under the Corporate Command Center.The departments you list all serve on the committee. The chair is the director of security.Committee has never been formed

we are not a hospital, we are SNF and RCFRespiratory Carethis planning falls under the safety committee but we meet monthly

We are not a hospitalInformation Technology/ISlack of inservices

We are not a hosp. But in a disaster the administrator and the DON would make decisions as to any need for ER needs or evacuationInformation Services

We are an associationInfection Control

We are a stand alone RCF. Not a hospital. The Administrator has overall responsibility for emergency management.I am a senior nurse with background in ED , also wehave a physician as medical director and deputy CEO as the managemet representative******Comments

We are a nursing home and we do have a disaster plan.However, all departments participate with some having more in depth roles.working on it, small hospital with limited staff

VPO'sEnvironmental Health & Safety,Will be starting one next month

VP of Patient Care Services and Safety Officer and Infection Control/Emerg PrepEMS - hospital based ambulancewho knows

Vice_PresidentEmployee HealthWe utilize our Safety Committe to handle this.

Vice Presidents (2)Emergency Preparedness is under the Trauma Admin departmentWE used to meet and for some reason we stopped meeting together. WE are just talking about bringing together another committee continue working on all the requirements again.

Vice President of Nursing ServicesEmergency Medical Services- Ambulance Services hospital basedWe participate in J-RAC committee meetings

Vice President of Medical AffairsEmergency Medical ServicesWe only have a code-trauma review of issues/cases every quarter and this includes MD's and EMS.

Vice President for Performance ImprovementEmergency Medical ServicesWe meet as part of The Environment of Care Committee - not separate EP

Vice PresidentDisaster ManagementWe just started meeting again

Vice PresidentAlso my positionWe have met but it is not a regularly scheduled meeting.

Vice PresidentAll respond and have input in the emergency management functions.We have a safety committee that addresses disaster prepardness.

Vice Presidentall participate when HICS is enacted.unknown

Vice PresidentAll department have a functionTrama committee only

Vice PresidentTime involved and lack of participation

varies by location, only indirect corporate responsibility***Commentsthis planning falls under the safety committee but we meet monthly

varies by location, indirect corporate responsibilityTrauma assumes lead role in clinical management. However clinical and trauma system input are lacking.This is part of the Safety committee - not a separate committee.

University Risk ManagerThe departments you list all serve on the committee. The chair is the director of security.This is a section of our Environment of Care committee

This is a Long Term Care SNF, not a hospitalperformance improvement/quality managementThe Safety/Risk Management works with the local Emergency Management Services

The Emergency Preparedness CoordinatorIT/IS, PR, Volunteers, Radiology, Human Resources, Occupational Health.The only meeting that are conducted on a regular basis is the Homeland Security meeting that are attend by the Director of Plant Operations and the Infection Control nurse. The Emergency Management program is one of the responsibilities of the Director of

System Director Emergency PreparednessInformation Technology/ISsmall hosp