10
Hospital Field Guide to Emergency Management (GEM) Standard Checklist Please use this checklist as a reference resource only. Use of or participation with the opportunities and resources listed can support hospitals in their compliance with Joint Commission emergency management standards, but this checklist should not be treated as validation of standards compliance. Emergency Management Standard Standard Description Hospital Preparedness Program Opportunities and Resources 01.01.01 The Hospital engages in planning activities prior to developing its written Emergency Operations Plan. 01.01.01-1 The hospital’s leaders, including leaders of the medical staff, participate in planning activities prior to developing an Emergency Operations Plan. Ƒ Participation in Regional Coalition Ƒ Conduct HSEEP exercise and review AAR 01.01.01-2 The hospital conducts a hazard vulnerability analysis (HVA) to identify potential emergencies that could affect demand for the hospital’s services or its ability to provide those services, the likelihood of those events occurring, and the consequences of those events. The findings of this analysis are documented. (See also EM.03.01.01, EP 1) Note 1: Hospitals have flexibility in creating either a single HVA that accurately reflects all sites of the hospital, or multiple HVAs. Some remote sites may be significantly different from the main site (for example, in terms of hazards, location, and population served); in such situations a separate HVA is appropriate. Note 2: If the hospital identifies a surge in infectious patients as a potential emergency, this issue is addressed in the "Infection Prevention and Control" chapter. Ƒ Participation in Regional Coalition (share HVA and lessons learned from hospitals and Emerg ency Management to include in the EOP) 01.01.01-3 The hospital, together with its community partners, prioritizes the potential emergencies identified in its hazard vulnerability analysis (HVA) and documents these priorities. Note: The hospital determine s which community partners are critical to helping define priorities in its HVA. Community partners may include other health care organizations, the public health department, vendors, community organizations, public safety and public works officials, repre sentatives of local municipalities, Ƒ Participation in Regional Coalition Ƒ Conduct HSEEP Exercise (AAR and IP)

Hospital Guide to Emergency Management · Hospital Field Guide to Emergency Management ... can support hospitals in their compliance with Joint ... Joint Commission requirements may

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Hos

pita

l Fie

ldG

uide

to E

mer

genc

y M

anag

emen

t (G

EM) S

tand

ard

Che

cklis

t

Plea

se u

se th

is c

heck

list a

s a

refe

renc

e re

sour

ce o

nly.

Use

of o

r par

ticip

atio

n w

ith th

e op

port

uniti

es a

nd re

sour

ces

liste

dca

n su

ppor

t hos

pita

ls in

thei

r com

plia

nce

with

Joi

nt C

omm

issi

on e

mer

genc

y m

anag

emen

t sta

ndar

ds, b

ut th

is c

heck

list

shou

ld n

ot b

e tr

eate

d as

val

idat

ion

of s

tand

ards

com

plia

nce.

Emer

genc

yM

anag

emen

tSt

anda

rdSt

anda

rd D

escr

iptio

nH

ospi

tal P

repa

redn

ess

Prog

ram

Opp

ortu

nitie

s an

d R

esou

rces

01.0

1.01

The

Hos

pita

l eng

ages

in p

lann

ing

activ

ities

prio

r to

deve

lopi

ng it

s w

ritte

n Em

erge

ncy

Ope

ratio

nsPl

an.

01.0

1.01

-1Th

e ho

spita

l’s le

ader

s, in

clud

ing

lead

ers

of th

e m

edic

al s

taff,

par

ticip

ate

in p

lann

ing

activ

ities

prio

r to

deve

lopi

ng a

n Em

erge

ncy

Ope

ratio

ns P

lan.

Parti

cipa

tion

in R

egio

nal C

oalit

ion

Con

duct

HSE

EP e

xerc

ise

and

revi

ew A

AR

01.0

1.01

-2

The

hosp

ital c

ondu

cts

a ha

zard

vul

nera

bilit

y an

alys

is (H

VA) t

o id

entif

ypo

tent

ial e

mer

genc

ies

that

cou

ld a

ffect

dem

and

for t

he h

ospi

tal’s

serv

ices

or i

ts a

bilit

y to

prov

ide

thos

e se

rvic

es, t

he li

kelih

ood

of th

ose

even

ts o

ccur

ring,

and

the

cons

eque

nces

of t

hose

eve

nts.

The

find

ings

of

this

ana

lysi

s ar

e do

cum

ente

d. (S

ee a

lso

EM.0

3.01

.01,

EP

1)

Not

e 1:

Hos

pita

ls h

ave

flexi

bilit

y in

cre

atin

g ei

ther

a s

ingl

e H

VA th

atac

cura

tely

refle

cts

all s

ites

of th

e ho

spita

l, or

mul

tiple

HVA

s. S

ome

rem

ote

site

s m

ay b

e si

gnifi

cant

ly d

iffer

ent f

rom

the

mai

n si

te (f

orex

ampl

e, in

term

s of

haz

ards

, loc

atio

n, a

nd p

opul

atio

n se

rved

); in

suc

hsi

tuat

ions

a s

epar

ate

HVA

is a

ppro

pria

te.

Not

e 2:

If th

e ho

spita

l ide

ntifi

es a

sur

ge in

infe

ctio

us p

atie

nts

as a

pote

ntia

l em

erge

ncy,

this

issu

e is

add

ress

ed in

the

"Infe

ctio

n Pr

even

tion

and

Con

trol"

chap

ter.

Par

ticip

atio

n in

Reg

iona

l Coa

litio

n (s

hare

HVA

and

less

ons

lear

ned

from

hos

pita

ls a

nd E

mer

gen

cyM

anag

emen

t to

incl

ude

in th

e EO

P)

01.0

1.01

-3

The

hosp

ital,

toge

ther

with

its

com

mun

ity p

artn

ers,

prio

ritiz

es th

epo

tent

ial e

mer

genc

ies

iden

tifie

d in

its

haza

rd v

ulne

rabi

lity

anal

ysis

(HVA

)an

d do

cum

ents

thes

e pr

iorit

ies.

Not

e: T

he h

ospi

tal d

eter

min

es w

hich

com

mun

ity p

artn

ers

are

criti

cal t

o he

lpin

g de

fine

prio

ritie

s in

its

HVA

.C

omm

unity

par

tner

s m

ay in

clud

e ot

her h

ealth

car

e or

gani

zatio

ns, t

hepu

blic

hea

lth d

epar

tmen

t, ve

ndor

s, c

omm

unity

org

aniz

atio

ns, p

ublic

safe

ty a

nd p

ublic

wor

ks o

ffici

als,

repr

ese

ntat

ives

of l

ocal

mun

icip

aliti

es,

Par

ticip

atio

n in

Reg

iona

l Coa

litio

n

Con

duct

HSE

EP E

xerc

ise

(AAR

and

IP)

Whe

n co

mpa

red

wit

h N

IMS

and

HSE

EP

, Joi

nt C

omm

issi

on r

equi

rem

ents

may

see

m a

lmos

t ide

ntic

al o

n pa

per;

how

ever

, in

prac

tice

the

scop

e an

d gr

anul

arit

y of

exp

ecta

tion

sva

ries

. F

or s

ome

requ

irem

ents

ther

e is

an

exac

t mat

ch, o

ther

s ar

e co

mpl

emen

tary

, and

for

a sm

all n

umbe

r of

req

uire

men

ts th

ere

is n

o si

mil

ar e

xpec

tati

on.

In

all c

ases

, onl

yth

e on

-sit

e su

rvey

of t

he E

lem

ents

of P

erfo

rman

ce (

EP

s) b

y a

Join

t Com

mis

sion

(J

C)

surv

eyor

can

act

uall

y va

lida

te c

ompl

ianc

e w

ith

the

EM

EP

s fo

r th

e pu

rpos

es o

fac

cred

itat

ion

Emer

genc

yM

anag

emen

tSt

anda

rdSt

anda

rd D

escr

iptio

nH

ospi

tal P

repa

redn

ess

Prog

ram

Opp

ortu

nitie

s an

d R

esou

rces

and

othe

r gov

ernm

ent a

genc

ies.

01.0

1.01

-4

The

hosp

ital c

omm

unic

ates

its

need

s an

d vu

lner

abilit

ies

to c

omm

unity

emer

genc

y re

spon

se a

genc

ies

and

iden

tifie

s th

e co

mm

unity

’s c

apab

ility

to m

eet i

ts n

eeds

. Thi

s co

mm

unic

atio

n an

d id

entif

icat

ion

occu

r at t

hetim

e of

the

hosp

ital’s

ann

ual r

evie

w o

f its

Em

erge

ncy

Ope

ratio

ns P

lan

and

whe

neve

r its

nee

ds o

r vul

nera

bilit

ies

chan

ge. (

See

also

EM.0

3.01

.01,

EP

1)

Parti

cipa

tion

in R

egio

nal C

oalit

ion

Con

duct

HSE

EP E

xerc

ise

(IP/C

AP re

flect

ed in

the

EO

P)

NIM

S C

ompl

ianc

e

01.0

1.01

-5

The

hosp

ital u

ses

its h

azar

d vu

lner

abilit

y an

alys

is a

s a

basi

s fo

r def

inin

gm

itiga

tion

activ

ities

(tha

t is,

act

iviti

es d

esig

ned

to r

educ

e th

e ris

k of

and

pote

ntia

l dam

age

from

an

emer

genc

y).

Not

e: M

itiga

tion,

pre

pare

dnes

s,re

spon

se, a

nd re

cove

ry a

re th

e fo

ur p

hase

s of

em

erge

ncy

man

agem

ent.

They

occ

ur o

ver t

ime;

miti

gatio

n an

d pr

epar

edne

ss g

ener

ally

occ

urrin

gbe

fore

an

emer

genc

y an

d re

spon

se a

nd re

cove

ry o

ccur

ring

durin

g an

daf

ter a

n em

erge

ncy.

HSE

EP E

xerc

ise

(wea

ther

rela

ted

disa

ster

s)

Par

ticip

atio

n in

Reg

iona

l Coa

litio

n (c

oord

inat

edpl

anni

ng w

ith E

mer

genc

y M

anag

emen

t)

HPP

sup

porte

d tra

inin

g on

HVA

and

Em

erge

ncy

Man

agem

ent p

rinci

ples

01.0

1.01

-6Th

e ho

spita

l use

s its

haz

ard

vuln

erab

ility

ana

lysi

s as

a b

asis

for d

efin

ing

the

prep

ared

ness

act

iviti

es th

at w

ill or

gani

ze a

nd m

obiliz

e es

sent

ial

reso

urce

s. (S

ee a

lso

IM.0

1.01

.03,

EPs

1-4

)

Parti

cipa

tion

in R

egio

nal C

oalit

ion

(info

rmat

ion

shar

ing

and

need

s pr

ocur

emen

t)

Con

duct

HSE

EP E

xerc

ise

(all

haza

rds

usin

g H

VA)

01.0

1.01

-7

The

hosp

ital’s

inci

dent

com

man

d st

ruct

ure

is in

tegr

ated

into

and

cons

iste

nt w

ith it

s co

mm

unity

’s c

omm

and

stru

ctur

e.N

ote:

The

inci

dent

com

man

d st

ruct

ure

used

by

the

hosp

ital s

houl

d pr

ovid

e fo

r a s

cala

ble

resp

onse

to d

iffer

ent t

ypes

of e

mer

genc

ies.

Not

e: T

he N

atio

nal I

ncid

ent

Man

agem

ent S

yste

m (N

IMS)

is o

ne o

f man

y m

odel

s fo

r an

inci

dent

com

man

d st

ruct

ure

avai

labl

e to

hea

lth c

are

orga

niza

tions

. The

NIM

Spr

ovid

es g

uida

nce

for c

omm

on fu

nctio

ns a

nd te

rmin

olog

y to

sup

port

clea

r com

mun

icat

ions

and

effe

ctiv

e co

llabo

ratio

n in

an

emer

genc

ysi

tuat

ion.

The

NIM

S is

requ

ired

of h

ospi

tals

rece

ivin

g ce

rtain

fede

ral

fund

s fo

r em

erge

ncy

prep

ared

ness

.

HIC

S/IC

S tra

inin

g an

d co

urse

s

NIM

S C

ompl

ianc

e

Con

duct

HSE

EP E

xerc

ise

01.0

1.01

-8Th

e ho

spita

l kee

ps a

doc

umen

ted

inve

ntor

y of

the

reso

urce

s an

d as

sets

it ha

s on

site

that

may

be

need

ed d

urin

g an

em

erge

ncy,

incl

udin

g, b

ut E

Tea

m tr

aini

ng a

nd a

cces

s (a

sset

inve

ntor

y)

Emer

genc

yM

anag

emen

tSt

anda

rdSt

anda

rd D

escr

iptio

nH

ospi

tal P

repa

redn

ess

Prog

ram

Opp

ortu

nitie

s an

d R

esou

rces

not l

imite

d to

, per

sona

l pro

tect

ive

equi

pmen

t, w

ater

, fue

l, an

d m

edic

al,

surg

ical

, and

med

icat

ion-

rela

ted

reso

urce

san

d as

sets

. (Se

e al

soEM

.02.

02.0

3, E

P 6)

DO

CU

MEN

TATI

ON

IS R

EQU

IRED

EM

Res

ourc

e (b

ed a

nd h

ospi

tal r

esou

rce

inve

ntor

y)

RM

CC

(reg

iona

l ass

et in

vent

ory)

HSE

EP E

xerc

ise

02.0

1.01

The

Hos

pita

l has

an

Emer

genc

y O

pera

tions

Pla

n.

02.0

1.01

-1Th

e ho

spita

l’s le

ader

s, in

clud

ing

lea

ders

of t

he m

edic

al s

taff,

par

ticip

ate

in th

e de

velo

pmen

t of t

he E

mer

genc

y O

pera

tions

Pla

n.

Parti

cipa

tion

in R

egio

nal C

oalit

ion

Con

duct

HSE

EP E

xerc

ise

(AAR

and

IP a

re u

sed

byho

spita

l lea

ders

hip

to re

fine

EOP)

02.0

1.01

-2

The

hosp

ital d

evel

ops

and

mai

ntai

ns a

writ

ten

Emer

genc

y O

pera

tions

Plan

that

des

crib

es th

e re

spon

se p

roce

dure

s to

follo

w w

hen

emer

genc

ies

occu

r. (S

ee a

lso

EM.0

3.01

.03,

EP

5)N

ote:

The

resp

onse

proc

edur

es a

ddre

ss th

e pr

iorit

ized

em

erge

ncie

s, b

ut c

an a

lso

bead

apte

d to

oth

er e

mer

genc

ies

that

the

hosp

ital m

ay e

xper

ienc

e.R

espo

nse

proc

edur

es c

ould

incl

ude

the

follo

win

g: M

aint

aini

ng o

rex

pand

ing

serv

ices

, Con

serv

ing

reso

urce

s, C

urta

iling

serv

ices

,Su

pple

men

ting

reso

urce

s fro

m o

utsi

de th

e lo

cal c

omm

unity

, Clo

sing

the

hosp

ital t

o ne

w p

atie

nts,

Sta

ged

evac

uatio

n an

d to

tal e

vacu

atio

n.

MIH

AN h

as e

xam

ples

of h

ospi

tal E

OPs

Con

duct

HSE

EP E

xerc

ise

(sur

ge c

apac

ity)

MEM

S su

ppor

t (AC

C/N

EHC

)

RM

CC

acc

ess

Hos

pita

l Eva

cuat

ion

Tem

plat

e

02.0

1.01

-3

The

Emer

genc

y O

pera

tions

Pla

n id

entif

ies

the

hos

pita

l’s c

apab

ilitie

s an

des

tabl

ishe

s re

spon

se p

roce

dure

s fo

r whe

n th

e ho

spita

l can

not b

esu

ppor

ted

by th

e lo

cal c

omm

unity

in th

e ho

spita

l’s e

fforts

to p

rovi

deco

mm

unic

atio

ns, r

esou

rces

and

ass

ets,

sec

urity

and

saf

ety,

sta

ff,ut

ilitie

s, o

r pat

ient

car

e fo

rat

leas

t 96

hour

s.N

ote:

Hos

pita

ls a

re n

otre

quire

d to

sto

ckpi

le s

uppl

ies

to la

st fo

r 96

hour

s of

ope

ratio

n

GET

S/W

PS/T

PS p

artic

ipat

ion

Back

-up

com

mun

icat

ions

(RAC

ES, r

adio

s, s

atel

lite

phon

es)

RM

CC

to a

cces

s ca

ches

(ven

tilat

ors,

phar

mac

eutic

als,

bed

s, P

PE) a

nd S

NS,

and

Mas

sFa

talit

y ca

ches

Fac

ility

Lock

dow

n Sy

stem

/Car

d Ac

cess

Sys

tem

Emer

genc

yM

anag

emen

tSt

anda

rdSt

anda

rd D

escr

iptio

nH

ospi

tal P

repa

redn

ess

Prog

ram

Opp

ortu

nitie

s an

d R

esou

rces

MI V

olun

teer

Reg

istr

y pa

rtici

patio

n

Supp

lem

enta

l Pow

er S

uppl

ies

(gen

erat

ors,

pla

nnin

gto

incl

ude

dist

ant s

uppl

iers

)

02.0

1.01

-4

The

hosp

ital d

evel

ops

and

mai

ntai

ns a

writ

ten

Emer

genc

y O

pera

tions

Plan

that

des

crib

es th

e re

cove

ry s

trate

gies

and

act

ions

des

igne

d to

hel

pre

stor

e th

e sy

stem

s th

at a

re c

ritic

al to

pro

vidi

ng c

are,

trea

tmen

t, an

dse

rvic

es a

fter a

n em

erge

ncy.

Parti

cipa

te in

Reg

iona

l Coa

litio

n

Con

duct

HSE

EP E

xerc

ise

MEM

S su

ppor

t

02.0

1.01

-5

The

Emer

genc

y O

pera

tions

Pla

n de

scrib

es th

e pr

oces

ses

for i

nitia

ting

and

term

inat

ing

the

hosp

ital’s

resp

onse

and

reco

very

pha

ses

of a

nem

erge

ncy,

incl

udin

g un

der w

hat c

ircum

stan

ces

thes

e ph

ases

are

activ

ated

.Not

e: M

itiga

tion,

pre

pare

dnes

s, re

spon

se, a

nd re

cove

ry a

reth

e fo

ur p

hase

s of

em

erge

ncy

man

agem

ent.

They

occ

ur o

ver

time;

miti

gatio

n an

d pr

epar

edne

ss g

ener

ally

occ

ur b

efor

e an

em

erge

ncy

and

resp

onse

and

reco

very

occ

ur d

urin

g an

d af

ter t

he e

mer

genc

y.

NIM

S C

ompl

ianc

e

HIC

S pr

ogra

m

Con

duct

HSE

EP E

xerc

ise

02.0

1.01

-6Th

e Em

erge

ncy

Ope

ratio

ns P

lan

iden

tifie

s th

e in

divi

dual

(s) w

ho h

as th

eau

thor

ity to

act

ivat

e th

e re

spon

se a

nd re

cove

ry p

hase

s of

the

emer

genc

y re

spon

se.

HIC

S pr

ogra

m

NIM

S C

ompl

ianc

e

Whi

tebo

ard

Com

man

d C

harts

/ Com

man

d St

aff

vest

s

02.0

1.01

-7Th

e Em

erge

ncy

Ope

ratio

ns P

lan

iden

tifie

s al

tern

ativ

e si

tes

for c

are,

treat

men

t and

ser

vice

s th

at m

eet t

he n

eeds

of i

ts p

atie

nts

durin

gem

erge

ncie

s.

MEM

S su

ppor

t

Con

duct

HSE

EP E

xerc

ise

(em

phas

ize

surg

e)

02.0

1.01

-8If

the

hosp

ital e

xper

ienc

es a

n ac

tual

em

erge

ncy,

the

hosp

ital

impl

emen

ts it

s re

spon

se p

roce

dure

s re

late

d to

car

e, tr

eatm

ent,

and

serv

ices

for i

ts p

atie

nts.

2009

/10

H1N

1 ev

ent (

incl

udin

g re

gion

al A

AR)

RM

CC

coo

rdin

atio

n (S

NS

reso

urce

s)

Ado

pted

“Prio

ritiz

ed R

espi

rato

r Use

Pol

icy”

dur

ing

peak

of H

1N1

Emer

genc

yM

anag

emen

tSt

anda

rdSt

anda

rd D

escr

iptio

nH

ospi

tal P

repa

redn

ess

Prog

ram

Opp

ortu

nitie

s an

d R

esou

rces

02.0

2.01

As

part

of i

ts E

mer

genc

y O

pera

tions

Pla

n, th

e ho

spita

l pre

pare

s fo

r how

it w

ill c

omm

unic

ate

durin

g em

erge

ncie

s.

02.0

2.01

-1Th

e Em

erge

ncy

Ope

ratio

ns P

lan

desc

ribes

the

follo

win

g: H

ow s

taff

will

be n

otifi

ed th

at e

mer

genc

y re

spon

se p

roce

dure

s ha

ve b

een

initi

ated

.

MIH

AN

CO

DE

SP

EA

R

E T

eam

Sm

art M

essa

ge

Aut

omat

ed p

hone

dia

ling

syst

ems

02.0

2.01

-2Th

e Em

erge

ncy

Ope

ratio

ns P

lan

desc

ribes

the

follo

win

g: H

ow th

eho

spita

l will

com

mun

icat

e in

form

atio

n an

d in

stru

ctio

ns to

its

staf

f and

licen

sed

inde

pend

ent p

ract

ition

ers

durin

g an

em

erge

ncy.

MIH

AN

CO

DE

SP

EA

R

E T

eam

Sm

art M

essa

ge

Aut

omat

ed p

hone

dia

ling

syst

ems

Voi

ce o

ver I

nter

net P

roto

col

Var

ious

han

d-he

ld ra

dios

(tw

o w

ay ra

dio,

MPS

CS

800

MH

z, U

HF,

VH

F)

02.0

2.01

-3Th

e Em

erge

ncy

Ope

ratio

ns P

lan

desc

ribes

the

follo

win

g: H

ow th

eho

spita

l will

notif

y ex

tern

al a

utho

ritie

s th

at e

mer

genc

y re

spon

sem

easu

res

have

bee

n in

itiat

ed.

MIH

AN

CO

DE

SP

EA

R

E T

eam

Sm

art M

essa

ge

Aut

omat

ed p

hone

dia

ling

syst

ems

Voi

ce o

ver

Inte

rnet

Pro

toco

l

TS

P/G

ETS

/WP

S

Var

ious

han

d-he

ld ra

dios

(tw

o w

ay ra

dio,

MPS

CS

800

MH

z, U

HF,

VH

F

Am

ateu

r Rad

io (R

ACES

)

Emer

genc

yM

anag

emen

tSt

anda

rdSt

anda

rd D

escr

iptio

nH

ospi

tal P

repa

redn

ess

Prog

ram

Opp

ortu

nitie

s an

d R

esou

rces

Sat

ellit

e Ph

ones

Mob

ile C

omm

unic

atio

ns/R

MC

C/C

OD

ESPE

AR

02.0

2.01

-4Th

e Em

erge

ncy

Ope

ratio

ns P

lan

desc

ribes

the

follo

win

g: H

ow th

eho

spita

l will

com

mun

icat

e w

ith e

xter

nal a

utho

ritie

s du

ring

an e

mer

genc

y.

MIH

AN

CO

DE

SP

EA

R

E T

eam

Sm

art M

essa

ge

Aut

omat

ed p

hone

dia

ling

syst

ems

Voi

ce o

ver

Inte

rnet

Pro

toco

l

TS

P/G

ETS

/WP

S

Var

ious

han

d-he

ld ra

dios

(tw

o w

ay ra

dio,

MPS

CS

800

MH

z, U

HF,

VH

F

Am

ateu

r Rad

io (R

ACES

)

Sat

ellit

e Ph

ones

Mob

ile C

omm

unic

atio

ns/R

MC

C/C

OD

ESPE

AR

02.0

2.01

-5Th

e Em

erge

ncy

Ope

ratio

ns P

lan

desc

ribes

the

follo

win

g: H

ow th

eho

spita

l will

com

mun

icat

e w

ith p

atie

nts

and

thei

r fam

ilies,

incl

udin

g ho

wit

will

notif

y fa

milie

s w

hen

patie

nts

are

relo

cate

d to

alte

rnat

ive

care

site

s.

Reg

iona

l Coa

litio

n (a

ssis

ts c

oord

inat

ion

thro

ugh

PIO

with

loca

l EM

and

hea

lth d

epar

tmen

t)

NIM

S C

ompl

ianc

e (J

IC)

HIC

S/ I

CS

Con

duct

HSE

EP E

xerc

ise

02.0

2.01

-6Th

e Em

erge

ncy

Ope

ratio

ns P

lan

desc

ribes

the

follo

win

g: H

ow th

eho

spita

l will

com

mun

icat

e w

ith th

e co

mm

unity

or t

he m

edia

dur

ing

anem

erge

ncy.

NIM

S C

ompl

ianc

e (J

IC)

HIC

S/IC

S

Con

duct

HSE

EP E

xerc

ise

02.0

2.01

-7Th

e Em

erge

ncy

Ope

ratio

ns P

lan

desc

ribes

the

follo

win

g: H

ow th

eho

spita

l will

com

mun

icat

e w

ith s

uppl

iers

of e

ssen

tial s

ervi

ces,

E Te

am

Emer

genc

yM

anag

emen

tSt

anda

rdSt

anda

rd D

escr

iptio

nH

ospi

tal P

repa

redn

ess

Prog

ram

Opp

ortu

nitie

s an

d R

esou

rces

equi

pmen

t, an

d su

pplie

s du

ring

an e

mer

genc

y.H

ospi

tal H

CC

trai

ning

and

equ

ipm

ent

HSE

EP E

xerc

ise

02.0

2.01

-8

The

Emer

genc

y O

pera

tions

Pla

n de

scrib

es th

e fo

llow

ing:

How

the

hosp

ital w

ill co

mm

unic

ate

with

oth

er h

ealth

car

e or

gani

zatio

ns in

its

cont

iguo

us g

eogr

aphi

c ar

ea re

gard

ing

the

esse

ntia

l ele

men

ts o

f the

irre

spec

tive

com

man

d st

ruct

ures

, inc

ludi

ng th

e na

mes

and

role

s of

indi

vidu

als

in th

eir c

omm

and

stru

ctur

es a

nd th

eir c

omm

and

cent

erte

leph

one

num

bers

.

RM

CC

Reg

iona

l/Sta

te D

irect

orie

s (re

gion

al w

ebsi

te,

MIH

AN)

NIM

S co

mpl

ianc

e/H

ICS/

ICS

Stat

e In

cide

nt M

anag

emen

t Sys

tem

E T

eam

800

MH

z ra

dios

02.0

2.01

-9Th

e Em

erge

ncy

Ope

ratio

ns P

lan

desc

ribes

the

follo

win

g: H

ow th

eho

spita

l will

com

mun

icat

e w

ith o

ther

hea

lth c

are

orga

niza

tions

in it

sco

ntig

uous

geo

grap

hic

area

rega

rdin

g th

e es

sent

ial e

lem

ents

of t

heir

resp

ectiv

e co

mm

and

cent

ers

for e

mer

genc

y re

spon

se.

MIH

AN

CO

DE

SP

EA

R

E T

eam

Sm

art M

essa

ge

Aut

omat

ed p

hone

dia

ling

syst

ems

Voi

ce o

ver

Inte

rnet

Pro

toco

l

TS

P/G

ETS

/WP

S

Var

ious

han

d-he

ld ra

dios

(tw

o w

ay ra

dio,

MPS

CS

800

MH

z, U

HF,

VH

F

Am

ateu

r Rad

io (R

ACES

)

Sat

ellit

e Ph

ones

Mob

ile C

omm

unic

atio

ns/R

MC

C/C

OD

ESPE

AR

EMTr

ack,

EM

Res

ourc

e

02.0

2.01

-10

The

Emer

genc

y O

pera

tions

Pla

n de

scrib

es

the

follo

win

g: H

ow th

eho

spita

l will

com

mun

icat

e w

ith o

ther

hea

lth c

are

orga

niza

tions

in it

sco

ntig

uous

geo

grap

hic

area

rega

rdin

g th

e re

sour

ces

and

asse

ts th

at

MIH

AN

CO

DE

SP

EA

R

Emer

genc

yM

anag

emen

tSt

anda

rdSt

anda

rd D

escr

iptio

nH

ospi

tal P

repa

redn

ess

Prog

ram

Opp

ortu

nitie

s an

d R

esou

rces

coul

d be

sha

red

in a

n em

erge

ncy

resp

onse

. E

Tea

m S

mar

t Mes

sage

Auto

mat

ed p

hone

dia

ling

syst

ems

Voi

ce o

ver

Inte

rnet

Pro

toco

l

TS

P/G

ETS

/WP

S

Var

ious

han

d-he

ld ra

dios

(tw

o w

ay ra

dio,

MPS

CS

800

MH

z, U

HF,

VH

F

Am

ateu

r Rad

io (R

ACES

)

Sat

ellit

e Ph

ones

Mob

ile C

omm

unic

atio

ns/R

MC

C/C

OD

ESPE

AR

EMTr

ack,

EM

Res

ourc

e M

obile

com

mun

icat

ions

units

(if a

pplic

able

)

CO

DES

PEAR

inte

grat

ion

box

RM

CC

02.0

2.01

-11

The

Emer

genc

y O

pera

tions

Pla

n de

scrib

es th

e fo

llow

ing:

How

and

unde

r wha

t circ

umst

ance

s th

e ho

spita

l will

com

mun

icat

e th

e na

mes

of

patie

nts

and

the

dece

ased

with

oth

erhe

alth

car

e or

gani

zatio

ns in

its

cont

iguo

us g

eogr

aphi

c ar

ea.

Reg

iona

l Coa

litio

n

MIH

AN (M

ass

Fata

lity

Plan

s)

02.0

2.01

-12

The

Emer

genc

y O

pera

tions

Pla

n de

scrib

es th

e fo

llow

ing:

How

, and

unde

r wha

t circ

umst

ance

s, th

e ho

spita

l will

com

mun

icat

e in

form

atio

nab

out p

atie

nts

to th

ird p

artie

s (s

uch

as o

ther

hea

lth c

are

orga

niza

tions

,th

e st

ate

heal

th d

epar

tmen

t, po

lice,

and

the

Fede

ral B

urea

u of

Inve

stig

atio

ns [F

BI]).

Reg

iona

l Coa

litio

n

Con

fere

nces

(HIP

PA/E

MTA

LA w

ith d

isas

ters

)

H1N

1 re

spon

se 2

009/

2010

(CM

S an

d H

IPPA

wai

vers

)

02.0

2.01

-13

The

Emer

genc

y O

pera

tions

Pla

n de

scrib

es th

e fo

llow

ing:

How

the

hosp

ital w

ill co

mm

unic

ate

with

iden

tifie

d al

tern

ativ

e ca

re s

ites.

MIH

AN

CO

DE

SP

EA

R

E T

eam

Sm

art M

essa

ge

Aut

omat

ed p

hone

dia

ling

syst

ems

Voi

ceov

er

Emer

genc

yM

anag

emen

tSt

anda

rdSt

anda

rd D

escr

iptio

nH

ospi

tal P

repa

redn

ess

Prog

ram

Opp

ortu

nitie

s an

d R

esou

rces

Inte

rnet

Pro

toco

l

TS

P/G

ETS

/WP

S

Var

ious

han

d-he

ld ra

dios

(tw

o w

ay ra

dio,

MPS

CS

800

MH

z, U

HF,

VH

F

Am

ateu

r Rad

io (R

ACES

)

Sat

ellit

e Ph

ones

Mob

ile C

omm

unic

atio

ns/R

MC

C/C

OD

ESPE

AR

EMTr

ack,

EM

Res

ourc

e M

obile

com

mun

icat

ions

units

(if a

pplic

able

)

CO

DES

PEAR

inte

grat

ion

box

RM

CC

Mob

ile c

omm

unic

atio

n un

its

HSE

EP M

EMS

exer

cise

s

02.0

2.01

-14

The

hosp

ital e

stab

lishe

s ba

ckup

sys

tem

s an

d te

chno

logi

es fo

r the

com

mun

icat

ion

activ

ities

iden

tifie

d in

EM

.02.

02.0

1, E

Ps 1

-13.

MIH

AN

CO

DE

SP

EA

R

E T

eam

Sm

art M

essa

ge

Aut

omat

ed p

hone

dia

ling

syst

ems

Voi

ce o

ver

Inte

rnet

Pro

toco

l

TS

P/G

ETS

/WP

S

Var

ious

han

d-he

ld ra

dios

(tw

o w

ay ra

dio,

MPS

CS

800

MH

z, U

HF,

VH

F

Am

ateu

r Rad

io (R

ACES

)

Sat

ellit

e Ph

ones

Mob

ile C

omm

unic

atio

ns/R

MC

C/C

OD

ESP

Emer

genc

yM

anag

emen

tSt

anda

rdSt

anda

rd D

escr

iptio

nH

ospi

tal P

repa

redn

ess

Prog

ram

Opp

ortu

nitie

s an

d R

esou

rces

02.0

2.01

-17

The

hosp

ital i

mpl

emen

ts th

e co

mpo

nent

s of

its

Emer

genc

y O

pera

tions

Plan

that

requ

ire a

dvan

ce p

repa

ratio

n to

sup

port

com

mun

icat

ions

dur

ing

an e

mer

genc

y.

H1N

1 (C

itize

n ca

ll lin

es fo

r vac

cina

tion

ques

tions

)

HSE

EP E

xerc

ise

Bed

trac

king

and

com

mun

icat

ions

test

s

02.0

2.03

As

part

of i

ts E

mer

genc

y O

pera

tions

Pla

n, th

e ho

spita

l pre

pare

s fo

r how

it w

ill m

anag

e re

sour

ces

and

asse

ts d

urin

gem

erge

ncie

s.

02.0

2.03

-1

The

Emer

genc

y O

pera

tions

Pla

n de

scrib

es th

e fo

llow

ing:

How

the

hosp

ital w

ill ob

tain

and

repl

enis

h m

edic

atio

ns a

nd re

late

d su

pplie

s th

atw

ill be

requ

ired

thro

ugho

ut th

e re

spon

se a

nd re

cove

ry p

hase

s of

an

emer

genc

y, in

clud

ing

acce

ss to

and

dis

tribu

tion

of c

ache

s th

at m

ay b

est

ockp

iled

by th

e ho

spita

l, its

affi

liate

s, o

r loc

al, s

tate

, or f

eder

al s

ourc

es.

Hos

pita

l ant

ibio

tic/a

ntiv

iral c

ache

s

AC

C/m

edic

al s

urge

cac

hes

RM

CC

EM

Trac

k/EM

Res

ourc

e/E

Team

MED

DR

UN

/CH

EMPA

CK

SNS

Req

uest

Pro

cess

/Sha

rePo

int T

rain

ing

02.0

2.03

-2Th

e Em

erge

ncy

Ope

ratio

ns P

lan

desc

ribes

the

follo

win

g: H

ow th

eho

spita

l will

obt

ain

and

repl

enis

h m

edic

al s

uppl

ies

that

will

be re

quire

dth

roug

hout

the

resp

onse

and

reco

very

pha

ses

of a

n em

erge

ncy,

incl

udin

g pe

rson

al p

rote

ctiv

e eq

uipm

ent w

here

requ

ired.

RM

CC

EM

Res

ourc

e/E

Team

Indi

vidu

al h

ospi

tal P

PE/P

APR

cac

he

Hea

lth C

are

Mem

oran

dum

of U

nder

stan

ding

02.0

2.03

-3Th

e Em

erge

ncy

Ope

ratio

ns P

lan

desc

ribes

the

follo

win

g: H

ow th

eho

spita

l will

obta

in a

nd re

plen

ish

non

-med

ical

sup

plie

s th

at w

ill be

requ

ired

thro

ugho

ut th

e re

spon

se a

nd re

cove

ry p

hase

s of

an

emer

genc

y.

Reg

iona

l Coa

litio

n/Lo

cal E

OC

RM

CC

HSE

EP E

xerc

ise

02.0

2.03

-4Th

e Em

erge

ncy

Ope

ratio

ns P

lan

desc

ribes

the

follo

win

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spita

l will

shar

e re

sour

ces

and

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ts w

ith o

ther

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lth c

are

orga

niza

tions

with

in th

e co

mm

unity

, if n

eces

sary

.N

ote:

Exam

ples

of

RM

CC

EM

Res

ourc

e/ E

Tea

m