Be Prepared Achieving Compliance with the CMS Emergency Preparedness Requirements for PACE
|
|
- Chrystal Moody
- 5 years ago
- Views:
Transcription
1 Be Prepared Achieving Compliance with the CMS Emergency Preparedness Requirements for PACE Bill Kirkpatrick, PACE Organization of Rhode Island Eileen Kunz, On Lok Lifeways Anita McClendon, On Lok Lifeways Chris van Reenen, National PACE Association
2 Session Overview Brief overview of emergency preparedness requirements for PACE organizations Overview of 2 PACE organizations and their approaches to emergency preparedness: PACE Organization of Rhode Island and On Lok Lifeways Focus areas: Establishing collaborative relationships Communications plan Training Testing Questions & Answers
3 Emergency Preparedness Final Rule CMS issued EP final rule on 9/16/2016 with an implementation deadline of 11/15/2017 (30 days and counting) EP rule establishes new Emergency Preparedness replacing (c)
4 Goals of Emergency Preparedness Rule Address Systemic Gaps Establish Consistency Encourage Coordination
5 Emergency Preparedness Program: Core Elements Risk Assessment and Planning Policies and Procedures Emergency Preparedness Program Communication Plan Training and Testing
6 Risk Assessment PACE organizations must assess their risk for both: Internal emergencies that affect the PO itself Emergencies that affect the community at large Emergencies include: Care-related emergencies Equipment and power failures Communications interruptions, including cyberattacks Both natural and man-made disasters
7 Emergency Preparedness Plan How to maintain essential business functions during an emergency? What emergencies should your PACE Organization (PO) prepare for? What contingencies should your PO plan for? Where are services provided? Where are business operations performed? What arrangements/strategies are necessary to ensure essential services are provided during an emergency? Does the PO s plan address the needs of its participant population? Does the PO s plan involve cooperation and collaboration with EP officials at all levels?
8 Policies & Procedures To meet subsistence needs for participants and staff in event of need to shelter in place or evacuate To track the location of on-duty staff and participants To safety evacuate from the PACE center including P&Ps that address care and treatment needs, staff responsibilities, transportation, evacuation locations, means of communication To inform State and local EP officials about participants in need of evacuation from their homes To shelter in place To preserve and protect confidentiality of participant information, and secure and maintain availability of participants records To utilize volunteers or for other emergency staffing strategies To work with other providers to maintain continuity of services To address the role of the PO under a Sec waiver, if declared by the Secretary To insure availability of emergency equipment
9 Communication Plan Names and contact information for staff and contractors, etc. Contact information for Federal, State, tribal, regional, and local EP staff Contact information for other sources of assistance Primary and alternate means of communication with staff and emergency management agencies Method for sharing participants information and medical documentation to maintain continuity of care Means to release information consistent with HIPAA requirements Means of providing information to authorities about the PO s needs and ability to provide assistance
10 Training and Testing Initial and annual training for staff, participants, contractors, volunteers, etc. Staff must demonstrate knowledge of emergency procedures Annual testing involving at least one community-based or facility-based full-scale exercise, and either a second full-scale or table-top exercise Importance of documentation
11 Achieving Compliance with CMS Emergency Preparedness Requirements for PACE Organizations
12 PACE Organization of Rhode Island PACE Organization of Rhode Island (PACE) is a non-profit health plan and provider of care for Medicare and Medicaid adults 55 and older who have chronic health needs and want to live at home. Exclusive PACE provider in Rhode Island with locations in Providence, Westerly and Woonsocket. Only risk-based, integrated community-based model specifically designed for high-risk elders. We have served over 700 frail adults since opening in 2005
13 PACE Organization of Rhode Island Our Participant Profile: Close to 300 ppts currently enrolled Average age is 75 12% aged between 55 and 64 20% aged 85 or older 69% female / 31% male 54% speak a primary language other than English 94% are low-income seniors who are eligible for both Medicare and Medicaid 36% have a formal diagnosis of dementia, including Alzheimer s disease 46% have six or more chronic health conditions compared to 14% among RI Medicare fee-for-service (FFS) beneficiaries 33% have 3 or more ADL limitations Enrollment Average 4.3 years 35% of current participants have been enrolled five years or more
14 On Lok Lifeways Emergency Preparedness Program October 17, 2017 committed to serving California s diverse communities
15 On Lok Overview Original Vision: Help the low-income seniors in Chinatown/North Beach area of San Francisco stay in their own homes National prototype for the Program of All-inclusive Care for the Elderly (PACE) model of care Today: 15 On Lok Lifeways, our PACE program, serves over 1,450 seniors in three San Francisco Bay Area counties On Lok s 30 th Senior Center services over 6,000 seniors annually with traditional senior center services Owns and operates three senior housing buildings Provides consultation through PACEpartners consulting Owns Care at Home Medicare home health agency 1
16 On Lok History Served Chinatown/North Beach neighborhoods from 1973 to 1995 with four PACE centers Expanded PACE throughout San Francisco in 1996 with subcontract with Institute on Aging (IOA) and acquisition of 30th Street Senior Services Expanded to City of Fremont in 2002, using community physicians Expanded to City of San Jose to serve Santa Clara County in 2009 Opened a second PACE center in Fremont with co-located housing. Opened the East San Jose ADHC center in 2014 to serve as alternative care setting to San Jose PACE center. Consolidated two Fremont PACE centers into one in May 2017 Converting East San Jose center into full PACE center in
17 On Lok Lifeways Service Area SAN FRANCISCO COUNTY Entire county/city served 4 PACE centers/7 IDTs Administrative Offices ALAMEDA COUNTY Fremont, Newark & Union City 1 PACE center/2 IDTs 1 Alternative care settings Administrative Offices SANTA CLARA COUNTY Entire county (except Gilroy, Morgan Hill & San Martin) 1 PACE centers/2 IDTs 3 Alternative care settings 17
18 Geographic and Population Differences Service Area Geographic Area (Square Mi.) Population San Francisco ,442 Alameda (Fremont, Union City and Newark) ,546 Santa Clara 1,290* 1,862,041 *Includes entire county not only On Lok service area 18 6
19 2017 HVA Summary
20 Incident Command System (ICS) Structure 20
21 Command Staff 21
22 PACE Center ICS Structure Normal PACE program services will be delivered through branches under the Operations Section: o Well Care o Clinical Care o Transportation 22
23 ICS Across On Lok Gee Administration will form its ICS team and communicate with all sites from Gee Center. Gee Admin (OCC) Jade / Rose Peralta Powell East San Jose 30 th Street San Jose 23
24 Establishing Collaborative Relationships RI Emergency Management Agency Rhode Island LTC Mutual Aid Plan Carelink Post Acute Health System Rhode Island DOH Center for Emergency Preparedness and Response Providence Emergency Management Agency/Port of Providence Evacuation Plan
25 Mutual Aid Agreements Steere House White Cross Pharmacy St. Antoine s Catering Service Alternate PACE sites in RI
26 Policies & Procedures Emergency Management Program Plan - Template P&P based on our identified hazards Participants of Concern procedures RI Special Needs Registry Port of Providence Evacuation Plan
27 27 Communication
28 Emergency Communication Communication plan required and under development Focus on internal communication Staff, participants, contract providers, volunteers and board PACE Center Incident Commander to Gee Admin Establish discrete number of key contacts and alternates if first contact isn t available Minimal calls to activate Various modes of communication Communication within center and between centers Communication with community partners and emergency officials 28
29 Types of Communication Type Purpose Example Alert Action Required/ Activation 29 Notification Report incident and no action needed as this time. On alert to monitor for possible future action. Action required to respond to incident. Activation of Organizational Coordination Center - Incident Command System. Inform leadership and staff of status and/or incident resolution. Rolling brownouts are occurring in San Francisco. Temporary outages may occur in next 8 hours. There s power outage at Gee center with no timeframe for resolution. Elevator stuck between floors with participant and staff in it. There was power outage last night. Power is back on. All systems operating normally. Events that pose a potential or actual disruption of program services requires initiation of ICS.
30 Emergency Communication Tools Tools Purpose Phone Trees Contact direct care staff GETS/WPS (Landline & Cell priority) Send Word Now Notification System Cut through congestion of landlines and cell networks. Quickly alert, inform or call-back staff. VHF/UHF Radios Inter-site communication redundancy in event that digital communication lines fail Emergency Landlines at each center Provide fallback in case digital communication lines fail 30
31 Lessons Learned Ongoing maintenance needed Keeping information up to date with staff changes and location moves Testing equipment and battery on regular basis Reliance on cell phones demands alternative power sources New technologies allow for more flexibilities and more complexity Multi-county service area requires understanding of county-level emergency communication systems 31
32 32 TRAINING & TESTING
33 Training & Testing HVAs conducted for all centers in the spring HVA results informed training and testing design Training and Testing Components Ongoing regular fire drills Training & Tabletop - early summer Community-based exercise - fall
34 Training with Tabletop Training (1-hour) Reinforcing previous life safety Fire & Earthquake Emergency supplies Evacuation maps Introduced concept of Standard Responses Reviewed Center-based ICS Section Chief roles and redundancy Introduced Branch Directors Assigned each discipline to a branch
35 PACE Center ICS Sections & Branches CENTER-BASED INCIDENT COMMANDER Section OPERATIONS CHIEF PLANNING CHIEF LOGISTICS CHIEF Transportation Documentation Transporting Documenting, participants, staff, collecting, and and equipment as maintaining needed to ensure information about safety. the incident. Functional Branch Well Care Personal care and support of participants who do not currently require medical attention (Green card) Clinical Care Providing clinical services to participants and staff in need of medical treatment or attention (Red card) (Blue card) (Orange card) Center Support Monitoring and reporting incident status from external sources. Monitoring and directing incoming calls. (Yellow card) Resources Food, water, and medical supplies for subsistence, manpower, and other items as needed. (Beige card) Facilities & Infrastructure Building, power, water, sewage, IT and telecom integrity. (Grey card) Staff Center & HC GAs Activities Nutrition Social Work/ Behavioral Health/ Chaplaincy HC RN s Medical Assistants Clinic Nurses (RN s, LVN s) PCP s Transportation Medical Records Center Assistant Reception Admin Support Rehab HR Facilities IT
36 ASSIGNMENT CARD EXAMPLE On Lok Center-Based Emergency Response Assignment WELL CARE BRANCH RESPONSIBILITY: Personal care and support of ambulatory and non-ambulatory participants who do not currently require medical attention STAFF INVOLVED: Center Geriatric Aides Homecare RNs Nutrition Chaplaincy Activities Homecare Geriatric Aides Social Work Behavioral Health REPORTING LOCATION: Day Center LEADER: Well Care Branch Director (under the Operations Section) TASKS: Normal job duties including assistance with toileting and personal care as needed Keep participants safe, grouped together and away from windows or other possible hazards. Calm, reassure and engage participants. Assist with meal service. Escort participants to safe locations as directed. Coordinate care of participants in community if safe to do so. Observe and report concerns, incidents or hazards to Group Leader. Other tasks as needed
37 Training with Tabletop Table top: Active shooter as identified in HVA Involved all center staff rather than just ICS Design Adapted timeline from real event Elected to minimize stress shooter outside of building Broke after each inject to answer 1-2 questions Challenges Space for large groups Need for interpreters Appropriate number of injects Evaluation/After Action Identified areas of concern General feeling of appreciation and desire for more training
38 TABLETOP EXERCISE AGENDA 2:00 Tabletop Exercise Briefing 2:05 Exercise Begins 3:30 After Action Report 3:50 Training Evaluation and close out TABLETOP EXERCISE SETUP It is a normal, mid-week summer day for the center. Most participants have arrived but some who had early offsite appointments are still in transit. The morning IDT meeting is over and a staff member is at the front desk talking to the Receptionist.
39 TABLETOP EXERCISE INJECT #1 (Large group) 10:38 AM Receptionist and another employee are at the front desk and hear popping sounds from outside and then, a few seconds later, what sounds like a car accident. REFLECTION Based on the information presented in Inject 1: 1. What actions would you consider taking, if any, at this stage? 2. What concerns might you have?
40 TABLETOP EXERCISE INJECT #2 (Large group) 10:39 AM Van Driver calls center PM to report that he is diverting from the center because there is a car blocking the road about 300 feet from the center, he thinks he s heard gun shots, and saw a person standing near the car holding what appeared to be a gun. REFLECTION Based on the information presented in Inject 2: 1. What actions should be taken to secure the area? 2. Who is responsible for contacting law enforcement? What information should be relayed?
41 TABLETOP EXERCISE 10:45 AM INJECT #3 (Large group) Sirens can be heard as the first police units and ambulance arrive on scene. Exchange of gunfire seems to be coming from outside but near the center. REFLECTION Based on the information presented in Inject 3: 1. What actions should you take? 2. What, if anything, should participants be told at this time?
42 TABLETOP EXERCISE INJECT #4 (Large group) 10:52 AM SWAT arrives Emergency Services is calling homes and businesses in the immediate area to apprise them of the situation and has advised you to shelter-in-place Police begin door-to-door search for suspect Please proceed into the designated breakout groups to carryout the next three injects of this exercise.
43 TABLETOP EXERCISE 11:00 AM INJECT #5 (Breakout groups) An employee reports hearing the handle of the back emergency door being tested, pounding on the door and someone yelling, Let me in, let me in. REFLECTION Based on the information presented in Inject 5: 1. What action, if any, will you take to ensure the facility remains secure? 2. What will you do about the person outside your door?
44 TABLETOP EXERCISE INJECT #6 (Breakout groups) 11:20 AM Participants are beginning to complain about being hungry (due to police activity, lunch and portable meals were not delivered to the center). REFLECTION Based on the information presented in Inject 6: 1. How will you meet participant needs? 2. What plans will be made for portable meal delivery?
45 TABLETOP EXERCISE INJECT #7 (Breakout groups) 11:45 AM Some participants are watching news and twitter feeds via their cell phones and sharing the information with those around them. Anxiety levels appear to be rising within part of the group. One participant begins to hyperventilate and appears to be having a panic attack. Another participant becomes extremely agitated and complains that he doesn t feel safe in the building and wants to get out there where the cops can protect me. As he attempts to leave the group, he roughly shoves a staff person who loses her balance and falls heavily onto her right elbow. As the staff person attempts to right herself, she cries out in pain and it becomes apparent that she has dislocated her shoulder. REFLECTION Based on the information presented in Inject 7: 1. What is the priority for addressing these issues (group anxiety, panic attack, attempt to leave, dislocated shoulder)? 2. How will each issue be addressed?
46 TABLETOP EXERCISE 12:30 PM INJECT #8 (Large group) For over an hour there has been no sound from outside the center. Staff are receiving calls from family members and participant caregivers who have learned of the active shooter situation. Emergency personnel can be seen outside. Several staff express interest in leaving. REFLECTION Based on the information presented in Inject 8: 1. Who is responsible for deciding when it is safe to leave the secure area?
47 TABLETOP EXERCISE 12:45 PM INJECT #9 (Large group) Law enforcement personnel arrive outside the center door and direct you to evacuate the building. REFLECTION Based on the information presented in Inject 9: 1. How do you comply with law enforcement s specific evacuation instructions while maintaining participant safety?
48 TABLETOP EXERCISE HOTWASH Tabletop Exercise has concluded. 1. What went well? 2. What needs work? 3. Ideas for improvement?
49 Community-based exercise September 14, 2017 One county Two centers participated in county s public health exercise Many agencies public health, hospitals, SNFs, ADHCs, Dialysis Centers, clinics etc. October 25, 2017 All center exercise Likely partners local police & fire, other PACE center, other ADHC Major event resulting in power outages, building damage, bridge & roadway damage, public transportation damage, etc. Testing communication, appropriate delegation of tasks, and incident action planning
50 Testing (Full Scale & Table Top) All Hazard s Approach Hazard Vulnerability Analysis (HVAs) Plans and drills associated with the top 5 hazards Live drills annually at 3 sites Table Top Exercise Annually including 3 sites
51 Incident Log
52 Table Top
53 Examples of Drills Held Snowstorm/power outage/state of emergency declared by Governor/shelter in place Hurricane/power outage Fire Drill/full evacuation of building Contingency planning for potential absence of physicians due to travel restrictions
54 Questions & Answers
55 Words to live by Be prepared! Boy and Girl Scouts Motto
Overview and Current Status of Program of All-inclusive Care for the Elderly (PACE) Dr. Cheryl Phillips, M.D. Chief Medical Officer, On Lok Lifeways
Overview and Current Status of Program of All-inclusive Care for the Elderly (PACE) Dr. Cheryl Phillips, M.D. Chief Medical Officer, On Lok Lifeways 1 What is On Lok? Original Vision: Help the low-income
More informationEmergency Preparedness
Emergency Preparedness Emergency Preparedness On September 16, 2016 the final rule on Emergency Preparedness requirements for Medicare and Medicaid participating providers and suppliers was published.
More informationHome Health Agency Requirements CMS Emergency Preparedness Final Rule
Home Health Agency Requirements CMS Emergency Preparedness Final Rule The Centers for Medicare & Medicaid Services (CMS) issued the Emergency Preparedness Requirements for Medicare and Medicaid Participating
More informationEMERGENCY PREPAREDNESS ACUTE CARE
Medicare and Medicaid Programs; Emergency Preparedness; Requirements for Medicare and Medicaid Participating Providers and Suppliers 42 CFR 482.15 Published September 16, 2016; Effective November 15, 2016;
More informationLong Term Care Requirements CMS Emergency Preparedness Final Rule
Long Term Care Requirements CMS Emergency Preparedness Final Rule The Centers for Medicare & Medicaid Services (CMS) issued the Emergency Preparedness Requirements for Medicare and Medicaid Participating
More informationUniversity of San Francisco EMERGENCY OPERATIONS PLAN
University of San Francisco EMERGENCY OPERATIONS PLAN University of San Francisco Emergency Operations Plan Plan Contact Eric Giardini Director of Campus Resilience 415-422-4222 This plan complies with
More informationCMS CoPs: New Emergency Preparedness Requirements
CMS CoPs: New Emergency Preparedness Requirements David Lum, Karen Fuller & Caecilia Blondiaux Centers for Medicare & Medicaid Services 1 Disaster Planning for California Hospitals September 2017 Emergency
More information2016 Final CMS Rules vs. Joint Commission Requirements
Healthcare Association of New York State, October 2016 2016 Final CMS Rules vs. Joint Commission Requirements Final CMS Rules Current CMS Rules Joint Commission Requirements Emergency Plan (a) Emergency
More informationThe software that powers HOME HEALTH. THERAPY. PRIVATE DUTY. HOSPICE
Today s educational presentation is provided by The software that powers HOME HEALTH. THERAPY. PRIVATE DUTY. HOSPICE 877.399.6538 sales@kinnser.com www.kinnser.com About the presenter SHARON HARDER President
More informationAgency for Health Care Administration
Page 1 of 60 FED - E0000 - Initial Comments Title Initial Comments Type Memo Tag FED - E0001 - Establishment of the Emergency Program (EP) Unless otherwise indicated, the general use of the terms "facility"
More informationURBAN SHIELD OVERVIEW
URBAN SHIELD OVERVIEW September 7-11, 2017 Over 200 partners and 6,000 volunteers Scenario sites in Alameda, San Francisco, San Mateo, and Contra Costa Counties Regional Care and Shelter Tabletop Exercise
More informationTHE CMS EMERGENCY PREPARDNESS RULE HOSPITAL EDITION
THE CMS EMERGENCY PREPARDNESS RULE HOSPITAL EDITION THIS IS WHY Best Practices from across the industry CMS / AHJ Requirements Research of Response THIS IS HOW! AGENDA Publication of the CMS Final Rule
More informationGREY NUNS COMMUNITY HOSPITAL ACTIVE ASSAILANT EMERGENCY RESPONSE PLAN
GREY NUNS COMMUNITY HOSPITAL ACTIVE ASSAILANT EMERGENCY RESPONSE PLAN ACTIVE ASSAILANT EMERGENCY RESPONSE PLAN ALGORITHM Staff Member Discovering the incident Staff in close proximity to the incident Recognizes
More informationEMERGENCY OPERATIONS PLAN
National PACE Association Emergency Preparedness (EP) Compliance Project EMERGENCY OPERATIONS PLAN HANDS ON TRAINING: HVA, EOP & ICS Connect Consulting Services, Inc. Training Agenda 2 National PACE Association
More informationEMERGENCY PREPAREDNESS Are you Ready for Disaster?
EMERGENCY PREPAREDNESS Are you Ready for Disaster? K AT H Y B A R TO N RN B S N C H P N Q U A L I T Y C O O R D I N ATO R H E Y M A N H O S P I C E JA S O N W. S A N F O R D M P S - H L S, M P H D P H
More informationEmergency Preparedness, Are You Ready?
Emergency Preparedness, Are You Ready? Dr. Anna Fisher Copyright Hillcrest Health Services Objectives Understand that emergency preparedness involves a cycle of planning, capability development, training,
More information10/4/2017. New Home Health & Hospice Agencies. Missouri Deemed Agencies as of 10/02/2017. Agencies Currently Pending Deemed Status.
List three trends with the hospice industry in Missouri Identify several hot topics Missouri hospices need to add to their radar Discuss the bureau s clarification of frequently asked hospice questions
More informationASSISTED LIVING FACILITIES STATUE RULE CRITERIA
ASSISTED LIVING FACILITIES STATUE RULE CRITERIA Page 1 of 14 Assisted Living Facilities Statutory Reference' 400.441 (1)(b), Florida Statutes Rules establishing standards (b) The preparation and annual
More informationWednesday, September 27, :00 A.M. 12:00 P.M. Kern County Public Health Department 1800 Mt. Vernon Avenue San Joaquin Room
Wednesday, September 27, 2017 10:00 A.M. 12:00 P.M. Kern County Public Health Department 1800 Mt. Vernon Avenue San Joaquin Room WELCOME! Opening Remarks Introductions Additions/Changes to Agenda 2017-18
More informationPrograms of All-Inclusive Care for the Elderly Requirements CMS Emergency Preparedness Final Rule
Programs of All-Inclusive Care for the Elderly Requirements CMS Emergency Preparedness Final Rule The Centers for Medicare & Medicaid Services (CMS) issued the Emergency Preparedness Requirements for Medicare
More informationASHE Resource: Implications of the CMS emergency preparedness rule
CMS EMERGENCY PREPAREDNESS RULE TEXT 482.15 Condition of participation: Emergency preparedness. The hospital must comply with all applicable Federal, State, and local emergency preparedness requirements.
More informationFacility Assessment Laguna Honda Hospital and Rehabilitation Center
Facility Assessment Laguna Honda Hospital and Rehabilitation Center January 9, 2018 Joint Conference Committee Regina Gomez, Director of Quality Quoc Nguyen, Assistant Hospital Administrator CMS Phase
More informationTILLAMOOK COUNTY, OREGON EMERGENCY OPERATIONS PLAN ANNEX R EARTHQUAKE & TSUNAMI
TILLAMOOK COUNTY, OREGON EMERGENCY OPERATIONS PLAN ANNEX R EARTHQUAKE & TSUNAMI I. PURPOSE A. Tillamook coastal communities are at risk to both earthquakes and tsunamis. Tsunamis are sea waves produced
More informationHospital (and Transplant Center) Requirements as Written in the Final Rule
Hospital (and Transplant Center) Requirements CMS Emergency Preparedness Final Rule The for Medicare & Medicaid Services (CMS) issued the Emergency Preparedness Requirements for Medicare and Medicaid Participating
More informationSECTION EARTHQUAKE
SECTION 11.14 EARTHQUAKE PROCEDURES TO BE FOLLOWED IN THE EVENT THAT A SIGNIFICANT EARTHQUAKE AFFECTS LOMA LINDA UNIVERSITY PREPARATION Education and Training: 1. The Safety Officers oversee an education
More informationAlameda County Disaster Preparedness Health Coalition. Medical and Health Tabletop Exercise - January 22, 2015
1 Alameda County Disaster Preparedness Health Coalition Medical and Health Tabletop Exercise - January 22, 2015 2 Scope This tabletop exercise was planned for Alameda County Disaster Preparedness Health
More informationAmbulatory Surgical Center Requirements CMS Emergency Preparedness Final Rule
Ambulatory Surgical Center Requirements CMS Emergency Preparedness Final Rule The Centers for Medicare & Medicaid Services (CMS) issued the Emergency Preparedness Requirements for Medicare and Medicaid
More informationEmergency Management. 1 of 8 Updated: June 20, 2014 Hospice with Residential Facilities
CEMP Criteria for Hospice Lee County Emergency Management The following criteria are to be used when developing Comprehensive Emergency Management Plans (CEMP) for all hospices. The criteria also serve
More informationRENAL NETWORK 11 MOCK DRILL INSTRUCTIONS
RENAL NETWORK 11 MOCK DRILL INSTRUCTIONS Renal Network 11 has developed this emergency preparedness drill so that the dialysis facility and their community can test the readiness of staff and patients,
More informationTaking the First Steps. Emergency Preparedness and the Impact of the new CMS Emergency Preparedness Rule on Long Term Care Facilities
Taking the First Steps Emergency Preparedness and the Impact of the new CMS Emergency Preparedness Rule on Long Term Care Facilities J. David Weidner, MPH, REHS, MEP, CEM 1 Prepare for What? 2 CMS Rule
More informationRHODE ISLAND LONG TERM CARE MUTUAL AID PLAN (LTC-MAP) FULL-SCALE EXERCISES APRIL 10 & 11, 2017
RHODE ISLAND LONG TERM CARE MUTUAL AID PLAN (LTC-MAP) FULL-SCALE EXERCISES APRIL 10 & 11, 2017 AFTER ACTION REPORT & IMPROVEMENT PLAN July 28, 2017 Report Prepared By: THIS PAGE INTENTIONALLY LEFT BLANK
More informationUC San Diego Health System MASTER SCENARIO EVENTS LIST (MSEL ) ( ) VERSION 2/22/2011 DO NOT SHARE WITH EXERCISE PARTICIPANTS
UC San Diego Health System MASTER SCENARIO EVENTS LIST (MSEL 3.1.2011) (0800-1630) VERSION 2/22/2011 DO NOT SHARE WITH EXERCISE PARTICIPANTS TIME INJECT # MESSAGE SUMMARY EXPECTED RESPONSE 8:00 Safety
More informationSECTION EARTHQUAKE
SECTION 11.15 EARTHQUAKE PROCEDURES TO BE FOLLOWED IN THE EVENT THAT A SIGNIFICANT EARTHQUAKE AFFECTS LOMA LINDA UNIVERSITY HEALTH RESPONSE During The Earthquake: All Personnel All Personnel DUCK, COVER,
More informationMary Massey, BSN, MA, CHEP California Hospital Association
CMS Final Rule: Conditions of Participation Establishing Emergency Preparedness Requirements for Medicare and Medicaid Participating Providers and Suppliers Mary Massey, BSN, MA, CHEP California Hospital
More informationPOLCIE, AMBULANCE, FIRE DEPARTMENT DIAL FIRE, DISASTER, EVACUATE 3 BELLS
FANNINDEL ISD EMERGENCY PROCEDURES MANUAL POLCIE, AMBULANCE, FIRE DEPARTMENT 911 DIAL FIRE, DISASTER, EVACUATE 3 BELLS FANNIN COUNTY SHERIFF 903-583-2143 DELTA COUNTY SHERIFF 903-395-2146 FANNINDEL ISD
More informationAppendix A: CMS Emergency Preparedness Checklist
Appendix A: CMS Emergency Preparedness Checklist Not Started In Progress Completed Tasks Develop Emergency Plan: Gather all available relevant information when developing the emergency plan. This information
More informationCommunity Health Care And Emergency Preparedness. CNYRO HEPC Full Regional Meeting June 6, 2017
1 Community Health Care And Emergency Preparedness CNYRO HEPC Full Regional Meeting June 6, 2017 2 CHCANYS EM Team Alex Lipovtsev Assistant Director Michael Sardone Program Coordinator Gianna Van Winkle
More informationPrepublication Requirements
Prepublication Requirements Standards Revisions for Emergency Management Final Rule in Ambulatory Health Care The Joint Commission has approved the following revisions for prepublication. While revised
More informationAudio is through computer speakers or select Phone on Audio Pane to call in. All attendees are muted.
Hospice Emergency Preparedness CoP Requirements: Getting Your Hospice Ready Mary St. Pierre, RN, BSN, MGA Regulatory Consultant Before We Get Started Audio is through computer speakers or select Phone
More informationUniversity of California San Francisco Emergency Response Management Plan PART 6 OPERATIONS SECTION (ERP) Table of Contents
OPERATIONS SECTION (ERP) Table of Contents Operations Section Chief...6-3 Emergency Communications Center...6-15 Public Safety...6-11 Buildings & Facilities Branch: Buildings & Facilities Branch Chief...6-15
More informationTable 1: Types of Emergencies Potentially Affecting Urgent Care Centers o Chemical Emergency
Developing an Emergency Preparedness Plan Alan A. Ayers, MBA, MAcc Content Advisor, Urgent Care Association of America Associate Editor, Journal of Urgent Care Medicine Vice President, Concentra Urgent
More informationEMERGENCY MANAGEMENT PLANNING CRITERIA FOR ASSISTED LIVING FACILITIES
OCTOBER, 1995 EMERGENCY MANAGEMENT PLANNING CRITERIA FOR ASSISTED LIVING FACILITIES The following minimum criteria are to be used when Comprehensive Emergency Management Plans (CEMP) for all Residential
More information2017 Healthcare Emergency Preparedness Requirements
2017 Healthcare Emergency Preparedness Requirements PART 494.62 - CONDITIONS OF PARTICIPATION FOR END-STAGE RENAL DISEASE FACILITIES (ESRD) - DIALYSIS CENTERS Are you prepared for the changes? November
More informationEMERGENCY RESPONSE AND EVACUATION PROCEDURES STATEMENT
EMERGENCY RESPONSE AND EVACUATION PROCEDURES STATEMENT Once an emergency is discovered, immediate response is essential to minimize loss of life and property. The knowledge of proper procedures in responding
More informationEmergency Support Function (ESF) 16 Law Enforcement
Emergency Support Function (ESF) 16 Law Enforcement Primary Agency: Support Agencies: Escambia County Sheriff's Office City of Pensacola Police Department Escambia County Clerk of Circuit Court Administration
More informationPLANNING DRILLS FOR HEALTHCARE EMERGENCY AND INCIDENT PREPAREDNESS AND TRAINING
PLANNING DRILLS FOR HEALTHCARE EMERGENCY AND INCIDENT PREPAREDNESS AND TRAINING Introduction Emergencies and other critical events can create numerous headaches for hospitals and other healthcare facilities.
More informationComprehensive Outpatient Rehabilitation Facility Requirements CMS Emergency Preparedness Final Rule
Comprehensive Outpatient Rehabilitation Facility Requirements CMS Emergency Preparedness Final Rule The Centers for Medicare & Medicaid Services (CMS) issued the Emergency Preparedness Requirements for
More informationEmergency Management. High Risk/Low Frequency Emergencies Most high risk incidents do not happen very often (low frequency).
Emergency Management Generally speaking, a day spent working as a Security Professional is usually of a routine nature. After all, when was the last time you experienced a major emergency at work? You
More informationBefore we begin. Summary on CMS rule for minimum Emergency Preparedness requirements
Summary on CMS rule for minimum Emergency Preparedness requirements Tina T. Wright, Program Manager Emergency Management & Public Information Southeastern MA Regional CHC Representative January 2017 Before
More informationEMERGENCY PREPAREDNESS Hospice
Hospice LISA MEADOWS, MSW Clinical Compliance Educator Home Health, Hospice & Private Duty 2 OBJECTIVES Review the final rule for the new Emergency Preparedness Condition of Participation Identify the
More informationMission. Directions. Objectives. To protect patients, staff, and visitors during an active shooter incident.
Incident Response Guide: Active Shooter Mission To protect patients, staff, and visitors during an active shooter incident. Directions Read this entire response guide and review the Hospital Incident Management
More informationClinics, Rehabilitation Agencies, and Public Health Agency Requirements CMS Emergency Preparedness Final Rule
Clinics, Rehabilitation Agencies, and Public Health Agency Requirements CMS Emergency Preparedness Final Rule The Centers for Medicare & Medicaid Services (CMS) issued the Emergency Preparedness Requirements
More informationPrepublication Requirements
Prepublication Requirements Standards Revisions for Emergency Management Final Rule in Home Care The Joint Commission has approved the following revisions for prepublication. While revised requirements
More informationPreparing for the CMS Emergency Preparedness Rule Changes
Preparing for the CMS Emergency Preparedness Rule Changes Allison Jouras, ASP, HEM Senior Consultant BSI EHS Services and Solutions Kathy Harris Manager Stanford Health Care Office of Emergency Management
More informationProgrammatic Policy and Procedure
Page 11 of 7 Programmatic Policy and Procedure Section Sub-section Policy Psychiatric Health Facility (PHF) Crisis and Emergency Response Emergency Facility Evacuation Effective: 11/29/2017 Version: 1.0
More informationNavigating the Hospital Readmission Reduction Program
Navigating the Hospital Readmission Reduction Program Since the Affordable Care Act passed in 2010, a hospital s 30-day readmission rate has become synonymous with quality of care. Beginning in 2012, the
More informationJoint Commission Resources Quality & Safety Network (JCRQSN) Resource Guide. Centers for Medicare & Medicaid Services (CMS): Emergency Preparedness
Quality & Safety Network (JCRQSN) Resource Guide Centers for Medicare & Medicaid Services (CMS): Emergency Preparedness March 22, 2018 About Joint Commission Resources Joint Commission Resources (JCR)
More informationEmergency Preparedness
In the interest of maintaining a safe environment for all visitors at Stanford University, it is important for your program s staff and participants to know the following procedures in the unlikely event
More informationEmergency Preparedness Requirements
Emergency Preparedness Requirements National Hospice and Palliative Care Organization October 2018 Objectives Identify key elements of an effective emergency plan Describe the final rule by standard and
More informationEMERGENCY PREPAREDNESS REQUIREMENTS Long Term Care Facility Overview
EMERGENCY PREPAREDNESS REQUIREMENTS Long Term Care Facility Overview Final Rule September 16, 2016 Presented by: Katrina G. Magdon, MPA, CAE SUMMARY This final rule establishes national emergency preparedness
More informationEmergency Management Element. CMS Rule for. HRSA Form 10 HRSA PIN Joint Commission NIMS OSHA Best Practices. Emergency
Community Health Center Crosswalk The following resource includes references from the Centers for Medicare and Medicaid Services (CMS), Health Resources and Services Administration (HRSA), Joint Commission
More informationBEHAVIORAL HEALTH TABLETOP EXERCISE JULY 13, 2005 EMBASSY SUITES HOTEL OMAHA, NEBRASKA
BEHAVIORAL HEALTH TABLETOP EXERCISE JULY 13, 2005 EMBASSY SUITES HOTEL OMAHA, NEBRASKA Behavioral Health Tabletop Exercise Hazmat Incident Page 1 of 16_ TABLE OF CONTENTS Expectations...1 Goals and Objectives
More informationSECTION EARTHQUAKE
SECTION 11.14 EARTHQUAKE PROCEDURES TO BE FOLLOWED IN THE EVENT THAT A SIGNIFICANT EARTHQUAKE AFFECTS LOMA LINDA UNIVERSITY MEDICAL CENTER PREPARATION Education and Training: 1. The Safety Officers oversee
More informationCEMP Criteria for Adult Day Care Centers Emergency Management
CEMP Criteria for Adult Day Care Centers Lee County Emergency Management The following criteria are to be used for the development of Comprehensive Emergency Management Plans (CEMP) for Adult Day Care
More informationPreliminary Safety Assessment Process Overview
Preliminary Safety Assessment Process Overview 4 January 214 Jim Oberhofer KN6PE Updated: 12 January 216 CARES mission The mission of Cupertino ARES is to maintain and train Amateur Radio volunteers capable
More informationEMERGENCY SUPPORT FUNCTION 1 TRANSPORTATION
59 Iberville Parish Office of Homeland Security And Emergency Preparedness EMERGENCY SUPPORT FUNCTION 1 TRANSPORTATION I. PURPOSE: ESF 1 provides for the acquisition, provision and coordination of transportation
More informationMay 25 th KCER CMS Emergency Preparedness Rule Training
May 25 th 2017 KCER CMS Emergency Preparedness Rule Training Welcome Sally Gore KCER, Project Director 2 Speakers Nicolette Louissaint, Ph.D. Interim Executive Director Healthcare Ready Bev Whittet Patient
More informationJuly Hospice Fundamentals All Rights Reserved 1. Plan for the Webinar. The Rule & Its Dates
Emergency Preparedness: The Interpretive Guidelines Subscriber Webinar Plan for the Webinar Review Advanced Copy of Interpretive Guidelines as they relate to hospices Develop a series of be ready criteria
More informationEmergency Management
Slide 1 Emergency Management Annual Training Module Welcome to the Emergency Management Learning Module. Emergency Management, Safety and Security are critical areas of operation within Lehigh Valley Health
More informationNUMBER: UNIV University Administration. Emergency Management Team. DATE: October 31, REVISION February 16, I.
NUMBER: UNIV 3.00 SECTION: SUBJECT: University Administration Emergency Management Team DATE: October 31, 2011 REVISION February 16, 2016 Policy for: Procedure for: Authorized by: Issued by: Columbia Campus
More informationCoordinated Care Initiative Frequently Asked Questions for Physicians
What is the Coordinated Care Initiative? California's Coordinated Care Initiative (CCI) changes the focus and delivery of health care for seniors and people with disabilities. Coordinated care offers participants
More informationEMERGENCY PREPAREDNESS: OMBUDSMAN PROGRAM ADVOCACY AND FACILITY RESPONSIBILITIES. September 18, :00 4:30 p.m. ET
EMERGENCY PREPAREDNESS: OMBUDSMAN PROGRAM ADVOCACY AND FACILITY RESPONSIBILITIES September 18, 2018 3:00 4:30 p.m. ET Emergency Preparedness: Ombudsman Program Advocacy and Facility Responsibilities Presenters:
More informationD ISASTER AND E MERGENCY P REPAREDNESS 101
D ISASTER AND E MERGENCY P REPAREDNESS 101 READY, SET, GO!! NICKY MARTIN, BS, LNHA LEADERSHIP COACH SINCLAIR SCHOOL OF NURSING UNIVERSITY OF MISSOURI FEDERAL REGISTER 1 EMERGENCY PREPAREDNESS First published
More informationUrban Area Security Initiative (UASI) Super-Urban Area Security Initiative (SUASI)
Urban Area Security Initiative (UASI) Super-Urban Area Security Initiative (SUASI) Super-Urban Area Security Initiative (SUASI) The Bay Area Super-Urban Area Security Initiative (SUASI) is a federal Department
More informationMacfeat Early Childhood Lab School Emergency Plan Withers Building Room 41 Rock Hill, SC (803)
Emergency Plan Macfeat Early Childhood Lab School Emergency Plan Withers Building Room 41 Rock Hill, SC 29733 (803) 323-2219 The director may be contacted for further information or explanation of this
More informationADAMS COUNTY COMPREHENSIVE EMERGENCY MANAGEMENT PLAN HAZARDOUS MATERIALS
ADAMS COUNTY COMPREHENSIVE EMERGENCY MANAGEMENT PLAN EMERGENCY SUPPORT FUNCTION 10A HAZARDOUS MATERIALS Primary Agencies: Support Agencies: Adams County Emergency Management Fire Departments and Districts
More informationEMERGENCY MANAGEMENT PLANNING CRITERIA FOR ADULT DAY CARE FACILITIES
The following criteria are to be used for the development of Comprehensive Emergency Management Plans (CEMP) for Adult Day Care (ADC). The criteria will serve as a recommended plan format for the CEMP,
More informationSituation Manual Earthquake Scenario
Situation Manual Earthquake Scenario 405 Minutes Situation Manual Tabletop Exercise 1 Disaster Resistant Communities Group www.drc-group.com Recovery Readiness Exercise Play Exercise Briefing During this
More informationWhWwhaht. SNF CMS, RoP, Survey, and Regulatory Update October /25/2017. The New and Improved Survey Process
303 Cleveland Avenue SE Suite 206 Tumwater, WA 98501 Tel 800 562 6170 www.whca.org SNF CMS, RoP, Survey, and Regulatory Update October 2017 Elena Madrid Director of Regulatory Affairs The New and Improved
More informationEMERGENCY ACTION PLAN
EMERGENCY ACTION PLAN Mission Statement C ankdeska Cikana Community College provides opportunities that lead to student independence and self-sufficiency through academic achievement and continuation of
More informationSpecific Excerpts for Long Term Care Facilities (LTC) and Intermediate Care Facilities for Individuals with Intellectual Disabilities June 1, 2017
Transmittals for Appendix Z 483.73, Requirement for Long-Term Care (LTC) Facilities 483.475, Condition of Participation for Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID)
More informationSubject: Audit Report 16-45, Emergency Management, San José State University
Larry Mandel Vice Chancellor and Chief Audit Officer Office of Audit and Advisory Services 401 Golden Shore, 4th Floor Long Beach, CA 90802-4210 562-951-4430 562-951-4955 (Fax) lmandel@calstate.edu January
More informationPreventing Falls in the Home
~ VOLUME I ISSUE V LESSON PLAN ~ OBJECTIVES Upon completion of this program, the home health aide will be able to:» Identify four variables that increase the likelihood of falls» List three common hazards
More informationWHAT IS PACE? A TRAINING GUIDE FOR OUTREACH & REFERRAL ORGANIZATIONS
PACE is a health plan exclusively for individuals over 55 years of age. Our programs have been operating for over 40 years and are located throughout California. PACE is for individuals who are living
More informationHOSPITALS STATUTE RULE CRITERIA. Page 1 of 13
HOSPITALS STATUTE RULE CRITERIA Page 1 of 13 Hospitals and.ambulatory Surgical Centers Statutory Reference' 395.1055 (1)(c), Florida Statutes Rules and Enforcement. (1) The agency shall adopt rules pursuant
More information4/3/2018. Nursing Facility Changes to Conditions of Participation (& Enforcement): What You Need to Know. Revisions to State Operations Manual
DAVIS, BROWN, KOEHN, SHORS & ROBERTS, 1P.C. Nursing Facility Changes to Conditions of Participation (& Enforcement): What You Need to Know Lynn Böes and Ken Watkins 2 Revisions to State Operations Manual
More informationEmergency Response Plan Appendix A, ICS Position Checklist
Emergency Response Plan Appendix A, ICS Position Checklist Allen County Preparedness System Planning Frameworks - Response Support Annex Allen County Office of Homeland Security 1 East Main Street, Room
More informationSPECIAL NEEDS PLAN (SNP) MODEL OF CARE TRAINING 2015
SPECIAL NEEDS PLAN (SNP) MODEL OF CARE TRAINING 2015 Introduction This course is offered to meet the CMS regulatory requirements for Model of Care Training for our Special Needs Plan at Care Wisconsin.
More informationCommack School District District-Wide. Emergency Response Plan
Commack School District District-Wide Emergency Response Plan 2016-2017 Date of Acceptance/Revision: Introduction 1.1 Purpose The purpose of this plan is to provide emergency preparedness and response
More informationEmergency Preparedness Challenges Facing Long Term Care
Emergency Preparedness Challenges Facing Long Term Care S 2017 Long Term Care Emergency Preparedness District Roundtable Training Funding for this conference was made possible ( in part) by the Centers
More informationSummary, January 8, 2013
Medicare and Medicaid Programs; Emergency Preparedness Requirements for Medicare and Medicaid Participating Providers and Suppliers; Proposed Rule CMS-3178-P; RIN 0938-AO91 Summary, January 8, 2013 On
More informationOn February 28, 2003, President Bush issued Homeland Security Presidential Directive 5 (HSPD 5). HSPD 5 directed the Secretary of Homeland Security
On February 28, 2003, President Bush issued Homeland Security Presidential Directive 5 (HSPD 5). HSPD 5 directed the Secretary of Homeland Security to develop and administer a National Incident Management
More informationEmergency Management for Law Enforcement Executives. Minnesota Chiefs of Police CLEO Academy December 2, 2014
Emergency Management for Law Enforcement Executives Minnesota Chiefs of Police CLEO Academy December 2, 2014 1 Objectives Overview of Emergency Management and NIMS Understand importance of emergency management
More informationWHAT IS AN EMERGENCY? WHY IT IS IMPORTANT TO PREPARE COMMUNICATIONS
OVERVIEW The purpose of this plan is to provide for the carrying out of emergency functions to save lives; establish responsibilities necessary to performing these functions; prevent, minimize, and repair
More informationMedicare and Medicaid Programs; Emergency Preparedness Requirements for Medicare and Medicaid Participating Providers and Suppliers
Medicare and Medicaid Programs; Emergency Preparedness Requirements for Medicare and Medicaid Participating Providers and Suppliers SUMMARY: This final rule establishes national emergency preparedness
More informationEMERGENCY SUPPORT FUNCTION #6 MASS CARE
COORDINATING AGENCIES: Guernsey County Emergency Management Agency Department of Job & Family Services PRIMARY AGENCIES: Salvation Army American Red Cross Department of Job & Family Services SUPPORT AGENCIES:
More informationPart 1.3 PHASES OF EMERGENCY MANAGEMENT
Part 1.3 PHASES OF EMERGENCY MANAGEMENT Four primary phases of emergency management are outlined below, relating to campus mitigation, preparedness, response and recovery activities occurring before, during,
More informationResponse Protocols July 26,
Response Protocols July 26, 2011 1 Scope These protocols are applicable within the geographical boundaries of Santa Clara County and the sixteen jurisdictions within Santa Clara County. The protocols apply
More informationEmergency Management for Ambulatory Surgical Centers
Emergency Management for Ambulatory Surgical Centers Chapter 15 2018 Edition Presented by: Brad Keyes, CHSP Jamie Crouch, BSBM, MHA Welcome... Today s webinar will focus on the new requirements for Emergency
More informationCMS: Ohio Society for Healthcare Facilities Management 2107 Annual conference. Randall Snelling 20 October 2017 BUSINESS ASSURANCE
BUSINESS ASSURANCE CMS: Ohio Society for Healthcare Facilities Management 2107 Annual conference Randall Snelling 20 October 2017 SAFER, SMARTER, GREENER 2 DNVGL: An Independent Foundation Our Purpose
More information