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2 Background On September 16 th, 2016, the final rule on Emergency Preparedness Requirements for Medicare and Medicaid Participating Providers and Suppliers was published. This rule affects all 17 provider and supplier types eligible for participation in Medicare. The rule became effective on November 15 th, Health care providers and suppliers have until November 15 th, 2017 to implement the new requirements and be in full compliance. 2

3 Who does this affect? 3

4 17 Supplier Types affected 1. Hospitals 2. Religious Nonmedical Health Care Institutions (RNHCIs) 3. Ambulatory Surgical Centers (ASCs) 4. Hospices 5. Psychiatric Residential Treatment Facilities (PRTFs) 6. All-Inclusive Care for the Elderly (PACE) 7. Transplant Centers 8. Long-Term Care (LTC) Facilities 9. Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID) 10. Home Health Agencies (HHAs) 11. Comprehensive Outpatient Rehabilitation Facilities (CORFs) 12. Critical Access Hospitals (CAHs) 13. Clinics, Rehabilitation Agencies, and Public Health Agencies as Providers of Outpatient Physical Therapy and Speech-Language Pathology Services 14. Community Mental Health Centers (CMHCs) 15. Organ Procurement Organizations (OPOs) 16. Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) 17. End-Stage Renal Disease (ESRD) Facilities 4

5 Interpretive Guidance on CMS.GOV Surveyor Tool Advanced Copy Emergency Prep Interpretive Guidelines Frequently Asked Questions Documents 5

6 What work must be done? 6

7 Emergency Preparedness Checklist Develop Emergency Plans All Hazards Continuity of Operations (COOP) Plan Collaborate with Local or State Emergency Management Agencies Analyze Each Hazard Collaborate with Suppliers/Providers Decision Criteria for Executing Plan Communication Infrastructure Contingency 7

8 Develop Shelter-in-Place Plans Develop Evacuation Plans Transportation & Other Vendors Train Transportation Vendors/Volunteers Facility Reentry Plan Residents & Family Members Resident Identification Trained Facility Staff Members Informed Residents & Patients 8

9 Needed Provisions Location of Evacuated Residents Helping Residents in the Relocation Review Emergency Plans Emergency Planning templates Collaboration with Local EM, State, and Healthcare coalitions. Communication with the Long Term Care Ombudsman Program 9

10 Conduct Exercises & Drills Loss of Resident s Personal Effects. 10

11 Who will enforce CMS requirements? 11

12 Compliance: State Survey Agencies (SA), Accreditation Organizations (AOs) and CMS Regional Offices will be involved in monitoring for compliance as is the case with all other requirements for participation in Medicare. CMS does not regulate state and local emergency management agencies. However, facilities may seek to have their plans reviewed by preparedness officials. 12

13 Where can I find resources? 13

14 ASPR The U.S. Department of Health and Human Services Office of the Assistant Secretary for Preparedness and Response (ASPR) worked closely with CMS in the development of the rule. 14

15 CMS CMS has developed a website to assist providers and suppliers in meeting the requirements of the new rule. Website contains resources such as checklists, links to emergency preparedness agencies, planning templates and many other valuable resources. 15

16 Medicare (Heading): - Provider Enrollment & Certification - Survey & Certification - Emergency Preparedness - Templates & Checklists 16

17 Kentucky Healthcare Coalitions Reach out to the Healthcare Coalition Coordinators or Healthcare Preparedness Coordinators in your region. 17

18 Healthcare Coalition Coordinators HCC Region 2 Raymond Giannini Cell: Ballard Carlisle Hickman Graves Fulton Kentucky s Regional Hospital Preparedness Program Coalition Coordinators HCC Region 3 Jeffrey Rascoe Calloway HCC Region 1 Donna Lee , x-175 Union Trigg HCC Region 5 Stefanie Goff , x-1039 Henderson Webster Hopkins 2 Christian Daviess Todd 3 Ohio Logan Butler Breckinridge HCC Region 6 Vacant Grayson Warren 4 Meade Allen 5 Hardin Hart Barren HCC Region 4 Janarae S. Conway ext. 155 HCC Region 7 Jessica McElroy Henry Oldham Jefferson Bullitt Larue 6 Monroe Nelson Shelby Spencer Marion Taylor Adair Owen Woodford Mercer Boyle Casey Grant Wayne 7 Scott Lincoln 15 Harrison Fayette Pulaski 14 Bourbon Mason Robert son Clark Madison HCC Region 14 Amy Tomlinson , x-1148 HCC Regions 8/9 Jacquelyn P. Campbell , x-14 Fleming Bath Lewis Rowan Menifee Morgan Powell Wolfe Estill Lee Breathitt Owsley Laurel Whitley 13 Knox 8/9 Clay Bell 12 Leslie Perry Harlan Greenup Carter Elliot Lawrence 10/11 Knott Floyd Letcher HCC Regions 10/11 Gina Porter Martin HCC Region 13 Lonnie Saylor Pike HCC Region 12 Cory Waddell Updated March 3 rd, 2017 HCC Region 15 Dan Satterfield

19 Regional HPCs 19

20 Regional Preparedness Coordinators Kentucky Department of Public Health REGIONAL PREPAREDNESS COORDINATORS Kim Yazell Regional Program Supervisor Nicholasville, KY Office: x 1029 Cell: Fax: Tina Massengill (R1) Marshall County HD 307 E. 12 th Street Benton, KY Tina.Massengill@ky.gov Office: Cell: Fax: Ballard Margaret Hibbs (R3) Green River District 1501 Breckenridge Street Owensboro, KY Margaret.Hibbs@ky.gov Office: x3005 Cell: Fax: Carlisle Fulton 1 Graves Hickman Jim House Branch Manager 275 E Main Street, HS1E-J Frankfort, KY Office: x4034 Cell: Fax: Calloway Union Trigg Henderson Webster TBA(R2) Interim coverage by Tina Massengill and Margaret Hibbs Lyon County HD 211 W Fairview PO Box 96 Eddyville, KY Hopkins Christian RPC assigned to KY/TN Bordering Counties 3 2 Daviess Todd Ohio Logan Butler 4 Meade Breckinridge Grayson Warren 5 Allen Jerrod Wright (R4) Monroe County HD 452 East 4 th Street Tompkinsville, KY Jerrod.Wright@ky.gov Office: x 236 Cell: Fax; Kim Yazell (R15N) 210 E Walnut Street Nicholasville, KY KimD.Yazell@ky.gov Office: x 1029 Cell: Fax: Joey Riddle North Central; District HD 1020 Henry Clay Street Mike Harmon (R5) Shelbyville, KY Lincoln Trail District Joey.Riddle@ky.gov 108 New Glendale Rd Office: Elizabethtown, KY Cell: MichaelA.Harmon@ky.gov Fax: Office: x 1010 Cell: Fax: Hardin Hart Barren Jefferson 6 Bullitt Larue Monroe Henry Oldham Nelson Shelby Spencer Marion Taylor Adair Jessica Gover (R14) Lake Cumberland HD 500 Bourne Ave, Suite B Somerset, KY Jessica.Gover@ky.gov Office: x1295 Cell: Fax: Barbara Yates (R7) 1786 Commerce Parkway Lagrange, KY Barbara.Yates@ky.gov Office: Cell: Fax: Grant Wayne Mason Robert son Lewis Greenup Owen Harrison 8/9 Fleming 10 Carter Scott Bourbon Rowan 15N Bath rd Elliott o d fo Fayette Lawrence Clark Menifee Morgan W Powell Martin Mercer Madison Wolfe Estill Lee Floyd Boyle 15S Pike Breathitt Lincoln Owsley 12 Knott 11 Casey Perry 14 Pulaski 13 Laurel Whitley Sandy Glover (R 8/9) Rowan County HD 730 West Main Street Morehead, KY Sandra.Glover@ky.gov Office: ext.135 Cell: Fax: Knox Clay Rebecca Hardin (R15-S) Boyle County HD 448 South 3 rd St Danville, KY RebeccaL.Hardin@ky.gov Office BB: Fax: Bell Leslie Harlan Letcher Becki Patton (R13) Laurel County HD 525 Whitley Street London, KY Rebecca.Patton@ky.gov Office: Cell: Fax: Updated: January 4, 2017 John Hunt (R10) Lawrence County HD 1080 Meadowbrooke Ln. Louisa, KY JohnM.Hunt@ky.gov Office: (606) Cell: Fax: Kim Hall (R11) Floyd County HD 283 Goble Street Prestonsburg, KY Kimberly.Hall@ky.gov Office: (606) ext. 246 Cell: Fax: Jarrod Crase (R12) Breathitt County HD 955 Hwy 30 W Jackson, KY Jarrod.Crase@ky.gov Office: Cell: Fax:

21 KDPH as a resource ESF 8 Health & Medical Coordinator Regional Epis Preparedness Branch Subject Matter Experts 62 Local Health Departments Deliverables for Health Care Coalitions and Local Health Department Preparedness Programs 21

22 KDPH Subject Matter Experts Staff dedicated to: Epidemiology Health & Medical Emergency Operations Planning, Training & Exercise Cities Readiness Initiative (CRI) Strategic National Stockpile (SNS) KHELPS/MRC 22

23 KDPH Subject Matter Experts Staff dedicated to: FAN IT Coordination/Communications Systems Local Health Department Preparedness Health Care Coalitions Inventory/Logistics 23

24 KDPH/LHD Resources Experience with planning, training, exercising COOP plans RPCs/LHDs collaborate with local EM Hazard Vulnerability with ADD and EM SIP Evacuation Transportation assets Family Reunification 24

25 KDPH/LHD Resources Staff preparedness training plans Communications Drills & Exercises (assembly, quarterly notification, state notification, 24/7) AAR/IP Health Care Coalitions Long Term Care Inventory & Maintenance 25

26 KDPH/LHD Resources Closed PODs Want to be one? Badging/Credentialing of staff/volunteers Shelter Surveillance Current list of FAN agencies Current list for hospitals/ltcs HCC meetings Patient Tracking HCC communication drills Accreditation 26

27 LHD Preparedness Training Plan Required Participants 1 staff at each HD Center (Clinic) 1 staff at each LHD/DHD 2 staff from each LHD/DHD Tier 1 Staff Tier 2 Staff Tier 3 Staff Tier 4 Staff Preparedness Staff Classes Lab Specimen Training X ERRT Training X PIO Training X Nuts and Bolts X X X X X IS100.b or IS100.HCb X X X X X Train to Local Plans (Annually) X X X X X IS700.a X X X X X IS200.b X X X X IS800.b X X X X WebEOC Training X X X IS-930 X ICS300 X X X FAN Awareness X X X ICS400 X X HSEEP * HAN Administrator * IS547.a * KHELPS * NEDSS * MDMS * 27

28 Collaborate & Document! Sign-in Sheets for every meeting Plans (Policies & Procedures not Operating Guidelines) Checklists Drills/TTX/Exercise needs an AAR (2 per year) Real event exempts agency from an exercise for a year (AAR must be written) Sign-in sheets/certificates for staff training 28

29 Kentucky Emergency Management Who We Are (Heading): - Area offices - County Directors Ask about county plans, training, exercises & LEPC 29

30 Questions 30

31 Contact Information: Rebecca Hardin, CHES Region 15 South Regional Preparedness Coordinator Kentucky Department for Public Health (502) Work Cell 31

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