Robin VeltKamp Health Services Associates

Transcription

1 Robin VeltKamp Health Services Associates

2 Learn the requirements for the Emergency Preparedness plan. (Risk Assessment, Policies, Trainings and Testing, Communication Plan) Address missing items typically found during the review & discover the key elements to review Explore the new annual review for the EOP mandate, learn how to complete a review & provide what documentation is required

3 EMERGENCY PREPAREDNESS PLAN ANNUAL REVIEW/EXPECTATIONS

4 Why have a plan? Incidents (shootings, Hurricanes, etc) Why contact government and local organizations? Team unit, additional resources and help Clinic Strategy? How does your clinic respond in an emergency? (Meeting points, safe shelter, assist community)

5 Emergency Plan. The [facility] must develop and maintain an emergency preparedness plan that must be [reviewed], and updated at least annually.

6 Individual Clinic Plan Independent RHC Provider Based RHC Integrated Plan Provider Based RHC Must reflect specific clinic information as implemented into the plan Review the overall plan

7 Risk Assessment Clinic geographical area specific (even integrated plan) Assure the top 5 risk hazards are current/correct Complete a re-assessment analysis Be sure policies fit the updated potential hazards. Review policies annually.

8 Command and Control Confirm current status of delegation and authority Confirm current status of orders of succession Confirm current status of receiving facilities Confirm current status of coordination of services Current Organizational Chart for Clinic

9 Policies and Procedures Facility lock down Shelter in Place (floor plan) Evacuation Plan Suspension of Services Documentation Medications Volunteers

10 The policies and procedures must address management of medical and nonmedical emergencies, including, but not limited to: Fire; equipment, power, or water failure; care-related emergencies; and natural disasters likely to threaten the health or safety of the participants, staff, or the public. The policies and procedures must be reviewed annually.

11 Safe evacuation from the [facility], which includes consideration of care and treatment needs of evacuees; staff responsibilities; transportation; identification of evacuation location(s); and primary and alternate means of communication with external sources of assistance.

12 Safe evacuation from the RHC/FQHC, which includes appropriate placement of exit signs; staff responsibilities and needs of the patients.

13 Policies and procedures. A system of care documentation that does the following: (i) Preserves patient information. (ii) Protects confidentiality of patient information. (iii) Secures and maintains the records

14 The policies and procedures must be reviewed and updated at least annually. At a minimum, the policies and procedures must address the following The use of volunteers in an emergency or other emergency staffing strategies, including the process and role for integration of State and Federally designated health care professionals to address surge needs during an emergency.

15 Communication Plan Internal (Call Tree-Review Monthly/Annually) Communication systems External (Contact List) Communication with Patients and Visitors Patients records and maintenance Surge capacity and Shared resources (Local, State, Federal, Tribe) Requesting Assistance (Emergency Services)

16 The [facility] must develop and maintain an emergency preparedness communication plan that complies with Federal, State and local laws and must be reviewed and updated at least annually.

17 The communication plan must include all of the following: (3) Primary and alternate means for communicating with the following: (i) [Facility] staff. (ii) Federal, State, tribal, regional, and local emergency management agencies.

18 Trainings Staff Education of the plan Community Based/Clinic Based Tabletop Exercise Testing New hires (Plan review within 2 weeks & document)

19 Training and testing. The [facility] must develop and maintain an emergency preparedness training and testing program that is based on the emergency plan set forth in paragraph (a) of this section, risk assessment at paragraph (a)(1) of this section, policies and procedures at paragraph (b) of this section, and the communication plan at paragraph (c) of this section. The training and testing program must be reviewed and updated at least annually.

20 Initial training in emergency preparedness policies and procedures to all new and existing staff, individuals providing services under arrangement, and volunteers, consistent with their expected role. (ii) Provide emergency preparedness training at least annually. (iii) Maintain documentation of the training. (iv) Demonstrate staff knowledge of emergency procedures.

21 Review and Signatures/Dates Recommendations for types of documentation to have accessible: Patient Care (patients records, flow of charts if system is down). Communication (external contacts, inclusion in local training) Training (existing and new staff) Meeting minutes (integrated into the plan)

22 Robin VeltKamp RHC Quality Assurance and Education Health Services Associates, Inc. Phone: