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Emergency Management Programs for Health Care Systems: An Overview

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Organizes and address all activities related to emergency preparedness ... Exercises and Real Events. Evaluations & Corrective Actions. A Review: 4 Types of Planning ... – PowerPoint PPT presentation

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Title: Emergency Management Programs for Health Care Systems: An Overview


1
Emergency Management Programs for Health Care
Systems An Overview
2
Behavioral Objectives
  • Define the framework of Emergency Management
    Program (EMP) for hospitals and health care
    systems
  • Define the role of the Joint Commission standards
    on the EMP
  • Discuss the coordination of hospital and
    community planners in emergency management

3
Context
  • Emergency management standards for health care
    systems lacked a comprehensive approach until
    January, 2001.
  • State of readiness of Americas health care
    industry were called into question after the
    events of 2001.
  • Proliferation of new funding and groups eager to
    offer solutions to terrorism may overlook the
    enduring foundations of an all hazards program
    orientation.

4
All-risk Concepts, Systems Knowledge
  • Comprehensive Emergency Management (1979).
  • Integrated Emergency Management System (1983).
  • Incident Command System (1985).
  • Standardized Emergency Management System (1994).
  • National Incident Management System (NIMS)
  • All hazards approach to emergency management

5
Current DHS Initiatives
  • Develop and maintain a risk-based, all-hazards
    national emergency management system that
    prevents, prepares for, responds to and recovers
    from major threats, including terrorism.
  • Support emergency management standards-setting
    processes, particularly those relating to
    equipment and technology.
  • Promote a national incident management system.

6
Emergency Management Program (EMP)
  • Organizes and address all activities related to
    emergency preparedness
  • Development of relationships, policies and
    actions before the event occurs
  • EMP Manager
  • Operational understanding o f the hospital,
    local, state and federal response
  • Responsibility and authority

7
Emergency Management Program (EMP)
  • Committee development
  • Meetings with direction and strategy
  • Components
  • Mitigation
  • Preparedness
  • Response
  • Recovery

8
  • Mitigation
  • Pre-event planning and implementation actions
    that lessen the impact of the potential hazard
  • System redundancy
  • Mitigating structural hazards
  • Preparedness
  • Building capacity and capability to address the
    event and resulting patient care needs
  • Builds from the Hazard Vulnerability Analysis

9
  • Response
  • Activities in response to the incident or a
    potential incident
  • Recovery
  • Returning to normal operations, including
    personnel, supplies, equipment and the facility

10
Comprehensive Emergency Management A Cycle
11
Hospital Emergency Operations Plan (EOP)
  • Hospital response to a event or potential event
  • Event may be external, internal or a combination
    of both
  • Guidance documents for initial response

12
EOP Goals
  • Protect staff, current patients and visitors
  • Receive, evaluate, treat and disposition victims
    of the event
  • Adhere to regulatory requirements and risk
    management issues
  • Outline planning assumptions for consistency
    among all staff

13
EOP Development and Maintenance
  • Easy to train
  • Easy to use
  • Easy to update
  • Maximize resources
  • Minimize redundancy of actions
  • Follow the mission of the hospital
  • Play well with others

14
Joint Commission on Accreditation of Healthcare
Organizations (JCAO)
  • Management of the Environment of Care
  • EC Standard 4.10 The hospital addresses
    emergency management

15
JCAHO EC 4.10
  • An emergency in the hospital or its community
    could suddenly and significantly affect the need
    for the hospital's services or its ability to
    provide those services. Therefore, a hospital
    needs to have an emergency management plan that
    comprehensively describes its approach to
    emergencies in the hospital or in its community.

16
Key components of EC 4.10
  • Hazard vulnerability analysis
  • …procedures that describe mitigation,
    preparedness, response and recovery strategies
  • Development of an emergency management plan
  • Notification of staff and external authorities
  • Define the hospitals command structure

17
EC 4.10 Key Concepts
  • Adopted the broader context of comprehensive
    emergency management
  • Included a hazards vulnerability assessment.
  • Required use of an incident command system (ICS)
    that is consistent with the ICS in use by the
    local community.

18
EC Standard 4.20
  • The hospital conducts drills regularly to test
    emergency management
  • The hospital tests the response phase of its
    emergency management
  • Participation in at least one community wide
    practice drill a year relevant to the priority
    emergencies identifies in its HVA …
    communication, coordination and effectiveness

19
Foundation of ICS
  • Common Terminology
  • Integrated Communications
  • Modular Organization
  • Unified Management Structure
  • Manageable Span of Control
  • Integrated Plans
  • Comprehensive Resource Management
  • Pre-Designated Facilities

20
NFPA Emergency Management Standards
  • NFPA 99, Chapter 12 Health Care Emergency
    Management
  • NFPA 1600 Standard for Business Continuity and
    Emergency Management

21
NFPA 1600 Program Elements
  • Laws Authorities
  • Hazard Identification Risk Assessment
  • Hazard Management (Mitigation)
  • Resource Management
  • Planning
  • Direction, Control Coordination
  • Communications Warning

22
NFPA 1600 Program Elements (cont)
  • Operations Procedures
  • Logistics Facilities
  • Training
  • Exercises, Evaluations Corrective Actions
  • Public Education Information
  • Finance Administration

23
National Incident Management System
  • Adopted in March 2004
  • Calls for national system using the principles of
    incident command
  • Defines the need for mitigation, preparedness,
    response and recovery
  • Must be used for federal support of recovery

24
Relationship
  • JCAHO EC Standards provide detail on health
    system specifics.
  • NFPA 1600 provides an overall emergency
    management program structure.
  • NIMS outlines the national model that will
    facilitate all phases with emphasis on recovery

25
What About HEICS?
  • ICS model for health care organizations.
  • Series of ICS position descriptions and
    checklists.
  • Must be adapted to the organization and
    integrated with the EOP.
  • Facilitates mutual aid with other hospitals and
    first responders
  • Facilitates recovery and avoids confusion

26
Establishing Leadership and Direction
  • Adopting emergency preparedness as a mission of
    the facility
  • Assigning Responsibilities
  • Conducting a Program Assessment
  • Developing the Strategic Administrative Plan
  • Building Support
  • Creating Opportunities for Interagency
    Coordination

27
Emergency Management Program
  • Identify Critical Operations and Infrastructure
  • Perform Hazard Identification and Risk Assessment
    (HVA)
  • Conduct Consequence Analyses
  • Develop Recovery Priorities and strategies
  • Create Mitigation Strategies and Take Action

28
Preparedness and Response
  • Resource Identification and Inventory
  • Develop Agreements and Contracts
  • Equipment Purchase and Maintenance
  • Emergency operations planning
  • Education and training
  • Exercises and Real Events
  • Evaluations Corrective Actions

29
A Review 4 Types of Planning
  • Establishing goals, objectives and workplans.
  • Developing priorities for recovering critical
    systems and equipment.
  • Identifying actions for reducing the impact from
    hazards.
  • Creating strategies for the initial response to
    emergencies.

30
Disaster Planning Is...
  • A continuous process.
  • Reducing the unknowns.
  • Evoking appropriate actions.
  • Answering what is likely to happen?
  • Based on valid knowledge

1 Quarantelli
31
Disaster Planning Is…
  • Focused on general principles.
  • An educational activity.
  • Overcoming resistance.

1 Quarantelli
32
Key Activities
  • Tasks common to all emergencies and disasters.
  • Activated/de-activated based upon the needs of
    the situation.
  • Basis for the development of position
    descriptions and checklists.

33
Response Levels
  • Field Response / first responders
  • Hospital
  • Local Government
  • County (operational area)
  • Region
  • State
  • Federal Region
  • National

34
Resources
Guidebook www.va.gov/emshg FRP/SLG
101/CAR www.fema.gov SEMS www.oes.ca.gov Disas
ter research www.colorado.edu/hazards JCAHO www
.jcaho.org NFPA www.nfpa.org HEICS www.emsa.
ca.gov
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