Planning and Response

Title Description Topics
Incident Response Guide - Utility Failure This tool, Incident Response Guide - Utility Failure, is available on the California Association of Healthcare Facilities Emergency Preparedness Program website. Checklist, Incident Response, Power Outages, Sample Templates & Toolkits
HIPAA and Disasters: What Emergency Professionals Need to Know (HIPAA Communications) Knowing what information can be released, to whom, and under what circumstances, is critical for healthcare facilities in disaster response.This guide is designed to answer frequently asked questions regarding the release of information about patients following a emergency/disaster incident. Recommendations & Guidance, Regulations and Mandates
CMS Emergency Preparedness Rule Testing Requirements for Nursing Homes This document is a compilation of the CMS Emergency Preparedness Rule requirements for skilled care centers regarding testing and exercises, and includes language from the Interpretive Guidelines about testing and exercises. The document is not intended to replace careful reading and understanding of the regulations promulgated by CMS. It is provided as an at-a-glance look at the CMS Emergency Preparedness Rule (CMS EP Rule) requirements for testing and the CMS Interpretive Guidance for testing. In addition to the CMS EP Rule, nursing home providers must also comply with the NFPA Life Safety Codes referenced in the CMS EP Rule, as well as any additional requirements of local county Offices of Emergency Management, or federal state, tribal or regional regulations. Preparedness Exercise, Regulations and Mandates
FHCA Crosswalk: CMS Emerg. Prep. Rule and the Florida CEMP for Nursing Homes The FHCA Crosswalk compares the CMS Emergency Preparedness Rule with Florida's requirements for the Comprehensive Emergency Management Planning Criteria for Nursing Homes (AHCA 3110). This resource is located in the members-only section of the FHCA website. Policy, Recommendations & Guidance, Regulations and Mandates
HSEEP Preparedness Toolkit This is a link to FEMA's page dedicated to emergency preparedness exercises and the Homeland Security Exercise and Evaluation Program (HSEEP). The CMS Emerg. Preparedness Rule includes requirements for providers to conduct training and testing of their emergency plans and procedures, and mentions HSEEP as a resource (there is not a requirement to use HSEEP - it is mentioned as a resource only). Providers may find HSEEP's doctrines and principles helpful in developing training and exercises required by CMS. HSEEP provides a set of guiding principles for exercise programs, as well as a common approach to exercise program management, design and development, conduct, evaluation, and improvement planning. Exercises are a key component of national preparedness—they provide elected and appointed officials and stakeholders from across the whole community with the opportunity to shape planning, assess and validate capabilities, and address areas for improvement. Recommendations & Guidance, Sample Templates & Toolkits, Training Resources
CMS Survey Tool for the Emergency Preparedness Rule (E-Tags) This is a link to the CMS Surveyor's Tool, which accompanied the 6-2-17 advance copy of the Interpretive Guidelines for the CMS Emergency Preparedness Rule. The CMS Survey & Certification Memo (Ref: S&C 17-29-ALL) accompanying the tool states: "Similar to how Life Safety Code (LSC) requirements have a set of K-Tags that are utilized for citations for multiple provider and supplier types, the emergency preparedness requirements will have a set of tags that will be utilized to cite non-compliance for all 17 provider and supplier types included in the final rule. The tags for emergency preparedness will be “E” Tags and accessible to both health and safety surveyors and LSC Surveyors. State survey agencies will have discretion regarding whether the LSC or health and safety surveyors will conduct the emergency preparedness surveys. Note: Surveying for compliance with the emergency preparedness requirements does not begin before November 15, 2017." Regulations and Mandates
CMS Emergency Preparedness Rule Interpretive Guidance (advance copy, 6-2-17) This is a link to the advance copy of the Interpretive Guidance for the Centers for Medicare and Medicaid (CMS) Emergency Preparedness Rule. The advance copy was released on 6-2-17; per CMS, "For ease of understanding the guidelines, we have kept this copy as a clean copy without red italics. The final version that will be incorporated into the on-line SOM may vary slightly. The final SOM version is the final policy." CMS Definition of Interpretive Guidelines (IG's): “The IGs are sub-regulatory guidelines which establish our expectations for the function states perform in enforcing the regulatory requirements. Facilities do not require the IGs in order to implement the regulatory requirements. We note that CMS historically releases IGs for new regulations after the final rule has been published." Regulations and Mandates
Workplace Violence Prevention for Nurses This free, interactive course is designed to help healthcare workers better understand the scope and nature of violence in the workplace. Upon successful completion of the course, healthcare professionals can earn continuing education units. By completing the course, healthcare workers will be able to: identify institutional, environmental, and policy risk factors for workplace violence; recognize behavioral warning signs of violence in individuals; employ communication and teamwork skills to prevent and manage violence; identify appropriate resources to support injured healthcare workers; and take steps to implement a comprehensive workplace violence prevention program. Incident Response, Training Resources
Active Shooter Planning & Response in a Healthcare Setting Active Shooter events are becoming increasingly more common, and while there have been recommendations on how to respond since 2008, these guidelines focused on schools, government, and business settings. In January of 2014, the HPH SCC released “Active Shooter Planning and Response in a Healthcare Setting” (also available on this website). That draft document was the first comprehensive guidance written for healthcare facilities to prevent, respond to, and recover from an active shooter event. This updated document expands upon the initial draft document to include law enforcement tactics and integrated medical and mental health response. Incident Response, Recommendations & Guidance
Topic Collection: Workplace Violence (healthcare settings) The resources in this Topic Collection on the T.R.A.C.I.E website highlight some of the most current information and guidance that can assist emergency managers tasked with developing and maintaining workplace violence prevention programs and other guidelines to ensure the resiliency of their facilities. There is a specific category for Healthcare Settings. Hazard Vulnerability Assessment, Recommendations & Guidance, Reports & Articles, Research, Sample Templates & Toolkits, Training Resources
Guidelines for Preventing Workplace Violence for Healthcare & Social Workers This publication updates OSHA’s 1996 and 2004 voluntary guidelines for preventing workplace violence for healthcare and social service workers. OSHA’s violence prevention guidelines are based on industry best practices and feedback from stakeholders, and provide recommendations for developing policies and procedures to eliminate or reduce workplace violence in a range of healthcare and social service settings. These guidelines reflect the variations that exist in different settings and incorporate the latest and most effective ways to reduce the risk of violence in the workplace. Workplace setting determines not only the types of hazards that exist, but also the measures that will be available and appropriate to reduce or eliminate workplace violence hazards Checklist, Hazard Vulnerability Assessment, Recommendations & Guidance, Training Resources
Emergency Preparedness Requirements for Medicare and Medicaid Participating Providers and Suppliers This is a link to a page on the ASPR TRACIE website devoted to the CMS Emergency Preapredness Rule that went into effect November 2016. The compiled resources include the four core elements of the Rule as well as a Topics Collection with information to assist providers and suppliers to implement the new requirements. The four core elements are the CMS Emergency Preapredness Rule are: (1) Emergency Plan; (2) Policies and Procedures; (3) Communication Plan; and, (4) Training and Testing. Checklist, Recommendations & Guidance, Regulations and Mandates, Sample Templates & Toolkits, Training Resources
CMS National Provider Call on the Emergency Preparedness Rule - Written Transcript This is a link to the written transcript of the CMS National Provider Call on the Emergency Preparedness Rule, held on October 5, 2016. See also other CMS resources on the Emergency Preparedness Rule, included in www.LTCprepare.org. Regulations and Mandates, Training Resources
CMS National Provider Call on the Emergency Preparedness Rule - Audio Recording This is a link to the audio recording of the CMS National Call on the Emergency Preparedness Rule, held on October 5, 2016. See also several additional resources from CMS related to this call and the rule. Regulations and Mandates, Training Resources
CMS National Provider Call on the Emergency Preparedness Rule - PowerPoint On October 5, 2016, CMS conducted a national provider call on the Emergency Preparedness Rule. This link is to the PowerPoint Presentation used on the national call. In addition to this PowerPoint, see also several additional resources related to the CMS Emergency Preparedness Rule, listed separately on www.LTCprepare.org as links to their locations on the CMS website: - Audio Transcript - Written Transcript - Frequently Asked Questions (updated as questions are asked/answered) Regulations and Mandates, Training Resources