Planning and Response

Title Description Topics
Online Lesson: Long Term Care Facilities Emergency Preparedness Plans This 2 hour online course reviews the reasons for planning in long-term care facilities and who should be involved. The course explains the all-hazards model of emergency management planning, and the critical issues involved in preparedness planning. The Center for Public Health Preparedness offers e-learning on healthcare preparedness topics and other resources. Training Resources
The Effects of Evacuation on Nursing Home Residents with Dementia The authors of this report discuss their findings from research conducted on the effects of evacuation from Hurricane Gustav on residents with severe dementia. Evacuation Planning, Research, Vulnerable Populations
OIG Report (2012) Gaps Continue To Exist in Nursing Home Emergency Preparedness and Response During Disasters: 2007-2010 This is a report by OIG of its study conducted to assess emergency preparedness and response of nursing homes that experienced disasters from 2007-2010. The OIG's first report on this topic was in 2006. Recommendations & Guidance, Research
Long Term Care Facility Evacuation Resident Assessment Form for Transport and Destination This page on the California Association of Healthcare Facilities is dedicated to evacuation planning resources and tools. Included is an Incident Response Guide for Evacuation. Evacuation Planning, Sample Templates & Toolkits
Community Residential Care Facility - Emergency Operation Plan Checklists for Plan Components This checklist was developed by the South Carolina Department of Health and Environmental Control and the University of South Carolina's Arnold School of Public Health to assist facilities to review the components of their emergency operations plans. Checklist, Sample Templates & Toolkits
Helping Nursing Homes Prepare for Disasters This article published in the journal Health Affairs, describes the findings and outcomes of the John A. Hartford Foundation funded initiative called Hurricane and Disaster Preparedness for Long Term Care Facilities. The project was awarded to the Florida Health Care Association. The authors of this paper describe the planning, research, and dissemination efforts of the Hartford grantees. This paper also provides insights into successful disaster grant making, noting foundations’ unique flexibility, strategic and long-term view, and ability to be a neutral convener of stakeholders that can help grantees work toward achieving major policy change. Evacuation Planning, Reports & Articles
Establishing And Refining Hurricane Response Systems For Long-Term Care Facilities This article published in the journal Health Affairs reviews the findings and outcomes of the 2006 Hurricane Summit, funded by the John A. Hartford Foundation and the Florida Health Care Association. Summit participants included representatives from five Gulf Coast states that sustained hurricane damage during 2005, along with representatives from Georgia, which was a receiving state for hurricane evacuees. Participants evaluated disaster preparedness, response, and recovery for long term care provider networks and identified gaps that impeded safe resident evacuation and disaster response. The article identifies specific areas warranting further attention, presented as lessons learned. Evacuation Planning, Reports & Articles
Facility to Facility Memorandum of Understanding: Outline of Key Elements This document provides an outline to guide nursing home and assisted living facility providers in establishing Memorandums of Understanding with other providers in the event of resident transfer during a local or widespread emergency. Evacuation Planning, Sample Templates & Toolkits
Providing Shelter to Nursing Home Evacuees in Disasters: Lessons from Hurricane Katrina The authors examined nursing home preparedness needs by studying the experiences of nursing homes that sheltered evacuees from Hurricane Katrina. Interviews were conducted with nursing home administrators that sheltered evacuees in four states. Findings: Nursing homes should develop and practice procedures to shelter and provide long-term access to mental health services following a disaster. Nursing homes should be integrated into community disaster planning and be classified in an emergency priority category similar to hospitals. Evacuation Planning, Incident Response, Research
Comprehensive Care for Vulnerable Elderly Veterans During Disasters This study examines the experiences of evacuations and sheltering of Veterans Health Administration (VHA) nursing homes (VANHs) during Hurricanes Katrina and Rita. Interviews were conducted with nursing home staff and representatives, which revealed that physical harm, psychological distress, cognitive decline, and increased social isolation were areas that deserved special attention for this vulnerable population. Research
Ethical Guidance for Public Health Emergency Preparedness and Response (A White Paper) This white paper was developed through the work of the Ethics Subcommittee of the Advisory Committee to the Director, Centers for Disease Control and Prevention (CDC); the main focus is on the ethical orientation that should guide the planning and recovery phases. Reports & Articles
Emergency Operations Program and Plan Manual - California Association of Health Facilities This Emergency Operations Program and Plan (EOP) Template for Skilled Nursing Facilities is provided by the California Association of Health Facilities (CAHF). It was initially developed in 2015 and was revised in 2017 with funding from the California Dept. of Public Health Emergency Operations Program (Grant #15-10756) to incorporate new federal emergency preparedness regulations for Medicare/Medicaid certified providers released in 2016. It is offered as a base template from which a skilled nursing facility (SNF) can build a comprehensive EOP, and incorporates various positive practices in addition to regulatory requirements. Other facility types such as Intermediate Care Facilities for Individuals with Intellectual Disabilities, may find this template useful with some additional customization to reflect their unique populations, operations, and regulatory differences. Checklist, Evacuation Planning, Hazard Vulnerability Assessment, Sample Templates & Toolkits
Long Term Care Facilities Evacuation Tips - Minnesota Department of Health This resource is a link to the Minnesota Department of Health's page for healthcare emergency preparedness, including evacuation tips. Evacuation Planning
Caring for Vulnerable Elders During a Disaster: National Findings of the 2007 Nursing Home Hurricane Summit This report of the 2007 Nursing Home Hurricane Summit outlines the discussion and resulting recommendations of 65 delegates from coastal hurricane states, representing a diverse spectrum of stakeholders. Delegates included nursing home representatives, emergency management, public health, medicine, transportation, federal (CMS), energy, and others. Topics discussed: Nursing Home Disaster Plans; Evacuation Decision Making; Inter-agency Relationships (Coordination, Cooperation and Collaboration); Communication; Technology and Use of Data; Transportation; Regulatory Issues; Power Restoration; Training and Drills; and Ethical Concerns. The Summit was funded jointly by the John A. Hartford Foundation and the Florida Health Care Association as part of a two-year project. Recommendations & Guidance, Reports & Articles, Vulnerable Populations
Caring for Elders During Disasters Continuum of Care Model: A Guide for Community-Based Planning This guide is the product of an ASPR-funded project to develop a model, information and resources to guide and support local communities in their efforts to develop and sustain a continuum of care for elders during disasters. This document, along with the Step-by-Step Companion Toolkit available as a separate PDF, provide a comprehensive guide to communities for engaging elder care stakeholders in the preparedness, response, and recovery cycles of all-hazards disaster management. The guide includes links to additional resources, and is one of five resources in the Continuum of Care Model. Recommendations & Guidance, Reports & Articles, Sample Templates & Toolkits, Vulnerable Populations