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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. |
Planning and Response |
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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.
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Planning and Response |
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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. |
Planning and Response |
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NHICS: Nursing Home Incident Command System |
This resource, updated in 2017 by the California Association of Healthcare Facilities, provides a guide and extensive supporting documents and tools associated with the Nursing Home Incident Command System (NHICS), which can be used by facilities regardless of size or resident care capabilities, to assist with emergency planning and response efforts for all hazards. |
Training and Exercise |
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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. |
Planning and Response |
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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. |
Planning and Response |
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Weathering the Storm: A Hurricane Planning, Response and Recovery Toolkit |
Although designed for hospitals, LTC providers may also find this toolkit informative. Developed by the New Jersey Hospital Association, the Hurricane Planning, Response and Recovery Toolkit is designed to assist hospitals in preparing for, responding to and recovering from the potential consequences of a hurricane. The toolkit focuses on sheltering-in-place planning and planning for recovery. It enhances current hospital all-hazards disaster plans and is not to be used in lieu of existing plans, but rather as a primer for a facility preparing for the specific challenges presented by a hurricane.
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Planning and Response |
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Continuity of Operations Plan Template for Long Term Care Facilities |
This template, written for long term care facilities by the California Association of Health Facilities, is designed to assist providers in developing an effective continuity of operations (COOP) plan for emergency scenarios that result in an interruption in services and/or operations. Long term care residents are very vulnerable and rely upon providers to be adequately prepared to safely care for them during emergency events. With appropriate emergency planning, facilities will be able to minimize the loss of life, property and revenue and ensure that essential functions are continued during and after an emergency. A COOP will guide facilities through actions needed to achieve a timely resumption of their normal operations. This COOP template is intended to be used in addition to your Emergency Operations Plan (also known as a Disaster Response or Preparedness Plan) or EOP. |
Planning and Response |
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Disaster Preparedness Program Resources - California Association of Health Facilities |
This is a link to the website of the California Association of Health Facilities Disaster Preparedness Program, established in September 2006, with the help of the California Department of Public Health Services (CDPH) and with funding through the Federal Hospital Preparedness Program (HPP). The CAHF-DPP website provides information and tools to assist long-term care facilities determine effective and efficient ways for disaster planning and integration into their Emergency Management Program, where appropriate. The site offers updated information and tools compliant with the CMS Emergency Preparedness Rule (implementation date Nov 15, 2017).
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Planning and Response |
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Emergency Preparedness Planning for Nursing Homes and Residential Care Settings in Vermont |
This manual was developed for nursing homes, assisted living residences, residential care homes and therapeutic community care homes in Vermont. The manual is organized into three sections. Section I provides an introduction to basic emergency management concepts. Section II helps users take a “bird's eye view” of their facility, setting the context for developing an emergency preparedness plan tailored to a specific facility's needs. Section III contains five planning modules that focus on priority aspects of emergency preparedness, including establishing a chain of command, setting up redundant communications systems, planning for staffing shortages, planning to shelter in place and planning for evacuation. The manual includes worksheets and checklists to help identify gaps and strengthen plans. |
Planning and Response |
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PREPARE Disaster Plan Template and Guidelines |
This document was developed in 2008 by Mather LifeWays with funding from the Assistant Secretary for Preparedness and Response (ASPR). The document provides templates to assist long term care organizations plan and prepare to meet the needs of both residents and staff in the event of a disaster/emergency. The Disaster Plan is compliant with current (2008) federal guidelines for disaster planning (National Incident Management System). Included are templates for mutual aid agreements, and other examples. |
Planning and Response |
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Healthcare COOP and Recovery Planning |
This document describes the concepts, principles, templates and resources available to assist non-federal healthcare entities to align their planning methodologies with current federal continuity and recovery framework guidelines. Healthcare organizations can copy and paste needed planning information captured from this document into their own proprietary Continuity of Operations Plan (COOP) or Recovery plan. This document can be used as a research tool for collaborative planning efforts with other preparedness partners. This document is a collection of resources, ideas, templates and references and hyperlinks to additional information relating to Healthcare Continuity of Operations (COOP) and Healthcare Disaster Recovery. It may be used to develop plans, checklists, concepts of operations and other documents and tools related to Healthcare COOP and Recovery planning. |
Planning and Response |
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TRACIE (Technical Resources, Assistance Center, and Information Exchange) |
TRACIE is the acronym for the Technical Resources, Assistance Center, and Information Exchange, a website established June 2015 by the U.S. Department of Health & Human Services (HSS), Office of the Assistant Secretary of Preparedness and Response (ASPR). TRACIE was created to meet the information and technical assistance needs of regional ASPR staff, healthcare coalitions, healthcare entities, healthcare providers, emergency managers, public health practitioners, and others working in disaster medicine, healthcare system preparedness, and public health emergency preparedness. TRACIE includes resources and information for all public health preparedness partners. |
Planning and Response |
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Evacuation Plan Development Tool Kit - Colorado |
This website of the Colorado Department of Public Health and Environment provides several downloadable tools for providers. Included is an Evacuation Decision Tree and a tool for rating residents’ evacuation capabilities. |
Planning and Response |
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Nursing Home and Assisted Living Hazard and Vulnerability Analysis Tool |
This Hazard Vulnerability Analysis (HVA) Tool is based on the Kaiser Permanente model, re-designed specifically for nursing homes and assisted living residences. The tool is a downloadable Excel Spreadsheet in which you record your information and it automatically calculates your HVA scores. The HVA provides a systematic approach to recognizing hazards that may affect demand for nursing home or assisted living residences or the center's ability to provide services. The risks associated with each hazard are analyzed to prioritize planning, mitigation, response and recovery activities, and serves as a needs assessment for the Emergency Management program. |
Planning and Response |
