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Florida Environmental Control Rules (Emergency Power Rules) for Nursing Homes and Assisted Living Facilities |
Information and resources regarding the Florida Emergency Environmental Control rule for Nursing Homes and Assisted Living Facilities. Included: links to each rule (59A-4.1265 - for Nursing Homes, and 58A-5.036 for Assisted Living Facilities); sample Emergency Power Plan formats; other sample tools. |
Planning and Response |
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Florida Environmental Control Rules (Emergency Power Rules) for Nursing Homes and Assisted Living Facilities |
Information and resources regarding the Florida Emergency Environmental Control rule for Nursing Homes and Assisted Living Facilities. Included: links to each rule (59A-4.1265 - for Nursing Homes, and 58A-5.036 for Assisted Living Facilities). |
Planning and Response |
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CMS Waivers during Emergency Declarations |
At the request of the Governor of an affected State, the President may, under the authority of the Robert T. Stafford Disaster Relief and Emergency Act, declare a major disaster or emergency if an event is beyond the combined response capabilities of the State and affected local governments. If a Presidential declaration occurs, the HHS Secretary may, under section 319 of the Public Health Service Act, declare that a Public Health Emergency (PHE) exists in the affected State. Once a PHE is declared, section 1135 of the Social Security Act authorizes the Secretary, among other things, to temporarily modify or waive certain Medicare, Medicaid, CHIP, and HIPAA requirements as determined necessary by CMS. This is a link to the CMS website dedicated to Emergency Waivers. |
Disaster Recovery |
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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." |
Planning and Response |
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Medicare Learning Network |
This is a link to the Medicare Learning Network, where notices of National Calls and Webinars are listed as well as recordings of past national calls and webinars. A search tool provides a quick way to find Emergency Preparedness events, past, current and future. |
Training and Exercise |
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CMS Emergency Preparedness for Healthcare Providers - Resources & Links |
To assist providers and suppliers in meeting the requirements of the new CMS Emergency Preparedness Rule, CMS has developed a website that contains various resources such as checklists, links to emergency preparedness agencies, planning templates and many other valuable resources. In addition, the website also provides a State-by-State listing of Health Care Coalitions which are available to States to connect with knowledgeable health care emergency preparedness officials. |
Planning and Response |
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CMS Emergency Preparedness Rule (Effective Date: November 2016) |
On September 16, 2016, the final CMS rule on Emergency Preparedness Requirements for Medicare and Medicaid Participating Providers and Suppliers was published (Federal Register Vol. 81, No. 180). This rule affects all 17 provider and supplier types eligible for participation in Medicare. The rule became effective on November 15, 2016. However, health care providers and suppliers affected by this rule have until November 15, 2017 to implement the new requirements and be in full compliance. Surveyors will begin evaluating the new requirements after November 15, 2017. Providers and suppliers found out of compliance with the new regulations will be cited for non-compliance and must follow standard procedures for correcting deficiencies. |
Planning and Response |
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CMS List of State Survey Agency Contacts for Licensure of Healthcare Facilities |
This is a link to the CMS page listing, by state, the agency responsible for licensing healthcare facilities. The list is called the CMS List of State Survey Agency Contacts. |
Staying Connected |
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FEMA Recovery Policy RP9525.4 (addressing assistance for medical evacuations and other emergency medical assistance) |
The objective of FEMA Recovery Policy RP9525.4 is to provide Federal assistance to eligible applicants for the extraordinary emergency medical care and medical evacuation expenses they incur to address immediate threats to life and property resulting from a major disaster or emergency. The federal Stafford Act authorizes Federal agencies to provide assistance. When the emergency medical delivery system within the designated disaster area is destroyed or severely compromised by a disaster event, assistance for emergency medical care and medical evacuations of disaster survivors from eligible public and private nonprofit hospitals and custodial care facilities is available to eligible Public Assistance applicants through Public Assistance grants, Direct Federal Assistance (DFA), or a combination of both. |
Disaster Recovery |
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Emergency Management Planning Criteria for Nursing Home Facilities (Florida) |
Emergency Management Planning Criteria for Nursing Home Facilities, set by the Florida Agency for Health Care Administration in 1994. |
Planning and Response |
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U.S. Dept. of Transportation: Guidance for the Safe Transportation of Medical Oxygen for Personal Use on Buses and Trains |
This guidance was developed in the aftermath of a bus accident during Hurricane Rita in 2005. The guidance explains current regulatory requirements applicable to the transportation of medical oxygen on buses and trains and includes recommendations for handling oxygen cylinders. |
Planning and Response |
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National Fire Protection Association |
NFPA's webpage with access to National Fire Safety Codes for healthcare facilities |
Planning and Response |
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FL Administrative Code: Nursing Home Minimum Standards - Rule Chapter 59A-4.130 (Life Safety) |
Florida Administrative Code: Nursing Home Minimum Standards, Rule 59A-4.130 - Fire Prevention, Fire Protection, and Life Safety, Systems Failure and External Emergency Communications. |
Planning and Response |
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FL Administrative Code: Nursing Home Minimum Standards, Rule Chapter 59A-4.126 (Disaster Preparedness) |
Minimum Standards for nursing homes, Rule Chapter 59A-4.126 (disaster preparedness), Florida Administrative Code. |
Planning and Response |
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CMS: Survey and Certification Emergency Preparedness Resources |
This CMS website provides information and tools, utilizing an “all hazards” approach for disruptive events. The site provides useful information for developing effective and robust emergency plans and responses, and is “one-stop shopping” to obtain both mandated and voluntary emergency preparedness information and tools. The site includes a link Templates & Checklists, Lessons Learned, Health care Provider Guidance, and State Survey Agency Guidance. |
Planning and Response |
