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Guide for Emergency Preparedness in Primary Health
Based on: Emergency Preparedness Toolkit for Primary Care Providers
Planning Concepts for Natural Disasters
Disclosure
• Impactivo, LLC. which is a social impact firm that works with all health system stakeholders
with a mission to transform health care so that it is more patient centered.
• The materials for the SALUDame Saludable Campaign were developed under a sub-award
from the U.S. Health Resources and Services Administration in Collaboration with
Columbia University.
• The materials for the State Health Innovation Plan were developed under a sub-award
from the Centers for Medicare and Medicaid Services.
• We have no other relevant financial relationships with comercial interests related to the
content of this presentation.
CMS Emergency
Preparedness Rule
Providers and Suppliers that wish to participate in Medicare and Medicaid – i.e.
the nation’s largest insurer – must demonstrate they meet new emergency
preparedness requirements in rule.
Source: http://www.arhealthcare.com/sites/default/files/2017-06/2Understanding_the_CMS_Emergency_Preparedness_Rule_Webinar_final.pptx
Purpose:
To establish national emergency preparedness
requirements, consistent across provider and
supplier types.
Applies to 17 provider and supplier types:
Different emergency preparedness regulations for
each provider type.
Who does it apply to?
INPATIENT OUTPATIENT
• Hospitals
• Critical AccessHospitals
• Religious Nonmedical Health Care
Institutions (RNHCIs)
• Psychiatric Residential Treatment
Facilities (PRTFs)
• Long-Term Care (LTC) / Skilled Nursing
Facilities
• Intermediate Care Facilities for Individuals
with Intellectual Disabilities (ICF/IID)
• Ambulatory Surgical Centers
• Clinics, Rehabilitation Agencies, and Public Health
Agencies as Providers of Outpatient Physical Therapy
and Speech-Language PathologyServices
• Community Mental Health Centers (CMHCs)
• Comprehensive Outpatient Rehabilitation Facilities
(CORFs)
• End-Stage Renal Disease (ESRD)Facilities
• Rural Health Clinics (RHCs) and Federally Qualified
Health Centers (FQHCs)
• Home Health Agencies(HHAs)
• Hospice
• Organ Procurement Organizations (OPOs)
• Programs of All-Inclusive Care for the Elderly(PACE)
• Transplant Centers
Core Elements
Emergency Plan
•Based on a risk assessment
•Using an all-hazards approach
•Update planannually
Policies & Procedures
•Based on risk assessmentand emergencyplan
•Must address: subsistence ofstaff and patients, evacuation, sheltering in place, tracking patients and staff
Communications Plan
•Complies with Federal and State laws
•Coordinate patient care within facility, across providers,and with state and local public health and emergency management
Training & Exercise Program
•Develop training program, including initial training on policies & procedures
•Conduct drills and exercises
Emergency and Standby Power
•Higher level of
requirements for
hospitals, critical
access hospitals,
and long-term
care facilities.
•Locate generators
in accordance with
National Fire
Protection
Association (NFPA)
guidelines.
•Conduct generator
testing, inspection,
and maintenance
as required by
NFPA.
•Maintain sufficient
fuel to sustain
power during an
emergency.
Evacuations
•Home health agencies and hospices must inform officials of patients in need of evacuation
Healthcare needs after disasters
Patients presenting more Social / Basic Needs
Housing and
Infrastructure
Income and
Financial Stability
Environmental
Factors
Health & Healthcare Education
Social &
Community Context
Main challenges in the Health Sector after disasters
1. Changes in the demography of the population
2. Instability in electricity, water and telecommunications networks
3. Patients presenting more social / basic needs
4. Mental health
5. Lack of health providers
6. Maximization of funds
7. Investment in the health sector
Post-Disaster Relief PhasesPHASE 1:
RELIEF
PHASE 2:
RECOVERY PHASE
PHASE 3:
REDESIGN
PHASE 4:
PREPARATION FOR DISASTERS
Time Frame
Right Now
6 months after the date of the
disaster.
Intermediate
1 or 2 years after the date of the
disaster.
Long-term
5 to 15 years after a few weeks
or months from the date of the
disaster.
Continuous Process.
Goal
Short-term strategies to
establish order.
Stabilization. Rebuild for a better future. Reduction and prevention of
emergency risks.
Services Provided
Rescue, medical attention, food,
water, temporary asylum.
Food, water, long-term asylum,
health, health care, return to
schools and work.
Commitment of the local
population in the planning and
reconstruction of the
communities.
Training, creation of policies and
procedures, building
relationships between service
providers and communities.
Media
Large coverage, a lot of
emotional attraction.
Coverage decreases as the first
emergency efforts dissipate.
The coverage decreases. Little coverage, without
emotional attraction.
Five Planning Basics
Preparedness Tip #1:
Know Your Local Team
• Learn about the emergency plans that
have been established in your area by
local government.
• Contact government agencies to see
how you can become a participant in
the planning or response efforts.
Preparedness Tip #2:
Promote a Culture of Preparedness
• Create a yearly plan for trainings and
exercises.
• Schedule staff meetings to share emergency
preparedness efforts at your facility.
• Provide family and individual preparedness
resources to your staff and patients.
Preparedness Tip #3:
Create a Practice Response Team
• Assemble a practice team for responding to
emergencies/disasters. Include key roles such as Incident
Manager, Public Information Officer, Operations Chief,
Planning Chief and Logistics Chief.
• Create a master emergency contact list with contact
information for the practice team, local government
resources and key partners. Update annually.
Preparedness Tip #4:
Assess Your Facility Annually
• Conduct planning with all members of the
team.
• Contact your local emergency management
agency to get local information.
• Use the Hazard Assessment worksheet to
assess your facility for risk.
Preparedness Tip #5:
Support the Needs of Your Staff
• Provide counseling to support the mental
health needs of your staff as they respond.
• Identify areas where staff and their families
can get food, shelter and other basic
needs met. Consider providing resources
onsite for staff and their families.
Source: Emergency Preparedness Toolkit for Primary Care Providers
Responding to an Incident
AAFP: A Practical Guide to Emergency Preparedness for
Office-Based Family Physicians
AAFP: A Practical Guide to Emergency Preparedness for
Office-Based Family Physicians
PMB 140 • 1357 Ashford Avenue
San Juan, PR 00907
(787) 993-1508
Email:
maria.levis@impactivo.com
Web:
www.impactivo.com
References
• AAFP A Practical Guide to Emergency Preparedness for Office-Based Family Physicians
• AAFP Emergency Preparedness
• CDC Medical Office Preparedness Planner
• Disaster Planning as a Practice
• Emergency Care Preparation in Your Office Practice
• Emergency Preparedness Toolkit Primary Care Providers
• Ready.gov Business
• FEMA Continuity of Operations (COOP) Division
• Continuity of Operations (COOP) Planning Workbook Developed by Harford County
Health Department
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