Courses & Speaking Engagements: Building a Comprehensive Healthcare Emergency Management Program

Synopsis:  This course provides attendees an in-depth understanding of the actions and infrastructure enhancements required to build a highly resilient healthcare Emergency Management Program.  Attendees will receive both didactic work as well as workshops and exercises aimed at providing all the tools necessary to return to their healthcare organization as a leader in evaluating, improving and measuring the ongoing improvements in their Emergency Management Program.

Who should attend?

  1. Healthcare Emergency Managers / Disaster Preparedness Coordinators
  2. Chief Executive Officers
  3. Chief Operating Officers
  4. Directors of Nursing (DON)
  5. Jurisdiction Public Health Officers
  6. VP/Directors Healthcare Materials Management/ Supply Chain Services
  7. Director, Food Services/ Dieticians
  8. Directors of Pharmacy
  9. Directors of Plant Engineering
  10. Directors of Environmental Services
  11. Director Volunteer Services
  12. Director Community Services
  13. Other Healthcare Directors assigned to Emergency Management or continuity of operations.

Objectives:  The attendees will become proficient as measured through exercises and workshops in the following areas:

  1. Development of an effective “All Hazards” Emergency Management Program (EMP)
  2. Requisite components/considerations for viable Emergency Operations Plans (EOPs)
  3. Implementation and daily use of the Hospital Incident Command System (HICS)
  4. Understanding the National Incident Command System (NIMS) and building a NIMS compliant Emergency
  5. Management plan.
  6. Preparing internal Hazard Vulnerabilities Assessments (HVA)
  7. Integrating with other healthcare organizations, local Public Health Departments and the Emergency Management Agency (EMA) to mount a competent response to future “All-Hazards” disasters.
  8. Defending the hospital in-place during disasters through advance planning and coordination.
  9. Enlisting community human and material resources to resource and fortify the hospital during disasters.
  10. Pre-disaster contracts and formal support agreements.

Course Modules:

1. Requirements, Guidelines, and Standards for Emergency Management Programs (EMPs)

  • HSPD-5
  • NIMS – facility compliance; 17 elements; training
  • HICS – management tool to accomplish EMP/EOP; coordination; consistency
  • NFPA
  • OSHA – first receivers
  • TJC – Environment of Care, Infection Control

2. Initial Measures Necessary for Effective EMP Development

  • Executive buy-in
  • Program proponent
  • Emergency Management Committee
  • Participation of all departments/activities
  • Two plans – administrative plan (for TJC), Emergency Operations Plan (EOP) for practical implementation

3. Administrative Plan

  • Numerous templates/consultants
  • Address standards and elements of performance (EC 4.10 and EC 4.20)
  • Brief and concise

EXERCISE 1:  Hospital groups A, B, C will form an EMP Committee and develop a detailed outline for an Administrative Plan.

1. Emergency Operation Plan (EOP) Development – Preparation

  1. HVA assessment (Internal)
  2. Community HVA - What are the likely scenarios?
  3. Risk assessment
  4. Basic EMP
  5. Roles, accountabilities and responsibilities
  6. Annexes for each community HVA identified planning scenario

EXERCISE 2:  Hospital groups “A” “B” and “C” will be assigned specific geographical and jurisdictional locations.  Each group will assess potential hazards and develop vulnerability scores and prioritization for hazards.
1. Emergency Operation Plan (EOP) Development – Preparation

  1. Establishment of active treatment/operational areas (e.g., D-I-M-E approach)
  2. Training and exercises
  3. “Overlooked” aspects of hospital emergency operations
  4. Communication – internal and external; modes
  5. Coordination – listing of enterprises/organizations to consider
  6. Support agreements – purpose; type; development techniques

EXERCISE 3:  Hospital groups “A” “B” and “C” will form EMP Committees and list the organizations and vendors with whom you should coordinate (based on assigned scenarios).

1. EOP Development – Mitigation

  1. Purpose
  2. Types – structural; non-structural; procedural
  3. Timeliness
  4. Documentation – proof of addressing issues

1. EOP Development – Response

  1. Notification and activation of EMP
  2. HCC – requirements; staffing; access control
  3. Responsibilities and duties – individual personnel; departments
  4. Facility access/security
  5. Communication – internal and external
  6. Evacuation vs. shelter-in-place – descriptions; considerations
  7. Maintenance of IC standards

1. EOP Development – Recovery

  1. Demobilization planning
  2. Criteria used
  3. Extended recovery – clinical operations; staffing; staff support
  4. Clean-up and re-supply
  5. Facility assessment – structure; staff; equipment; inventory

EXERCISE 4:  Hospital groups “A” “B” “C” conduct a table-top exercise to evaluate the EMP for an assigned scenario. The exercise evaluates types/modes/redundancies of communication, support agreements utilized, evacuation/shelter-in-place info, and recovery operations.

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