Emergency Preparedness Program Requirements for New Access Point Applications
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1 Emergency Preparedness Program Requirements for New Access Point Applications Matthew Ziemer EP Program Manager, CHCANYS
2 Learning Objectives Understand the overall Emergency Preparedness expectations for FQHCs Review and understand the questions on HRSA Form 10: Annual Emergency Preparedness Report
3 Emergency Preparedness and Management Plan These terms can be confusing Emergency Operations Plan (EOP) Emergency Management Plan (EMP) Emergency Preparedness and Management plan (EPM) For the purposes of this presentation, we will use Form 10 terminology: Emergency Preparedness and Management Plan (EPM)
4 Emergency: noun, pl., -cies An event affecting the overall target population and/or the community at large, which precipitates the declaration of a state of emergency at a local, State, regional, or national level by an authorized public official such as a governor, the Secretary of the Department of Health and Human Services, or the President of the United States
5 Huh? For the purposes of this presentation, please consider an emergency as an event that overwhelms local capacity to deal with an adverse situation. Examples could be flood, widespread fire, infectious disease outbreak, power failure, terrorist attack, hazardous materials spill, hurricane, structural collapse, blizzard, etc.
6 HRSA PIN Outlines emergency management expectations for health centers (applies to Look-Alikes and 330 grantees) Emergency management planning Community linkages and collaboration Communications and information sharing Maintenance of financial and operational stability
7 HRSA wants to make sure your site Understands the National Response Framework (or National Response Plan) Enables coordination of Federal, State, local, Tribal, private, and NGO entities during national emergencies Understands the National Incident Management System (NIMS) Create an integrated process of incident management Health Centers are strongly encouraged to comply
8 NIMS and National Response Framework Help to ensure that Health Centers Understand how they fit into the big picture of American emergency management Can coordinate with local, State, Federal, tribal, private, and NGO emergency management efforts
9 A good Health Center Emergency Preparedness Management plan Protects Health Center staff and patients Safeguards the ability to deliver health care Is a regular part of site operations Is integrated into community activities Allows for continued operational and financial functionality
10 Emergency Preparedness Requirements for NAPs HRSA Form 10: Annual Emergency Preparedness Report Outlines the Emergency Preparedness needs of a Health Center Divided into 2 sections: Emergency Preparedness and Management Plan and Readiness Estimated time to complete: about an hour
11 Section I Emergency Preparedness and Management Plan 1. Hazard Vulnerability Assessment (HVA) HVA is the foundation of an EPM Identifies priority hazards that threaten your site Should be reviewed regularly Download a great resource for completing an HVA from the good people at Kaiser Permanente at
12 Section I Emergency Preparedness and Management Plan 2. Does your organization have an approved EPM plan? Is your EPM Board approved? When was the most recent approval?
13 Section I Emergency Preparedness and Management Plan 3. Does the EPM plan specifically address the four disaster phases? a) Mitigation (precautions that lessen the effect of hazards such as installing floating drains to prevent basement floods) b) Preparedness (creating plans, conducting training ahead of time to prepare for emergencies, etc) c) Response (how will you react to an emergency?) d) Recovery (how will you return to business as usual?)
14 Section I Emergency Preparedness and Management Plan 4. Is your EPM plan integrated into your local/regional emergency plan? HRSA wants to see your Health Center working in partnership with local, State, regional emergency planners/responders Good people to reach out to: Local county Department of Health, local Office of Emergency Management, hospital associations Good activities to become involved in: Planning sessions, trainings, drills and exercises Note: CHCANYS helps to link our members to NYS and NYC Departments of Health We re developing sample language that describes these efforts
15 Section I Emergency Preparedness and Management Plan 5. If No, has your organization attempted to participate with local/regional emergency planners? Some areas are more advanced than others. Even if emergency planners are few and far between in your area, this question allows you to showcase your efforts to become integrated in local emergency management.
16 Section I Emergency Preparedness and Management Plan 6. Does the EPM plan address your capacity to render mass immunization/prophylaxis? The ability to provide immunization/prophylaxis to the community is something that HRSA encourages.
17 Section II Readiness 1. Does your organization include alternatives for providing primary care to your current patient population if you are unable to do so during an emergency? In the event that your site is no longer operational, do you know where to send your patients - i.e. other provider networks, etc?
18 Section II Readiness 2. Does your organization conduct annual planned drills? Drills/exercises should be conducted at least yearly. More than just fire drills Should be based on the priority risks identified in your HVA You are most prepared when you practice (and evaluate!) your preparedness plans A good exercise will activate part or all of your EPM plan A resource to help you understand how to write and facilitate an exercise:
19 Section II Readiness 3. Does your organization s staff receive periodic training on disaster preparedness? Good policies to have in place: New hire orientation includes training on the EPM Annual training on EPM for existing staff (can coincide with annual drills/exercises) Management supported trainings for staff self/family preparedness trainings
20 Section II Readiness 4. Will the organization be required to deploy staff to Non-Health Center sites/locations according to emergency preparedness plan for the local community? Will your providers be requested to assist local hospitals, shelters, etc If so, the absence of these staff should be accounted for in the EPM
21 Section II Readiness 5. Does your organization have arrangements with Federal, State, and/or local agencies for reporting of data? Do you take part in providing epidemiological data? (i.e., Sentinel provider municable/influenza/surveillance/ilinet_progr am/ )
22 Section II Readiness 6. Does your organization have a back up communication system? a) Internal? Can you communicate with your staff? Regular hours? After hours? When the phones are down? a) External? Can you communicate with the Department of Health, local emergency responders (PD, FD, etc), emergency management, hospitals, etc
23 Section II Readiness 7. Does your organization coordinate with other systems of care to provide an integrated emergency response? Examples could be coordinating with surrounding health care networks, hospitals, etc.
24 Section II Readiness 8. Has your organization been designated to serve as a point of distribution (POD) for providing antibiotics, vaccines and medical supplies? This is different from Question 6 in Section 1. Being designated as a POD means that, if activated, your site will work to rapidly distribute emergency meds or supplies to the public. Talk to your local county health department to get involved.
25 Section II Readiness 9. Has your organization implemented measures to prevent financial/revenue and facilities loss due to an emergency? This can be insurance coverage for shortterm closure, cash reserves for interruption of financial loss, etc.
26 Section II Readiness 10.Does your organization have an off-site backup of your information technology system? If you have a fire/flood/etc and your building is damaged, having an off-site backup can prevent loss of valuable data.
27 Section II Readiness 11.Does your organization have a designated EPM coordinator? Is this person clearly identified in the EPM? Does CHCANYS have his/her contact information?
28 CHCANYS EP Technical Assistance CHCANYS EP resources online: Resources&src=gendocs&ref=ep_resources&category=Emergen cy_preparedness NACHC EP resources online:
29 Thank you Matthew Ziemer EP Program Manager, CHCANYS
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