SlideShare a Scribd company logo
1 of 25
Emergency Preparedness:
Training and Testing for Best Outcomes
UAHC UHPCOConference
August 28, 2017
Presented by:
Lois A. Sucher, RN,DON, COS-C
Jenny Nelson, PT, MSG, MCS
877.399.6538 |
EP Training
• Training plans must specifically address each one of the
agency’s identified risks
• The training plan must be written and must extend to all
staff members – at least one training each year
• The training plan must have a means of demonstrating
staff knowledge and retention
• Training must be rooted in applicable policies/procedures and
how they will be implemented
The Agenda
• Gaining a basic understanding of the
Emergency Preparedness Rules
• Performing the Risk Assessment
• Developing Policies and
Procedures
• Implementing the Communication
Plan
• Training and Testing Requirements
KEY
DEFINITIONS
Emergencies vs. Disasters
• EMERGENCY = A hazard impact causing
adverse physical, social, psychological,
economic or political effects that challenges
the ability to respond rapidly . . . requiring
stepped-up capacity and capability to meet the
expected
outcome . . . requiring a change from
routine management to incident
command.
• DISASTER = An emergency with greater
magnitude, longer duration and generally
lower outcomes.
Policies and Procedures
• E0013 – Policies and procedures based
on the emergency plan, risk assessment
and communication plan
• Policies and procedures must be
updated annually
• Can be incorporated into the standard
manual set, but the agency must be able to
demonstrate that they are kept in a central
place
SURVEYREADINESS
E-Tags to Know
E-Tag HHA Hospice Tag Requirement
E-0001 Y Y Establishment of the Emergency Program (EP)
E-0004 Y Y Develop and Maintain the EP Program
E-0006 Y Y Maintain Annual EP Updates – Risk Assmnt w/all hazards + strategies for
addressing emergency events
E-0007 Y Y EP Program Patient Population – Types of emergency services, continuity of
operations, delegation of authority and succession planning
E-0009 Y Y Process for Collaboration – Coordination and collaboration with local, tribal,
regional, State and Federal emergency officials/offices
E-0013 Y Y Development of EP Policies and Procedures – Based on the overall plan, risk
assessment and communications plans with at least annual review
E-0015 Y Y Subsistence Needs for Staff and Patients – Food, water, medical supplies,
meds, alternate energy sources for maintaining temperature, lighting, fire
detection systems, sewage and waste disposal
• Process to assess and document hazards
• Those that are likely to impact the geographic
region or community
• Those that present gaps and capacity challenges
• Hazard Vulnerability Analysis
KEY
DEFINITIONS
Risk Assessment
HAZARD VULNERABILITY
ANALYSIS
Scoring the Risks
• Measure the probability – High, Moderate or
Low Risk?
• Measure the vulnerability and potential
disruption – High, Moderate or Low Risk?
• Measure your agency’s level of preparation –
Poor, Fair or Good
• Each level for each category has a score from 1
to 3 (Green to Red)
• The total score indicates the priority that
should be placed on risk assessment and
planning
Assessing Patient Risk
• For home health agencies –
Needs to be done as a part of the comprehensive
assessment
• For both home health and hospice –
! How will clinical information and patient care requirements be
communicated?
! Consider evacuation requirements
! Limitations on patient mobility
! Limitations on transport of life-saving equipment
! Special needs/limitations – language barriers, diet, intellectual
ability
PATIENT RISK
LEVELS
High Risk Patients
• No available caregiver or family present – patient
cannot be left alone for extended periods
• Bedbound or chair bound patients with
physical assistance needs
• Unable to administer meds – self-injections of
daily meds
• Wound care patients who are unable to
perform dressing changes
• Infusion patients – IV therapy or feedings
PATIENT RISK
LEVELS
Moderate Risk Patients
• Patients with assistive devices or stable in the
use of medical equipment – able to manage
for a short period of time
• Stable with administration of meds
• Patients with reasonably managed chronic
disease
• Patients for whom a visit can be postponed
for up to 3 days without jeopardizing safety
PATIENT RISK
LEVELS
Low Risk Patients
• Patients with family and/or caregiver support systems in place
who can manage for longer than three days
• Patients with less complicated wound care or other care needs
• Patients for whom the patient or a caregiver is already
managing and administering medications
COMMUNICATIONS
PLAN
Sharing Medical Information
• Plan for sharing medical record
information to ensure continuity of
care
• Must include the means for sharing
information about the general
condition and location of patients
Insert photo of Vial of life and FEMA Flags
Patient Preparedness (see attached handout)
Be prepared for 96 hours—food, water, medications
• Vial of Life—Code Status, Med Profile, Physicians, Emergency Contact numbers
VIAL of LIFE sticker on front window, Refrigerator
• Emergency Preparedness for People Receiving Home Care
Review this pamphlet with pt / caregiver
• FEMA Communication Model: Instruct on how to use flags
Keep in closet closest to front door
• VACCINES: Flu and Pneumonia up to date. Most elderly die of pneumonia during a
pandemic due to weakening of the immune system.
• Emergency Supplies: See handout for more comprehensive list. Lighting in home to
prevent falls during a power outage—especially important
• Emphasize the IMPORTANCE of a 7 DAY Supply of MEDICATIONS
• Protect your FEET—Keep a pair of sturdy shoes/socks in a zip lock bag under bed.
• Secure list of FINANCIAL accounts, insurance policies, Titles, VA Info—CD, Thumb Drive, etc
• Emergency Exits
Notify Power Company in advance on oxygen, vents, pumps for infusions, etc.
https:www.specialneedsutah.org/reg.php
OASIS—code TRIAGE for clinical risk (i.e. likelihood of clinical exacerbation)
code DISASTER for enhanced risk with outside emergencies
(i.e. assess pt. independence with meds, oxygen, competent caregivers, etc.)
Clinician Preparedness (see attached in Handouts)
Be prepared for 96 hours (changed by FEMA)
• Secure Yourself First
• Secure your Family
• Report to Agency Command Center in your respective county via phone, text, internet or
in person at the designated area.
• Secure your Patients
COMMUNICATION PLAN:
• Cell phone chargers, Battery Chargers or Solar Chargers
• FEMA communication flag kit
• GMRS 2 way radios—2-10 mile range. Have an Agency Designated Channel & back up.
• Keep a copy of your clinical license on you. This will help get you across police lines.
• Keep your gas tank at least ½ full AT ALL TIMES
• Stay Healthy! Vaccinations—stay up to date (Flu, Tetanus, Shingles, Pneumonia)
CAR SUPPLIES: (see handout for more complete list)
• Water – High Energy Bars – Shelter (Blanket/Tarp)—zip bag with clean clothes
• Car stock of Basis First Aid bandages, etc. incl BIO-HAZARD BAGS
• Emergency money in low denominations (no change is given in disasters)
• Long Life Flashlight, back up batteries, solar charger / hazard light
• First Aid Kit WITH Protective Gear—N95 masks may be expired! Alcohol Hand Sanitizer
• Extra-Sticky Post-it Notes and a pencil to leave messages—Sharpie
• Box of plastic gloves and pair of work gloves (Protect your hands)
• Portable radio with fresh batteries, crank or solar
EP Testing Requirements
• The agency must conduct at least
one full-scale exercise annually
• When community-based testing is not
feasible an individual full-scale test
can be substituted
• An additional exercise must be done
and can include a table-top exercise
led by a facilitator with clinically
relevant emergency scenarios
In Closing . . .
• Remember that your agency must be ready by November 15th.
• Perform the risk assessment using an easy to use template.
• Develop your plan based on the risk assessment results.
• Make sure that your policies and procedures address the E-Tag
requirements that are applicable to your agency.
• Develop and document the communication plan.
• Train the staff.
• Make sure that the elements of the emergency plan are tested and
that the testing process is documented.
• Document the analysis of your Drill or Disaster

More Related Content

What's hot (10)

Facility management safety
Facility management  safetyFacility management  safety
Facility management safety
 
EINTROEVM - Contingency planning
EINTROEVM - Contingency planningEINTROEVM - Contingency planning
EINTROEVM - Contingency planning
 
Module 1b ipc v2
Module 1b  ipc v2Module 1b  ipc v2
Module 1b ipc v2
 
Emergency response planning
Emergency response planningEmergency response planning
Emergency response planning
 
murad c v
murad c vmurad c v
murad c v
 
Eye of the Storm: Emergency Planning for Archives--2013
Eye of the Storm: Emergency Planning for Archives--2013Eye of the Storm: Emergency Planning for Archives--2013
Eye of the Storm: Emergency Planning for Archives--2013
 
Establish the effective Emergency preparedness response
Establish the effective Emergency preparedness response Establish the effective Emergency preparedness response
Establish the effective Emergency preparedness response
 
Emergency preparedness seminar
Emergency preparedness seminarEmergency preparedness seminar
Emergency preparedness seminar
 
EMERGENCY PLANNING
EMERGENCY PLANNINGEMERGENCY PLANNING
EMERGENCY PLANNING
 
Emergency lec 1
Emergency lec 1Emergency lec 1
Emergency lec 1
 

Similar to Emergency Preparedness by UHPCO

Chapter 7 Assuring Safety and Security in Healthcare Insti.docx
Chapter 7  Assuring Safety and Security in Healthcare Insti.docxChapter 7  Assuring Safety and Security in Healthcare Insti.docx
Chapter 7 Assuring Safety and Security in Healthcare Insti.docx
mccormicknadine86
 
CU Errors, clinical governance and patient safety
CU Errors, clinical governance and patient safetyCU Errors, clinical governance and patient safety
CU Errors, clinical governance and patient safety
Medic-ELearning
 
The patient and medical technology
The patient and medical technologyThe patient and medical technology
The patient and medical technology
Chantal Settley
 
Chapter 13 Risk Management in PsychiatryPsychiatri.docx
Chapter 13  Risk Management in PsychiatryPsychiatri.docxChapter 13  Risk Management in PsychiatryPsychiatri.docx
Chapter 13 Risk Management in PsychiatryPsychiatri.docx
keturahhazelhurst
 

Similar to Emergency Preparedness by UHPCO (20)

Disaster Management.pptx
Disaster Management.pptxDisaster Management.pptx
Disaster Management.pptx
 
5_russell.ppt
5_russell.ppt5_russell.ppt
5_russell.ppt
 
Chapter 7 Assuring Safety and Security in Healthcare Insti.docx
Chapter 7  Assuring Safety and Security in Healthcare Insti.docxChapter 7  Assuring Safety and Security in Healthcare Insti.docx
Chapter 7 Assuring Safety and Security in Healthcare Insti.docx
 
2016-04-04-Health and Safety Parent Meeting powerpoint
2016-04-04-Health and Safety Parent Meeting powerpoint2016-04-04-Health and Safety Parent Meeting powerpoint
2016-04-04-Health and Safety Parent Meeting powerpoint
 
Basic Paediatric Protocol 2016.pdf
Basic Paediatric Protocol 2016.pdfBasic Paediatric Protocol 2016.pdf
Basic Paediatric Protocol 2016.pdf
 
Medical issues training
Medical issues trainingMedical issues training
Medical issues training
 
CU Errors, clinical governance and patient safety
CU Errors, clinical governance and patient safetyCU Errors, clinical governance and patient safety
CU Errors, clinical governance and patient safety
 
Peak funda/lmr raxo sept3
Peak funda/lmr raxo sept3Peak funda/lmr raxo sept3
Peak funda/lmr raxo sept3
 
Immunization against childhood killer diseases
Immunization against childhood killer diseasesImmunization against childhood killer diseases
Immunization against childhood killer diseases
 
ROLE OF NURSE IN PROVIDING SAFE AND CLEAN.pptx
ROLE OF NURSE IN PROVIDING SAFE AND CLEAN.pptxROLE OF NURSE IN PROVIDING SAFE AND CLEAN.pptx
ROLE OF NURSE IN PROVIDING SAFE AND CLEAN.pptx
 
Ppt discharge of the patient
Ppt discharge of the patientPpt discharge of the patient
Ppt discharge of the patient
 
Dr. Jim Logan - Emergency Response Preparedness: Considerations for the Small...
Dr. Jim Logan - Emergency Response Preparedness: Considerations for the Small...Dr. Jim Logan - Emergency Response Preparedness: Considerations for the Small...
Dr. Jim Logan - Emergency Response Preparedness: Considerations for the Small...
 
Patient Assessment
Patient AssessmentPatient Assessment
Patient Assessment
 
The patient and medical technology
The patient and medical technologyThe patient and medical technology
The patient and medical technology
 
The patient and medical technology
The patient and medical technologyThe patient and medical technology
The patient and medical technology
 
Disaster management
Disaster managementDisaster management
Disaster management
 
Emergency_Prep_for_Infectious_Disease.ppt
Emergency_Prep_for_Infectious_Disease.pptEmergency_Prep_for_Infectious_Disease.ppt
Emergency_Prep_for_Infectious_Disease.ppt
 
Chapter 13 Risk Management in PsychiatryPsychiatri.docx
Chapter 13  Risk Management in PsychiatryPsychiatri.docxChapter 13  Risk Management in PsychiatryPsychiatri.docx
Chapter 13 Risk Management in PsychiatryPsychiatri.docx
 
DISASTER MANAGEMENT Revised.pptx
DISASTER MANAGEMENT Revised.pptxDISASTER MANAGEMENT Revised.pptx
DISASTER MANAGEMENT Revised.pptx
 
Alisa Haushalter, Senior Director, Dept. of Pop. Health, Nemours (US)
Alisa Haushalter, Senior Director, Dept. of Pop. Health, Nemours (US)Alisa Haushalter, Senior Director, Dept. of Pop. Health, Nemours (US)
Alisa Haushalter, Senior Director, Dept. of Pop. Health, Nemours (US)
 

More from Atlantic Training, LLC.

More from Atlantic Training, LLC. (20)

Wellness for Supervisors by SWOSU
Wellness for Supervisors by SWOSUWellness for Supervisors by SWOSU
Wellness for Supervisors by SWOSU
 
Workplace Wellness by PHA
Workplace Wellness by PHAWorkplace Wellness by PHA
Workplace Wellness by PHA
 
Stress Management Training by SG
Stress Management Training by  SGStress Management Training by  SG
Stress Management Training by SG
 
Stress Management Training by SW
Stress Management Training by SWStress Management Training by SW
Stress Management Training by SW
 
Stress and Worker Safety by Pennsylvania L&I
Stress and Worker Safety by Pennsylvania L&IStress and Worker Safety by Pennsylvania L&I
Stress and Worker Safety by Pennsylvania L&I
 
Respectful Workplace by RDTC
Respectful Workplace by RDTCRespectful Workplace by RDTC
Respectful Workplace by RDTC
 
Workplace Harassment by CLGW
Workplace Harassment by CLGWWorkplace Harassment by CLGW
Workplace Harassment by CLGW
 
Workplace Harassment Prevention by UT EAP
Workplace Harassment Prevention by  UT EAPWorkplace Harassment Prevention by  UT EAP
Workplace Harassment Prevention by UT EAP
 
Welding Safety by Pennsylvania L&I
Welding Safety by Pennsylvania L&IWelding Safety by Pennsylvania L&I
Welding Safety by Pennsylvania L&I
 
Slips Trips & Falls Training by Signal
Slips Trips & Falls Training by SignalSlips Trips & Falls Training by Signal
Slips Trips & Falls Training by Signal
 
Preventing Falls, Slips and Trips by MGSU
Preventing Falls, Slips and Trips by MGSUPreventing Falls, Slips and Trips by MGSU
Preventing Falls, Slips and Trips by MGSU
 
Preventing Workplace Harassment by Pennsylvania L&I
Preventing Workplace Harassment by Pennsylvania L&IPreventing Workplace Harassment by Pennsylvania L&I
Preventing Workplace Harassment by Pennsylvania L&I
 
Warehouses In Emergencies by WFP Logistics
Warehouses In Emergencies by WFP LogisticsWarehouses In Emergencies by WFP Logistics
Warehouses In Emergencies by WFP Logistics
 
Prevention of Sexual Harassment by USMC
Prevention of Sexual Harassment by USMCPrevention of Sexual Harassment by USMC
Prevention of Sexual Harassment by USMC
 
Sexual Harassment by DEOMI
Sexual Harassment by DEOMISexual Harassment by DEOMI
Sexual Harassment by DEOMI
 
Sexual Harassment in the Workplace Training by Shumaker
Sexual Harassment in the Workplace Training by ShumakerSexual Harassment in the Workplace Training by Shumaker
Sexual Harassment in the Workplace Training by Shumaker
 
Sexual Harassment Training by NAP
Sexual Harassment Training by NAPSexual Harassment Training by NAP
Sexual Harassment Training by NAP
 
Scaffolds Training by Pennsylvania L&I
Scaffolds Training by Pennsylvania L&IScaffolds Training by Pennsylvania L&I
Scaffolds Training by Pennsylvania L&I
 
Supervision
SupervisionSupervision
Supervision
 
New Employee Safety Orientation by Oregon State University
New Employee Safety Orientation by Oregon State UniversityNew Employee Safety Orientation by Oregon State University
New Employee Safety Orientation by Oregon State University
 

Recently uploaded

NewBase 24 May 2024 Energy News issue - 1727 by Khaled Al Awadi_compresse...
NewBase   24 May  2024  Energy News issue - 1727 by Khaled Al Awadi_compresse...NewBase   24 May  2024  Energy News issue - 1727 by Khaled Al Awadi_compresse...
NewBase 24 May 2024 Energy News issue - 1727 by Khaled Al Awadi_compresse...
Khaled Al Awadi
 
Future of Trade 2024 - Decoupled and Reconfigured - Snapshot Report
Future of Trade 2024 - Decoupled and Reconfigured - Snapshot ReportFuture of Trade 2024 - Decoupled and Reconfigured - Snapshot Report
Future of Trade 2024 - Decoupled and Reconfigured - Snapshot Report
Dubai Multi Commodity Centre
 
What is paper chromatography, principal, procedure,types, diagram, advantages...
What is paper chromatography, principal, procedure,types, diagram, advantages...What is paper chromatography, principal, procedure,types, diagram, advantages...
What is paper chromatography, principal, procedure,types, diagram, advantages...
srcw2322l101
 
Constitution of Company Article of Association
Constitution of Company Article of AssociationConstitution of Company Article of Association
Constitution of Company Article of Association
seri bangash
 

Recently uploaded (20)

How to Maintain Healthy Life style.pptx
How to Maintain  Healthy Life style.pptxHow to Maintain  Healthy Life style.pptx
How to Maintain Healthy Life style.pptx
 
Raising Seed Capital by Steve Schlafman at RRE Ventures
Raising Seed Capital by Steve Schlafman at RRE VenturesRaising Seed Capital by Steve Schlafman at RRE Ventures
Raising Seed Capital by Steve Schlafman at RRE Ventures
 
LinkedIn Masterclass Techweek 2024 v4.1.pptx
LinkedIn Masterclass Techweek 2024 v4.1.pptxLinkedIn Masterclass Techweek 2024 v4.1.pptx
LinkedIn Masterclass Techweek 2024 v4.1.pptx
 
Unlock Your TikTok Potential: Free TikTok Likes with InstBlast
Unlock Your TikTok Potential: Free TikTok Likes with InstBlastUnlock Your TikTok Potential: Free TikTok Likes with InstBlast
Unlock Your TikTok Potential: Free TikTok Likes with InstBlast
 
Inside the Black Box of Venture Capital (VC)
Inside the Black Box of Venture Capital (VC)Inside the Black Box of Venture Capital (VC)
Inside the Black Box of Venture Capital (VC)
 
Series A Fundraising Guide (Investing Individuals Improving Our World) by Accion
Series A Fundraising Guide (Investing Individuals Improving Our World) by AccionSeries A Fundraising Guide (Investing Individuals Improving Our World) by Accion
Series A Fundraising Guide (Investing Individuals Improving Our World) by Accion
 
NewBase 24 May 2024 Energy News issue - 1727 by Khaled Al Awadi_compresse...
NewBase   24 May  2024  Energy News issue - 1727 by Khaled Al Awadi_compresse...NewBase   24 May  2024  Energy News issue - 1727 by Khaled Al Awadi_compresse...
NewBase 24 May 2024 Energy News issue - 1727 by Khaled Al Awadi_compresse...
 
Engagement Rings vs Promise Rings | Detailed Guide
Engagement Rings vs Promise Rings | Detailed GuideEngagement Rings vs Promise Rings | Detailed Guide
Engagement Rings vs Promise Rings | Detailed Guide
 
Copyright: What Creators and Users of Art Need to Know
Copyright: What Creators and Users of Art Need to KnowCopyright: What Creators and Users of Art Need to Know
Copyright: What Creators and Users of Art Need to Know
 
HAL Financial Performance Analysis and Future Prospects
HAL Financial Performance Analysis and Future ProspectsHAL Financial Performance Analysis and Future Prospects
HAL Financial Performance Analysis and Future Prospects
 
Future of Trade 2024 - Decoupled and Reconfigured - Snapshot Report
Future of Trade 2024 - Decoupled and Reconfigured - Snapshot ReportFuture of Trade 2024 - Decoupled and Reconfigured - Snapshot Report
Future of Trade 2024 - Decoupled and Reconfigured - Snapshot Report
 
FEXLE- Salesforce Field Service Lightning
FEXLE- Salesforce Field Service LightningFEXLE- Salesforce Field Service Lightning
FEXLE- Salesforce Field Service Lightning
 
How to refresh to be fit for the future world
How to refresh to be fit for the future worldHow to refresh to be fit for the future world
How to refresh to be fit for the future world
 
New Product Development.kjiy7ggbfdsddggo9lo
New Product Development.kjiy7ggbfdsddggo9loNew Product Development.kjiy7ggbfdsddggo9lo
New Product Development.kjiy7ggbfdsddggo9lo
 
What is paper chromatography, principal, procedure,types, diagram, advantages...
What is paper chromatography, principal, procedure,types, diagram, advantages...What is paper chromatography, principal, procedure,types, diagram, advantages...
What is paper chromatography, principal, procedure,types, diagram, advantages...
 
Stages of Startup Funding - An Explainer
Stages of Startup Funding - An ExplainerStages of Startup Funding - An Explainer
Stages of Startup Funding - An Explainer
 
Constitution of Company Article of Association
Constitution of Company Article of AssociationConstitution of Company Article of Association
Constitution of Company Article of Association
 
Innomantra Viewpoint - Building Moonshots : May-Jun 2024.pdf
Innomantra Viewpoint - Building Moonshots : May-Jun 2024.pdfInnomantra Viewpoint - Building Moonshots : May-Jun 2024.pdf
Innomantra Viewpoint - Building Moonshots : May-Jun 2024.pdf
 
Special Purpose Vehicle (Purpose, Formation & examples)
Special Purpose Vehicle (Purpose, Formation & examples)Special Purpose Vehicle (Purpose, Formation & examples)
Special Purpose Vehicle (Purpose, Formation & examples)
 
PitchBook’s Guide to VC Funding for Startups
PitchBook’s Guide to VC Funding for StartupsPitchBook’s Guide to VC Funding for Startups
PitchBook’s Guide to VC Funding for Startups
 

Emergency Preparedness by UHPCO

  • 1. Emergency Preparedness: Training and Testing for Best Outcomes UAHC UHPCOConference August 28, 2017 Presented by: Lois A. Sucher, RN,DON, COS-C Jenny Nelson, PT, MSG, MCS
  • 3. EP Training • Training plans must specifically address each one of the agency’s identified risks • The training plan must be written and must extend to all staff members – at least one training each year • The training plan must have a means of demonstrating staff knowledge and retention • Training must be rooted in applicable policies/procedures and how they will be implemented
  • 4. The Agenda • Gaining a basic understanding of the Emergency Preparedness Rules • Performing the Risk Assessment • Developing Policies and Procedures • Implementing the Communication Plan • Training and Testing Requirements
  • 5. KEY DEFINITIONS Emergencies vs. Disasters • EMERGENCY = A hazard impact causing adverse physical, social, psychological, economic or political effects that challenges the ability to respond rapidly . . . requiring stepped-up capacity and capability to meet the expected outcome . . . requiring a change from routine management to incident command. • DISASTER = An emergency with greater magnitude, longer duration and generally lower outcomes.
  • 6. Policies and Procedures • E0013 – Policies and procedures based on the emergency plan, risk assessment and communication plan • Policies and procedures must be updated annually • Can be incorporated into the standard manual set, but the agency must be able to demonstrate that they are kept in a central place
  • 7. SURVEYREADINESS E-Tags to Know E-Tag HHA Hospice Tag Requirement E-0001 Y Y Establishment of the Emergency Program (EP) E-0004 Y Y Develop and Maintain the EP Program E-0006 Y Y Maintain Annual EP Updates – Risk Assmnt w/all hazards + strategies for addressing emergency events E-0007 Y Y EP Program Patient Population – Types of emergency services, continuity of operations, delegation of authority and succession planning E-0009 Y Y Process for Collaboration – Coordination and collaboration with local, tribal, regional, State and Federal emergency officials/offices E-0013 Y Y Development of EP Policies and Procedures – Based on the overall plan, risk assessment and communications plans with at least annual review E-0015 Y Y Subsistence Needs for Staff and Patients – Food, water, medical supplies, meds, alternate energy sources for maintaining temperature, lighting, fire detection systems, sewage and waste disposal
  • 8.
  • 9. • Process to assess and document hazards • Those that are likely to impact the geographic region or community • Those that present gaps and capacity challenges • Hazard Vulnerability Analysis KEY DEFINITIONS Risk Assessment
  • 10. HAZARD VULNERABILITY ANALYSIS Scoring the Risks • Measure the probability – High, Moderate or Low Risk? • Measure the vulnerability and potential disruption – High, Moderate or Low Risk? • Measure your agency’s level of preparation – Poor, Fair or Good • Each level for each category has a score from 1 to 3 (Green to Red) • The total score indicates the priority that should be placed on risk assessment and planning
  • 11.
  • 12.
  • 13. Assessing Patient Risk • For home health agencies – Needs to be done as a part of the comprehensive assessment • For both home health and hospice – ! How will clinical information and patient care requirements be communicated? ! Consider evacuation requirements ! Limitations on patient mobility ! Limitations on transport of life-saving equipment ! Special needs/limitations – language barriers, diet, intellectual ability
  • 14. PATIENT RISK LEVELS High Risk Patients • No available caregiver or family present – patient cannot be left alone for extended periods • Bedbound or chair bound patients with physical assistance needs • Unable to administer meds – self-injections of daily meds • Wound care patients who are unable to perform dressing changes • Infusion patients – IV therapy or feedings
  • 15. PATIENT RISK LEVELS Moderate Risk Patients • Patients with assistive devices or stable in the use of medical equipment – able to manage for a short period of time • Stable with administration of meds • Patients with reasonably managed chronic disease • Patients for whom a visit can be postponed for up to 3 days without jeopardizing safety
  • 16. PATIENT RISK LEVELS Low Risk Patients • Patients with family and/or caregiver support systems in place who can manage for longer than three days • Patients with less complicated wound care or other care needs • Patients for whom the patient or a caregiver is already managing and administering medications
  • 17. COMMUNICATIONS PLAN Sharing Medical Information • Plan for sharing medical record information to ensure continuity of care • Must include the means for sharing information about the general condition and location of patients
  • 18.
  • 19.
  • 20. Insert photo of Vial of life and FEMA Flags
  • 21. Patient Preparedness (see attached handout) Be prepared for 96 hours—food, water, medications • Vial of Life—Code Status, Med Profile, Physicians, Emergency Contact numbers VIAL of LIFE sticker on front window, Refrigerator • Emergency Preparedness for People Receiving Home Care Review this pamphlet with pt / caregiver • FEMA Communication Model: Instruct on how to use flags Keep in closet closest to front door • VACCINES: Flu and Pneumonia up to date. Most elderly die of pneumonia during a pandemic due to weakening of the immune system. • Emergency Supplies: See handout for more comprehensive list. Lighting in home to prevent falls during a power outage—especially important • Emphasize the IMPORTANCE of a 7 DAY Supply of MEDICATIONS • Protect your FEET—Keep a pair of sturdy shoes/socks in a zip lock bag under bed. • Secure list of FINANCIAL accounts, insurance policies, Titles, VA Info—CD, Thumb Drive, etc • Emergency Exits Notify Power Company in advance on oxygen, vents, pumps for infusions, etc. https:www.specialneedsutah.org/reg.php OASIS—code TRIAGE for clinical risk (i.e. likelihood of clinical exacerbation) code DISASTER for enhanced risk with outside emergencies (i.e. assess pt. independence with meds, oxygen, competent caregivers, etc.)
  • 22. Clinician Preparedness (see attached in Handouts) Be prepared for 96 hours (changed by FEMA) • Secure Yourself First • Secure your Family • Report to Agency Command Center in your respective county via phone, text, internet or in person at the designated area. • Secure your Patients COMMUNICATION PLAN: • Cell phone chargers, Battery Chargers or Solar Chargers • FEMA communication flag kit • GMRS 2 way radios—2-10 mile range. Have an Agency Designated Channel & back up. • Keep a copy of your clinical license on you. This will help get you across police lines. • Keep your gas tank at least ½ full AT ALL TIMES • Stay Healthy! Vaccinations—stay up to date (Flu, Tetanus, Shingles, Pneumonia) CAR SUPPLIES: (see handout for more complete list) • Water – High Energy Bars – Shelter (Blanket/Tarp)—zip bag with clean clothes • Car stock of Basis First Aid bandages, etc. incl BIO-HAZARD BAGS • Emergency money in low denominations (no change is given in disasters) • Long Life Flashlight, back up batteries, solar charger / hazard light • First Aid Kit WITH Protective Gear—N95 masks may be expired! Alcohol Hand Sanitizer • Extra-Sticky Post-it Notes and a pencil to leave messages—Sharpie • Box of plastic gloves and pair of work gloves (Protect your hands) • Portable radio with fresh batteries, crank or solar
  • 23. EP Testing Requirements • The agency must conduct at least one full-scale exercise annually • When community-based testing is not feasible an individual full-scale test can be substituted • An additional exercise must be done and can include a table-top exercise led by a facilitator with clinically relevant emergency scenarios
  • 24.
  • 25. In Closing . . . • Remember that your agency must be ready by November 15th. • Perform the risk assessment using an easy to use template. • Develop your plan based on the risk assessment results. • Make sure that your policies and procedures address the E-Tag requirements that are applicable to your agency. • Develop and document the communication plan. • Train the staff. • Make sure that the elements of the emergency plan are tested and that the testing process is documented. • Document the analysis of your Drill or Disaster

Editor's Notes

  1. Of all the webinars I have attended since learning of the Medicare Requirements, this was the best to boil down the basics. I received permission to use some of their slides for this presentation. For a complete copy of this FREE WEBINAR please contact Kinnser.
  2. Training and Testing
  3. In order to TRAIN and TEST any given scenario, it is IMPORTANT for ALL STAFF to KNOW and UNDERSTAND all the components REQUIRED. The 4 CORE items are interwoven into each other.
  4. In BOTH cases, our JOB is to MAXIMIZE the BEST OUTCOMES for our Agency Staff / Patients and Community
  5. We all have the Medicare Regs, and after studying several webinars, we like the way Kinnser spelled them out in simplicity. We put the complete list of the “E-Tags to Know” in our handouts. Each E-Tag is designated if needed for HH or Hospice
  6. Here is E-Tag E-0039 The GOAL is to be SURVEY Ready in Policies and Procedures. I like putting the E-TAG number right at the top of our policy page so Surveyors have ready access! As we teach then train our policies, we need to review and update our Policies This policy is referring to TRAINING and TESTING
  7. What I think our BIGGEST Challenge is the GAP of after we process internally within our Agency—Safety of the Building, Staff, Patients—TO WHOM do we report: Patient Status including pts we have not been able to contact, as well as Employees we have not been able to contact. (We can bring this up later so as NOT to distract)
  8. This is a 3 STEP process: FIRST: Measure the PROBABILITY, SECOND: Measure the VULNERABILITY to our Agency/Staff/Patients THIRD: Measure our level of the AGENCY PREPAREDNESS Talk about the Survey Requirements and NOT overdoing up front. As we come to understand and train on the highest priority risk, then periodically add in other risks.
  9. The purpose is to look at the TOTAL by SUBJECT and determine how likely the “event’ is going to take place and how “prepared” we are as an Agency to provide care to get good outcomes as best we can. The higher the numeric value—the more focus we should give preparing for that event.
  10. We put this worksheet with formulas in your electronic handouts. (Formula= Probability x level of Vulnerability x Preparedness level) We put this worksheet with the formulas “built in” in our handouts.
  11. This would include pts who Must have Assistance to Evacuate. Include patients with mental / memory deficits
  12. Part of Training is learning how to Communicate the High Risk Patients or Employees.
  13. Put only pertinent information on this log. KEEP This Simple. When I was the TRIAGE nurse at a Trauma Center in the Midwest, I needed the most PERTINENT INFORMATION with the HIGHEST Priority (Remember You have the medical record completed by your scribe) In your handouts we gave you a Red and a Yellow log. No green log is needed, as you will have that list on your Agency Patient Roster. You will need to report Green numbers to the local health dept. (reduce paperwork and use your current Patient Roster. List Special Needs—Adaptive Equipment, Oxygen, Diets, Translator Services, Mobility, Mental Capacity of the Patient. etc. Also included in your handouts, is this Instruction page, and the PATIENT NO CONTACT Log that also must be reported. Also in the handouts is an AGENCY Employee Contact Tracker. Don’t forget to employ your aides and office staff to help scribe, make calls to employees, etc.
  14. One MISSION of HOME HEALTH is to reduce the SURGE to Medical Facilities where we can. One of those is helping our patients and families and caregivers to be prepared. Of course we will need to send pts to the Hospitals, SNFs etc, but if we can reduce the facilities from becoming OVERWHELMED by utilizing field clinicians and educated caregivers we are a significant contributor to higher outcomes.
  15. Our DUTIES as Home Health and Hospice Agencies is to help EDUCATE AND PREPARE our Patients and Families to FORMULATE a DISASTER PLAN in their homes. Try to LOWER your patient’s risk and vulnerability by educating pt and caregivers.
  16. The more our Clinicians are Educated, Trained and Safe the better outcomes we will have with our patients and in the community at large. Engage the clinicians/Staff in Policy development. Important to test communications. “THIS IS A TEST” to see how fast and who responds Text experiment.
  17. Multiple agencies or groups involved Often a mock disaster IMPORTANT TO EVALUATE your DRILL or an ACTUAL DISASTER—see handouts for an Evaluation Table-top exercises – TTX Key staff and other constituents -- simulated scenarios Utilizes informal assessment of plans, policies and procedures -- identifies gaps that should be addressed
  18. It is important to Develop a BUSINESS RECOVERY PLAN—It is in the best interest of your company, employees, patients and the community that you stay in business.