Continuity of Operations Delegation of Authority Worksheet
1. List the authority to be delegated.
2. Designate whether the authority is “emergency” or “administrative.”
3. List the position which has this authority during normal agency operations.
4. List the conditions that would trigger a delegation of the authority.
5. List the position or positions that will receive the authority if it must be delegated.
6. Indicate any rules that may exist for the delegation of authority.
7. Outline procedures for the delegation, including notifying relevant staff of the transfer of power.
8. Indicate any limitations on the duration, extent, and scope of the delegation.
Source: Continuity of Operations Plan Guidance for Indian Health Centers, Global Vision Consortium Native American Alliance for Emergency Preparedness, June 2010
Health Center Medical Director / Health Center Executive Director1. Authority (Function) / Example:
Oversee medical operations. Examine patients, prescribe medications, and provide medical advice. / Responsible for overall management of health center. Decision-making authority over expenditures and other commitments of resources and decision to remain open or evacuate facility. Can request resources from and provide resources in response to requests from other Health Centers and county emergency officials. Reports to Board of Directors, tribal Chairperson or other as designated by contract. Appoints Incident Commander for emergency events.
2. Type? / Emergency / Emergency
3. Position Holding Authority / Health Center Medical Director / Health Center Executive Director
4. Triggering Conditions / Medical Director or other full time clinic physician unavailable due to absence, injury or providing emergency care.
Must be approved by Executive Director / Executive Director is incapacitated or unavailable.
5. Position(s) Receiving Authority / (1) Other full time clinic physician
(2) Nurse Practitioner
(3) Registered Nurse / (1) Assistant Executive Director
(2) Finance Director
(3) Medical Director
Health Center Medical Director / Health Center Executive Director
6. Rules / Individual possessing higher authority within the agency is not available / Remains acting until return of Executive Director or decision by Health Center governing body.
7. Procedures / Health Center Executive Director or Medical Director designates most experienced RN as clinic manager. / Assumes position when higher ranking person is unavailable.
Reports transition to Tribal Chairperson or Chair of Health Center Board of Directors
8. Limitations / May perform actions as permitted by license. / Has all authority of executive director.