/ Page1 of 3 /
Title: Mitigation Preparation Response and Recovery Policy
Effective Date: / Reviewed : / Revised: /

I.Function: Environment of Care

POLICY

This program ensures an effective response to either natural or man-made or emergencies that disrupt patient care and treatment by providing a general description of Facility Name’s approach to the development and implementation of an Emergency Operations Plan (EOP).

The <Title> is responsible for the administrative oversight of the Emergency Management Program and all associated policies/procedures, as well as, developing appropriate Emergency Response Plans based on priorities established as part of the Hazard Vulnerability Analysis process.

Each Emergency Response Plan will address the four phases of emergency management activities:

MITIGATION -Activities designed to reduce the risk of and potential damage due to an emergency. (i. e., the installation of stand by or redundant equipment, training)

PREPAREDNESS -Activities that will organize and mobilize essential resources. (i. e., plan-writing, employee emergency response education, preparation with outside agencies, acquiring and maintaining critical supplies)

RESPONSE -Activities the hospital undertakes to respond to disruptive events. The responses are designed with strategies and actions to be activated during the emergency. (i. e., control, warnings, evacuations)

RECOVERY -Activities the hospital will take to restore the systems that are critical to resuming normal care, treatment and services.

  • Short-term actions assess damage and return vital life-support operations to minimum operating standards.
  • Long term focuses on returning all hospital operations back to normal or an improved state of affairs.

PROCEDURE

A Hazard Vulnerability Analysis (HVA) is performed to identify potential disasters or events that have the potential to impact normal operations of Facility Name. The HVA will be used to evaluate the probability of an event occurring and to estimate the severity of the consequences. A list of priority concerns will be developed from the HVA. The list will be based on the severity of the consequences of the event. .

  1. Phases
  2. Mitigation:

Preparation for the event will be determined as part of planning. Where structural or physical changes are needed to better prepare the facility to withstand or respond to the event, these are included in operational and capital improvements and activities. These are maintained on an operational basis to assure their readiness for the event.

b.Preparedness:

Staff Training: training the staff about their roles in the plans, and the involvement of staff in drills, exercises, and other activities.

Equipment acquisition and maintenance: Equipment for response to the emergency events is purchased or constructed, and maintained in a functional condition in a safe/secure environment.

Supplies: Determination and acquisition of supplies to immediately respond to the emergency, and arrangements with vendors and supplies to respond during the duration of emergencies to maintain critical supply levels. In addition, maintaining communications with other local medical facilities to arrange to borrow or lend supplies if necessary, and use other resources.

c.Response

Each high priority emergency situation has response plans developed, to direct the immediate and longer term response to the emergency. The “all hazards” command structure is used to manage the response to the event, and assure adequate staffing for patient care and safety.

d.Recovery

Each emergency response plan has includes plans for recovery, covering the identifiable actions necessary for returning the facility to normal operations. The recovery plans typically include the predictable activities that will be done after the event is determined to have finished.(NOTE: these plans often require adaptation to the particular event and severity as it occurs.)

EM.01.01.01 EP 6a Mitigation Preparation Response n Recovery Po.doc