Florida Administrative Code › 59 - AGENCY FOR HEALTH CARE ADMINISTRATION › 59A - Health Facility and Agency Licensing › Chapter 59A-3 - HOSPITAL LICENSURE › Section 59A-3.078 - Comprehensive Emergency Management Plan

Current through Reg. 50, No. 138; July 16, 2024
(1)
				Each hospital shall develop and adopt a written comprehensive emergency
				management plan for emergency care during an internal or external disaster or
				an emergency, which is reviewed and updated annually.
(2) The emergency management plan shall be
				developed in conjunction with other agencies and providers of health care
				services within the local community pursuant to section
				395.1055(1)(c),
				F.S., and in accordance with the "Emergency Management Planning Criteria for
				Hospitals, " AHCA Form 3130-8005-September 94, which is incorporated by
				reference. The form is available from the Agency for Health Care
				Administration, 2727 Mahan Drive, Mail Stop #31, Tallahassee, Florida 32308.
				The plan shall include:
(a) Provisions for
				internal and external disasters and emergencies;
(b) A description of the hospital's role in
				community wide emergency management plans;
(c) Information about how the hospital plans
				to implement specific procedures outlined in the hospital's emergency
				management plan;
(d) Precautionary
				measures, including voluntary cessation of hospital admissions, to be taken by
				the hospital in preparation and response to warnings of inclement weather, or
				other potential emergency conditions;
(e) Provisions for the management of
				patients, including the discharge of all patients that meet discharge
				requirements, in the event of an evacuation order, at the direction of the
				hospital administrator, or when a determination is made by the Agency that the
				condition of the facility or its support services is sufficient to render it a
				hazard to the health and safety of patients and staff, pursuant to chapter
				59A-3, F.A.C. Such provisions shall address moving patients within the hospital
				and relocating patients outside the hospital, including the roles and
				responsibilities of the physician and the hospital in the decision to move or
				relocate patients whose life or health is threatened;
(f) Education and training of personnel in
				carrying out their responsibilities in accordance with the adopted
				plan;
(g) A provision for
				coordinating with other hospitals that would receive relocated
				patients;
(h) Provisions for the
				management of staff, including the distribution and assignment of
				responsibilities and functions, and the assignment of staff to accompany those
				patients located at off-site locations;
(i) Provisions for the individual
				identification of patients, including the transfer of patient
				records;
(j) Provisions to ensure
				that a verification check will be made to ensure relocated patients arrive at
				designated hospitals;
(k)
				Provisions to ensure that medication needs will be reviewed and advance
				medication for relocated patients will be forwarded to respective hospitals,
				when permitted by existing supplies, and state and federal law;
(l) Provisions for essential care and
				services for patients who may be relocated to the facility during a disaster or
				an emergency, including staffing, supplies and identification of
				patients;
(m) Provisions for
				contacting relatives and necessary persons advising them of patient location
				changes. A procedure must also be established for responding to inquiries from
				patient families and the press;
(n)
				Provisions for the management of supplies, communications, power, emergency
				equipment, security, and the transfer of records;
(o) Provisions for coordination with
				designated agencies including the Red Cross and the county emergency management
				office; and,
(p) Plans for the
				recovery phase of the operation, to be carried out as soon as
				possible.