Tier 1 Recovery Time Objective 4 hours or less Criticality Needed in less than 4 hrs, or it may present threat to life safety if downtime extends beyond Maximum Tolerable Downtime Tier 1 Department Essential Service / Function Tier 1 Emergency Casualty patient care Tier 1 Information Tech Operations support for all services Tier 2 Recovery Time Objective 12 hours or less Criticality Needed in same shift or < 12 hrs, or likely to impact operations and/or patient satisfaction Maximum Tolerable Downtime Tier 2 Department Essential Service / Function Tier 2 Food & Nutrition Foodservice for patients and staff Tier 2 Human Resources Get staff needed for response; Staff notification
vendors Vital Records: Location Donor and Fund Records Electronic Copy Hard Copy Mobile Copy Remote Back-Up Fund files including fund agreements and fund statements Gift documentation Grant documentation Vital Records: Location IT-Related Electronic Copy Hard Copy Mobile Copy Remote Back-Up Commercial software licenses Copies of installation CDs Product keys Serial numbers End User License Agreements
Accelerated Payment/Advanced Payment from Medicare CMS has the authority to relax or waive certain billing and claims submission requirements to help providers impacted by a disaster. CMS can supplement the relaxation or waiver of requirements through the use of accelerated payments or advance payments. Medicare accelerated payment provisions allow healthcare providers to receive payment for services before the provider submits a claim to CMS. There are three situations that may justify accelerated payment: A delay in payment from the Fiscal Intermediary (FI) for covered services rendered to beneficiaries whereby the delay causes financial difficulties for the healthcare provider; Highly exceptional situations where a healthcare provider has incurred a temporary delay in its bill processing beyond the healthcare providers normal billing cycle; or Highly exceptional situations where CHS deems an accelerated payment is appropriate. Medicare Financial Management Manual: Chapter 3, Page 64, Section 150, Accelerated Payments: www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/fin106c03.pdf FEMA Reimbursement Federal Disaster Declaration: Robert T. Stafford Disaster Relief and Emergency Assistance Act At the request of the Governor, the President may declare a major disaster or emergency if an incident is beyond the combined response capabilities of the State, Tribal, and jurisdictional governments. Among other things, this declaration allows Federal assistance to be mobilized and directed in support of State, Tribal, and jurisdictional response efforts. In addition, in the absence of a specific request, the President may provide accelerated Federal assistance and Federal support where necessary to save lives, prevent human suffering, or mitigate severe damage, and notify the State of that activity. FEMA administers disaster relief funding allowed under the Stafford Act. Reimbursement eligibility rules apply for certain aspects of emergency medical care including: Treatment and monitoring of disaster victims requiring medical care Vaccinations for disaster victims, emergency workers and medical staff Only private nonprofit healthcare facilities may directly apply for FEMA assistance grants For-Profit entities may be indirectly eligible through established mutual aid agreements, emergency operations plans or memorandums of understanding with other nonprofit entities