Scope The emergency operations plan (EOP) is designed to guide planning and response to a variety of hazards that could threaten the safety of patients, staff, and visitors, or adversely impact the ability of the facility to provide healthcare services to the community. The plan is also designed to meet local and state planning requirements. The <Insert position title> will be responsible for activating the plan. Activation of the plan will be conducted in conjunction with agency command staff as well as local emergency management and public health personnel. Assumptions The planning assumptions statement shows the limits of the EOP, thereby limiting liability. The following assumptions delineate what is assumed to be true when the EOP was developed. Planning assumptions: Top five hazards are identified. Identified hazards will occur. Healthcare personnel are familiar with the EOP. Healthcare personnel will execute their assigned responsibilities. Executing the EOP will save lives and reduce damage. ADMINISTRATION Executive Summary The <Insert name of facility> emergency operations plan (EOP) is an all-hazards plan that outlines policies and procedures for preparing for, responding to, and recovering from possible hazards faced by the organization. Coordination of planning and response with other healthcare organizations, public health, and local emergency management are emphasized in the plan. The plan also addresses proper plan maintenance, communications, resource and asset management, patient care, continuity of operations, management of staff, evacuation, and contingency planning for utilities failure. All response activities will follow the National Incident Management System (NIMS) guidelines. In addition, the agency will follow the Incident Command System (ICS) organizational structure in response to emergency events and during exercises. In the event of a communitywide emergency, the agency’s incident command structure will be integrated into and be consistent with the community command structure. Staff will
Table : Mutual Aid Agreements/Memorandum of Understanding Facilities/Agencies in Agreement Nature of Agreement Expiration Date (if applicable) Date Verified/Point of Contact Hospital* Transfer* None Supplier* Medications* Transportation service* 911* Supplier* Oxygen* Additional MAAs/MOUs *Examples Attachment C: Alternate Care Site Evacuation Routes and Center Floor Plans <Insert evacuation routes, floor plans, maps, and written directions to evacuation sites> Attachment D. Sample Hospital Incident Command System Forms Hospital Incident Command System (HICS) forms are provided by the District Planner. HICS 203 – Organization Assignment List HICS 207 – Hospital Incident Management Team Chart HICS 254 – Disaster Victim / Patient Tracking HICS 255 – Master Patient Evacuation Tracking HICS 257 – Resource Accounting Record HICS 260 – Patient Evacuation Tracking Form Attachment E: Affiliated Facilities Specific Information This attachment should include the following location specific information: 2: Exercises Conducted Table 3: Individuals Responsible for Emergency Operations Plan Activation Table 4: Roles and Responsibilities Table 6: Delegations of Authority List of Top Five Hazards from Facility Hazard Vulnerability Analysis
Describe the organization’s plan/procedures for backing up vital data: Describe how personnel are trained on the for backing up vital data: Does the organization have an emergency service information technology plan? If so, explain: Describe how the organization plans to minimize service interruptions as a result of necessary scheduled downtime:
Appendix N: Pandemic Influenza/Infection Control/Isolation A pandemic is a global disease outbreak. An influenza pandemic occurs when a new influenza virus emerges for which people have little or no immunity and for which there is no vaccine. The disease spreads easily from person to person, causes serious illness, and can sweep across the country and around the world in a very short time. It is expected that such an event could overwhelm local healthcare systems as an increased number of sick individuals seek healthcare services. In addition, the number of healthcare workers available to respond to these increased demands will be reduced by illness rates similar to pandemic influenza attack rates affecting the rest of the population. Include the organizational plan for pandemic influenza/infection control/isolation. Planning considerations: Contacting response partners Infection control plan Isolation plan Immunization policy Preventative measures (personal protective equipment, hand sanitizer, etc.) Staff absenteeism due to illness Appendix O: Severe Weather/Extreme Temperatures/Winter Storms Severe Weather