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Document community collaboration, succession plans for new EM standards

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January 1, 2018

Go three deep or more in identifying staff positions to take over if key leadership can’t act in an emergency, consider ambulatory centers as alternate care sites even if they are not part of your health system, and document even unsuccessful attempts to coordinate community disaster planning.

Be prepared for surveyors, whether they work for CMS or The Joint Commission, to ask for documentation on these and other critical elements of your disaster plan now that new emergency preparedness Conditions of Participation (CoP) are in effect.

By law, the emergency preparedness CoP went into effect November 15, along with The Joint Commission’s recently published changes to its Emergency Management (EM) standards, revised to align with the new federal requirements.

Community planning and collaboration are at the heart of the new CoPs and are reflected in the revised EM standards, noted John Maurer, TJC’s acting director of engineering during the Chicago session of the commission’s annual Executive Briefings in September.

Most of the requirements in the new CoPs were already expected of hospitals as part of their emergency operations plan (EOP), said Maurer. Other providers had to expand their planning.

Go three deep or more in identifying staff positions to take over if key leadership can’t act in an emergency, consider ambulatory centers as alternate care sites even if they are not part of your health system, and document even unsuccessful attempts to coordinate community disaster planning.



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