Topic Collection Cover Page

Emergency Operations Plans/ Emergency Management Program
Topic Collection
September 3, 2019

Topic Collection: Emergency Operations Plans/ Emergency Management Program

There is a sizeable body of evidence that supports planning for hazards, threats, and events that may impact access to, or the delivery of, healthcare services in a community. Each state has different requirements for healthcare organizations to ensure that they are properly planning for emergencies. Healthcare system planners must continuously ensure that their emergency operations plans (EOP) take into account the changing landscape of requirements, regulations, threats, and hazards, and compliment local emergency operations plans. Furthermore, complying with standards and following key principals of emergency management programs (EMP) will help healthcare entities be better prepared to respond to and recover from disasters, as well as work cohesively and effectively with emergency management partners.

The resources in this Topic Collection highlight select standards, guidance, regulation, accreditation programs, and tools that can help healthcare emergency preparedness professionals create new, or bolster the foundation of, existing programs and plans. Due to the interdependencies between, and reliance upon, strong EOPs within EMPs, resources for both are provided in this Topic Collection. Resources are listed in separate sub-categories as appropriate.

ASPR TRACIE has comprehensively updated more than 30 Topic Collections that focus on specific categories (e.g., incident management, hazard vulnerability assessment, access and functional needs) and specific locations (e.g., long-term care facilities and dialysis centers). ASPR TRACIE is in the process of completing additional Topic Collections (e.g., exercise and evaluation, healthcare coalitions, information sharing); please check back periodically for updates.

Each resource in this Topic Collection is placed into one or more of the following categories (click on the category name to be taken directly to that set of resources). Resources marked with an asterisk (*) appear in more than one category.

Must Reads (EMP)


Agency for Healthcare Research and Quality. (2011). Public Health Emergency Preparedness Archive Tools and Resources.
This list of tools includes many items useful for healthcare emergency management including pediatrics and surge capacity sections.
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  • Bridget Kanawati Thank you for your comment. Although the resource is archived, some of the links provided are being updated regularly. AHRQ was "housing" them, and now they archived their pages. We try to include resources that are in the past 10 years in our Topic Collections. However, on a case by case basis there may be older resources as they may be considered "classics" or still have relevant information.
    10/17/2016 12:24:34 PM
  • Brian Barhorst This page is listed as an archive, and thus may not be up-to-date.
    10/17/2016 10:44:44 AM
American College of Emergency Physicians. (n.d.). Hospital Disaster Preparedness Self-Assessment Tool. (Accessed 7/9/2019.) California Hospital Association.
This detailed checklist assessment can help hospital staff review their emergency operations plan components. This tool includes information on categories that should be considered in a post-disaster assessment (particularly sections 3-7).
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These free online trainings include five units that describe key principles in healthcare emergency management. Units include: Emergency Management Program; Incident Command System, Multiagency Coordination System, and the Application of Strategic NIMS Principles; Healthcare System Emergency Response and Recovery; and Emergency Management System Evaluation and Organizational Learning for Healthcare Systems.
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Charney, R., Rebmann, T., Esguerra C., et al. (2013). Public Perceptions of Hospital Responsibilities to Those Presenting Without Medical Injury or Illness during a Disaster. (Abstract only.) Journal of Emergency Medicine. 45(4):578-84.
This article addresses a sampling of expectations of the public regarding hospital services during disasters. Expectations may outstrip hospital plans and abilities to provide nonmedical assistance.
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Florida Department of Health. (2011). Recommended Disaster Core Competencies for Healthcare Personnel. California Hospital Association.
These core competencies list the disaster preparedness and response knowledge, skills, and abilities needed by relevant types of hospital personnel given the current state of the art of CBRNE hazards and healthcare system vulnerabilities. Applying these competencies will assist hospitals in the development, implementation, coordination, and evaluation of disaster preparedness and response training programs.
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National Fire Protection Association. (2019). NFPA 1600: Standard on Disaster/Emergency Management and Business Continuity Programs. (Requires free registration.)
This document is a national standard for emergency management/business continuity programs.
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Schultz, C., Koenig, K., Whiteside, M., et al. (2012). Development of National Standardized All-Hazard Disaster Core Competencies for Acute Care Physicians, Nurses, and EMS Professionals. (Abstract only.) Annals of Emergency Medicine, 59(3):196-208.
The authors identify a set of core competencies and performance objectives based on the knowledge, skills, and attitudes required by disaster medical professionals to ensure they can treat disaster survivors.
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Spieler, S. Singer, M., and Cummings, L. (2008). Emergency Preparedness in Public Hospitals. National Association of Public Hospitals and Health Systems.
This report covers an exhaustive survey of public hospital preparedness conducted in the 2006-2007 timeframe in response to Hurricane Katrina and hurricanes in Florida. The study looks at the role of public hospitals during an emergency and identifies emergency-related content and activities at member hospitals.
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U.S. Department of Health and Human Services. (2014). National Health Security Implementation Plan.
This federal strategy document outlines the efforts to tie healthcare emergency management programs further into whole community efforts.
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VanVactor, J. (2012). Strategic Health Care Logistics Planning in Emergency Management. Disaster Prevention and Management. 21(3): 299-309.
The author explains how logistics are related to healthcare disaster preparedness and emergency readiness. He emphasizes the importance of a sound logistics platform when it comes to healthcare organization disaster preparedness.
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World Health Organization. (2011). Hospital Emergency Response Checklist.
This tool is structured according to nine key components, each with a list of priority actions to support hospital managers and emergency planners in achieving: (1) continuity of essential services; (2) well-coordinated implementation of hospital operations at every level; (3) clear and accurate internal and external communication; (4) swift adaptation to increased demands; (5) the effective use of scarce resources; and (6) a safe environment for healthcare workers.
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Must Reads (EOP)


California Association of Health Facilities. (2012). California Association of Health Facilities (CAHF) Disaster Planning Guide.
This guide was developed to assist long-term care providers to enhance their existing emergency operations plans and procedures. It includes self-assessment tools, checklists, templates, and other resources that can be found across multiple tabs. The information contained in this guide was developed in consideration of the core concepts and guiding principles of the National Incident Management System (NIMS). The Nursing Home Incident Command System (NHICS), a derivative of the Incident Command System, is promoted throughout this guide.
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Centers for Disease Control and Prevention. (2014). Emergency Preparedness and Response: Preparation & Planning. U.S. Department of Health and Human Services.
This Centers for Disease Control and Prevention website provides links to planning resources for healthcare facilities and specific types of emergencies.
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Centers for Disease Control and Prevention. (2018). Office of Public Health Preparedness and Response: Planning Resources by Setting. U.S. Department of Health and Human Services.
This website includes links to resources that can help healthcare and hospital systems staff plan for and respond to public health emergencies.
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FEMA’s CPG 101 provides guidelines on developing whole community emergency operations plans (EOPs) and includes best practices and suggestions for plan development. This quintessential guidance document can be leveraged by healthcare emergency planners as they create, update, or revise planning documents.
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National Fire Protection Association. (2018). NFPA 99: Health Care Facilities Code.
This standard establishes fire, explosion, and electrical risk criteria for healthcare services or systems regarding patients, staff, or visitors in healthcare facilities.
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Office of the Assistant Secretary for Preparedness and Response. (2016). 2017-2022 Health Care Preparedness and Response Capabilities. U.S. Department of Health and Human Services.
This 70-page document describes the four capabilities that healthcare coalitions and individual healthcare facilities need to prepare for, respond to, and recover from emergencies. The capabilities are: foundation for healthcare and medical readiness; healthcare and medical response coordination; continuity of healthcare service delivery; and medical surge. For example, Capability 1, Objective 4 covers training and preparing the healthcare and medical workforce, Capability 3, Objective 2 is focused on Continuity of Operations for healthcare facilities, and Capability 3, Objective 7 is focused on coordinating healthcare delivery system recovery. These four capabilities can help the healthcare delivery system better understand their roles in preparing for and responding to emergencies that impact the public’s health and adjust their EMP and EOP accordingly.
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Schultz, C., Koenig, K., Whiteside, M., et al. (2012). Development of National Standardized All-Hazard Disaster Core Competencies for Acute Care Physicians, Nurses, and EMS Professionals. (Abstract only.) Annals of Emergency Medicine, 59(3):196-208.
The authors identify a set of core competencies and performance objectives based on the knowledge, skills, and attitudes required by disaster medical professionals to ensure they can treat disaster survivors.
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The Institute for Crisis, Disaster, and Risk Management at the George Washington University. (2010). Emergency Management Principles and Practices for Health Care Systems, 2nd Edition. U.S. Department of Veterans Affairs.
This document is a must read for all hospital emergency managers. It is the best resource for the basis of healthcare emergency management programs and planning that is available. The authors explain emergency management concepts and how they can be applied in the healthcare system including detailed information on emergency operations planning, exercise planning, and program structure.
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This tool can assist planners in determining if and how the HIPAA Privacy Rule applies during public health emergencies. This tool focuses on the source of the information being disclosed; to whom the information is being disclosed; and the purpose of the information being disclosed.
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U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services. (2013). Emergency Preparedness Checklist.
This checklist can be utilized by healthcare emergency planners to help aid in the development of emergency plans. (Note: this resource pre-dates the final Emergency Preparedness Rule.)
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U.S. Department of Health and Human Services, Office of the Assistant Secretary for Preparedness and Response. (2012). Healthcare Preparedness Capabilities: National Guidance for Healthcare System Preparedness: January 2012.
This guidance from the Office of the Assistant Secretary for Preparedness and Response identifies the eight capabilities (aligned with the Public Health Preparedness capabilities) that serve as the basis for healthcare system, coalition, and organization preparedness: Materials in Capability 3—Emergency Operations Coordination— can particularly help with the writing of facility and coalition Emergency Operations Plans.
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University of Toledo Medical Center. (2019). University of Toledo Medical Center Emergency Operations Plan.
This plan includes elements of an EMP and EOP for an academic medical center; it may be referenced and adapted for use by other facilities. Note that this document also contains elements pertaining to the Emergency Management Program (EMP), and users may wish to separate that information out when adapting this plan.
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USA Center for Rural Public Health Preparedness, Texas A&M Health Science Center School of Rural Public Health. (2007). Partnering to Achieve Rural Emergency Preparedness: A Workbook for Healthcare Providers in Rural Communities. Center for Infectious Disease Research and Policy, University of Minnesota.
Though somewhat dated, this workbook was created to assist providers in rural communities with developing emergency operations plans. It includes best practices and lessons learned primarily gathered from rural Texas community members in counties without hospitals.
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Education and Training (EMP)


These free online trainings include five units that describe key principles in healthcare emergency management. Units include: Emergency Management Program; Incident Command System, Multiagency Coordination System, and the Application of Strategic NIMS Principles; Healthcare System Emergency Response and Recovery; and Emergency Management System Evaluation and Organizational Learning for Healthcare Systems.
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Center for Domestic Preparedness. (n.d.). Framework for Healthcare Emergency Management. (Accessed 7/10/2019.)
This four-day (32-hour) course is geared towards people responsible for emergency management in healthcare facilities. It covers standards and regulations; the Incident Command System; resource acquisition; plans/the planning process; facility and personnel preparedness; exercises and training; mass casualty and surge issues; recovery; and finances.
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This is a detailed best evidence statement for combining clinical training with disaster exercises for increasing healthcare worker knowledge and confidence regarding disaster response.
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Federal Emergency Management Agency. (2012). IS-910.A: Emergency Management Preparedness Fundamentals.
Participants in this three hour course will learn basic preparedness concepts and strategies for improving community preparedness.
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* Florida Department of Health. (2011). Recommended Disaster Core Competencies for Healthcare Personnel. California Hospital Association.
These core competencies list the disaster preparedness and response knowledge, skills, and abilities needed by relevant types of hospital personnel given the current state of the art of CBRNE hazards and healthcare system vulnerabilities. Applying these competencies will assist hospitals in the development, implementation, coordination, and evaluation of disaster preparedness and response training programs.
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George Washington University Institute for Crisis, Disaster, and Risk Management. (n.d.). Healthcare Emergency Management Competencies, Curriculum, and Certification Recommendations. (Accessed 7/10/2019.)
The George Washington University Institute for Crisis, Disaster, and Risk Management supported this on-line Emergency Management Academy for the Veterans Health Administration (VHA) from 2004-2010. This webpage includes links to multiple products developed for use by the VHA and other healthcare organizations seeking to improve or expand their emergency management program.
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Schultz, C., Koenig, K., Whiteside, M., et al. (2012). Development of National Standardized All-Hazard Disaster Core Competencies for Acute Care Physicians, Nurses, and EMS Professionals. (Abstract only.) Annals of Emergency Medicine, 59(3):196-208.
The authors identify a set of core competencies and performance objectives based on the knowledge, skills, and attitudes required by disaster medical professionals to ensure they can treat disaster survivors.
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Education and Training (EOP)


Cleveland, K., Sharpe, A., and Wible, J.R. (2014). Utilizing Government Resources in a Disaster. South Central Preparedness and Emergency Response Learning Center.
The authors of this three-hour awareness level course share lessons learned from Hurricane Katrina and provide an overview of the state's role and federal role in both planning and response activities; discuss the Stafford Act, National Response Plan, and Concept of Operations; and describe assets available to assist with emergency healthcare needs.
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As part of the National Response Framework, Emergency Support Functions (ESFs) are primary mechanisms at the operational level used to organize and provide assistance. This course provides an introduction to ESF #8 - Public Health and Medical Services.
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Federal Emergency Management Agency. (2015). IS-235.C: Emergency Planning.
This five hour-long independent study course covers the basics of the emergency planning process and is geared towards “all individuals involved in crisis and emergency management decision making.”
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Evaluation


American College of Emergency Physicians. (n.d.). Hospital Disaster Preparedness Self-Assessment Tool. (Accessed 7/9/2019.) California Hospital Association.
This detailed checklist assessment can help hospital staff review their emergency operations plan components. This tool includes information on categories that should be considered in a post-disaster assessment (particularly sections 3-7).
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Centers for Disease Control and Prevention. (2012). Hospital All-Hazards Self-Assessment (HAH).
This resource is a PDF of a tool designed to help assess and identify potential gaps in a facility's all-hazards emergency plan. The tool is designed for hospital preparedness staff, including planners, administrators, and others. (Note that this resource pre-dates the Centers for Medicare & Medicaid Services Emergency Preparedness Rule of 2016, and so may not be in alignment with it.)
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* Lynch, T. and Cox, P. (2006). Reverse Quality Management: Developing Evidence-based Best Practices in Health Emergency Management. Quality Management in Health Care. 15(2): 104-115.
This article is a review of best practices for governmental accountability in health emergency management based on the British Columbia Ministry of Health Framework for Core Functions in Public Health. The fieldwork was conducted in the fall of 2005 between hurricane Katrina and the South Asia earthquake.
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Event-Specific Lessons Learned


* Perry, R. and Lindell, M. (2006). Hospital Planning for Weapons of Mass Destruction Incidents. Journal of Postgraduate Medicine. 52(2):116-20.
This article is a result of a literature review that focused on six elements related to weapons of mass destruction incidents that must be addressed in hospital disaster plans: incident command, hospital security, patient surge, decontamination, mental health consequences, and communications.
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Spieler, S. Singer, M., and Cummings, L. (2008). Emergency Preparedness in Public Hospitals. National Association of Public Hospitals and Health Systems.
This report covers an exhaustive survey of public hospital preparedness conducted in the 2006-2007 timeframe in response to Hurricane Katrina and hurricanes in Florida. The study looks at the role of public hospitals during an emergency and identifies emergency-related content and activities at member hospitals.
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Vesely, R. and Hoppszallern, S. (2014). 2014 Emergency Management Survey. Health Facilities Management.
The authors examine emergency management programs in healthcare facilities and discuss the types of events that have required emergency plan activation, equipment stockpiles, facility changes, and most common advanced emergency program features.
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Guidance/Guidelines


ASPR TRACIE. (2016). Provider and Supplier Types Covered by the CMS Emergency Preparedness Rule. U.S. Department of Health and Human Services, Office of the Assistant Secretary for Preparedness and Health.
There are 17 specific provider and supplier types affected by the 2016 Centers for Medicare & Medicaid Services Emergency Preparedness Rule. ASPR TRACIE developed definitions based on information gleaned from numerous sources to provide a general description of each type. Facilities are listed alphabetically and categorized based on whether they are inpatient or outpatient.
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ASPR TRACIE. (2017). Learning More About the 2017-2022 Health Care Preparedness and Response Capabilities. U.S. Department of Health and Human Services, Assistant Secretary for Preparedness and Response.
Dr. John Hick and Melissa Harvey (NHPP) discuss the 2017-2022 capabilities, how they evolved over time, and what they mean for healthcare facilities.
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ASPR TRACIE. (2019). CMS and Disasters: Resources at Your Fingertips. U.S. Department of Health and Human Services, Office of the Assistant Secretary for Preparedness and Response.
The Centers for Medicare & Medicaid Services issued the Emergency Preparedness Requirements for Medicare and Medicaid Participating Providers and Suppliers Final Rule to establish consistency for healthcare providers participating in Medicare and Medicaid, increase patient safety during emergencies, and establish a more coordinated response to natural and human-caused disasters. This document provides links to numerous related resources applicable to a variety of providers and suppliers.
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Association of Healthcare Emergency Preparedness Professionals. (2014). HICS (Hospital Incident Command System) for Small Hospitals.
This resource provides links to guidance and templates that can help smaller hospitals implement the Hospital Incident Command System.
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* California Association of Health Facilities. (n.d.). Emergency Operations Plans. (Accessed 7/10/2019.)
This webpage provides links to several resources that support planning for long-term care facilities, including an Emergency Operations Plan (EOP) template; facility profile sheet; plan evaluation checklist; and template for a letter to inform family members of residents of emergency plans.
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California Association of Health Facilities. (2012). California Association of Health Facilities (CAHF) Disaster Planning Guide.
This guide was developed to assist long-term care providers to enhance their existing emergency operations plans and procedures. It includes self-assessment tools, checklists, templates, and other resources that can be found across multiple tabs. The information contained in this guide was developed in consideration of the core concepts and guiding principles of the National Incident Management System (NIMS). The Nursing Home Incident Command System (NHICS), a derivative of the Incident Command System, is promoted throughout this guide.
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California Emergency Medical Services Authority. (2017). Hospital Incident Command System.
This website provides access to the Hospital Incident Command System (HICS) 2014 Guidebook, HICS forms and Job Aids.
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California Emergency Medical Services Authority. (2019). Hospital Incident Command System.
This website provides access to the Hospital Incident Command System (HICS) 2014 Guidebook, HICS forms and Job Aids.
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FEMA’s CPG 101 provides guidelines on developing whole community emergency operations plans (EOPs) and includes best practices and suggestions for plan development. This quintessential guidance document can be leveraged by healthcare emergency planners as they create, update, or revise planning documents.
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This handbook can help homecare providers develop emergency plans. It also features New York-specific state regulations and resources.
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Lessons Learned Information Sharing. (n.d.). Best Practice. Emergency Management Programs for Healthcare Facilities: Program Organization. (Accessed 7/11/2019.) U.S. Department of Homeland Security, Federal Emergency Management Agency.
This document provides an overview of the managerial roles and responsibilities for a healthcare facility’s emergency management program. It also emphasizess that an emergency management program should typically be managed by one individual, while a committee should provide guidance and overall direction for the program.
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This handbook was created to assist Michigan home care agencies in writing, augmenting, and evaluating their emergency preparedness plans, based on best practices. The document provides guidance for assessing the strength of preparedness plans; an in-depth discussion of plan development; and tools for ongoing evaluation of a plan's effectiveness.
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National Association of Community Health Centers. (2005). Developing and Implementing an Emergency Management Plan for Your Health Center.
This information bulletin describes why health centers need to develop emergency operations plans, and also provides guidance on the planning process and plan content.
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National Fire Protection Association. (2018). NFPA 99: Health Care Facilities Code.
This standard establishes fire, explosion, and electrical risk criteria for healthcare services or systems regarding patients, staff, or visitors in healthcare facilities.
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* National Fire Protection Association. (2019). NFPA 1600: Standard on Disaster/Emergency Management and Business Continuity Programs. (Requires free registration.)
This document is a national standard for emergency management/business continuity programs.
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Occupational Safety and Health Administration. (2008). Hospitals and Community Emergency Response: What You Need to Know.
This document includes guidance for hospital emergency management programs, with a focus on healthcare worker safety in the context of community emergency response.
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Office of the Assistant Secretary for Preparedness and Response. (2016). 2017-2022 Health Care Preparedness and Response Capabilities. U.S. Department of Health and Human Services.
This 70-page document describes the four capabilities that healthcare coalitions and individual healthcare facilities need to prepare for, respond to, and recover from emergencies. The capabilities are: foundation for healthcare and medical readiness; healthcare and medical response coordination; continuity of healthcare service delivery; and medical surge. For example, Capability 1, Objective 4 covers training and preparing the healthcare and medical workforce, Capability 3, Objective 2 is focused on Continuity of Operations for healthcare facilities, and Capability 3, Objective 7 is focused on coordinating healthcare delivery system recovery. These four capabilities can help the healthcare delivery system better understand their roles in preparing for and responding to emergencies that impact the public’s health and adjust their EMP and EOP accordingly.
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The Institute for Crisis, Disaster, and Risk Management at the George Washington University. (2010). Emergency Management Principles and Practices for Health Care Systems, 2nd Edition. U.S. Department of Veterans Affairs.
This document is a must read for all hospital emergency managers. It is the best resource for the basis of healthcare emergency management programs and planning that is available. The authors explain emergency management concepts and how they can be applied in the healthcare system including detailed information on emergency operations planning, exercise planning, and program structure.
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* The Joint Commission. (2013). New and Revised Requirements Address Emergency Management Oversight. Joint Commission Perspectives. 33(7): 14-15.
This resource from The Joint Commission includes the requirements introduced in 2013 addressing leadership accountability for hospital-wide emergency management in hospitals and critical access hospitals.
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The Joint Commission. (2019). Emergency Management in Health Care: An All-Hazards Approach, Fourth Edition. (Available for purchase.)
This publication (available for purchase) can help health care organizations through all aspects of emergency management planning, from conducting a hazard vulnerability analysis and developing an emergency operations plan (EOP), to recovery.
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The Joint Commission. (2019). Emergency Management Resources.
The Joint Commission Emergency Management standards provide the baseline for which healthcare facilities seeking accreditation should prepare. This webpage includes links to case studies and other resources that can help facility staff adhere to standards (which are available at a cost to the user).
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U.S. Department of Health and Human Services, Office of the Assistant Secretary for Preparedness and Response. (2012). HCO Emergency Operations Plan.
This webpage describes the content and format for a healthcare organization (HCO) emergency operations plan (EOP). It includes a concise description of what the EOP should contain, and how it should be organized (i.e., a base plan with annexes).
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U.S. Department of Health and Human Services, Office of the Assistant Secretary for Preparedness and Response. (2012). Healthcare Preparedness Capabilities: National Guidance for Healthcare System Preparedness: January 2012.
This guidance from the Office of the Assistant Secretary for Preparedness and Response identifies the eight capabilities (aligned with the Public Health Preparedness capabilities) that serve as the basis for healthcare system, coalition, and organization preparedness: Materials in Capability 3—Emergency Operations Coordination— can particularly help with the writing of facility and coalition Emergency Operations Plans.
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U.S. Department of Health and Human Services, Office of the Assistant Secretary for Preparedness and Response. (2015). NIMS Implementation for Healthcare Organizations Guidance.
Healthcare organization emergency planners can use the guidance in this document to ensure their plans are in alignment with the National Incident Management System. (Please note that the most current version of NIMS is dated 2017 and should be reviewed along with this document to better ensure alignment.)
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USA Center for Rural Public Health Preparedness, Texas A&M Health Science Center School of Rural Public Health. (2007). Partnering to Achieve Rural Emergency Preparedness: A Workbook for Healthcare Providers in Rural Communities. Center for Infectious Disease Research and Policy, University of Minnesota.
Though somewhat dated, this workbook was created to assist providers in rural communities with developing emergency operations plans. It includes best practices and lessons learned primarily gathered from rural Texas community members in counties without hospitals.
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VanVactor, J. (2012). Strategic Health Care Logistics Planning in Emergency Management. Disaster Prevention and Management. 21(3): 299-309.
The author explains how logistics are related to healthcare disaster preparedness and emergency readiness. He emphasizes the importance of a sound logistics platform when it comes to healthcare organization disaster preparedness.
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Plans, Tools, and Templates (EMP)


Agency for Healthcare Research and Quality. (2011). Public Health Emergency Preparedness Archive Tools and Resources.
This list of tools includes many items useful for healthcare emergency management including pediatrics and surge capacity sections.
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  • Bridget Kanawati Thank you for your comment. Although the resource is archived, some of the links provided are being updated regularly. AHRQ was "housing" them, and now they archived their pages. We try to include resources that are in the past 10 years in our Topic Collections. However, on a case by case basis there may be older resources as they may be considered "classics" or still have relevant information.
    10/17/2016 12:24:34 PM
  • Brian Barhorst This page is listed as an archive, and thus may not be up-to-date.
    10/17/2016 10:44:44 AM
American Healthcare Association. (2008). Hazard Vulnerability Assessments for Healthcare Facilities.
This resource is an overview of hazard vulnerability assessments, a key part of an emergency management program. It also provides links to further resources based on facility type.
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American Hospital Association. (n.d.). Model Hospital Mutual Aid Memorandum of Understanding. (Accessed 7/11/2019.)
Memoranda of Understanding are considered one of the most common cooperative arrangements for healthcare facilities in disasters. This model template can be used by those facilities looking for a way to address resource sharing with neighboring facilities as part of their EOP.
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ASPR TRACIE. (2018). ASPR TRACIE Evaluation of Hazard Vulnerability Assessment Tools. U.S. Department of Health and Human Services, Office of the Assistant Secretary for Preparedness and Response.
This comparison chart shows the similarities and differences among five of the primary hazard vulnerability tools used by public health and health care organizations, and the Federal Emergency Management Agency’s Threat and Hazard Identification Risk Assessment (THIRA). Each description includes a summary of its primary use/purpose, as well as information on who developed the tool and how, the format of the tool, the calculations approach, and the benefits and limitations of the tool.
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California Hospital Association. (2011). Hospital Emergency Management Program Checklist.
This tool provides guidance for hospitals regarding the components included in an emergency management program.
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* Florida Department of Health. (2011). Recommended Disaster Core Competencies for Healthcare Personnel. California Hospital Association.
These core competencies list the disaster preparedness and response knowledge, skills, and abilities needed by relevant types of hospital personnel given the current state of the art of CBRNE hazards and healthcare system vulnerabilities. Applying these competencies will assist hospitals in the development, implementation, coordination, and evaluation of disaster preparedness and response training programs.
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Johns Hopkins University. (n.d.). PACER Disaster Planning Apps Suite. (Accessed 7/11/2019.)
These applications (developed by Johns Hopkins University) provide electronic models and simulated scenarios to assist hospitals with facility surge, mass casualty, and flu monitoring.
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McNeal, M., Daniels, E., Akintobi, T.H., et al. (n.d.). Emergency Preparedness Toolkit for Primary Care Providers. (Accessed 7/11/2019.) Morehouse School of Medicine.
This planning guide is meant for medical practices and can help emergency planners enhance practice readiness, planning, and response for emergencies and disasters, which will assist communities in the aftermath of an event. The toolkit includes fact sheets, templates, trainings, and other resources and links to references.
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* Office of the Assistant Secretary for Preparedness and Response. (2019). National Health Security Strategy. U.S. Department of Health and Human Services.
The goal of the National Health Security Strategy (NHSS) is to strengthen and sustain communities’ abilities to prevent, protect against, mitigate the effects of, respond to, and recover from disasters and emergencies. This webpage includes links to the full text of the plan, an overview, the NHSS Implementation Plan, the NHSS Evaluation of Progress, and an NHSS Archive.
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* U.S. Department of Health and Human Services, Office of the Assistant Secretary for Preparedness and Response. (2018). Healthcare and Public Health (HPH) Risk Identification and Site Criticality (RISC) Toolkit.
This objective, data-driven all hazards risk assessment can be used to inform emergency preparedness planning and risk management activities. The toolkit consists of three self-assessment modules allowing healthcare facilities to: identify site-specific threats and hazards; assess site-specific vulnerabilities; and evaluate criticality and consequences. (A related webinar explains the toolkit in more detail: https://files.asprtracie.hhs.gov/documents/aspr-risc-toolkit-webinar-slides-final-508.pdf.)
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  • Tony Barker Great tool that has very effective resource links. Makes the HVA process evidence based and provides an excellent format for use. Thank you to the development team!
    12/12/2018 12:56:36 PM
University of Texas, Health Science Center at Houston. (2018). Emergency Management Plan.
This multi-hazard plan specifies procedures staff can take to prevent, prepare, respond, and mitigate emergency situations in a safe, orderly and efficient manner. While the Harris County Psychiatric Center and the University of Texas Physicians maintain specific emergency management plans for their operations, this plan specifies that both entities are included in the university's emergency communications, the emergency operations command as applicable, and in executive team decision making as applicable.
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  • Bridget Kanawati Thank you for informing us of the broken link. It appears the plan was updated in 2018. We have updated our records with the new URL.
    9/9/2019 10:19:55 AM
  • Kristina Long Link doesn't work
    9/8/2019 4:01:38 PM
VHA Center for Engineering & Occupational Safety and Health (CEOSH). (2011). Emergency Management Program Guidebook.
This resource is a guide to the development of a healthcare emergency management program, based on national standards and continuous quality improvement. (Note: this resource pre-dates the final Emergency Preparedness Rule.)
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* Wisconsin Department of Health Services. (2018). CMS Emergency Preparedness Rule Toolkits.
This webpage includes links to toolkits and other resources designed to help select healthcare facilities better understand the Centers for Medicare & Medicaid Services (CMS) Emergency Preparedness Rule. There is both a PDF (toolkit) and Word version (workbook) for each facility type, and the relevant CMS rules for each facility type are included. Each toolkit includes sample templates and planning worksheets that can help facilities develop compliant plans, policies, and procedures.
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World Health Organization. (2011). Hospital Emergency Response Checklist.
This tool is structured according to nine key components, each with a list of priority actions to support hospital managers and emergency planners in achieving: (1) continuity of essential services; (2) well-coordinated implementation of hospital operations at every level; (3) clear and accurate internal and external communication; (4) swift adaptation to increased demands; (5) the effective use of scarce resources; and (6) a safe environment for healthcare workers.
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Plans, Tools, and Templates (EOP)


* California Association of Health Facilities. (n.d.). Emergency Operations Plans. (Accessed 7/10/2019.)
This webpage provides links to several resources that support planning for long-term care facilities, including an Emergency Operations Plan (EOP) template; facility profile sheet; plan evaluation checklist; and template for a letter to inform family members of residents of emergency plans.
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Carr, M., Hammon, R., Glenn, J., et al. (2008). Emergency Preparedness Packet for Home Health Agencies. National Association for Home Care and Hospice.
This document contains templates and tools for the development of an all-hazards emergency preparedness plan to be used by home care and hospice providers.
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Centers for Disease Control and Prevention. (2018). Office of Public Health Preparedness and Response: Planning Resources by Setting. U.S. Department of Health and Human Services.
This website includes links to resources that can help healthcare and hospital systems staff plan for and respond to public health emergencies.
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Fairfax County Office of Emergency Management. (2015). Fairfax County Emergency Operations Plan.
This multidisciplinary all-hazards plan establishes a comprehensive framework for the management of major emergencies and disasters within Fairfax County. It is comprised of a base plan, appendices, support annexes, and emergency support functions.
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Federal Emergency Management Agency, Incident Management Systems Integration Division. (2009). Acronyms, Abbreviations, and Terms: A Capability Assurance Job Aid.
Emergency planners can use the information contained in this guide to become more familiar with the various acronyms and terms used in the emergency management field.
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Kansas Department of Health and Environment. (n.d.). Emergency Management Plan for Kansas Chronic Dialysis Facilities. (Accessed 7/11/2019.)
This is an emergency management plan template for chronic dialysis facilities in Kansas that may be adapted for other facilities. (Note that this template was created prior to the release of the 2016 Centers for Medicare & Medicaid Services [CMS] Emergency Preparedness [EP] Rule, which planners should reference to ensure compliance for their organizations.)
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Kansas Department of Health and Environment. (2008). Emergency Operations Plan.
This document is a template for a hospital Emergency Operations Plan with departmental sections as well as incident-specific annexes. Facility personnel will likely need to add operational detail to this outline. (Note that this template was created prior to the release of the 2016 Centers for Medicare & Medicaid Services [CMS] Emergency Preparedness [EP] Rule, which planners should reference to ensure compliance for their organizations.)
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Kidney Community Emergency Response Coalition. (2008). Dialysis Facility Disaster Plan Template.
This facility-focused emergency operations planning checklist can be used by dialysis facility staff to build and/or validate their plans.
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Lee County, Florida, Emergency Management. (2014). CEMP Criteria for Ambulatory Surgery Centers.
This checklist contains the required elements for a comprehensive emergency management plan, as well as guidance on the plan format, for ambulatory surgery centers in Florida. It may be used as a reference by other facilities to help develop their plans. (Note that this checklist was created prior to the release of the 2016 Centers for Medicare & Medicaid Services [CMS] Emergency Preparedness [EP] Rule, which planners should reference to ensure compliance for their organizations.)
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Minnesota Department of Health. (2017). Minnesota Long-Term Care Preparedness Toolkit.
This toolkit was developed to assist with emergency preparedness planning for individuals requiring long-term care. It can be used by long-term care facility owners, administrators, and staff. This toolkit includes a discussion of the Incident Command System (ICS), HIPAA issues, sample templates, forms, and suggested resources to develop and/or enhance facility emergency preparedness plans.
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Mississippi State Department of Health. (n.d.). Mississippi State Department of Health-Facilities Preparedness. (Accessed 7/11/2019.)
This webpage links to emergency operations plan templates for: home health; hospice; hospitals; long-term care; and personal home care.
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* Office of the Assistant Secretary for Preparedness and Response. (2019). National Health Security Strategy. U.S. Department of Health and Human Services.
The goal of the National Health Security Strategy (NHSS) is to strengthen and sustain communities’ abilities to prevent, protect against, mitigate the effects of, respond to, and recover from disasters and emergencies. This webpage includes links to the full text of the plan, an overview, the NHSS Implementation Plan, the NHSS Evaluation of Progress, and an NHSS Archive.
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This checklist was designed to help ambulatory surgical centers confirm that they have all required elements in their emergency operations plans to receive certification by their local emergency management agency. It may be used as a reference by other facilities to help develop their plans.
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* Perry, R. and Lindell, M. (2006). Hospital Planning for Weapons of Mass Destruction Incidents. Journal of Postgraduate Medicine. 52(2):116-20.
This article is a result of a literature review that focused on six elements related to weapons of mass destruction incidents that must be addressed in hospital disaster plans: incident command, hospital security, patient surge, decontamination, mental health consequences, and communications.
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South Carolina Department of Health and Environmental Control. (2013). Emergency Operations Plan Development Guide and Template for Extended Care Facilities.
This South Carolina-focused template was developed to support emergency operations planning for licensed nursing or assisted living facilities. It includes base plan information, as well as a series of checklists for policies and procedures, and Job Action Sheet content. It may be referenced and customized by facilities, as appropriate. (Note that this template was created prior to the release of the 2016 Centers for Medicare & Medicaid Services [CMS] Emergency Preparedness [EP] Rule, which planners should reference to ensure compliance for their organizations.)
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This tool can assist planners in determining if and how the HIPAA Privacy Rule applies during public health emergencies. This tool focuses on the source of the information being disclosed; to whom the information is being disclosed; and the purpose of the information being disclosed.
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U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services. (n.d.). Disaster Preparedness: A Guide for Chronic Dialysis Facilities. Second Edition. (Accessed 7/11/2019.) U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services.
This emergency operations plan manual includes templates that can be tailored to the needs of dialysis and end stage renal disease facilities.
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U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services. (2013). Emergency Preparedness Checklist.
This checklist can be utilized by healthcare emergency planners to help aid in the development of emergency plans. (Note: this resource pre-dates the final Emergency Preparedness Rule.)
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* U.S. Department of Health and Human Services, Office of the Assistant Secretary for Preparedness and Response. (2018). Healthcare and Public Health (HPH) Risk Identification and Site Criticality (RISC) Toolkit.
This objective, data-driven all hazards risk assessment can be used to inform emergency preparedness planning and risk management activities. The toolkit consists of three self-assessment modules allowing healthcare facilities to: identify site-specific threats and hazards; assess site-specific vulnerabilities; and evaluate criticality and consequences. (A related webinar explains the toolkit in more detail: https://files.asprtracie.hhs.gov/documents/aspr-risc-toolkit-webinar-slides-final-508.pdf.)
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  • Tony Barker Great tool that has very effective resource links. Makes the HVA process evidence based and provides an excellent format for use. Thank you to the development team!
    12/12/2018 12:56:36 PM
U.S. Department of Veterans Affairs. (n.d.). Emergency Operations Plan Template. (Accessed 7/11/2019.)
This template is part of the U.S. Department of Veterans Affairs Emergency Management Guidebook, and describes a general strategy for how the operating units in a health care facility will coordinate during emergencies. It identifies various “key activities” (tasks common to emergency response) under the functional areas of the Incident Command System; actual functional annexes are not included.
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University of Louisville, Kent School of Social Work. (2017). Kentucky LTC Emergency Preparedness Manual.
This plan template may be referenced and customized by long-term care facility staff responsible for creating and maintaining their own emergency operations plan.
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University of Toledo Medical Center. (2019). University of Toledo Medical Center Emergency Operations Plan.
This plan includes elements of an EMP and EOP for an academic medical center; it may be referenced and adapted for use by other facilities. Note that this document also contains elements pertaining to the Emergency Management Program (EMP), and users may wish to separate that information out when adapting this plan.
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Vermont Agency of Human Services, Department of Disabilities, Aging, and Independent Living. (2010). Emergency Preparedness Planning for Nursing Homes and Residential Care Settings in Vermont.
This manual contains guidance, worksheets, and checklists that long-term care facilities may use to inform the development of their facility-specific emergency operations plans. The plan is scalable—based on a modified ICS structure for use—and provides the full ICS structure for larger facilities. It also incorporates continuity of operation elements. (Note that this manual was created prior to the release of the 2016 Centers for Medicare & Medicaid Services [CMS] Emergency Preparedness [EP] Rule, which planners should reference to ensure compliance for their organizations.)
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* Wisconsin Department of Health Services. (2018). CMS Emergency Preparedness Rule Toolkits.
This webpage includes links to toolkits and other resources designed to help select healthcare facilities better understand the Centers for Medicare & Medicaid Services (CMS) Emergency Preparedness Rule. There is both a PDF (toolkit) and Word version (workbook) for each facility type, and the relevant CMS rules for each facility type are included. Each toolkit includes sample templates and planning worksheets that can help facilities develop compliant plans, policies, and procedures.
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Program Development


Charney, R., Rebmann, T., Esguerra C., et al. (2013). Public Perceptions of Hospital Responsibilities to Those Presenting Without Medical Injury or Illness during a Disaster. (Abstract only.) Journal of Emergency Medicine. 45(4):578-84.
This article addresses a sampling of expectations of the public regarding hospital services during disasters. Expectations may outstrip hospital plans and abilities to provide nonmedical assistance.
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* Lynch, T. and Cox, P. (2006). Reverse Quality Management: Developing Evidence-based Best Practices in Health Emergency Management. Quality Management in Health Care. 15(2): 104-115.
This article is a review of best practices for governmental accountability in health emergency management based on the British Columbia Ministry of Health Framework for Core Functions in Public Health. The fieldwork was conducted in the fall of 2005 between hurricane Katrina and the South Asia earthquake.
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Pole, T., Marcozzi, D., and Hunt, R. (2013). Interrupting My Shift: Disaster Preparedness and Response. Annals of Emergency Medicine. 1:1-5.
This article provides an introduction and overview of the U.S. Department of Health and Human Services, Office of the Assistant Secretary for Preparedness and Response, Hospital Preparedness Program. It describes the two key principals of the program: (1) the development of healthcare coalitions, and (2) the description of immediate bed availability. By focusing on capacity planning at the level of the population, the program seeks to ensure that the emergency care system will provide high-quality care in day-to-day operations, as well as in times of system strain.
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Standards and Regulations


Emergency Management Accreditation Program. (2013). The 2013 Emergency Management Standard.
This document is geared towards state and local agencies and lists the 64 standards the Emergency Management Accreditation Program (EMAP) uses to evaluate programs. Although very few healthcare plans are EMAP-accredited, the standards can be helpful for self-evaluation.
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National Academies of Science Institute of Medicine. (2014). The Impacts of the Affordable Care Act on Preparedness Resources and Programs.
This workshop summary considers how the implementation of the Affordable Care Act will impact preparedness within all aspects of the healthcare system.
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National Association of County and City Health Officials. (2016). Project Public Health Ready.
This training and recognition program measures local health department capacity and ability to plan for, respond to, and recover from public health emergencies. The resources on this webpage focus on standards for local preparedness planning and include links to crosswalk documents that highlight how this program aligns with other related national programs.
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* National Fire Protection Association. (2019). NFPA 1600: Standard on Disaster/Emergency Management and Business Continuity Programs. (Requires free registration.)
This document is a national standard for emergency management/business continuity programs.
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* The Joint Commission. (2013). New and Revised Requirements Address Emergency Management Oversight. Joint Commission Perspectives. 33(7): 14-15.
This resource from The Joint Commission includes the requirements introduced in 2013 addressing leadership accountability for hospital-wide emergency management in hospitals and critical access hospitals.
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U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services. (n.d.). Regulations and Guidance. (Accessed 7/11/2019.)
This website includes links to regulations and guidance for 16 types of healthcare providers (e.g., ambulance services, hospice, hospitals, and rural health clinics).
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U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services. (2013). Declared Public Health Emergencies - All Hazards Health Standards and Quality Issues.
This detailed Q&A document covers changes to Centers for Medicare and Medicaid Services rules during federally declared public health emergencies. It includes sections on laboratories, home health, and critical access hospitals.
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U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services. (2013). Emergency Preparedness Standards for Medicare and Medicaid Participating Providers and Suppliers.
The Centers for Medicare and Medicaid Services proposed this rule to establish consistent emergency preparedness requirements for health care providers participating in Medicare and Medicaid.
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U.S. Department of Health and Human Services, Office of the Assistant Secretary for Preparedness and Response. (2012). Healthcare Preparedness Capabilities: National Guidance for Healthcare System Preparedness.
This guidance from the Office of the Assistant Secretary for Preparedness and Response (ASPR) identifies the eight capabilities (aligned with the Public Health Preparedness capabilities) that serve as the basis for healthcare system, coalition, and organization preparedness: Healthcare System Preparedness; Healthcare System Recovery; Emergency Operations Coordination; Fatality Management; Information Sharing; Medical Surge; Responder Safety and Health; and Volunteer Management.
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This full text reading of the Uniform Emergency Volunteer Health Practitioners Act highlights how volunteer health practitioners can be deployed and utilized during disaster response.
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Agencies and Organizations


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National Association of Community Health Centers. National Association of Community Health Centers.
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The Joint Commission. Emergency Management Resources.
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U.S. Department of Health and Human Services, Office of the Assistant Secretary for Preparedness and Response. Office of Emergency Management.
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U.S. Department of Homeland Security, Federal Emergency Management Agency. National Incident Management System (NIMS).
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