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Evaluating Hospital Emergency Operations Plans

by Brad Keyes, CHSP, on Dec 12, 2019 12:00:24 AM

Hospital emergency operations plans can be overwhelming to produce and maintain. Not only can they be time-consuming to develop, but a challenge is to keep it user-friendly too. This resource must be simple to use to ensure its effectiveness when using it during a disaster.

Most healthcare institutions have limited resources and finances to put towards emergency preparedness plans; however, one disaster of significant impact could destroy your healthcare entity if you do not have the appropriate plans in place.

Here are a few suggestions to use to evaluate your emergency operations plans:

  1. Do you have the recommended emergency operations template for your facility that includes the CMS requirements for emergency preparedness?
  2. Do you have a current Hazardous Vulnerability Assessment (HVA) and is it reviewed/evaluated annually? Does it identify your top five risks based on your history and location?
  3. What does your communication plan entail and does it include downtime procedures?
  4. Do you have all of your response plans in an annex at the back of your emergency operations plan?
  5. Do you have designated Incident Command Staff that have received training (national recommendations) for their designated position? Do you have identified Incident Commanders?
  6. Is there a designated back up for your Incident Command Center if the primary location is compromised?
  7. Are you in compliance with the 96-hour sustainability requirement?
  8. How often do you open the Incident Command Center to ensure ease of use by the team members?

Next week, I will be sharing resources to aid in the development of emergency operations plans. In the meantime, if you would like more information regarding hospital emergency operations plans, please contact me at

Topics:Life Safety Code

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