{"ref":"PA-HH-EP-01","title":"Emergency Preparedness Program and Patient Emergency Plans","category":"Emergency preparedness","summary":"Sets up the Agency’s all-hazards emergency preparedness program: risk assessment and written plan, a named disaster coordinator and alternate, patient triage levels and an individual emergency plan for every patient, a current patient list for officials, a communication plan, response and recovery steps, and training and exercises. It meets 42 CFR §484.102 (plan, policies, communication plan and training reviewed at least every 2 years; exercises at least annually) for a Medicare-certified agency and is followed by every agency as its own standard, together with the Pennsylvania duties to report a catastrophic incident or interruption of services to the Department immediately by telephone with written follow-up (28 Pa. Code §601.13(c)) and to give written notice of disaster disruption and loss of vital services (§51.3(g)(11)-(12)).","inShort":["Our disaster coordinator is Avery Sample; the alternate is Jamie Sample.","Every patient has a priority level and an emergency plan. Review the plan with the patient at each recertification.","Keep your phone number current with the office. When the plan is activated, check in and call your patients as you are told.","Do not drive into flood water or travel when officials say not to. Tell the office at once if you cannot reach a patient.","Office: (717) 555-0100. After hours: (717) 555-0199."],"primaryCitation":"42 CFR §484.102","citations":["28 Pa. Code §601.13(c)","28 Pa. Code §601.22(a)","28 Pa. Code §51.3(g)(11)","28 Pa. Code §51.3(g)(12)","28 Pa. Code §51.3(h)"],"federalCitations":["42 CFR §484.102","42 CFR §484.102(a)","42 CFR §484.102(b)","42 CFR §484.102(c)","42 CFR §484.102(d)","45 CFR §164.510(b)(4)"],"surveyorAsks":["Show me your emergency plan, your risk assessment, and the date each was last reviewed.","Who are your disaster coordinator and alternate?"],"forms":[{"ref":"PA-HH-EP-01-A","title":"Patient Emergency Plan"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (42 CFR §484.102)","5. Risk Assessment and the Written Plan","6. Patient Triage and Patient Emergency Plans","7. Patient List for Emergencies","8. Communication Plan","9. Response and Recovery","10. Training, Exercises, and Review","11. Staff Summary","12. Responsibilities","13. Records and Compliance Monitoring","14. Staff Training","15. References","16. Related Policies and Forms","17. Approval","18. Revision History"],"version":"1.0","sample":false,"pack":"pa-hha","state":"Pennsylvania","service":"Home health","guides":[{"path":"/guides/home-health-emergency-preparedness/","h1":"What does a home health emergency preparedness plan need to include?"},{"path":"/guides/home-health-agency-policies/","h1":"What policies and procedures are required for home health agencies?"},{"path":"/guides/home-health-conditions-of-participation/","h1":"Home health Conditions of Participation: which policies each one needs"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}