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Emergency Preparedness Program

Sets out the Agency’s emergency preparedness program under 42 CFR §418.113: an all-hazards risk assessment and emergency plan, policies and procedures for following up with patients and staff and informing District officials, a communication plan, and a training and testing program, each reviewed and updated at least every 2 years, with exercises at least annually for home-based care and twice a year if the Agency provides inpatient care directly.

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About this policy
Policy number
DC-HSP-EP-01
Version
1.0
Main rule
42 CFR §418.113
Library
Washington, DC hospice · 60 policies
Category
Emergency preparedness
Sections
22

In short

  • Every patient has a priority level and a Patient Emergency Plan made at admission.
  • In an emergency, the Agency contacts patients in priority order, highest first.
  • Keep your contact details current and check in when the emergency plan is activated.
  • Tell the clinical manager about any patient you cannot reach or who may need to leave home.
  • Use the paper downtime forms if the electronic record is down.
  • Training happens every year, and the Agency tests its plan with exercises.

What's inside

22 sections. The full text comes with the One-time Policy Pack.

Full text with a package
  • Terms of Reference
  • 1. Purpose
  • 2. Scope
  • 3. Definitions
  • 4. Policy Statement (42 CFR §418.113)
  • 5. Risk Assessment
  • 6. Emergency Plan
  • 7. Patient Priority Levels and Individual Emergency Plans
  • 8. Policies and Procedures in an Emergency
  • 9. Additional Procedures If the Agency Provides Inpatient Care Directly
  • 10. Communication Plan
  • 11. Training
  • 12. Testing
  • 13. Integrated Health Care Systems
  • 14. Activating and Ending the Plan
  • 15. Responsibilities
  • 16. Records and Compliance Monitoring
  • 17. Staff Training
  • 18. References
  • 19. Related Policies and Forms
  • 20. Approval
  • 21. Revision History

An inspector may ask

  • Show me your emergency plan and your risk assessment. When were they last reviewed?
  • How would you find out which patients need help first in a power outage or a snowstorm, and how would you reach them?

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