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What activities are required to evaluate a facility’s response to an event e.g., debriefings, evaluation and improvement plans?

The Joint Commission in EM.03.01.03 requires the deficiencies and opportunities for improvement, identified in the evaluation of all emergency response exercises be communicated to the improvement team responsible for monitoring environment of care issues. NFPA 1600 requires that procedures shall be established to take corrective action on any deficiency identified.

What is all-hazard planning?

Many hospitals used to develop specific plans for a variety of disaster and emergency situations. The Federal Emergency Management Agency (FEMA) now requires that hospitals use an emergency management system that is comprehensive, risk based, and all-hazard in nature.

What is “Redundant Communication”?

Redundant communication refers to having multiple back-up communication modalities and is imperative in emergency preparedness planning. Past experience demonstrates that hospitals cannot depend on just one or two means for communication.

What are the steps in planning a drill or exercise?

The initial steps to planning an exercise include identifying:

  • Exercise purpose
  • Proposed exercise scenario, capabilities, tasks, and objectives
  • Available exercise resources
  • Proposed exercise location, date, and duration
  • Exercise planning team and exercise participants
  • How should hospitals decide what to include in their drills and exercises?

    The hospital’s Hazard Vulnerability Analysis (HVA) assists exercise planners in identifying threats facing the facility. The facility’s HVA provides a list of top scenarios to base future drills and exercises on. Additionally, past after action reports and improvement plans provide previously identified areas for improvement that can be tested.