The After Action Report (AAR) captures observations of an exercise and makes recommendations for post-exercise improvements. The AAR then is used to develop Improvement Plans (IP). HSEEP AAR examples can be found on the HSEEP website.
The Emergency Management Program (EMP) implements the mission, vision, goals and objectives of the organization as related to Emergency Management. The EMP utilizes organized analysis, planning, decision making and assignment of available resources to mitigate, prepare for, respond to, and recover from all-hazards. (Emergency Management Principals and Practices for Healthcare Systems, Department of Veterans Affairs, 2006).
AHRQ has released a model to help federal, state, and local emergency planners estimate the vehicles, drivers, road capacity and other resources they will need to evacuate patients and others from health care facilities in disaster areas.
This guide is designed to help organize the initial assessment of a hospital upon return after an evacuation/closure due to an emergency event. The specific assessments are meant to be conducted by hospital staff to assess the level and locations of damage sustained by the hospital, and provide information that will be needed to create the full recovery plan. This guide will be particularly useful for assessing a hospital that has sustained significant or widespread damage.
This Hospital Evacuation Decision Guide was developed by AHRQ, the lead Federal agency charged with supporting research designed to improve the quality of health care, reduce its cost, address patient safety and medical errors, and broaden access to essential services.
Evacuation of a health care facility may be necessary following an emergency such as a facility fire or damage from a natural disaster such as an earthquake or flooding. The decision to evacuate a health care facility will be based on the ability of the facility to meet the medical needs of the patients. Immediate threats to life, such as internal fires or unstable structures, will require emergent evacuation, while other situations may allow for a planned and phased evacuation.
EMSA/CDPH Collaboration The California Patient Movement Plan provides statewide guidance for large-scale patient movement and serves as framework for local planning efforts. Emergency Medical Services Authority (EMSA) and California Department of Public Health (CDPH) will conduct training and exercises based on the plan.
Hospital plans for full or partial evacuation should incorporate pre-planning and address the incident command and management structure established for its operational area (community). In advance of an event, Hospitals should understand and incorporate local plans and protocols that are in place to support evacuation and should establish Memoranda of Understanding (MOUs) with other hospitals, as necessary, for transfer and mutual aid during an emergency.(See CHA Hospital Evacuation Plan Checklist)
This document provides recommendations for protecting healthcare providers and managing patients in the event of a hazardous materials exposure. Content was compiled through nationally recognized, current practice standards and formatted into user-friendly materials.
The intent of the attached tool is to provide hospitals with planning guidance for managing the waste water and runoff generated by decontamination of victims presenting to the facility for emergency care and treatment.