Emergency Preparedness

Appendix A – TJC/CMS Standards Emergency Operations Plan

Kern Medical Emergency Operations Plan

Compliant Location in Plan

response and recovery phases of an emergency, including under what circumstances these phases are activated.

Y N

3.4.1

EP6. The Emergency Operations Plan identifies the individual(s) who has the authority to activate the response and recovery phases of the emergency response. EP7. The Emergency Operations Plan identifies alternative sites for care, treatment, and services that meet the needs of the hospital’s patients during emergencies. EP8. If the Hospital experiences an actual emergency, the hospital implements its response procedures related to care, treatment, and services for its patients. EP12. The Emergency Operations Plan includes a continuity of operations strategy that covers the following: -A succession plan that lists who replaces key leaders during an emergency -A delegation of authority plan that describes the decisions and policies that can be implemented by authorized successors during an emergency and criteria or triggers to initiate this delegation. EP13. If a hospital has one or more transplant centers EP14. The hospital has a procedure for requesting an 1135 waiver for care and treatment at an alternative care site. EP15. The Emergency Operations Plan describes a means to shelter patients, staff, and volunteers on site who remain in the facility. EP16. The hospital has one or more emergency management policies based on the emergency plan, and communication plan. EM 02.02.01 As part of its Emergency Operations Plan, the hospital prepares for how it will communicate during emergencies.

Y N

2.4.2.4 Appendix L.1

Y N

3.1 3.4

Y N

Y N

COOP

N/A

N/A

Y N

COOP

Y N

Appendix 3.5.6

Y N

Appendix H.1-H.17

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January 2019