Emergency Operations Plan Also known as an EOP Presenter: Rachel Mockros, RHPC

Emergency Operations Plan Development Outlines the facility’s strategy for responding to and recovering from a threat, hazard, or other incident Information in the EOP is to be used during response and should provide abbreviated guidance and quick reference material The Incident Command System should serve as the foundation on which to design the organizational structure and processes included in the EOP

Organization of the EOP Example from Minnesota’s LTC Toolkit Title page Introduction Table of contents Executive summary Base Plan Appendixes

EOP – Base Plan Base Plan—Provides an understanding of how the organization responds and how it interfaces with its outside environment during response Purpose and/or mission: Goal and objectives Scope Situation and assumptions Policies and authorities Concept of operations Summary of HVA Chain of Command Definitions – Emergency Alerts and Key Terms Activation of Plan

EOP – Base Plan Possible healthcare concept of operations stages: Event recognition Initial notification and activation Mobilization Incident operations Demobilization Transition to recovery

EOP – Appendices More specific and detailed description for response guidance Provides the general response objectives for the functional area, the response structure, activation, and mobilization procedures specific to that function Concept of operations for each functional area Position descriptions and qualifications; operational checklists (Job Action Sheets [JAS]) for the positions Forms (including ICS forms) and other job aids to accomplish the task

EOP - Appendices Job action sheets Checklists and algorithms Hazard specific response procedures Facility specific information

Evacuation or Shelter in Place

Communications Notification and Warning Public Information/Media Communications Staff Recall and Identification Family & Visitor Communications

Staff Roles & Responsibilities Essential and non essential personnel Assignments Reporting structure Volunteers and credentialing Departmental response Job Action Sheets

Utilities Electricity Water Fuel Med Gases Heating/Cooling/Ventilation

Assets & Resources Replenish medications Access to medication caches Replenish medical supplies Replenish non-medical supplies Share resources and assets with other organizations Transportation of patients, meds, supplies, equipment and staff to alternate care sites Transferring pertinent information to alternate care sites A lesson learned from Katrina and from evacuations closer to home that if you are evacuating bus loads of people to a receiving health care facility, to assure that there is plenty of water and medication on the bus. Some facilities have transported the medications in a separate vehicle and this has caused issues with the meds not getting to the residents in time.

Safety & Security Role of local law enforcement Hazardous materials Decontamination Traffic and People Movement Control Lockdown/Restricted Access

Resident Care Activities Hygiene and sanitation Mental Health services Mortuary services Document and track resident information

Business Continuity Organizations from all sectors, including public, private, and nonprofit, are at risk for hazards that will impact their business operations and/or their services or product operations

Business Continuity Ensures that the service and products are not disrupted and can return to normal operations rapidly Business continuity management Contingency planning Disaster recovery Earthquakes Y2K Hurricanes Katrina and Rita

Business Continuity Utilize the same procedures and the same format as the EOP May not need to include specific incident response appendixes Leadership must be involved Committee will also provide for better cooperation from departments

Infectious Disease Outbreaks Surveillance Isolation Quarantine Mass Vaccination Resources such as PPE Consider Hot Zones Communication Local Public Health – HAN alerts

Fatality Management Mass fatality incident that results in surge of deaths and overwhelms local mortuary services. Plan with County Emergency Manager Temporary Morgue location Consider Universal and Standard Precautions Additional resources – body bags, tags Engineering considerations – cooling Behavioral Health Decedent Identification and tracking

Prepare, Review & Approve the Plan

Implement & Maintain the Plan Education and Training Review Plan at least annually