Introduction and Overview Certified Hospital Emergency Coordinator (CHEC) Training Program Introduction and Overview

Welcome to the Certified Hospital Emergency Coordinator (CHEC) Advanced Course: Plans and Exercises Introductions Introduce yourself (name, hospital, and title) And explain what you hope to get from this course. The instructor should take a minute and introduce themselves as well as the other instructors to be teaching this course. Give the students a little background about yourself (what you do, where you work, your history as it relates to the course/materials)

Objectives Explain rationale for Course and Certification Program Identify and briefly discuss the Development Process and the tasks identified Review the Course Overview Describe the two levels of training Explain the certification and the process

Certified Hospital Emergency Coordinator Advisory Committee Identified reasons that a systematic, comprehensive, formal training program for hospital emergency coordinators was needed: Varied backgrounds Lack of formal training in emergency management specific to hospitals and healthcare Multiple roles Confidence

Certified Hospital Emergency Coordinator Overall course goal: To provide hospital emergency coordinators with the knowledge, skills, and abilities necessary to plan for and respond to any emergency event… The goal of this course is to: [slide text] The desire was to create a uniformity of knowledge. …including natural disasters, terrorism, large-scale disease outbreaks, and man-made incidents

Detailed Objective-Based Development Process: Nine Critical Tasks Emergency operations plan NIMS, ICS, HICS Emergency preparedness training Drills and exercises Coordinate and integrate disaster plans Hazard Vulnerability Analysis (HVA) Regulations and standards Disaster life support training Surge capacity

Additional Required Tasks Alert procedures Facility operations Terrorism training and Homeland Security Memorandum of Understanding (MOU) and Mutual Aid Agreement (MAG) Pan Flu Overview of HRSA/ASPR Program Law enforcement risk and threat assessment Budgets and grants Staff and facility safety Hospital administration support Hospital Emergency Management Committee Evacuation procedures Patient flow Developing external Relationships Communication and disaster technology Each task will appear on click. As the next task appears, the prior task will fade.

Requisites to Attend the Course Approval by an approved National Disaster Life Support Training Center A willingness to want to learn and grow as an emergency coordinator Target audience for the CHEC includes those currently serving as hospital emergency coordinators and those who have responsibility for activating the hospital disaster plan. Additionally, members of the hospitals Incident Command Staff and EM Committees are included in the target audience.

Levels of Training: Basic course Advanced course Certified Hospital Emergency Coordinator (CHEC) Basic Course 2 day course Advanced course Emergency Plans and Exercises Course One day course At the end of each course, once you have successfully passed the test, you will be issued a Certificate of Training

Levels of Certification Certification Issued by Augusta University Level I: Certified Hospital Emergency Coordinator- Basic Course IS-230 Fundamentals of Emergency Management, IS-100.HC Introduction to ICS, IS-200 ICS, IS-700 NIMS, and IS-800 NRF Level II: Advanced Course IS-120.A An Introduction to Exercises and IS- 235 Emergency Planning Level III: Basic Disaster Life Support course (BDLS) Advanced Disaster Life Support course (ADLS) Hospital-based Operations Level Decontamination course Cumulative 12 months on-the-job experience

Testing Requirements For successful completion of this course: Complete written test administered at the end of the course Passing grade is 80% or higher Re-test Procedures Within 14 days, re-test If a grade of 80% or higher is not achieved on the computer-based test, the student must repeat the course Encourage students to focus on key material for testing.

Evaluations Please keep them in mind throughout the duration of the course Please complete the evaluations once you’ve completed the exam The Courses are updated annually and your comments aide in the revision process

Basic Course Review

Basic Course Contents Hospital Preparedness Program Emergency Management (EM) Overview Federal, State, and Local Overview NIMS/ICS/HICS Overview Regulations and Standards Emergency Coordinator Roles and Integrated Response Gaining Support Prerequisites for EOP Creation: Hazard Identification & Assessment The Emergency Operations Plan (EOP) Emergency Communications The Command Center Most people will have just taken the basic course in the 2 days prior to taking the level 2 course. This PowerPoint is simply meant to refresh what was covered. For those who haven’t taken the basic course in awhile, it will serve to jog their memories.

HPP A federally funded initiative from the Department of Health and Human Services, Assistant Secretary for Preparedness and Response (ASPR) Began in 2003 under the Health Resources and Services Administration (HRSA) and was moved under ASPR in 2007 Main focus of the ASPR program is surge capacity, including requirements for planning, personnel, equipment, training, and exercises

Emergency Management Overview Emergency Management (EM) is an integrated, all-hazards approach to the management of emergency programs and activities Four phases: mitigation, preparedness, response, and recovery Types of disaster planning: Family Preparedness Planning, Department Planning, Organizational Planning (Committee), Local Community Planning (LEPC), Regional, State and Federal Planning efforts

Emergency Management Overview, cont. The objective of disaster planning is to improve the organization’s current readiness capability by: Analyzing current readiness level Focusing on areas of vulnerability Developing a plan based on realistic capabilities and resources Many regulators require facility’s to have an emergency operations plan

Federal, State, and Local Overview Discussed the process of disaster response at all levels Discussed the Stafford Act Described the National Response Framework Emergency Support Functions were defined and discussed, including ESF 6 and ESF 8.

IM/ICS/NIMS/HICS Overview Incident Management: Process by which an organization effectively and efficiently manages resources and personnel, through internal or cooperative networks, in an attempt to gain, obtain, or retain control over a situation or incident, whether routine, emergent, or disastrous Incident Command System is a standardized organizational response system designed to expand and contract operationally in order to meet the needs of a given incident

IM/ICS/NIMS/HICS Overview, cont. The National Incident Management System (NIMS) facilitates a nationwide standardization for incident management. All agencies that receive federal emergency preparedness funding must be NIMS compliant. The Hospital Incident Command System (HICS) is analogous to the Incident Command System (ICS) pertaining to purpose, application, components, principles, functions, and structures, but it is healthcare-specific.

Regulations and Standards There are: accrediting organizations, regulatory organizations, standard-setting bodies and providers of guidance, grants, and training Healthcare organizations must deal with: licensing, certification and accreditation Licensing Issued by a government regulatory body, typically at the state level May be required for Medicaid participation Certification Issued by Centers for Medicare and Medicaid Service (CMS) Required for Medicare participation Accreditation Theoretically voluntary, but can often be a de facto requirement May fulfill continuing state licensure and/or CMS certification obligations

Regulations and Standards, cont. Regulation of healthcare facilities and systems is conducted by overlapping federal, state, and local agencies, including: State and local agencies Occupational Safety and Health Administration (OSHA) Department of Health and Human Services, Centers for Medicare and Medicaid Services (CMS) Joint Commission and DNV are the largest accrediting bodies for hospitals in the U.S. Focus is on six areas: Communications Resources and assets Safety and security during emergency conditions Staff roles and responsibilities Utilities Clinical activities

Emergency Coordinator Roles and Integrated Response The Emergency Coordinator must be a strong leader but also a team player. The Emergency Coordinator may have to serve multiple roles and participate with multiple committees. Key roles: Support the implementation of, and training for, ICS/NIMS/HICS IV Ensure all Regulations and Standards are communicated and met Lead the Committee, and ensure the Emergency Management Program is followed

Roles and Integrated Response, cont. Key job duties and responsibilities in an integrated response: Integrate the emergency management program within the larger community response network Attend emergency preparedness meetings with external agencies at the local, regional, and state levels Participate in local exercises Develop HVAs with the community

Gaining Support for an EOP The emergency coordinator must gain support for the EOP. Support from administrators, community partners, and all staff is essential They must be an educated leader who can be relied upon on a daily basis and during crises. “Buy-in” is critical, and obtaining it is a prime responsibility of the emergency coordinator.

Prerequisites for EOP Creation: Hazard Identification & Assessment An Emergency Operations Plan (EOP) is a living document outlining specifics for an emergency situation and a Hazard Vulnerability Analysis (HVA) is legally required for all EOPs. An HVA is an organized and formal approach to evaluating the probabilities and consequences of all hazards that might affect a facility

Prerequisites for EOP Creation: Hazard Identification & Assessment, cont. The overarching goal of an HVA is to enable the development of a comprehensive EOP based on the potential hazards faced by a given facility or community Elements of an HVA: Hazard Identification, Probability/Risk of Hazard, Vulnerability to Hazard, Preparedness Efforts IIMSs can be used in preparing an HVA

The Emergency Operations Plan An Emergency Operations Plan, required by CMS, and DNV and TJC, is a living document that: Assigns responsibilities to departments and individuals for carrying out specific actions when an emergency exceeds the capability or routine responsibility of any one organization, facility, agency, or institution

The Emergency Operations Plan, cont. An EOP also: Sets up lines of authority and organizational relationships Shows how all actions will be coordinated Describes how people and property will be protected in emergencies and disasters Identifies personnel, equipment, facilities, supplies, and other resources available: Within the facility Among community partners Identifies steps for mitigation during planning, response, and recovery activities Many requirement make healthcare facilities have an EOP

The Emergency Operations Plan, cont. An EOP is developed with the involvement of the organization’s leaders and community partners who should serve on an Emergency Management Committee to develop the overarching Emergency Management Program

Emergency Communications Rules and regulations require plans for notifying staff when emergency response measures are initiated and processes for notifying external authorities when emergency response measures are initiated The Emergency Coordinator must know what procedures and equipment are available inside and outside in the community

Emergency Communications It is imperative to ensure redundancy by utilizing several different notification procedures Accuracy and utility of alert and notification system can be maintained through exercises Media is also a careful consideration during disasters and those expected to speak to the media need special training in order to do so

Hospital Command Center Popular design aspects were discussed for hospital command centers Common use HCC’s are common and thus way to best suit both uses has to be considered during planning for use of the HCC And remember, The HCC is really a place where:  Uncomfortable people Meet in cramped conditions To play unfamiliar roles Making unpopular decisions Based on inadequate information In much too little time

Certified Hospital Emergency Coordinator (CHEC) Training Program Questions? Remind students to refrain from using their laptops/blackberries/etc except during breaks, the use of such items is distracting to other students.