Disaster Relief – You and Your Emergency Preparedness Plan Speaker: Jonathan McCrary

“Even with all our technology and the inventions that make modern life so much easier than it once was, it takes just one big natural disaster to wipe all that away and remind us that, here on Earth, we’re still at the mercy of nature.” Neil deGrasse Tyson

42 CFR 483(B) – Effective date – November 28, 2016 First comprehensive update since 1991 Quality of life Care and services Optimizes resident safety

42 CFR 483.73 Emergency Preparedness Effective Date – November 24, 2017 THAT MEANS YOU SHOULD ALREADY BE IN COMPLIANCE!

Reason for the revisions How to comply with the revisions Consequences of failure to comply

St. Rita’s Nursing Home – 35 resident deaths Lafon Nursing Home – 22 resident deaths.

Greenbriar Nursing Home – 16 resident deaths

La Vita Bella Assisted-Living Center –

How do you comply?

Requirements: Emergency Plan Updated Policies and Procedures Communication Plan Training and testing Emergency and Standby Power Systems

Emergency Preparedness Committee Conducting the facility and community based risk assessment using an all-hazard approach Developing the emergency plan Developing and conducting emergency preparedness training and exercises Developing the communication plan Evaluating and addressing lessons learned from the training and exercises

Incident Management Team (IMT)

Emergency Plan

All-Hazards Plan Determine actions to be taken for each hazard Identify staff responsible for executing the plan Maintain supplies for 7-10 days Develop a Communication Procedure

Collaborate with local emergency management to get input on your plan.

Collaborate with suppliers and providers

Develop a Criteria for Executing Plan When to evacuate v. When to shelter-in-place Who decides?

Establish Transportation arrangements with the proper vendors

POLICIES AND PROCEDURES 1) Provision of subsistence needs to staff and residents a) Food, water, medical, pharmacy b) Alternate sources of energy

POLICIES AND PROCEDURES (cont.) 2) System for tracking staff and sheltered residents 3) Safe Evacuation Plan 4) Safe Shelter-In-Place Plan

POLICIES AND PROCEDURES (cont.) 5) System for Medical Documentation a) HIPAA still applies 6) Integration of Volunteers for Staffing 7) Development of arrangements with other facilities to receive residents

COMMUNICATION PLAN

Train! Drill! Prepare!

Exercises and drills should be done at least semi-annually Exercises and drills should be done at least semi-annually. Immediately evaluate and correct any deficiencies noted.

EMERGENCY AND STANDBY POWER

– risk to residents health, safety and welfare – pre-disaster non-compliance – citation – post-disaster non-compliance – shut down – post-disaster non-compliance – civil and/or criminal lawsuits

Disaster Relief – You and Your Emergency Preparedness Plan Speaker: Jonathan McCrary jmccrary@sandbergphoenix.com