1. Healthcare Preparedness in South Dakota
or, How I learned to Stop Worrying and Love CMS Preparedness Rules

2. Andy Klitzke
Hospital Preparedness Program Coordinator
South Dakota State Department of Health
Jan Clites Partnership Coordinator South Dakota Healthcare Coalition

3. Objectives for today’s presentation
Describe the structure, functions, and members of the SD Healthcare Coalition including points of contact for technical assistance on preparedness, response, and recovery activities.
Discuss activities required under the new CMS Preparedness Rule and how they apply to individual facilities
Identify local, county, and state partners in preparedness.

4. What is a Healthcare Coalition?

5. A Healthcare Coalition is:
A network of healthcare organizations and their respective public and private sectors response partners

6. Why do Healthcare Coalitions exist?

7. So who are we? Four (4) regional planning groups that supports healthcare organizations and communities through planning, organizing, equipping, training, exercising, evaluating, and networking
Hospitals
Long Term Care
Clinics
Home Health Services
Mental and Behavioral Health Services
FQHC’s
Public Health
Emergency Management
EMS/EMS-C
Volunteer Agencies
National Guard
Nation Weather Service
SD Fusion Center

8. Where are we located?

9. Contacts for each regional coalition
Region 1 Coalition:
Andy Klitzke
Region 2 Coalition:
Alexandra Little
Region 3 Coalition:
Samantha Hill
Region 4 Coalition:
Carol Taylor

10. What is our Mission. The mission of the Coalition is to enhance
What is our Mission? The mission of the Coalition is to enhance statewide relationships for Healthcare Emergency Preparedness and Response

11. What is our vision?
The vision of the Coalition is to significantly improve coordination of healthcare resources among and within the coalition.

12. Our Core Values:
PARTNERSHIPS: effective relationships through a coalition exists to support healthcare organizations and save lives
PREPAREDNESS: planning is based on a foundation of all-hazards approach from mitigation through recovery
EXCELLENCE: members are recognized for their expertise and experience in emergency planning and response as related to healthcare needs

13. Our Structure:
One (1) statewide healthcare coalition comprised of four (4) regional healthcare coalitions for planning and responding to an event
A Governing Board comprised of the Regional Chairperson and at least one additional representative from each Region; the Executive Director; and SD DOH representative(s).
Committees and workgroups with member representatives from each Region and organized under the umbrella of the SDHC
Membership shall be open to all organizations that provide or support health services within the State that wish to work collaboratively on emergency preparedness and response activities.

14. Our work is based on Health Care Preparedness and Response Capabilities
Capability 1 – Foundation for Health Care and Medical Readiness – build strong relationships; identify hazards and risks; plan, train and exercise
Capability 2 – Health Care and Medical Response Coordination – share and analyze information, share resources and coordinate strategies
Capability 3 – Continuity of Health Care Service Delivery - provide uninterrupted, optimal medical care to all populations
Capability 4 – Medical Surge – sustain the ability to care for an increased volume of patients that exceeds normal capacity

15. Five Year Grant Period
Working in close collaboration with internal and external subject matter experts (SMEs), ASPR and CDC developed a set of performance measures for that enable ASPR and its HPP awardees to:
Enhance situational awareness
Provide technical assistance
Support program improvement and inform policy
Increase transparency
Promote sound stewardship of Federal tax dollars by using the data to assess impact of public funding and ensure that the American taxpayer sees a return on his or her investment.

16. The Fabulous CMS Preparedness Rule

17. Applies to 17 Provider Types Four Core Activities
What we know:
Applies to 17 Provider Types
Four Core Activities
Emergency Plan
Policies and Procedures
Communications Plan
Training and Testing

18. 17 Provider Types Hospitals Religious Nonmedical HCO’s
Ambulatory Surgical Centers
Hospices
Psychiatric Residential Treatment Facility
All-Inclusive Care for the Elderly
Transplant Centers
Long-Term Care Facilities
Int. Care Facilities For Individuals w/ Intellectual Disabilities
Home Health Agencies
Comprehensive Outpt. Rehab. Facilities
Critical Access Hospitals
Outpt. PT & Speech Pathology Services
Community Mental Health Centers
Organ Procurement Organizations
Rural Health Clinics
Federally Qualified Health Centers
End-Stage Renal Disease Facilities

19. Develop Emergency Plan
Develop an emergency plan based on a risk assessment.
Perform risk assessment using an “all-hazards” approach, focusing on capacities and capabilities.
Update emergency plan at least annually.

20. Develop Policies and Procedures
Develop and implement policies and procedures based on the emergency plan and risk assessment.
Policies and procedures must address a range of issues including subsistence needs, evacuation plans, procedures for sheltering in place, tracking patients and staff during an emergency.
Review and update policies and procedures at least annually.

21. Develop Communications Plan
Develop a communication plan that complies with both Federal and State laws.
Coordinate patient care within the facility, across health care providers, and with state and local public health departments and emergency management systems.
Review and update plan annually.

22. Develop Training and Testing Program
Develop and maintain training and testing programs, including initial training in policies and procedures.
Demonstrate knowledge of emergency procedures and provide training at least annually.
Conduct drills and exercises to test the emergency plan.

23. What we don’t know:
Implementation Guide expected…….soon, so we don’t know what the test questions will be

26. Resources
ASPR’s Technical Resource, Assistance Center, Information Exchange (TRACIE)
Yale New Haven Crosswalk for all 17 Provider Types
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Local and industry partners
SD Healthcare Coalition Members

27. How Does The Healthcare Coalition Help You With CMS Preparedness Rule Compliance?

28. How can we partner together?
Source: Kansas Regional Preparedness Training 2012

29. Healthcare Coalitions offer a whole community approach to planning

30. Healthcare Coalitions can offer:
Tools
Resources
Best Practices

31. Healthcare Coalitions may be able to provide some funding
Each Regional Coalition has funding available to address preparedness gaps in their region and can combine efforts statewide.
Target systematic gaps.
Training
Equipment
It doesn’t hurt to ask.

32. Healthcare Coalitions can help you exercise your plans
Examples of organizational exercises
Members can serve as facilitators and/or evaluators
Members can serve as participants to allow for inclusion of community
Members can help connect you to partner agencies

33. Questions??? Concerns???
Stinging Rebuttals???