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

2. 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)

3. 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

4. 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

5. 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

6. 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

7. 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.

8. 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.

9. 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

10. 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

11. 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.

12. 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

13. Basic Course Review

14. 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.

15. 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

16. 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

17. 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

18. 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.

19. 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

20. 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.

21. 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

22. 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

23. 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

24. 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

25. 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.

26. 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

27. 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

28. 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

29. 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

30. 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

31. 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

32. 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

33. 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

34. 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.