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

2. “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

3. 42 CFR 483(B) – Effective date – November 28, 2016
First comprehensive update since 1991
Quality of life
Care and services
Optimizes resident safety

4. 42 CFR 483.73 Emergency Preparedness
Effective Date – November 24, 2017
THAT MEANS YOU SHOULD ALREADY BE IN COMPLIANCE!

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

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

12. Greenbriar Nursing Home – 16 resident deaths

13. La Vita Bella Assisted-Living Center –

14. How do you comply?

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

16. 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

17. Incident Management Team (IMT)

19. Emergency Plan

20. 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

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

22. Collaborate with suppliers and providers

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

24. Establish Transportation arrangements with the proper vendors

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

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

27. 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

28. COMMUNICATION PLAN

29. Train!
Drill!
Prepare!

30. 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.

31. EMERGENCY AND STANDBY POWER

32. – 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

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