1. Emergency Management CSHE Los Angeles Chapter 2013 Annual

2. Introduction Christopher Riccardi, CHSP,CHEP, CHCM-SEC Disaster Preparedness since 2005 6 Joint Commission Surveys –Two hospitals 13 CDPH Surveys Best Practice Designation Los Angeles County Disaster Healthcare Coalition Representative –Small Hospitals Hospital Association of Southern California –HDMT Trainer –Safety and Security Committee member California Hospital Association –2013 Disaster Preparedness Conference Planning Committee –2013 Disaster Prep Conf Presenter

3. Basics EM Became Separate Chapter from EC in 2010 12 Standards 122 Elements of Performance (EPs) 16 Require Documentation 3 Direct Impact Potential LD, MS, IC and HR Chapter Cross-Over 8 EPs Related to Utility Management Plan

4. Planning

5. 4 Phases of EM Engineering Controls Activities designed to reduce the risk of and potential damage due to an emergency. Mitigation Activities that organize and mobilize essential resources. HVA, EOP, 96 Hour Assessment Preparedness Activities the hospital undertakes to respond to disruptive events Response Activities the hospital undertakes to return the facility to complete business operations. Recovery

6. Preparedness Continuum Identify Risks/Hazards Develop Strategies Test Plan through Disaster Exercises Modify Plans

7. 6 Critical Elements Communications Resources and Assets Safety and Security Staff Roles/Responsibilities Utilities Patient and Clinical Support Activities

8. Elements of Performance (EPs) Emergency Operations Plan –Dynamic Document Communications Response Procedures –Utilities Failure Matrix Electrical H20 (Consumption/Equipment/Sanitation) Fuel Med Gases Essentials –Elevators, HVAC, Sterilization Emergency Resources –Resources/Capabilities At A Glance

9. Future Focus Requirements for EM Oversight –Heavy Focus on Leadership Joint Commission Perspectives 7/2013, Vol 33 Effective January 1, 2014 –“A” Standards (Performance MUST Be 100%) LD.04.01.05 EM.03.01.01 EM.03.01.03 LD.04.01.01

10. 2014 EM Requirements

11. Best Practice HVA –Kaiser Model Org.+ Community Stakeholders Prioritize Inventory of Resources/Assets –Updated Annually EOP –Reviewed Annually Communicate (in writing) to LIPs –Appointment and Reappointment Signature Bylaws (MS) –Must Include LIPs and SUVs

12. Tools Kaiser HVA Model Functional Inventory with Expiration Dates EOP Emergency Resources At A Glance Disaster Volunteer Toolkit (PIH, Henry Mayo, PLCM) Communications to LIPs (PLCM) Bylaws (PLCM et al)

13. Emergency Resources

14. HVA Assessment Tool

15. Questions…

16. Contact Information Chris Riccardi christopher.riccardi@providence.org 310-303-5551