ࡱ>   !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~Root Entryb.@p@zSlideShow@z@zMain PerfectOffice_MAIN& { Original Slide Show Oh+'Oh+'0< L XSMorris/C:\C      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~WPC ~ %N0O%'u5uuuuGJPV\I;|"XXXX'3XXXX3' >, QmuRT6"Y'-/4}:k>?CFjWPC ##2  I  .3  EmergencyResponseContingencyPlanning....2  1  .3  Isyourclinicprepared?," ,2  I  .3  BureauofPrimaryHealthCare....2  1  .3  ProgramAssistanceLetter(PAL)2002-02..2  A  .3  Ԁplanningandpreparationstepswhichcanbeimplementedinrealtimeandwithexistingresources...2  A  .3  Ԁidentificationofandplanningforstepswhichwouldneedtobetakentoeffectivelymanageemergencysituationsincludingnaturalandman-madedisasters(i.e.bioterrorism)," ,2  I  .3  FourPhasesofEmergencyManagement....2  1  .3  WheredoIstart?..2  A  .3  MITIGATION: thisphaseincludesidentifyingrisksandhazardslikelytoaffecttheclinicoritsresources,andplanninganeffectivestrategyforlesseningtheimpactandseverityoftheeventonclinicoperations...2  A  .3  PREPAREDNESS: thisphaseinvolvescapacitybuildingandincludesactivitiessuchasinventoryofresourcesandsupplies,stafftraining,andactualdrills...2  A  .3  RESPONSE: thisphaseisdividedintotwoparts:staffactions,andmanagementactions.Staffactionsmightincludeworkschedules,meetingplaces,etc.Managementactionswouldincludeliaisonwithexternalsources...2  A  .3  RECOVERY: thisphasemightbeconcurrentwiththeresponsephase,andincludesactionsrelatedtolossofrevenuesorcapitalequipment,supportofstaff,andcommunityreactions.," ,2  I  .3  RiskAnalysis!internalandexternalthreats....2  1  .3  Whatdisasters/hazardscouldyourclinicexpecttosee?..2  A  .3  Securityhazards: ....2  1  .3  Bombthreats,gang-relatedactivities,terroristattacks,workplaceviolence..2  A  .3  UtilityFailures: ....2  1  .3  Electricalfailure,generatorfailure,firealarmfailure,informationsystemsfailure,sewage,telephonesystems,watermainbreaks,heating/airconditioningsystems..2  A  .3  Weatherrelatedhazards: ....2  1  .3  Snowstorm,icestorm,severecold,extremeheat/humidity,flood,tornado..2  A  .3   Structuralhazards:  ....2  1  .3  Fire,smoke,chemicalorhazardousmaterialsspills,flooding,gasleaks'@ '2  I  .3  RiskAnalysis!internalandexternalthreats....2  1  .3  Howlikelyiseachtooccurinyourclinic?," ,2  I  .3  EvaluationofCapacityinaCrisis....2  1  .3  Willyouneedtochangeyourscopeofservicesinresponsetotheemergency?..2  A  .3  StaffingRequirements..2  A  .3  Hours/LocationsofOperations..2  A  .3  ScopeofServices..2  A  .3  SuppliesonHand..2  A  .3  EquipmentandFacilities# #2  I  .3  EvaluationofCapacityinaCrisis..2  A  .3  StaffingRequirements: ....2  1  .3  Isthestaffavailableandwillingtoworkduringthecrisis?Aretheyabletogettowork?Doyouknowwhichemployeesmightusepublictransportationtogettowork?Doemployeeshaveaplanforchildrenifschool/daycareisclosedbecauseofthecrisis?....2  1  .3  Isthereaplanforsecuringadditionalstaffifneeded?Aretheseindividualstrainedinyourclinicsprocedures?Howwilltheclinichandlethefiscalimpactofhiringadditionalstaff?....2  1  .3  Isthereaplanforcross-trainingofstaffsothatifchangesinscopeofserviceswerenecessarytobetterrespondtothecrisis,thestaffwouldbefamiliarwithclinicprocedures?....2  1  .3  Doesthestaffknowwhotocontacttofindoutifclinicserviceshavebeendiscontinuedduringthecrisis?Whodecidesifdisasterproceduresaretobeimplemented?# #2  I  .3  EvaluationofCapacityinaCrisis..2  A  .3  Hours/LocationsofOperations:....2  1  .3  Isthereaplanforstaffcoverageforextendedhoursofoperation?....2  1  .3  Hastheclinicassessedtheimpactofreducingitsnormalhoursofoperationssothatclinicstaffmayassistincrisiseffortselsewhereifneeded?WhatwillyoudoifthelocalEMSofficialsaskto borrowyourphysicianandmid-levelproviderstostaffdisasterreliefstationselsewhere?IsthereaplaninplaceforcontinuedoperationsifyourNHSCprovidersaresuddenlyre-deployed?....2  1  .3  Doestheclinichavealternatesitesatwhichitcouldprovidecareifprovidingcareatthecurrentlocationismadeimpossiblebythecrisis?Thesesitesmaybenon-traditional.Howwillsuppliesbeobtainedforthesenew alternatesites?Howwillstaffbenotifiedoftheirnewworksite?# #2  I  .3  EvaluationofCapacityinaCrisis..2  A  .3  ScopeofServices:....2  1  .3  Iftheemergencyisnotinternaltotheclinic,youshoulddecidewhatservicesmightbemostappropriateforyoutoofferasanaidtotheeffort.Forexample,mostclinicsmightnotwanttoorbeabletotaketraumapatients,butcouldprovidesuppliesorpersonneltoothersites.....2  1  .3  Clinicsmightbeabletoutilizeappropriatestafftooffermentalhealthsupporttohealthcareworkersandfamilymembersofthoseaffectedbytheemergencyforaspecifiedperiod.....2  1  .3  Doestheclinichaveservicesthatcouldbesuspendedduringthecrisistoallowstafftoperformmorecriticalfunctions?Educationalgroups,etc# #2  I  .3  EvaluationofCapacityinaCrisis..2  A  .3  Supplies:....2  1  .3  Arethesuppliesyouhaveonhandappropriateforthoseeventsyoudecidedwereofhighestlikelihoodofhappening?Ifyoudecidedthatgangviolencewaslikely,doesyourfacilityhaveappropriate/sufficientsuppliestoprovideimmediatecaretotraumapatientsuntilhelparrives?....2  1  .3  Isthereaplanforborrowingorotherwiseaccessingsuppliesandpharmaceuticalsfromothersinyourarea?....2  1  .3  DoestheclinicknowhowtoenlistlocalEmergencyManagementOfficialsassistanceinobtainingsuppliesandpharmaceuticals?....2  1  .3  Isthereaprocedureinplaceforcheckingtheoutdateofrarelyusedsupplies?Isthecodebluedrugboxcheckedperiodically?# #2  I  .3  EvaluationofCapacityinaCrisis..2  A  .3  EquipmentandFacilities:....2  1  .3  Isthereanestablishedplanto lockdownorotherwisecontrolaccessandegressofthefacility?Hasthisplanbeentested?Doestheclinichaveplansforevacuationofthebuildinginanemergency?Isthestafffamiliarwiththeplan?Aretherequarantineplansinplaceintheeventofbioterrorism?....2  1  .3  Isthereaplantocontrolvehicleandpedestriantrafficintheeventthatlargenumbersofpersonsaretryingtoaccesscareatthesametime?....2  1  .3  Doestheclinicadministrationhaveaplanforverifyingthecredentialsofthosehealthcareworkerswhomayarrivetoassistyourfacilityinthecrisis?Howwillthoseworkersbeorientedtoyourfacility?....2  1  .3  Whatalternatemeansofcommunicationhasbeenprovidedforintheeventthattelephonecommunicationsarelost?IslocalEMSfamiliarwithyouralternatecommunicationmeans?Howwilltheycontactyou?DoyouknowhowtocontactlocalEMSofficials?," !" ,2  I  .3  PlanningforIncreasedCapacity....2  1  .3  Whattodoifyouhaddifficultyansweringthepreviousquestions...2  A  .3  CollaborationwithLocalEmergencyManagement ..2  A  .3  ClinicalPreparednessandTraining ..2  A  .3  CommunicationAbilities ..2  A  .3  Recordkeeping # #$#2  I  .3  PlanningforIncreasedCapacity..2  A  .3  CollaborationwithLocalEmergencyManagement:....2  1  .3  Beginbyidentifyingthelocalemergencymanagementagencyandinformingthemofyouridentifiedcapabilitiesintheeventofacrisis.Theseofficialsmightbeyourbestresourceforgettingpersonnelandsuppliesmovedintootherwiseclosedareas.Themiddleofthedisasterisnotthetimetointroduceyourorganizationanddefenditscontributiontotheeffort.....2  1  .3  Sincelocalemergencymanagementissometimestheresponsibilityofpublichealthorganizations,thesamesortofconnectionisnecessarywiththelocalpublichealthdepartment.Itwillbeessentialtopartnerwiththeseorganizationsalso.Theywillbeyourlinktopublichealthinformation.....2  1  .3  Youshouldconsiderbecomingapartoftheplanningteamfortheemergencyresponseinyourcommunity.#  %#2  I  .3  PlanningforIncreasedCapacity..2  A  .3  ClinicalPreparednessandTraining:....2  1  .3  Staffmembersshouldbeeducatedinallaspectsofworkingandprotectingthemselvesinemergencysituations.....2  1  .3  Ataminimumthetopicsfortrainingshouldinclude:......2  a  .3  EmergencyIdentification......2  a  .3  TriageProcedures......2  a  .3  DecontaminationProcedures......2  a  .3  TreatmentforIllnessesandInjuries......2  a  .3  MediaandCrowdControl......2  a  .3  StressManagement....2  1  .3  Resourcesfortrainingmaterialsappearattheendofthispresentation# &'#2  I  .3  PlanningforIncreasedCapacity..2  A  .3  CommunicationAbilities:....2  1  .3  Dontrelyonjustoneformofcommunicationinanemergency.Evenifthephoneswork,thelandandcellularsystemscouldquicklybecomeoverloaded.....2  1  .3  Findoutwhatformsofcommunicationlocalemergencymanagementofficialshavechosen.....2  1  .3  Remember,youllneedtocommunicatewiththestaff,thestaffmayneedtocommunicatewiththeirfamily,EMSmayneedtocommunicatewithyou,andyouwiththem.̀....2  1  .3  Prepareaplanforcommunicatingwiththemedia.# ()#2  I  .3  PlanningforIncreasedCapacity..2  A  .3  Recordkeeping:....2  1  .3  Ifyourpatientrecordsareelectronic,andtheinformationsystemisinoperable,youllneedaback-upplanforrecordkeeping.....2  1  .3  Dontforgettoenlisttheinputofthebusinessofficeinyourplansforrecordkeeping,especiallyifyourplancallsforabbreviatedrecordkeepingduringthecrisis.Theclinicwillsurelywanttoobtainpaymentforitsservicesasappropriate.YoullneeddocumentationevenifyouretryingtocollectfromFEMAdirectly.....2  1  .3  Considerhowrecordsmightmovethroughoutthefacilityandfromfacilitytofacilityifnecessary.Youllneedplansforassuringconfidentialityevenduringthecrisis.....2  1  .3  Iftheeventissuspectedbioterrorism,theclinicwillneedtoassurethatithascollectedenoughinformationtocompletethenecessarysurveillencereports.(  *(2  I  .3  ConsequenceManagement....2  1  .3  Whathappensafterthecrunchisover?..2  A  .3  Theremaybewidespreadneedformentalhealthservicesdependingonthenatureoftheemergency...2  A  .3  Theclinicwillneedtoassessthefiscalimpactonitsoperations,andbegintomakeplansforrecoveryifneeded...2  A  .3  Anassessmentoftheclinicsabilitytodealeffectivelywiththeeventshouldbemade,andcontingencyplansalteredifnecessary.-#   -2  I  .3  AdditionalResources....2  1  .3  Wherecanyoufindadditionalhelp?..2  A  .3  CDCPublicHealthEmergencyPreparedness  http://www.bt.cdc.gov ..2  A  .3  CDCBioterrorismReadinessPlan:ATemplateforHealthCareFacilities http://www.cdc.gov/mmwr/preview/mmwrhtml/rr4904a1.htm  ..2  A  .3  CDCProtocolsforReportingSuspectedOutbreaks  http://www.phppo.cdc.gov/han/  ..2  A  .3  JointCommissiononAccreditationofHealthCareOrganizations  http://jcaho.org  ..2  A  .3  NationalDomesticPreparednessOffice http://ndpo.gov  ..2  A  .3  UnitedStatesPostalService  http://www.usps.gov  ..2  A  .3  FederalEmergencyManagementAssociation  http://www.fema.org  ..2  A  .3  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Zf3f 4 @ @ @ @ @ @ f" dddddd$   7RK /#%M'13M 3 /(#c&d9 Z6Times New Roman Regularc@@@     M   @M  Q Qc&d9 Z6Times New Roman Regularc@@@ PlanningforIncreasedCapacity.+%1f33f `4qk /k / q 1\ `5RL /L / / /k qk 1 `6RL R / / q qk WPCXX81%XX81%*3'XXXX,,,,9"%2RK /#RK /#W @@&d9 Z6Times New Roman Regular +MMW @@&d9 Z6Times New Roman Regular +MMW @@&d9 Z6Times New Roman Regular +MMW @@&d9 Z6Times New Roman Regular +MMW @@&d9 Z6Times New Roman Regular +MMW @@&d9 Z6Times New Roman Regular +MM)?  Zf3f 4 @ @ @ @ @ @ f" dddddd$   %RK /#%M'13M ! /(#c&d9 Z6Times New Roman Regularc@@@     M   @M  Q Qc&d9 Z6Times New Roman Regularc@@@ AdditionalResources.+%1f33f `"qk /k / q 1\ `#RL /L / / /k qk 1 `$RL R / / q qk WPCXX81%XX81%*3'XXXX,,,,9"'=//W &d9 Z6Times New Roman Regular +3fW &d9 Z6Times New Roman Regular +3fW &d9 Z6Times New Roman Regular +3fW &d9 Z6Times New Roman Regular +3fW &d9 Z6Times New Roman Regular +3fW &d9 Z6Times New Roman Regular +3f)?  Zf3f 4 @ @ @ @ @ @ f" dddddd$   '/.+%1 &5F/c&d9 Z6Times New Roman Regularc        @3f  Q Qc&d9 Z6Times New Roman RegularcWherecanyoufindadditionalhelp?WPCXX81%XX81%J3'XXXX,,,,9"E2RK /#RK /#W @@&d9 Z6Times New Roman Regular +MMW @@&d9 Z6Times New Roman Regular +MMW @@&d9 Z6Times New Roman Regular +MMW @@&d9 Z6Times New Roman Regular +MMW @@&d9 Z6Times New Roman Regular +MMW @@&d9 Z6Times New Roman Regular +MM)?  Zf3f 4 @ @ @ @ @ @ f" dddddd$   ERK /#%M'13M A /(#c&d9 Z6Times New Roman Regularc@@@     M   @M  Q Qc&d9 Z6Times New Roman Regularc@@@ ConsequenceManagement.+%1f33f `Bqk /k / q 1\ `CRL /L / / /k qk 1 `DRL R / / q qk WPCXX81%XX81%J3'XXXX,,,,9"G=//W &d9 Z6Times New Roman Regular +3fW &d9 Z6Times New Roman Regular +3fW &d9 Z6Times New Roman Regular +3fW &d9 Z6Times New Roman Regular +3fW &d9 Z6Times New Roman Regular +3fW &d9 Z6Times New Roman Regular +3f)?  Zf3f 4 @ @ @ @ @ @ f" dddddd$   G/.+%1 F5F/c&d9 Z6Times New Roman Regularc        @3f  Q Qc&d9 Z6Times New Roman RegularcWhathappensafterthecrunchisover?WPC(XX81%XX81%33'XXXX,,,,9".#NRK /#RK /#W @@&d9 Z6Times New Roman Regular +MMW @@&d9 Z6Times New Roman Regular +MMW @@&d9 Z6Times New Roman Regular +MMW @@&d9 Z6Times New Roman Regular +MMW @@&d9 Z6Times New Roman Regular +MMW @@&d9 Z6Times New Roman Regular +MM)?  Zf3f 4 @ @ @ @ @ @ f" dddddd$   .RK /#%M'13M * /(#c&d9 Z6Times New Roman Regularc@@@     M   @M  Q Qc&d9 Z6Times New Roman Regularc@@@ FourPhasesofEmergencyManagement.+%1f33f `+qk /k / q 1\ `,RL /L / / /k qk 1 `-RL R / / q qk WPCzXX81%XX81%33'XXXX,,,,9"0//W &d9 Z6Times New Roman Regular +3fW &d9 Z6Times New Roman Regular +3fW &d9 Z6Times New Roman Regular +3fW &d9 Z6Times New Roman Regular +3fW &d9 Z6Times New Roman Regular +3fW &d9 Z6Times New Roman Regular +3f)?  Zf3f 4 @ @ @ @ @ @ f" dddddd$   0/.+%1 /5F/c&d9 Z6Times New Roman Regularc        @3f  Q Qc&d9 Z6Times New Roman RegularcWheredoIstart?WPCqXX81%XX81%33'XXXX,,,,9"2fu//u//W &d9 Z6Times New Roman Regular +@W xx&d9 Z6Times New Roman Regular +3fW &d9 Z6Times New Roman Regular +3fW &d9 Z6Times New Roman Regular +3fW &d9 Z6Times New Roman Regular +3fW &d9 Z6Times New Roman Regular +3f9/!!!!!!  Zf3f 4 @ @ @ @ @ @ f" dddddd$   2u//.%13 1+8/c&d9 Z6Times New Roman Regularc        @a /!!!!!!ac&d9 Z6Times New Roman Regularc        @@        @  /  c&d9 Z6Times New Roman Regularc        @@0M..         @@MITIGATION:         @@thisphaseincludesidentifyingrisksandhazardslikelytoaffecttheclinicoritsresources,andplanninganeffectivestrategyforlesseningtheimpactandseverityoftheeventonclinicoperations.fc&d9 Z6Times New Roman Regularc        @  /  c&d9 Z6Times New Roman Regularc        @@0M..         @@PREPAREDNESS:         @@thisphaseinvolvescapacitybuildingandincludesactivitiessuchasinventoryofresourcesandsupplies,stafftraining,andactualdrills.fc&d9 Z6Times New Roman Regularc        @  /  c&d9 Z6Times New Roman Regularc        @@0M..         @@RESPONSE:         @@thisphaseisdividedintotwoparts:staffactions,andmanagementactions.Staffactionsmightincludeworkschedules,meetingplaces,etc.Managementactionswouldincludeliaisonwithexternalsources.fc&d9 Z6Times New Roman Regularc        @  /  c&d9 Z6Times New Roman Regularc        @@0M..         @@RECOVERY:         @@thisphasemightbeconcurrentwiththeresponsephase,andincludesactionsrelatedtolossofrevenuesorcapitalequipment,supportofstaff,andcommunityreactions.WPC=#XX81%XX81%*3'XXXX,,,,9")u/"u/"W &d9 Z6Times New Roman Regular +@W  &d9 Z6Times New Roman Regular +3fW &d9 Z6Times New Roman Regular +3fW &d9 Z6Times New Roman Regular +3fW &d9 Z6Times New Roman Regular +3fW &d9 Z6Times New Roman Regular +3f9/!!!!!!  Zf3f 4 @ @ @ @ @ @ f" dddddd$   )u/".%3 (+:/c&d9 Z6Times New Roman Regularc           @a /!!!!!!ac&d9 Z6Times New Roman Regularc        @@        @  /  c&d9 Z6Times New Roman Regularc        @@0 ..         @@Securityhazards:         @@c&d9 Z6Times New Roman Regularc           @3f ..         @    c&d9 Z6Times New Roman Regularc           @3f0..Bombthreats,gang-relatedactivities,terroristattacks,workplaceviolence .. fc&d9 Z6Times New Roman Regularc        @@        @  /  c&d9 Z6Times New Roman Regularc        @@0 ..         @@UtilityFailures:         @@c&d9 Z6Times New Roman Regularc           @3f ..         @    c&d9 Z6Times New Roman Regularc           @3f0..Electricalfailure,generatorfailure,firealarmfailure,informationsystemsfailure,sewage,telephonesystems,watermainbreaks,heating/airconditioningsystems .. fc&d9 Z6Times New Roman Regularc        @@        @  /  c&d9 Z6Times New Roman Regularc        @@0 ..         @@Weatherrelatedhazards:         @@c&d9 Z6Times New Roman Regularc           @3f ..         @    c&d9 Z6Times New Roman Regularc           @3f0..Snowstorm,icestorm,severecold,extremeheat/humidity,flood,tornado .. fc&d9 Z6Times New Roman Regularc        @@        @  /  c&d9 Z6Times New Roman Regularc        @@0 ..        @@ Structuralhazards:        @@ c&d9 Z6Times New Roman Regularc           @3f ..         @    c&d9 Z6Times New Roman Regularc           @3f0..Fire,smoke,chemicalorhazardousmaterialsspills,flooding,gasleaksWPC`XX81%XX81%3'XXXX,,,,9 "~RK /#RK /#W @@&d9 Z6Times New Roman Regular +MMW @@&d9 Z6Times New Roman Regular +MMW @@&d9 Z6Times New Roman Regular +MMW @@&d9 Z6Times New Roman Regular +MMW @@&d9 Z6Times New Roman Regular +MMW @@&d9 Z6Times New Roman Regular +MM)?  Zf3f 4 @ @ @ @ @ @ f" dddddd$   RK /#-.)*+%M'13M  /(#c&d9 Z6Times New Roman Regularc@@@     M   @M  Q Qc&d9 Z6Times New Roman Regularc@@@ RiskAnalysis!internalandexternalthreats.+%1f33f `qk /k / q 1\ `RL /L / / /k qk 1 `RL R / / q qk WPCXX81%XX81%3'XXXX,,,,9 "1//W &d9 Z6Times New Roman Regular +3fW &d9 Z6Times New Roman Regular +3fW &d9 Z6Times New Roman Regular +3fW &d9 Z6Times New Roman Regular +3fW &d9 Z6Times New Roman Regular +3fW &d9 Z6Times New Roman Regular +3f)?  Zf3f 4 @ @ @ @ @ @ f" dddddd$   /.+%1 5F/c&d9 Z6Times New Roman Regularc        @3f  Q Qc&d9 Z6Times New Roman RegularcHowlikelyiseachtooccurinyourclinic?WPC#XX81%XX81%*3'XXXX,,,,9")&u!0u!0W LL&d9 Z6Times New Roman Regular +@W xx&d9 Z6Times New Roman Regular +3fW &d9 Z6Times New Roman Regular +3fW &d9 Z6Times New Roman Regular +3fW &d9 Z6Times New Roman Regular +3fW &d9 Z6Times New Roman Regular +3f9/!!!!!!  Zf3f 4 @ @ @ @ @ @ f" dddddd$   )u!0.%3 (+!/>Ec&d9 Z6Times New Roman Regularc        @a /!!!!!!ac&d9 Z6Times New Roman RegularcLLL        @@        @  /  c&d9 Z6Times New Roman RegularcLLL        @@0M..CDCPublicHealthEmergencyPreparedness         @@http://www.bt.cdc.gov         @@fc&d9 Z6Times New Roman RegularcLLL        @  /  c&d9 Z6Times New Roman RegularcLLL        @@0M..CDCBioterrorismReadinessPlan:ATemplateforHealthCareFacilities        @@http://www.cdc.gov/mmwr/preview/mmwrhtml/rr4904a1.htm          @@fc&d9 Z6Times New Roman RegularcLLL        @  /  c&d9 Z6Times New Roman RegularcLLL        @@0M..CDCProtocolsforReportingSuspectedOutbreaks        @@ http://www.phppo.cdc.gov/han/        @@ fc&d9 Z6Times New Roman RegularcLLL        @  /  c&d9 Z6Times New Roman RegularcLLL        @@0M..JointCommissiononAccreditationofHealthCareOrganizations        @@ http://jcaho.org         @@fc&d9 Z6Times New Roman RegularcLLL        @  /  c&d9 Z6Times New Roman RegularcLLL        @@0M..NationalDomesticPreparednessOffice         @@http://ndpo.gov         @@fc&d9 Z6Times New Roman RegularcLLL        @  /  c&d9 Z6Times New Roman RegularcLLL        @@0M..UnitedStatesPostalService        @@ http://www.usps.gov         @@fc&d9 Z6Times New Roman RegularcLLL        @  /  c&d9 Z6Times New Roman RegularcLLL        @@0M..FederalEmergencyManagementAssociation        @@ http://www.fema.org         @@fc&d9 Z6Times New Roman RegularcLLL        @  /  c&d9 Z6Times New Roman RegularcLLL        @@0M..NationalGuidelineClearinghouse        @@ http://www.guideline.gov         @@WPCXX81%XX81%3'XXXX,,,,9 "Xu" /"u" /"W @@&d9 Z6Times New Roman Regular +@W xx&d9 Z6Times New Roman Regular +3fW &d9 Z6Times New Roman Regular +3fW &d9 Z6Times New Roman Regular +3fW &d9 Z6Times New Roman Regular +3fW &d9 Z6Times New Roman Regular +3f9/!!!!!!  Zf3f 4 @ @ @ @ @ @ f" dddddd$   u" /".%3 +" :/s c&d9 Z6Times New Roman Regularc        @a /!!!!!!ac&d9 Z6Times New Roman Regularc@@@        @@        @  /  c&d9 Z6Times New Roman Regularc@@@        @@0M..StaffingRequirementsfc&d9 Z6Times New Roman Regularc@@@        @  /  c&d9 Z6Times New Roman Regularc@@@        @@0M..Hours/LocationsofOperationsfc&d9 Z6Times New Roman Regularc@@@        @  /  c&d9 Z6Times New Roman Regularc@@@        @@0M..ScopeofServicesfc&d9 Z6Times New Roman Regularc@@@        @  /  c&d9 Z6Times New Roman Regularc@@@        @@0M..SuppliesonHandfc&d9 Z6Times New Roman Regularc@@@        @  /  c&d9 Z6Times New Roman Regularc@@@        @@0M..EquipmentandFacilitiesWPCXX81%XX81%3'XXXX,,,,9 "v/Rv/RW @@&d9 Z6Times New Roman Regular +@W &d9 Z6Times New Roman Regular +3fW &d9 Z6Times New Roman Regular +3fW &d9 Z6Times New Roman Regular +3fW &d9 Z6Times New Roman Regular +3fW &d9 Z6Times New Roman Regular +3f9/!!!!!!  Zf3f 4 @ @ @ @ @ @ f" dddddd$   v/R+13 ,8/Mc&d9 Z6Times New Roman Regularc        @a /!!!!!!ac&d9 Z6Times New Roman Regularc@@@        @@        @  /  c&d9 Z6Times New Roman Regularc@@@        @@0M.. StaffingRequirements: c&d9 Z6Times New Roman Regularc        @3fM..M        @    c&d9 Z6Times New Roman Regularc        @3f0..Isthestaffavailableandwillingtoworkduringthecrisis?Aretheyabletogettowork?Doyouknowwhichemployeesmightusepublictransportationtogettowork?Doemployeeshaveaplanforchildrenifschool/daycareisclosedbecauseofthecrisis?M..MM..Mc&d9 Z6Times New Roman Regularc        @    c&d9 Z6Times New Roman Regularc        @3f0..Isthereaplanforsecuringadditionalstaffifneeded?Aretheseindividualstrainedinyourclinicsprocedures?Howwilltheclinichandlethefiscalimpactofhiringadditionalstaff?M..MM..Mc&d9 Z6Times New Roman Regularc        @    c&d9 Z6Times New Roman Regularc        @3f0..Isthereaplanforcross-trainingofstaffsothatifchangesinscopeofserviceswerenecessarytobetterrespondtothecrisis,thestaffwouldbefamiliarwithclinicprocedures?M..MM..Mc&d9 Z6Times New Roman Regularc        @    c&d9 Z6Times New Roman Regularc        @3f0..Doesthestaffknowwhotocontacttofindoutifclinicserviceshavebeendiscontinuedduringthecrisis?Whodecidesifdisasterproceduresaretobeimplemented?WPCTXX81%XX81%3'XXXX,,,,9 "RK /#RK /#W @@&d9 Z6Times New Roman Regular +MMW @@&d9 Z6Times New Roman Regular +MMW @@&d9 Z6Times New Roman Regular +MMW @@&d9 Z6Times New Roman Regular +MMW @@&d9 Z6Times New Roman Regular +MMW @@&d9 Z6Times New Roman Regular +MM)?  Zf3f 4 @ @ @ @ @ @ f" dddddd$   RK /#-.)*+%M'13M  /(#c&d9 Z6Times New Roman Regularc@@@     M   @M  Q Qc&d9 Z6Times New Roman Regularc@@@ EvaluationofCapacityinaCrisis.+%1f33f `qk /k / q 1\ `RL /L / / /k qk 1 `RL R / / q qk WPC'XX81%XX81%(3'XXXX,,,,9"%`|RK /#RK /#W @@&d9 Z6Times New Roman Regular +MMW @@&d9 Z6Times New Roman Regular +MMW @@&d9 Z6Times New Roman Regular +MMW @@&d9 Z6Times New Roman Regular +MMW @@&d9 Z6Times New Roman Regular +MMW @@&d9 Z6Times New Roman Regular +MM)?  Zf3f 4 @ @ @ @ @ @ f" dddddd$   %RK /#%M'13M ! /(#c&d9 Z6Times New Roman Regularc@@@     M   @M  Q Qc&d9 Z6Times New Roman Regularc@@@ EvaluationofCapacityinaCrisis.+%1f33f `"qk /k / q 1\ `#RL /L / / /k qk 1 `$RL R / / q qk WPCIXX81%XX81%3'XXXX,,,,9 "z~RK /#RK /#W @@&d9 Z6Times New Roman Regular +MMW @@&d9 Z6Times New Roman Regular +MMW @@&d9 Z6Times New Roman Regular +MMW @@&d9 Z6Times New Roman Regular +MMW @@&d9 Z6Times New Roman Regular +MMW @@&d9 Z6Times New Roman Regular +MM)?  Zf3f 4 @ @ @ @ @ @ f" dddddd$   zRK /#*+%M'153M | /(#c&d9 Z6Times New Roman Regularc@@@     M   @M  Q Qc&d9 Z6Times New Roman Regularc@@@ EvaluationofCapacityinaCrisis.+%1f33f `}qk /k / q 1\ `~RL /L / / /k qk 1 `RL R / / q qk WPChXX81%XX81%(3'XXXX,,,,9"'&u/u/W @@&d9 Z6Times New Roman Regular +@W &d9 Z6Times New Roman Regular +3fW &d9 Z6Times New Roman Regular +3fW &d9 Z6Times New Roman Regular +3fW &d9 Z6Times New Roman Regular +3fW &d9 Z6Times New Roman Regular +3f9/!!!!!!  Zf3f 4 @ @ @ @ @ @ f" dddddd$   'u/+13 &+8/c&d9 Z6Times New Roman Regularc        @a /!!!!!!ac&d9 Z6Times New Roman Regularc@@@        @@        @  /  c&d9 Z6Times New Roman Regularc@@@        @@0M..Hours/LocationsofOperations:c&d9 Z6Times New Roman Regularc        @3fM..M        @    c&d9 Z6Times New Roman Regularc        @3f0..Isthereaplanforstaffcoverageforextendedhoursofoperation?M..MM..Mc&d9 Z6Times New Roman Regularc        @    c&d9 Z6Times New Roman Regularc        @3f0..Hastheclinicassessedtheimpactofreducingitsnormalhoursofoperationssothatclinicstaffmayassistincrisiseffortselsewhereifneeded?WhatwillyoudoifthelocalEMSofficialsaskto borrowyourphysicianandmid-levelproviderstostaffdisasterreliefstationselsewhere?IsthereaplaninplaceforcontinuedoperationsifyourNHSCprovidersaresuddenlyre-deployed?M..MM..Mc&d9 Z6Times New Roman Regularc        @    c&d9 Z6Times New Roman Regularc        @3f0..Doestheclinichavealternatesitesatwhichitcouldprovidecareifprovidingcareatthecurrentlocationismadeimpossiblebythecrisis?Thesesitesmaybenon-traditional.Howwillsuppliesbeobtainedforthesenew alternatesites?Howwillstaffbenotifiedoftheirnewworksite?WPCXX81%XX81%3'XXXX,,,,9 "&u+ /u+ /W @@&d9 Z6Times New Roman Regular +@W &d9 Z6Times New Roman Regular +3fW &d9 Z6Times New Roman Regular +3fW &d9 Z6Times New Roman Regular +3fW &d9 Z6Times New Roman Regular +3fW &d9 Z6Times New Roman Regular +3f9/!!!!!!  Zf3f 4 @ @ @ @ @ @ f" dddddd$   u+ /-.)*+'153 ++ 8/6c&d9 Z6Times New Roman Regularc        @a /!!!!!!ac&d9 Z6Times New Roman Regularc@@@        @@        @  /  c&d9 Z6Times New Roman Regularc@@@        @@0M..ScopeofServices:c&d9 Z6Times New Roman Regularc        @3fM..M        @    c&d9 Z6Times New Roman Regularc        @3f0..Iftheemergencyisnotinternaltotheclinic,youshoulddecidewhatservicesmightbemostappropriateforyoutoofferasanaidtotheeffort.Forexample,mostclinicsmightnotwanttoorbeabletotaketraumapatients,butcouldprovidesuppliesorpersonneltoothersites.M..MM..Mc&d9 Z6Times New Roman Regularc        @    c&d9 Z6Times New Roman Regularc        @3f0..Clinicsmightbeabletoutilizeappropriatestafftooffermentalhealthsupporttohealthcareworkersandfamilymembersofthoseaffectedbytheemergencyforaspecifiedperiod.M..MM..Mc&d9 Z6Times New Roman Regularc        @    c&d9 Z6Times New Roman Regularc        @3f0..Doestheclinichaveservicesthatcouldbesuspendedduringthecrisistoallowstafftoperformmorecriticalfunctions?Educationalgroups,etcWPCTXX81%XX81%3'XXXX,,,,9 "zQaRK /#RK /#W @@&d9 Z6Times New Roman Regular +MMW @@&d9 Z6Times New Roman Regular +MMW @@&d9 Z6Times New Roman Regular +MMW @@&d9 Z6Times New Roman Regular +MMW @@&d9 Z6Times New Roman Regular +MMW @@&d9 Z6Times New Roman Regular +MM)?  Zf3f 4 @ @ @ @ @ @ f" dddddd$   zRK /#-.)*+%M'13M { /(#c&d9 Z6Times New Roman Regularc@@@     M   @M  Q Qc&d9 Z6Times New Roman Regularc@@@ EvaluationofCapacityinaCrisis.+%1f33f `|qk /k / q 1\ `}RL /L / / /k qk 1 `~RL R / / q qk WPCLXX81%XX81%3'XXXX,,,,9 "zo|RK /#RK /#W @@&d9 Z6Times New Roman Regular +MMW @@&d9 Z6Times New Roman Regular +MMW @@&d9 Z6Times New Roman Regular +MMW @@&d9 Z6Times New Roman Regular +MMW @@&d9 Z6Times New Roman Regular +MMW @@&d9 Z6Times New Roman Regular +MM)?  Zf3f 4 @ @ @ @ @ @ f" dddddd$   zRK /#-.)*+%M'13M e /(#c&d9 Z6Times New Roman Regularc@@@     M   @M  Q Qc&d9 Z6Times New Roman Regularc@@@ EvaluationofCapacityinaCrisis.+%1f33f `fqk /k / q 1\ `gRL /L / / /k qk 1 `hRL R / / q qk WPCCXX81%XX81%3'XXXX,,,,9 "&u/u/W @@&d9 Z6Times New Roman Regular +@W &d9 Z6Times New Roman Regular +3fW &d9 Z6Times New Roman Regular +3fW &d9 Z6Times New Roman Regular +3fW &d9 Z6Times New Roman Regular +3fW &d9 Z6Times New Roman Regular +3f9/!!!!!!  Zf3f 4 @ @ @ @ @ @ f" dddddd$   u/+13 +8/Cc&d9 Z6Times New Roman Regularc        @a /!!!!!!ac&d9 Z6Times New Roman Regularc@@@        @@        @  /  c&d9 Z6Times New Roman Regularc@@@        @@0M..Supplies:c&d9 Z6Times New Roman Regularc        @3fM..M        @    c&d9 Z6Times New Roman Regularc        @3f0..Arethesuppliesyouhaveonhandappropriateforthoseeventsyoudecidedwereofhighestlikelihoodofhappening?Ifyoudecidedthatgangviolencewaslikely,doesyourfacilityhaveappropriate/sufficientsuppliestoprovideimmediatecaretotraumapatientsuntilhelparrives?M..MM..Mc&d9 Z6Times New Roman Regularc        @    c&d9 Z6Times New Roman Regularc        @3f0..Isthereaplanforborrowingorotherwiseaccessingsuppliesandpharmaceuticalsfromothersinyourarea?M..MM..Mc&d9 Z6Times New Roman Regularc        @    c&d9 Z6Times New Roman Regularc        @3f0..DoestheclinicknowhowtoenlistlocalEmergencyManagementOfficialsassistanceinobtainingsuppliesandpharmaceuticals?M..MM..Mc&d9 Z6Times New Roman Regularc        @    c&d9 Z6Times New Roman Regularc        @3f0..Isthereaprocedureinplaceforcheckingtheoutdateofrarelyusedsupplies?Isthecodebluedrugboxcheckedperiodically?WPCXX81%XX81%e3'XXXX,,,,9 "u/u/W @@&d9 Z6Times New Roman Regular +@W &d9 Z6Times New Roman Regular +3fW &d9 Z6Times New Roman Regular +3fW &d9 Z6Times New Roman Regular +3fW &d9 Z6Times New Roman Regular +3fW &d9 Z6Times New Roman Regular +3f9/!!!!!!  Zf3f 4 @ @ @ @ @ @ f" dddddd$   u/-.)*+%'153 +8/ac&d9 Z6Times New Roman Regularc        @a /!!!!!!ac&d9 Z6Times New Roman Regularc@@@  /  c&d9 Z6Times New Roman Regularc@@@        @@0M..EquipmentandFacilities:c&d9 Z6Times New Roman Regularc        @3fM..M        @    c&d9 Z6Times New Roman Regularc        @3f0..Isthereanestablishedplanto lockdownorotherwisecontrolaccessandegressofthefacility?Hasthisplanbeentested?Doestheclinichaveplansforevacuationofthebuildinginanemergency?Isthestafffamiliarwiththeplan?Aretherequarantineplansinplaceintheeventofbioterrorism?M..MM..Mc&d9 Z6Times New Roman Regularc        @    c&d9 Z6Times New Roman Regularc        @3f0..Isthereaplantocontrolvehicleandpedestriantrafficintheeventthatlargenumbersofpersonsaretryingtoaccesscareatthesametime?M..MM..Mc&d9 Z6Times New Roman Regularc        @    c&d9 Z6Times New Roman Regularc        @3f0..Doestheclinicadministrationhaveaplanforverifyingthecredentialsofthosehealthcareworkerswhomayarrivetoassistyourfacilityinthecrisis?Howwillthoseworkersbeorientedtoyourfacility?M..MM..Mc&d9 Z6Times New Roman Regularc        @    c&d9 Z6Times New Roman Regularc        @3f0..Whatalternatemeansofcommunicationhasbeenprovidedforintheeventthattelephonecommunicationsarelost?IslocalEMSfamiliarwithyouralternatecommunicationmeans?Howwilltheycontactyou?DoyouknowhowtocontactlocalEMSofficials?WPC$XX81%XX81%*3'XXXX,,,,9"%nRK /#RK /#W @@&d9 Z6Times New Roman Regular +MMW @@&d9 Z6Times New Roman Regular +MMW @@&d9 Z6Times New Roman Regular +MMW @@&d9 Z6Times New Roman Regular +MMW @@&d9 Z6Times New Roman Regular +MMW @@&d9 Z6Times New Roman Regular +MM)?  Zf3f 4 @ @ @ @ @ @ f" dddddd$   %RK /#%M'13M ! /(#c&d9 Z6Times New Roman Regularc@@@     M   @M  Q Qc&d9 Z6Times New Roman Regularc@@@ PlanningforIncreasedCapacity.+%1f33f `"qk /k / q 1\ `#RL /L / / /k qk 1 `$RL R / / q qk WPCXX81%XX81%*3'XXXX,,,,9"'1|//W &d9 Z6Times New Roman Regular +3fW &d9 Z6Times New Roman Regular +3fW &d9 Z6Times New Roman Regular +3fW &d9 Z6Times New Roman Regular +3fW &d9 Z6Times New Roman Regular +3fW &d9 Z6Times New Roman Regular +3f)?  Zf3f 4 @ @ @ @ @ @ f" dddddd$   '/.+%1 &5F/c&d9 Z6Times New Roman Regularc        @3f  Q Qc&d9 Z6Times New Roman RegularcWhattodoifyouhaddifficultyansweringthepreviousquestions.WPCXX81%XX81%*3'XXXX,,,,9") u /"u /"W @@&d9 Z6Times New Roman Regular +@W xx&d9 Z6Times New Roman Regular +3fW &d9 Z6Times New Roman Regular +3fW &d9 Z6Times New Roman Regular +3fW &d9 Z6Times New Roman Regular +3fW &d9 Z6Times New Roman Regular +3f9/!!!!!!  Zf3f 4 @ @ @ @ @ @ f" dddddd$   )u /".%3 (+ :/O c&d9 Z6Times New Roman Regularc        @a /!!!!!!ac&d9 Z6Times New Roman Regularc@@@        @@        @  /  c&d9 Z6Times New Roman Regularc@@@        @@0M.. CollaborationwithLocalEmergencyManagement fc&d9 Z6Times New Roman Regularc@@@        @  /  c&d9 Z6Times New Roman Regularc@@@        @@0M.. ClinicalPreparednessandTraining fc&d9 Z6Times New Roman Regularc@@@        @  /  c&d9 Z6Times New Roman Regularc@@@        @@0M.. CommunicationAbilities fc&d9 Z6Times New Roman Regularc@@@        @  /  c&d9 Z6Times New Roman Regularc@@@        @@0M.. Recordkeeping WPC$XX81%XX81%:3'XXXX,,,,9"72RK /#RK /#W @@&d9 Z6Times New Roman Regular +MMW @@&d9 Z6Times New Roman Regular +MMW @@&d9 Z6Times New Roman Regular +MMW @@&d9 Z6Times New Roman Regular +MMW @@&d9 Z6Times New Roman Regular +MMW @@&d9 Z6Times New Roman Regular +MM)?  Zf3f 4 @ @ @ @ @ @ f" dddddd$   7RK /#%M'13M 3 /(#c&d9 Z6Times New Roman Regularc@@@     M   @M  Q Qc&d9 Z6Times New Roman Regularc@@@ PlanningforIncreasedCapacity.+%1f33f `4qk /k / q 1\ `5RL /L / / /k qk 1 `6RL R / / q qk WPCXX81%XX81%3'XXXX,,,,9 "&u/pu/pW xx&d9 Z6Times New Roman Regular +@W &d9 Z6Times New Roman Regular +3fW &d9 Z6Times New Roman Regular +3fW &d9 Z6Times New Roman Regular +3fW &d9 Z6Times New Roman Regular +3fW &d9 Z6Times New Roman Regular +3f9/!!!!!!  Zf3f 4 @ @ @ @ @ @ f" dddddd$   u/p.)*+%'13 e+8/c&d9 Z6Times New Roman Regularc        @a /!!!!!!ac&d9 Z6Times New Roman Regularcxxx        @@        @  /  c&d9 Z6Times New Roman Regularcxxx        @@0M..CollaborationwithLocalEmergencyManagement:c&d9 Z6Times New Roman Regularc        @3fM..M        @    c&d9 Z6Times New Roman Regularc        @3f0..Beginbyidentifyingthelocalemergencymanagementagencyandinformingthemofyouridentifiedcapabilitiesintheeventofacrisis.Theseofficialsmightbeyourbestresourceforgettingpersonnelandsuppliesmovedintootherwiseclosedareas.Themiddleofthedisasterisnotthetimetointroduceyourorganizationanddefenditscontributiontotheeffort.M..MM..Mc&d9 Z6Times New Roman Regularc        @    c&d9 Z6Times New Roman Regularc        @3f0..Sincelocalemergencymanagementissometimestheresponsibilityofpublichealthorganizations,thesamesortofconnectionisnecessarywiththelocalpublichealthdepartment.Itwillbeessentialtopartnerwiththeseorganizationsalso.Theywillbeyourlinktopublichealthinformation.M..MM..Mc&d9 Z6Times New Roman Regularc        @    c&d9 Z6Times New Roman Regularc        @3f0..Youshouldconsiderbecomingapartoftheplanningteamfortheemergencyresponseinyourcommunity.WPCc!XX81%XX81%:3'XXXX,,,,9"9ZuM/uM/W xx&d9 Z6Times New Roman Regular +@W &d9 Z6Times New Roman Regular +3fW &d9 Z6Times New Roman Regular +3fW &d9 Z6Times New Roman Regular +3fW &d9 Z6Times New Roman Regular +3fW &d9 Z6Times New Roman Regular +3f9/!!!!!!  Zf3f 4 @ @ @ @ @ @ f" dddddd$   9uM/+13 8+M8/Ac&d9 Z6Times New Roman Regularc        @a /!!!!!!ac&d9 Z6Times New Roman Regularcxxx        @@        @  /  c&d9 Z6Times New Roman Regularcxxx        @@0M..ClinicalPreparednessandTraining:c&d9 Z6Times New Roman Regularc        @3fM..M        @    c&d9 Z6Times New Roman Regularc        @3f0..Staffmembersshouldbeeducatedinallaspectsofworkingandprotectingthemselvesinemergencysituations.M..MM..Mc&d9 Z6Times New Roman Regularc        @    c&d9 Z6Times New Roman Regularc        @3f0..Ataminimumthetopicsfortrainingshouldinclude:M..M..c&d9 Z6Times New Roman Regularc        @  !  c&d9 Z6Times New Roman Regularc        @3f0..EmergencyIdentificationM..M..c&d9 Z6Times New Roman Regularc        @  !  c&d9 Z6Times New Roman Regularc        @3f0..TriageProceduresM..M..c&d9 Z6Times New Roman Regularc        @  !  c&d9 Z6Times New Roman Regularc        @3f0..DecontaminationProceduresM..M..c&d9 Z6Times New Roman Regularc        @  !  c&d9 Z6Times New Roman Regularc        @3f0..TreatmentforIllnessesandInjuriesM..M..c&d9 Z6Times New Roman Regularc        @  !  c&d9 Z6Times New Roman Regularc        @3f0..MediaandCrowdControlM..M..c&d9 Z6Times New Roman Regularc        @  !  c&d9 Z6Times New Roman Regularc        @3f0..StressManagementM..M..M..Mc&d9 Z6Times New Roman Regularc        @    c&d9 Z6Times New Roman Regularc        @3f0..ResourcesfortrainingmaterialsappearattheendofthispresentationWPC$XX81%XX81%H3'XXXX,,,,9"E_RK /#RK /#W @@&d9 Z6Times New Roman Regular +MMW @@&d9 Z6Times New Roman Regular +MMW @@&d9 Z6Times New Roman Regular +MMW @@&d9 Z6Times New Roman Regular +MMW @@&d9 Z6Times New Roman Regular +MMW @@&d9 Z6Times New Roman Regular +MM)?  Zf3f 4 @ @ @ @ @ @ f" dddddd$   ERK /#%M'13M A /(#c&d9 Z6Times New Roman Regularc@@@     M   @M  Q Qc&d9 Z6Times New Roman Regularc@@@ PlanningforIncreasedCapacity.+%1f33f `Bqk /k / q 1\ `CRL /L / / /k qk 1 `DRL R / / q qk WPCXX81%XX81%3'XXXX,,,,9 "&u/&u/&W @@&d9 Z6Times New Roman Regular +@W &d9 Z6Times New Roman Regular +3fW &d9 Z6Times New Roman Regular +3fW &d9 Z6Times New Roman Regular +3fW &d9 Z6Times New Roman Regular +3fW &d9 Z6Times New Roman Regular +3f9/!!!!!!  Zf3f 4 @ @ @ @ @ @ f" dddddd$   u/&.)*+%'13 +8/c&d9 Z6Times New Roman Regularc        @a /!!!!!!ac&d9 Z6Times New Roman Regularc@@@        @@        @  /  c&d9 Z6Times New Roman Regularc@@@        @@0M..CommunicationAbilities:c&d9 Z6Times New Roman Regularc        @3fM..M        @    c&d9 Z6Times New Roman Regularc        @3f0..Dontrelyonjustoneformofcommunicationinanemergency.Evenifthephoneswork,thelandandcellularsystemscouldquicklybecomeoverloaded.M..MM..Mc&d9 Z6Times New Roman Regularc        @    c&d9 Z6Times New Roman Regularc        @3f0..Findoutwhatformsofcommunicationlocalemergencymanagementofficialshavechosen.M..MM..Mc&d9 Z6Times New Roman Regularc        @    c&d9 Z6Times New Roman Regularc        @3f0..Remember,youllneedtocommunicatewiththestaff,thestaffmayneedtocommunicatewiththeirfamily,EMSmayneedtocommunicatewithyou,andyouwiththem.M..MM..Mc&d9 Z6Times New Roman Regularc        @    c&d9 Z6Times New Roman Regularc        @3f0..Prepareaplanforcommunicatingwiththemedia.WPC$XX81%XX81%A3'XXXX,,,,9">oRK /#RK /#W @@&d9 Z6Times New Roman Regular +MMW @@&d9 Z6Times New Roman Regular +MMW @@&d9 Z6Times New Roman Regular +MMW @@&d9 Z6Times New Roman Regular +MMW @@&d9 Z6Times New Roman Regular +MMW @@&d9 Z6Times New Roman Regular +MM)?  Zf3f 4 @ @ @ @ @ @ f" dddddd$   >RK /#%M'13M : /(#c&d9 Z6Times New Roman Regularc@@@     M   @M  Q Qc&d9 Z6Times New Roman Regularc@@@ PlanningforIncreasedCapacity.+%1f33f `;qk /k / q 1\ `<RL /L / / /k qk 1 `=RL R / / q qk WPCXX81%XX81%A3'XXXX,,,,9"@-\u/"u/"W xx&d9 Z6Times New Roman Regular +@W &d9 Z6Times New Roman Regular +3fW &d9 Z6Times New Roman Regular +3fW &d9 Z6Times New Roman Regular +3fW &d9 Z6Times New Roman Regular +3fW &d9 Z6Times New Roman Regular +3f9/!!!!!!  Zf3f 4 @ @ @ @ @ @ f" dddddd$   @u/"+13 ?+:/;c&d9 Z6Times New Roman Regularc        @a /!!!!!!ac&d9 Z6Times New Roman Regularcxxx        @@        @  /  c&d9 Z6Times New Roman Regularcxxx        @@0M..Recordkeeping:c&d9 Z6Times New Roman Regularc        @3fM..M        @    c&d9 Z6Times New Roman Regularc        @3f0..Ifyourpatientrecordsareelectronic,andtheinformationsystemisinoperable,youllneedaback-upplanforrecordkeeping.M..MM..Mc&d9 Z6Times New Roman Regularc        @    c&d9 Z6Times New Roman Regularc        @3f0..Dontforgettoenlisttheinputofthebusinessofficeinyourplansforrecordkeeping,especiallyifyourplancallsforabbreviatedrecordkeepingduringthecrisis.Theclinicwillsurelywanttoobtainpaymentforitsservicesasappropriate.YoullneeddocumentationevenifyouretryingtocollectfromFEMAdirectly.M..MM..Mc&d9 Z6Times New Roman Regularc        @    c&d9 Z6Times New Roman Regularc        @3f0..Considerhowrecordsmightmovethroughoutthefacilityandfromfacilitytofacilityifnecessary.Youllneedplansforassuringconfidentialityevenduringthecrisis.M..MM..Mc&d9 Z6Times New Roman Regularc        @    c&d9 Z6Times New Roman Regularc        @3f0..Iftheeventissuspectedbioterrorism,theclinicwillneedtoassurethatithascollectedenoughinformationtocompletethenecessarysurveillencereports.WPC}XX81%XX81%J3'XXXX,,,,9"I&u8/u8/W xx&d9 Z6Times New Roman Regular +@W xx&d9 Z6Times New Roman Regular +3fW &d9 Z6Times New Roman Regular +3fW &d9 Z6Times New Roman Regular +3fW &d9 Z6Times New Roman Regular +3fW &d9 Z6Times New Roman Regular +3f9/!!!!!!  Zf3f 4 @ @ @ @ @ @ f" dddddd$   Iu8/.%3 H+88/J c&d9 Z6Times New Roman Regularc        @a /!!!!!!ac&d9 Z6Times New Roman Regularcxxx        @@        @  /  c&d9 Z6Times New Roman Regularcxxx        @@0M..Theremaybewidespreadneedformentalhealthservicesdependingonthenatureoftheemergency.fc&d9 Z6Times New Roman Regularcxxx        @  /  c&d9 Z6Times New Roman Regularcxxx        @@0M..Theclinicwillneedtoassessthefiscalimpactonitsoperations,andbegintomakeplansforrecoveryifneeded.fc&d9 Z6Times New Roman Regularcxxx        @  /  c&d9 Z6Times New Roman Regularcxxx        @@0M..Anassessmentoftheclinicsabilitytodealeffectivelywiththeeventshouldbemade,andcontingencyplansalteredifnecessary.6E{G s#-j4IWPCCXX81%t/3'XXXXKKKK ?"""333DDDUUUfffwwwMf33MMffM&f3@MYfs3Mf̙ٳMMff3Mf&M3f@MYfs3MfMf33MMffM&f3@MYfs3MfMMff3Mf&M3f@MYfs3MfMf33MMff&M3f@MYfs3Mf̙ٳMMff3MfM&f3@MYfs3MfpJ&T0Z4`8f<k@pEzJ̉]٘p槂Ħϰֿfffffffffrffffrffffff9R%13@ ~t/Qc&d9 Z6Times New Roman Regularcxxx        @@TheBureauofPrimaryHealthCareisaskinghealthcenterstoimplementatwoprongedapproachtoemergencyresponseplanningwhichincludes:WPCEXX81%/t3'XXXXKKKK ?"""333DDDUUUfffwwwMf33MMffM&f3@MYfs3Mf̙ٳMMff3Mf&M3f@MYfs3MfMf33MMffM&f3@MYfs3MfMMff3Mf&M3f@MYfs3MfMf33MMff&M3f@MYfs3Mf̙ٳMMff3MfM&f3@MYfs3MfpJ&T0Z4`8f<k@pEzJ̉]٘p槂Ħϰֿfffffffffrffffrffffff9R.%13@ }/%c&d9 Z6Times New Roman Regularc        @@  Thereare4phasestoemergencymanagement.Eachmustbeaccomplishedinturninorderforyourplantobeeffective.Theyare:WPCXX81%1t/3'XXXXKKKK ?"""333DDDUUUfffwwwMf33MMffM&f3@MYfs3Mf̙ٳMMff3Mf&M3f@MYfs3MfMf33MMffM&f3@MYfs3MfMMff3Mf&M3f@MYfs3MfMf33MMff&M3f@MYfs3Mf̙ٳMMff3MfM&f3@MYfs3MfpJ&T0Z4`8f<k@pEzJ̉]٘p槂Ħϰֿfffffffffrffffrffffff9R%13@ 1t/c&d9 Z6Times New Roman Regularc        @@Youshouldtrytoidentifyhazardslikelytooccurinornearyourclinic.Afteridentifyingthehazard,ratethelikelihoodofoccurenceandhowwellpreparedyouaretodealwiththehazard.ExamplesofhazardsforKansasfacilitiesmightinclude:WPC!T}9.3'XXXXKKKK ?"""333DDDUUUfffwwwMf33MMffM&f3@MYfs3Mf̙ٳMMff3Mf&M3f@MYfs3MfMf33MMffM&f3@MYfs3MfMMff3Mf&M3f@MYfs3MfMf33MMff&M3f@MYfs3Mf̙ٳMMff3MfM&f3@MYfs3MfpJ&T0Z4`8f<k@pEzJ̉]٘p槂Ħϰֿfffffffffrffffrffffff9(a%13@" KHc&d9 Z6Times New Roman Regularc@@@        @@Factors"P`c&d9 Z6Times New Roman Regularc@@@        @@Hazard"^ _=BW!c&d9 Z6Times New Roman Regularc@@@        @@Risk+<<%53"o`-Q = . v"= . v"-Cp-4"-Cp-4+%53@". O, \AZ"Arial RegularO        @@Gangviolence.."B N$oHO, \AZ"Arial RegularO        @@Locatedinhighcrimearea,noon-sitesecurity,narcoticsonpremisesondaysofpainmgmtclinic"[d O, \AZ"Arial RegularO        @@ChemicalSpillX..X" $oSO, \AZ"Arial RegularO        @@ChemicalMfrplantlessthan1mileupwind.Historyofspills.Pernewspaperaccount,3chemicalreleasesin2001c&d9 Z6Times New Roman RegularcXXX        @@" $oO, \AZ"Arial RegularO        @@Notinpopulousorpoliticalarea,butlevelof worriedwellaccessingclinicserviceswashighduringAnthraxscare        @@".X O, \AZ"Arial RegularO        @@Fire"# 3X O, \AZ"Arial RegularO        @@High"B X O, \AZ"Arial RegularO        @@Moderate.." wX O, \AZ"Arial RegularO        @@LowX..X+<<%53") -Cp-4+%53@"yXx O, \AZ"Arial RegularO        @@Bioterrorism"7 c$oO, \AZ"Arial RegularO        @@Alarmsystemnewin2002,batterybackupcheckqmonth,stafftraininginfiresafetyonhireandq6months,installofsprinklertobecomplete4/02        @@ %. 5O, \AZ"Arial RegularO        @@LowX..XforactualbioterrorismbuthighforrelatedMHservicesWPChXX81%Yy7/3'XXXXKKKK ?"""333DDDUUUfffwwwMf33MMffM&f3@MYfs3Mf̙ٳMMff3Mf&M3f@MYfs3MfMf33MMffM&f3@MYfs3MfMMff3Mf&M3f@MYfs3MfMf33MMff&M3f@MYfs3Mf̙ٳMMff3MfM&f3@MYfs3MfpJ&T0Z4`8f<k@pEzJ̉]٘p槂Ħϰֿfffffffffrffffrffffff9R%13@ eYy7/c&d9 Z6Times New Roman Regularc        @@Whetherthecrisisisnaturalorman-made,healthcentersshouldconsiderseveralfactorsindecidingwhethertotryandmaintainnormaloperationsduringthecrisis.Theyinclude:WPCGT} t.df3'XXXXKKKK ?"""333DDDUUUfffwwwMf33MMffM&f3@MYfs3Mf̙ٳMMff3Mf&M3f@MYfs3MfMf33MMffM&f3@MYfs3MfMMff3Mf&M3f@MYfs3MfMf33MMff&M3f@MYfs3Mf̙ٳMMff3MfM&f3@MYfs3MfpJ&T0Z4`8f<k@pEzJ̉]٘p槂Ħϰֿfffffffffrffffrffffff9%13@"ehV/cc&d9 Z6Times New Roman Regularc        @@c&d9 Z6Times New Roman RegularcInordertoprepareaneffectiveEmergencyResponseContingencyPlan,itisnecessarytoexaminewhattypesofincreasedcapabilitiesarewithinthereachoftheclinicbyaccessingresourcesbeyondtheclinicwalls.Keycomponentsofcapabilitybuildingwillinclude:SummaryInformation(PerfectOffice_OBJECTS,@z@zorel\Suite8\Programs\Masters\Color\ICE.MSTSMorris20$C:\Corel\Suite8\Programs\PRWIN8.EXE