Tools

The CHA Hospital Preparedness Program has developed this checklist for hospital CEOs. It can serve as a reference to ensure appropriate planning is occurring within your organization. The expanded checklist below is for hospital planners.

• Download the Hospital CEO H1N1 Checklist

This checklist has been developed by the CHA Hospital Preparedness Program and is intended to be used as one of several tools to assist in preparation for H1N1/Seasonal Influenza. The checklist recommendations are general in nature with a purpose of prompting review and action. As public health is the lead agency in this event, every effort should be made to remain up to date with rapidly changing local, state, and federal guidance and regulations. Important resources and web links are listed at the end of this document.

• Download the H1N1 Season Flu Checklist 

There is no one standard format for an Emergency Manageement Program (EMP). The Emergency Operations Plan (EOP) is one component of the EMP. This tool provides guidance for hospitals regarding the components included in an EMP.

• Download the Hospital Emergency Management Program Checklist developed by CHA 

This checklist provides guidance in the development or update of a hospital evacuation plan containing detailed information, instructions, and procedures that can be engaged in any emergency situation necessitating either full or partial hospital evacuation, as well as sheltering in place.

The expectation will be that staff may need to accompany patients and work in staging areas, in local government Alternative Care Sites (ACS) and/or at receiving facilities, subject to receiving proper emergency credentials. Drills, training and reviews must be conducted to ensure that staff have a working knowledge of the plan and to ensure that the plan is workable. 

The hospital evacuation plan should be consistent with federal NIMS and The Joint Commission requirements. 

• Download the Hosptial Evacuation Checklist developed by CHA

Attached are a CHA Shelter-In-Place (SIP) Planning Checklist tool and a decision-making algorithm for SIP and evacuation activation. The Checklist and decision tree are to assist hospitals with developing and/or reviewing and updating their plans. Updated hospital evacuation plans and shelter in place protocols documenting a hospital’s critical decision making processes are a Hospital Preparedness Program (HPP) Year 7 requirement.

• Download the Shelter In Place Checklist developed by CHA

Coordination of the facility mass fatality plan with county/region mass fatality planning must occur to provide better community response. Education, training and exercises must be conducted to ensure that staff have a working knowledge of the plan and to ensure that the plan is workable. The hospital mass fatality plan should be consistent with state and local regulations, National Incident Management System and The Joint Commission requirements. 
 

• Mass Fatality Checklist (CHA 2008)
• Mass Fatality Table of Contents / Appendix (CHA 2008)

The purpose of the Hospital Surge Plan Checklist and Resources is to assist hospitals in developing and/or updating their plans for response to a significant surge event, as well as to provide tools, examples and guides to assist with plan development and implementation.

• Download the Hospital Surge Plan Checklist developed by CHA 

Attached is a diagram intended for use in context to the TJC 2009 EM Standards. (Note that the term “Emergency Management Plan” is no longer in TJC EM Standards or a part of NIMS terminology.) This tool was developed by CHA’s Hospital Preparedness Program.