Tools

This checklist and related appendices are designed to assist hospitals in the development, implementation and evaluation of exercises. Hospitals participate in a range of exercises including Dscussion-Based (such as tabletops), and Operations-Based (such as drills, functional and full-scale exercises.) It is the intent of this document to provide an overview, guidance and resources for hospitals which allows a more coordinated effort and can be tailored to the facility.

• Download the Exercise Program for Hospitals Checklist (updated 1/25/11)

Attached is a new tool for hospitals entitled Hospital Repopulation after Evacuation Guidelines and Checklist (Repopulation Guidelines). The purpose of the document is to identify hospital operational and safety best practices, as well as regulatory agency requirements, which must be considered when repopulating after full or partial evacuation of general acute care hospital inpatient building(s) (GACHB). The association sought consultation from a number of State agencies prior to publishing this document.

The initiative to develop Repopulation Guidelines was undertaken to identify factors and steps that will allow an evacuated hospital to return to normal operations as quickly as possible. While events and circumstances may vary, efforts focused on identification of State agency requirements and the basic steps that must be considered to meet those requirements.

Also attached is a revised CHA Hospital Evacuation Plan Checklist incorporating updates and references to the Repopulation Guidelines in the section for Recovery, Reopening and Repopulation after Evacuation.

The Repopulation Guidelines should be used to review and update hospital Evacuation and Shelter in Place plans, as necessary, to ensure that they are consistent and to allow the hospital to consider repopulation requirements prior to evacuation.

Should you have any questions please feel free to contact Cheri Hummel.

• Download the CHA memo on the release of the Hospital Repopulation after Evacuation Guidelines and Checklist
• Download the Repopulation Guidelines and Checklist
• Download the revised Hospital Evacuation Plan Checklist

There is no one standard format for an Emergency Management 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. 
 

• CHA Mass Fatality Checklist (CHA 2008)
• CHA Mass Fatality Table of Contents / Appendix (April 2011)

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.

• Download the EMP Diagram

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