CMS Finalizes Disaster Preparedness Conditions of Participation Hospitals and other providers must comply by Nov. 15, 2017
The Centers for Medicare & Medicaid Services (CMS) has issued a
rule establishing emergency preparedness requirements for
facilities participating in Medicare and Medicaid. The final rule
requires these providers and suppliers to meet four standards:
Emergency plan: Based on a risk assessment, develop an emergency
plan using an all-hazards approach focusing on capacities and
capabilities that are critical to preparedness for a full
spectrum of emergencies or disasters specific to the location of
a provider or supplier.
Policies and procedures: Develop and implement policies and
procedures based on the plan and risk assessment.
Communication plan: Develop and maintain a communication plan
that complies with federal, state and local laws. Patient
care must be well-coordinated within the facility, across health
care providers, and with public health departments and emergency
Training and testing program: Develop and maintain training and
testing programs, including initial and annual trainings, and
conduct drills and exercises or participate in an actual incident
that tests the plan.
CHA is pleased that, in response to hospital concerns
outlined in the attached comment letter, CMS provided flexibility
in locating new generators and will not require relocation of
existing generators. Further, CMS will not require increased
hours of testing as it had originally proposed, acknowledging
that no evidence exists that such testing would improve
facilities’ ability to respond to a disaster.
CHA is reviewing the final rule and will provide more information
in the coming weeks. The rule becomes effective Nov. 16;
hospitals will have one year to