When does the Recovery phase of an event begin? What activities are involved in the Recovery phase of an event?
The Recovery phase begins when hospital incident command
determines that the event is de-escalating or over and that some
or all de-mobilization and recovery activities can be initiated.
Activities involved in recovery phase will be dependent on the
event and its impact on the hospital; these include assessing the
six critical elements of operation and taking the steps necessary
to ensure safe, normal operations (communications, resources and
assets, safety and security, staff responsibilities, utilities,
and [patient] clinical and support activities).
Event response checklists and/or HICSi Response Guides
include recovery phase activities; recovery activities should
include preparation of documentation for submission of claims for
federal reimbursement as appropriate to the event.
If the hospital has facility damage or has evacuated the
facility, then review and approval by appropriate regulatory
agencies (e.g., state licensing, OSHPD, Fire Marshall) may be
required before repatriating facilities or operations.
Preparations for recovery should be initiated during the
Mitigation, Planning and Response phases to minimize event
impacts and optimize timely resumption of normal operations and
recuperation of expenses. For example, mitigation activities may
include information technology (IT) systems secure back-up to
allow for recovery after an event involving loss of IT, planning
may include the establishing procedures and appropriate
documentation to account for event related expenses to maximize
federal funding, and response may include de-escalation plans
that allow for gradual resumption of normal operations.
The hospital should have a business continuity plan (BCP), or
continuity of operations plan (COOP), that identifies
non-critical functions and resources that may be reassigned
during an emergency, as well as critical functions, services and
their redundancy to support both response and recovery.