Emergency Preparedness Resources for RHCs
Healthcare Business Specialists, LLC works with Rural Health Clinics on Cost Reporting, Billing, and Compliance issues. As a part of that commitment to RHCs we are providing the following resources for RHCs to use in complying with the Emergency Preparedness requirements that must be complied with by November 15, 2017. Good luck and get started as soon as possible as the regulation is very time intensive.
March 20, 2021: If you have not completed your HIPAA Security Risk Assessment HealthIT.gov provides a great tool to help you go through the process which can be found here.
RHC Employee Emergency Training Video
September 4, 2021: We made a 12 minute video for your employees on Emergency Preparedness for RHCs. This training video comes with a test they can take to document your training. Remember as an RHC you must train your employees upon hire and at least every two years thereafter.
Here is the link to the video: https://youtu.be/Xs5AKn2oIhI
Additionally, we updated our Emergency Test and Communication Plan Information Request which can be found here.
Here is the link to the Tennessee Risk Mitigation plan for your All Hazards Risk Assessment: https://www.tn.gov/content/dam/tn/tema/documents/hazard-mitigation-plan/Tennessee%20Hazard%20Mitigation%20Plan%202018%20FINAL.pdf
Updated Template of Emergency Preparedness Policy and Procedure Manual for RHCs
January 1, 2021: We have updated the Emergency Preparedness Policy and Procedure Manual template for Rural Health Clinics which can be found below:
Emergency Preparedness COVID-19 RESOURCES FOR RHCS
Webinar: Kentucky RHC Emergency Preparedness Plan Virtual Training (May 28, 2020)
Kentucky RHC Emergency Preparedness Plan Virtual Training Slides
Flu Table Top Exercise and COVID-19 Event After Action Report Slides
3/27/2020 Emergency Situations: Preparedness, Planning, and Response by: OCR Website
March 12, 2020: As Rural Health Clinics are formulating their response to the COVID-19 pandemic, it is a great time (actually more of a necessity) to conduct a Emergency Preparedness COVID-19 Tabletop Exercise with your staff. Here are some of the resources that will help you conduct your Emergency Preparedness Tabletop session and document it with an After-Action Report.
Recording of COVID-19 Webinar on March 12, 2020 with Taylor Cottano and Patty Harper
COVID-19 Presentation by Taylor Cottano on March 12, 2020 (PDF)
COVID-19 Presentation by Patty Harper on March 12, 2020 (PDF)
CDC Current Emergencies Website with updated guidance from CMS on COVID-19
Emergency Preparedness Tabletop for COVID-19 Powerpoint Presentation (PPT)
Emergency Preparedness Tabletop COVID-19 Facilitator Manual (Word)
Emergency Preparedness Tabletop COVID-19 Participant Situation Manual (Word)
Southern Evals Product Link to Emergency Preparedness Documents and Tabletop
CMS FAQS on COVID-19 for different types of healthcare entities
January 30, 2020 Please find below the Emergency Preparedness Questionnaire used to prepare the RHC Emergency Preparedness Policy and Procedure Manual
October 17, 2019 Please find some additional resources for Emergency Preparedness from our Emergency Preparedness Update Webinar on October 17, 2019. We have included a PDF of the Slide Presentation and other items that will be useful for Emergency Preparedness Compliance:
October 4, 2019: There have been a number of changes to the Emergency Preparedness Program over recent months and specifically due to changes implemented because of The Omnibus Burden Reduction regulations finalized on September 30, 2019. You will find an updated Emergency Preparedness Policy and Procedure manual in the list of files below. RHCs should update their EP Policies and Procedures to reflect the new less intensive regulations.
January 7, 2019. The following link is a modified Louisiana EP Form which serves as a checklist for RHCs. This one-pager will help you keep up with what needs to be done each year to stay in compliance with the Emergency Preparedness RHC regulations.
Healthcare Business Specialists presented a webinar on Emergency Preparedness on December 14, 2018. The following are links to the webinar recording and the handout of the Powerpoint presentation:
In December, 2018 several documents were published regarding Emergency Preparedness and RHCs. Here are the links to these documents
The Role of Health Clinics in Emergency Preparedness (Summary)
Rural Health Clinic Question and Answers from ASPR Tracie (10-page PDF)
https://files.asprtracie.hhs.gov/documents/aspr-tracie-engagement-of-health-clinics-in-surge.pdf
The Role of Health Clinics in Emergency Preparedness (Full Report)
https://files.asprtracie.hhs.gov/documents/aspr-tracie-health-clinics-survey-report-508.pdf
Earthquake Summary from ASPR Tracie
https://files.asprtracie.hhs.gov/documents/major-earthquakes-and-cascading-events-summary.pdf
HIPAA Summary as it applies to EP
https://asprtracie.s3.amazonaws.com/documents/aspr-tracie-hipaa-emergency-fact-sheet.pdf
Initial Emergency Preparedness Training for Employees (November 17, 2017). Healthcare Business Specialists has developed a very brief training program for employees which includes a one page description of the Emergency Preparedness requirements, a request for contact information for the communication plan, and a test to document the employee's understanding of the RHC regulations. We have provided both a Word and PDF version below:
Initial Employee Training for Emergency Preparedness (PDF - 3 pages)
Initial Employee Training for Emergency Preparedness (Word - 3 pages)
Healthcare Business Specialists has provided some sample Emergency Preparedness policies and procedures for RHCs:
Emergency Preparedness Sample Policies and Procedures 8-Tab Index (Word)
Emergency Preparedness Sample Policies and Procedures for RHCs
NARHC Handout on 10/19/2017 (2-Page PDF)
Self Assessment: Where do you stand on being ready for Emergency Preparedness? Take this self assessment form to determine your readiness for compliance. Self Test for Emergency Preparedness.
The Compliance Team Emergency Preparedness Checklist: Kate Hill provides another great tool for RHCs. This EP Checklist is a great starting point for your clinic to document your compliance steps.
CFR and Regulatory Citations: Emergency Preparedness and related regulations
CFR publication of the Emergency Preparation Regulations (September 16, 2016, 186 page PDF)
The Stafford Act requiring Mitigation Plans for States and local governments (181 page PDF)
Definitions, Resources, Interpretative Guidelines: The language of Emergency Preparedness is very specific. CMS has provided definitions of the terms used when discussing Emergency Planning for healthcare providers. We provide the link to the definitions below:
CMS Resources at your Fingertips by ASPR Tracie (16 page PDF with a list of resources)
CMS Interpretative Guidelines - Appendix Z released June 8, 2017
Healthcare Business Specialists webinars: First here are a couple of Healthcare Business Specialists webinars on Emergency Preparedness. Just click on the title and it will open the webinar.
Emergency Preparedness Webinar on October 13, 2017 on how to use the EP Template for RHCs
Regulatory Update including Emergency Preparedness on April 27, 2017
CMS Webinars - Please find below several links to webinars that CMS has conducted on Emergency Preparedness recently that will help you understand your responsibilities under the Emergency Preparedness Guidelines:
Emergency Preparedness Requirements MLN Connects® Call 10/5/16
Understanding the CMS Proposed Rule on Emergency Preparedness Webinar on March 18, 2014
This link will take you to CMS's templates and Checklist website.
CMS Website and Links: CMS (Centers for Medicare and Medicaid Services) has several websites dedicated to Emergency Preparedness. These links will take you to those websites and those websites have a number of links that you can explore and contain resources and requirements:
CMS Online Training Modules: CMS has recently published training modules for Emergency Preparedness and it is highly recommended that you go through these modules to help you understand what the RHC inspectors will be looking for:
CMS Online Training Module for Emergency Preparedness Inspectors (includes more than just RHCs)
FEMA Online Training Module for Incident Command Center operations
HBS Presentations on Emergency Preparedness are included below. These are the PDFs of the Powerpoints with links to the regulations and other resources:
November 7, 2017 NARHC Emergency Preparedness Presentation (PDF)
October 13, 2017 Webinar on RHC Policy and Procedure Manual Template
ASPR TRACIE - Brought to you by HHS ASPR, the Technical Resources, Assistance Center, and Information Exchange (TRACIE) was created to meet the information and technical assistance needs of regional ASPR staff, healthcare coalitions, healthcare entities, healthcare providers, emergency managers, public health practitioners, and others working in disaster medicine, healthcare system preparedness, and public health emergency preparedness. The following link will take you to ASPR TRACIE:
Communication Plans are required to comply with the Emergency Preparedness Guidelines. Here are some resources to help you build your communication plan:
Sample Emergency Plan Templates. We have gathered several Emergency Plan templates for you to use while developing your Emergency Preparedness Program:
Emergency Preparedness Checklist for Healthcare prepared by CMS (6 page PDF)
Emergency Action Template from the CDC Editable Word Document
Louisiana Templates of Emergency Plans for RHCs, Hospitals, and other provider types.
Louisiana Emergency Preparedness Tools, Templates, and information for RHCs
Risk Assessment Tools: RHCs are required to conduct a facility specific all hazards risk assessment. We have included the most common tools for RHCs to conduct a Risk Assessment as required under the Emergency Preparedness requirements:
Jefferson County, Alabama Risk Mitigation Plan (Part 2 of 2)
Jefferson County, Alabama Risk Mitigation Plan (Part 1 of 2)
Lawrence County, Alabama Risk Assessment and Mitigation Plan
Morgan County, Alabama Multi-Hazard Risk Mitigation Plan (Part II)
BradleyCounty, Arkansas Mitigation Plan Update on May 1, 2017
Marion County, Arkansas All Hazards Risk Assessment (125 page PDF)
State of Arkansas Risk Mitigation Plan for the State (2013, 753 page PDF)
Marshall County, Alabama Risk Assessment and Mitigation Plan
Kaiser Permanente has developed a revised Hazard Vulnerability Analysis tool and instruction sheet. Available as a planning resource only; if sharing publicly please credit Kaiser Permanente.
Tabletop Exercise Resources - We have included several resources to help you complete a Tabletop Exercise:
Ready.Gov Exercises Webpage with resources for Tabletop and Facility-based Exercises
On October 19, 2017 (you can do the drill anytime) the world's largest earthquake drill will occur. This can count as a Tabletop exercise for your Emergency Preparedness Plan. You need to sign up and do some preliminary work before the drill, but this could be a relatively simple way to get in your Tabletop drill by the November 15, 2017 deadline. Here is the link: https://www.shakeout.org/
The following document will help you get ready for the the great shakeout. https://www.shakeout.org/downloads/CountdownToShakeOut_Organizations.pdf
Emergency Response Resources for your Community and Clinic
How to prepare and respond to a tornado: https://www.ready.gov/tornadoes
Emergency Preparedness Vendor Webinars There are several webinars that are very helpful. Here are a few of them from various reputable vendors:
CMS Final Rule on Emergency Preparedness: What Health Centers Need to Know
Everbridge YouTube Channel with Webinars on implementing Emergency Preparedness
Everbridge Active Shooter for Healthcare (1 hour, June 2, 2016)
Additional Resources - For more resources on Emergency Preparedness for RHCs email marklynnrhc@gmail.com or contact the following companies which work with rural health clinics. Connect Consulting Services and Firestorm are Emergency Preparedness consulting firms and have turnkey consulting for Emergency Preparedness.