Hospital Implementation Plan - PowerPoint Presentation

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Hospital Implementation Plan Colorado Board of Health RuleEmergency Preparedness and Response

Lyle MooreResiliency OfficerOffice of Emergency Preparedness and Response

AgendaAcronyms Rule HistoryGoals

Regulation 2Questions/Feedback

Acronyms & DefinitionsAAR/IP: After Action Report/Improvement PlanEMS: Emergency Medical Services

ESF8: Emergency Support Function 8FQHC: Federally Qualified Health CentersHPP: Hospital Preparedness Program LPHA: Local Public Health AgencyOEM: Office of Emergency ManagementPHEP: Public Health Emergency PreparednessPHIA: Public Health Improvement Act

PIO: Public Information Officer

PPE: Personal Protective Equipment

RETAC: Regional Emergency Trauma Advisory Council

SNS: Strategic National Stockpile

Rule HistoryCreated in 2001State Board of Health Regulations Pertaining to Preparations for a Bioterrorist Event, Pandemic Influenza, or an Outbreak by a Novel and Highly Fatal Infectious Agent or Biological Toxin

6 CCR 1009-56 Regulations1-LPHA, 2-Hospitals, 3-Rural Clinics/FQHC’s, 4-RETAC/EMS, 5-CDPHE, 6-ComplianceGoal to build a base of preparednessLanguage update in 2007

Implementation Plan GOALSGoal- To assist hospitals with compliance of BOH rule

Goal- To integrate the rule with the Hospital Preparedness Program (HPP) and emergency preparedness efforts

Regulation 2. Preparations by General or Critical Access Hospitals for an Emergency EpidemicPart 1 – Maintain a notification listPart 2 – Emergency Operations Plan

Part 3 - Exercise

Part 1 – Notification ListMaintain an up-to-date notification list for providing information to partnersSatellite clinics, acute care facilities or trauma centers operated by the hospital

Physician offices and healthcare providers on staffLocal Public Health Agency (LPHA) and Local Office of Emergency Management (OEM)Review and update list annually Exercise rule annuallyEmergency incident with activation of their Emergency Operation Plan (EOP) can be substituted for Exercise

Colorado Notification System deliverable

Part 2 - PlansMaintain facility Emergency Operations Plan (EOP)EOP reviewed and updatedAt least every 3 years

Submitted to CDPHE/OEPRUpon request, copy made available to:OEM, LPHA(s), ESF8 entity, RETAC’s, healthcare coalition.

Part 2 – Plans continuedThe EOP will address the following areas:Organization and assignment of employees

Having sufficient supplies/personal protective equipment (PPE)Training for assigned staff on use of PPEProcess to ensure provision of PPEPPE shall be able to meet standard precautions

Part 2 – Plans continuedProcurement, storage and distribution of at least a three-day supply of an antibioticDetermined by CDPHE

Effective against category A bacterial agentsUsed as prophylaxis for employees immediately respondingAnother antibiotic for employees who may be unable to take the antibiotic of first choiceDesignated antibiotic letter

Use unspent funding

Part 2 – Plans continuedA process for recruiting and credentialing volunteers Creation of an operations center

Within the agency or part of the campusCentralizing telephone, radio, and other electronic communicationsCompiling morbidity and mortality dataReceiving and responding to executive orders from the GovernorMaintaining a log of operations, decisions and resourcesAssessment and management of infection control in the facility

Coordination with LPHA and Coroner, assessment and management of the disposal of human corpses

Part 2 – Plans continuedSecurity and traffic managementRapid transport of human diagnostic specimens

Implementation of infection control measuresCoordination and communication for patients with extreme life threatening conditionsTriaging all persons, including faculty-staff-publicManagement of the SNS materials receivedImplementation of back-up communications system800 megahertz radios

Amateur radio emergency services

Part 2 – Plans continued2016-2017 EOP Submission and Assessment

Plans assessed against BOH Rule2017-2018 Facilities address identified gaps from assessment 2018-2019 Exercise EOP

Submit AAR/IP to OEPR

2019-2020 EOP Submission

Part 3 - ExerciseExercise and test EOP ever 3 yearsEmergency incidents where EOP is activated may be substitutedAfter Action Report/Improvement Plan (AAR/IP) submitted to CDPHE-OEPR within 60 days of occurrence.

The functional exercises of 2015-2016 will be used as compliance.

Regulation 6 - ComplianceCompletion of BOH rule determines eligibility for protections 24-33.5-711.5 C.R.S.Civil and criminal liability protections

Excludes willful misconduct/disregard

ConclusionAcronymsRule HistoryGoals

Regulation 2 & 6Questions/Feedback

Lyle Moore

Resiliency OfficerOffice of Emergency Preparedness and Response(w) 303-692-2669, (c) 303-957-8836, lyle.moore@state.co.us

Questions/Feedback?