Disaster preparedness plan for long term care facilities yeppoon,national geographic channel comcast charleston sc,4h emergency preparedness utah,survival tips germany 2014 - Reviews

Tragedies like Hurricane Katrina in 2005 have shaped a new era of disaster preparedness for skilled nursing and assisted living facilities across the country, with more providers taking proactive steps to become part of governmental emergency planning to keep residents as safe as possible before, during, and after any manner of threat. Providers are also advocating for legislative and regulatory changes to upgrade the status of long term and post acute care facilities in the eyes of first responders and emergency planners at all levels of government. Threats to the normal operation of a long term care facility come in many forms, be they from fire or power outages or seasonal weather events, such as hurricanes, tornados, and floods. Preparing for emergencies has become even more trying because skilled nursing beds are now occupied by residents with much higher acuity levels than seen only 10 to 15 years ago, she notes. One look at the Federal Emergency Management Agency website shows the plethora of potential disasters the federal government sees as worthy of special mention. Where a facility is located dictates which unique threats are most important, says Montgomery.
It was actually floods that caused the most recent emergency on a wide scale in the area in June 2008, she notes, when the Cedar River crested beyond a 500-year floodplain, wreaking havoc and forcing local hospitals to transfer patients to long term care facilities out of the way of the water, Giorgio says. But it was a recent train derailment with the potential for a chemical leak that sent her back to ensure her facility was ready. While being ready for an emergency has always been a priority for providers, it was made more so over the past decade. Vulnerable medically frail elderly and disabled patients and residents were largely dependent on the limited capability of each individual provider and their individual disaster plan, which was not coordinated with governmental emergency efforts, Polivka-West says.
The summits recommended that the then National Response Plan incorporate long term care facilities in its unified, all-discipline, all-hazards approach to disaster planning, response, and recovery, she says.
The obvious reason for the prioritization of disaster preparedness for the long term care community was the direct result of the awful deaths brought about by Katrina. Following those tragedies, the Hartford Foundation funded a three-year, $361,556 grant titled “Hurricane and Disaster Preparedness for Long-Term Care Facilities,” administered by FHCA. To Berman, frail, older adults in nursing facilities were at risk because the facilities were (and are) excluded from the National Response Plan.
As a result of the changes in local and state policy, nursing facilities now have more access to resources for recovery, and the medical needs of the elderly are now recognized, including refrigeration for medications, air conditioning to avoid heat-related illnesses, and washing machines to keep elders’ linens and clothes clean, Berman says.
She points out that these changes bore fruit when in 2008, Hurricanes Gustav and Ike threatened Louisiana and Texas. There are now explicit guidelines for decision making about evacuating the residents of long term care facilities.
FHCA is on the frontlines of disaster planning because of the threats posed by frequent hurricanes.
In working with FHCA over the past five years, the Hartford Foundation-funded effort has produced the first national decision-making guidelines for evacuation in disasters.
A disaster planning software and guide now assists nursing facility administrators and staff prepare for future emergencies and create a plan specific to their facility in accordance with the federal “all-hazards” approach. Perhaps one of the most important first steps, beyond creating a plan, is to reach out to the local community and let them know what a long term care facility is, and is not, says Montgomery.
Many long term care facilities are not called “nursing homes” or “nursing facilities” in their titles, confusing the uneducated in the community on what a “rehab center” is, for instance. Montgomery says beyond letting the community know of your existence there are concrete steps to follow in disaster planning. She recalls that CAHF’s Disaster Preparedness Program (DPP) was helping facilities in Alaska where volcanoes are a danger, but discovered it wasn’t the obvious threat from an eruption or lava flow that worried people the most, but instead the ash that would cause respiratory issues for residents. The other Cs include obtaining critical resources, supplies and transportation, communications, and collaboration.
CAHF’s DPP provides services to all long term care facilities in the state, including and beyond its own membership. A key project for DPP in 2006-2007 was the Pandemic Workbook for Long-Term Care and in July 2009, the Model Respiratory Protection Program, both being the first of their kind to be written specifically for long term care. The National Criteria for Evacuation Decision-Making in Nursing Homes by the Hartford Foundation, University of South Florida, and FHCA details the process in deciding whether to evacuate a facility. The National Incident Management System (NIMS) was rolled out in 2004 by the Department of Homeland Security, providing a template enabling all levels of government, the private sector, and nongovernmental organizations to work together during an incident.
When deciding whether to evacuate, a provider has to consider internal factors as well as outside forces.
The physical structure of the facility also plays a role in whether to abandon the property, the report said.
Even when a provider decides to evacuate, there may be no place to evacuate to, the report said.
As for external factors, the report says a provider has to assess the nature of the emergency when deciding to evacuate.
The location of a facility, whether it is in a prescribed zone, like a hurricane evacuation zone, will play a big role in deciding to stay or go, the report said. Polivka-West has noted that Hurricane Charley is a prime example of the conundrum of whether to evacuate or not.
The expanse of the storm left nursing facility and assisted living facility planners at a loss since emergency transport had collapsed as ambulances were being used by hospitals for evacuations. The lesson learned was the importance of hardening physical plants even more to withstand the force of Charley’s winds because of the gaps in evacuation transportation. Researchers from Brown University and the University of South Florida, with funding from the National Institute on Aging, found that because of the difficulty in evacuating nursing facility residents, it may be wiser to stay in buildings that will not be flooded, Polivka-West notes. The cause of disasters may differ, but a facility’s ability to handle disruptions comes down to the same issues: Is the power on, are the toilets working, is there enough food and shelter, and can residents be safely cared for as during a routine day? They also learned the importance of securing transportation for an evacuation and to gauge the need to do so in a careful manner.
Other issues to track are making sure to update staff on training since “new staff have to be trained because they did not live through 2005.” There also has to be enough fuel to top off generators, seven days of food and water, and the sewage aspect. Providers have learned how to capture sewage by using black garbage bags to secure and remove refuse when there is no service, which can be for a duration of two to three weeks if past experience is any measure.
Giorgio notes the importance of practice drills and to keep such drilling as simple as possible. Other ideas she shares are to make sure to have an evacuation folder with basic information on each resident within, along with a recent photo and medical summary.
She also says working with insurance providers will help immensely by having representatives sit in on disaster planning meetings so everyone can understand the plan and possibly open the process to new ideas.
AHCA and the National Center for Assisted Living have pushed for Congress to close the loop on a number of issues that prevent long term care facilities from receiving proper treatment in the wake of disasters. The Stafford Act excludes for-profit nursing facilities that provide care to the publicly funded Medicare and Medicaid residents from receiving federal financial assistance during and after disasters. Federal government agencies need to work together in identifying requirements for long term care facilities in all-hazard approaches to disaster preparedness. Finally, new protocols are necessary to improve communications and coordination between all providers and the local, state, and federal governments, with the National Response Framework as the guide for plan development at all levels. The vast majority of workers indicated that their facility has an emergency preparedness plan in place (defined as documented response protocol), most frequently rehearsed on an annual basis across all three areas measured. Is it possible, though, that overly optimistic perceptions about safety and emergency preparedness in healthcare facilities are working against facilities? His research interests focus on individual and organizational responses to risk, improvisation and creativity during crisis, post-disaster shelter and housing, and planning for behavioral health services.
As a MPH graduate student intern with the New Jersey State Department of Health and Senior Services (NJDHSS), Mr. Jody DePriest is a Regional Vice President of Operations for Southern Magnolia Management which owns and operates nursing facilities in Southern Louisiana.
Director of the Division in the Delaware Department of Health and Social Services which is charged with enforcing state and federal regulations for the protection of individuals of all ages in long term care facilities. He supervises 48 planners, technical experts, and administrative professionals who are prepared to respond to natural and man-made related emergencies.
For 24 years prior, he supervised up to 50 instructors and support personnel at the Delaware State Fire School as they delivered training to first-responders from Delaware, other States, and Canada.
He is responsible for coordinating the successful implementation of the Incident Command System (ICS) structure into the Delaware Emergency Operations Plan (DEOP), Hazard Specific Annexes, and planning and developing the Standard Operating Procedures (SOPs) that govern how the State of Delaware will respond in an emergency situation. Before pursuing a career in Emergency Management, Edward was a Meteorologist in the United States Air Force.

Quinn is the Director of the Office of Preparedness within the Emergency Medical Services and Preparedness Section at the state of Delaware's Division of Public Health. Nicole holds an MPA from the University of Delaware, School of Public Policy and Administration.
Ruth Campbell has been doing some type of emergency response activity for thirty (30) of her thirty-two (32) years of state service. Ruth is currently a Social Services Senior Administrator for the Division of Social Services. Prior to taking the position with the Delaware Emergency Management Agency Kevin was employed as a police officer for 29 years. Kevin has served in the Clayton Fire Company as a volunteer firefighter for 38 years having serving as fire chief.
Kevin has a Bachelors Degree in Management and Supervision from Wilmington College and holds a Professional Development Certificate from the Emergency Management Institute in Emmitsburg, MD. This conference will share the lessons learned from a statewide research project to develop a crisis response capacity for long-term care facilities during natural and man-made disasters in Delaware. The Courtyard Newark at the University of Delaware is conveniently located next door to the John M.
The DLTCRP has applied for CEUs applicable to licensing requirements for the Delaware Nursing Home Administrators and Delaware Nursing Boards. If you wish to report a violation of JSI's Code of Conduct, please use our Code of Conduct Helpline. If an emergency such as a fire or earthquake were to hit your long term care facility, would you be prepared? Your long term care risk management program should focus on creating the capacity to handle a spectrum of emergencies, according to the CMS guidelines.
As an administrator, you may be wondering where you can go to get help with emergency planning. At DigniCARE, we understand how important the safety and well-being of your residents and staff are to you. This entry was posted in assisted living facilities, blog, long term care, risk management and tagged emergency planning, emergency preparedness, long term care, long term care facility, Nursing Home, risk management.
O7-12 --> K & B Underwriters is a national Insurance Program Administrator serving insurance agents and brokers for senior living facilities. Once often treated like a retail outlet in the pecking order for emergency utility restoration, some locales now recognize long term care providers for their vital role in providing health care services and have made nursing facility utility restoration a priority. Disaster planning also comes into play when incidents of food-borne illness, flu, or community-based alerts created by terrorism, a train derailment, or police action occur, for example.
These include dam failures, tornados, volcanoes, wildfires, winter storms, terrorism, hurricanes, landslides, heat, floods, hazardous materials, earthquakes, chemical events, nuclear power plants, and tsunamis.
She notes that California has earthquakes to contend with, as well as wildfires and landslides.
The Vermont Yankee plant in Vernon creates considerations for how to evacuate residents if there were ever a major problem, Choma notes. Hartford Foundation in response to the events of Hurricanes Katrina, Rita, and Wilma, noted that long term care was an afterthought in existing emergency response systems and plans. As a result of the grant, nursing facilities in Alabama, Florida, Louisiana, Mississippi, and Texas are now classified as health care providers, giving them priority for utility restoration.
Unlike in 2005, emergency officials routinely reported the numbers of nursing facility evacuations and acknowledged residents’ needs. Several states, including Alabama, Mississippi, and Utah, have used state Department of Homeland Security funding to purchase satellite phones to bolster communications systems. Sheltering in place is preferred, but in the case of evacuation, steps have been taken to keep track of long-term residents in a more effective manner.
And tabletop exercises help nursing facility staff practice the implementation of the plan.
Steps include physically preparing by hardening a facility for inclement weather, purchasing extra supplies, and arranging evacuations if needed.
The DPP takes an all-hazards approach, and its work has several aspects, including education, coordination, and development of resources and tools. Both also have worksheets and targeted tools and recommendations that providers can put into practice immediately. Within the report is the description of Homeland Security Presidential Directive 5, which called for a single, comprehensive system to enhance the ability of the United States to manage domestic incidents. Questions must be answered on whether the facility is hardened for an approaching storm, what hazards are immediately around the facility, like trees that can fall and destroy parts of buildings, as well as emergency power capacity and security. Poor planning by the facility, incorrect assumptions regarding vehicle sources and availability, vehicles destroyed in the disaster, and the lack of properly sized vehicles are all factors that may prevent an evacuation. Staff must also be in place for an evacuation, which may be difficult if roads are impassable or staff have their own families to tend to. The time and scope of the event are important, but sometimes, like during a fire or gas leak, there is no time to assess such matters. In the end, the report recommends precautions at every turn when planning for an evacuation or sheltering-in-place episode.
Facilities are encouraged to implement a three-deep philosophy, entering into contracts with multiple vendors for the provision of food, water, emergency power, transportations, and emergency destinations,” the report said.
When the storm made landfall, it was not expected to turn into Port Charlotte, Fla., as a strong, Category 4 storm with winds up to 180 miles per hour. Even competitors give up food, beds, and supplies for residents in need of shelter during emergencies. She worked with her local Lynn County officials to change the relocation spot for her residents from an elementary school to a high school, given the small size of the toilets at the lower school. The lack of an interoperable electronic health information infrastructure that houses and allows access to personal health and medical information left evacuees of Katrina and Rita without sufficient records to allow caregivers to make appropriate and safe decisions about immediate care.
Weaknesses in the communications system may mean that local health care providers and facilities, as well as police, ambulance services, and others involved in search and rescue, will require satellite phone capacity, or broadband satellite Internet capacity, powered by generators.
An example of the lack of cohesion on this subject was the planning for the H1N1 Influenza A pandemic, when nursing facilities received conflicting guidance on the transmission dynamics of the flu.
To use this Web Part, you must use a browser that supports this element, such as Internet Explorer 7.0 or later. James Kendra is an associate professor in the School of Public Policy and Administration and Director of the Disaster Research Center. Kendra has participated in several quick response disaster reconnaissance trips, including the 2001 World Trade Center attacks, 2003 Midwest tornadoes, the 2004 Indian Ocean tsunami, and Hurricane Ike in 2008, as well as documenting maritime relief efforts in the US following the 2010 Haiti earthquake. Weidner conducted statistical research and analysis of emergency preparedness levels within New Jersey's health departments and hospital providers associated with Homeland Security Presidential Directive - HSPD 21.
Rick Hong serves as the Medical Director of the Office of Preparedness within Delawarea€™s Division of Public Health and is a board-certified emergency physician at Cooper University Hospital in Camden, NJ. Hong is a graduate from the University of Pennsylvania, earning Bachelora€™s degrees in Chemistry from the College of Arts and Sciences and Health Care Management and Policy from the Wharton School. DePriest became acutely aware of the needs of a detailed emergency disaster plan after facing one of the greatest natural disasters in U.S.
DePriest and his organization hold mock disaster drills on an annual basis and formulate a a€?worsta€? case scenario to house more than 1200 long term care residents and staff from approximately 10 long term care facilities.
DePriest also devotes time to the National Association of Long Term Care Administrator Board as an item writer and reviewer for the National Long Term Care Administratora€™s Exam. DePriest is a graduate of Louisiana State University Baton Rouge with a Bachelor of Science Degree in Business Administration.
The Division regularly surveys all facilities in Delaware which provide long term care, including nursing homes, group homes, and neighborhood. He manages the State Emergency Operations Center during training and exercises, emergency activations and has coordinated operations for Presidential declared federal disasters. He developed instructional materials; managed training for programs, and future training initiatives, He also published suggested Standard Operating Guidelines for the Delaware Emergency Services Community. He is currently the Operations Officer for the Delaware Emergency Management Agency where he is responsible for developing and maintaining the operational procedures necessary to respond to and recover from events, both manmade and natural, that could potentially impact the State of Delaware and its citizens. Edward also coordinates the activities required to bring the State Emergency Operations Center from normal day to day operations to full 24 hour disaster response mode.

The Office of Preparedness takes the lead and collaborates with partners and the community to develop, implement, and maintain a comprehensive program to prepare for, mitigate against, respond to and recover from public health threats and emergencies. He retired from the Delaware State Police as a Master Corporal in 2001 having served for 10 years in the aviation section as a paramedic, 4 years in the truck enforcement unit, and 6 years as patrol officer. Kevin has served the Kent County Delaware Fire Service as president of the County Fire Chiefa€™s and Firefightera€™s Associations, as well as serving as president of the Delaware State Fire Chiefa€™s Association and president of the Delaware Volunteer Firefightera€™s Association. Ample parking is available, and the Marriott Courtyard-University Hotel is conveniently located next door. In the case of such emergencies, those needing special assistance, namely the disabled and aging living both independently and in nursing homes or residential care settings, are particularly vulnerable to injury. Would your employees know where to go, who to contact, or how to best assist your elderly residents? In January 2014, the Centers for Medicare & Medicaid Services (CMS) proposed new standards for emergency preparedness plans for long term care facilities, in response to natural disasters such as Hurricane Katrina and recent devastating floods. This doesn’t mean that emergency planning should involve developing highly specific plans for every conceivable threat, just that hospitals and long term care facilities should develop specific policies and procedures to deal with any threat.
Many industry associations have actually developed emergency preparedness tool kits to be used by long term care facilities.
We’ve integrated a risk management program based on a philosophy and belief system that when you engage and empower your caregivers and put the well-being of your residents first, everyone is actively involved in helping to mitigate risk and stem losses. Most insurance companies just write the policy and you don’t see them until renewal time the next year. Experts say the threats seem to be growing, notably in the area of natural disasters, but as they increase so does the assistance being made available for implementing effective disaster plans. “The reality is that we have a pretty awesome responsibility. We all have the sense that it is not going to happen to us, but you need to have back-up systems in place,” Montgomery says.
Bernard section of New Orleans where 34 residents died after the building flooded as a result of Katrina. FHCA in turn has spearheaded the creation of the Emergency Management Guide for Nursing Homes, with AHCA.
But there needed to be an ethical informed process to determine whether to evacuate or shelter-in-place,” Berman says. 13, 2004, Polivka-West says the state’s long term care facilities had to grapple with evacuating more than 10,000 residents from the path of the storm from Tampa to Orlando. Unfortunately, the National Response Plan still has not formalized this integration of nursing homes,” Berman says.
What others have learned from past emergencies is vital to prepare for the next disaster, Polivka-West says.
Every 9-11 anniversary is a good time to open your doors and offer refreshments to first responders and the like and build that rapport before an event happens,” Montgomery says. The ICS is a standardized, all-hazard incident management concept, allowing its users to adopt an integrated organizational structure. Residents with complex medical conditions, like radiation therapy or dialysis, may need to be evacuated to a hospital.
States vary on what supplies, and how much, are needed for sheltering in place, but for example, Florida law requires a one-week supply of nonperishable food and supplies, three gallons of water per resident per day during and after a disaster (defined as 72 hours), and one gallon per staff member per day, along with 72 hours worth of essential supplies. Roofs were being blown away from hospitals and long term care facilities across southwest Florida, up through Orlando, and northeast to Jacksonville. Previously he was coordinator of the Emergency Administration and Planning Program in the Department of Public Administration at the University of North Texas. He has been involved in several emergency planning and exercise efforts, and he is a Certified Emergency Manager. In his current position as the Director of Emergency Preparedness for the Health Care Association of New Jersey, Mr. He earned a Bachelors of Science (BS) in Public Health Administration from Rutgers University, and his Master of Public Health (MPH) in Environmental Health, with concentration in Public Health Emergency Preparedness, from West Chester University of Pennsylvania.
It is also charged with investigating allegations of abuse and neglect of individuals in such facilities. He is appointed by the Governor to administer all fiscal, planning, and operational functions of DEMA as assigned by law or delegated by the Delaware Safety and Homeland Security Secretary. Kevin is also an instructor with the Delaware State Fire School having served for 32 years. There have been numerous stories over the years about devastating fires in nursing homes, and debates over sprinkler systems not being installed to protect residents should a fire occur.
Long term care facilities will now be subject to the same requirements proposed for hospitals. These policies should include tracking the location of staff and patients, and ensuring that medical records are “secure and available” in an emergency. This means going beyond focusing on the clinical aspects of Long Term Care Risk Management Programs to offering a look at the enterprise across various systems.
The people in our facilities are fragile and not resilient, and the need for preparedness has been ever-increasing over time for skilled nursing facilities and assisted living,” says Jocelyn Montgomery, director of clinical affairs for the California Association of Health Facilities (CAHF).
Learning from mistakes and taking into account real-life lessons have given providers new tools for ensuring that quality care extends to residents even in the most trying of times. Seventy-eight nursing facility residents in New Orleans in total lost their lives during Katrina, and 23 long term care residents were killed in a bus accident in Texas during evacuations caused by Hurricane Rita. Florida has never lost a nursing home resident in an emergency because the needs of nursing homes are and were integrated into the state’s response,” Berman says. Her last point is that an active training program is necessary to put every staff member on the same page for disaster.
ICS is structured to support five major functional areas: command, finance, logistics, operations, and planning. Others may have special care needs, like respiratory treatment or pressure ulcers, that may be manageable in the nursing facility if their condition is stable. The Hartford report notes that it recommends seven to 10 days of supplies, well beyond the Florida law. Unfortunately, that is precisely the direction Hurricane Charley followed, damaging the facilities that had accepted the evacuees from Tampa and St. He graduated from Massachusetts Maritime Academy with a degree in marine transportation, and served several years at sea, attaining a Master Mariner license. Weidner is responsible for all-hazards emergency preparedness, Homeland Security Exercise and Evaluation Program (HSEEP) exercise design and planning, emergency communications and response to a membership of over 280 long term care and assisted living facilities across New Jersey. Kevin has served as the Chief of Police for the Town of Wyoming, Delaware for 4 A? years, the as a civilian criminal investigator in the Delaware State Police Sex Offender Unit for 4 A? years. The planning guides and training were designed using a literature and secondary source review regarding emergency preparedness for the target population as well as interviews with stakeholders regarding the target population needs.
Of course accidents will happen, but having a solid emergency preparedness plan in place as part of your long term care risk management program can help prevent tragic losses.
His mastera€™s degree is in geography from the University of Massachusetts, and his PhD is in geography from Rutgers University.
DAIL sent copies of the planning guides and trainings to every licensed nursing home facility and assisted living facility in the state and directly to approximately 10,000 Vermonters.
He is a member of the US Coast Guard Auxiliary, with interests in boating safety and public education.
While employed at Client Logic, Kevin developed a professional development training program for the security officers to enhance their knowledge of security and safety.
In addition Kevin developed a safety training program for new employees as well as a comprehensive safety education program resulting in a 75% reduction in facility related injuries. They must know how to hold down the fort, save lives, know how to communicate,” Montgomery says.

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