1. CMS Emergency Preparedness Rule
Presented by: Michael A. L. Balboni

2. Overview of CMS Emergency Preparedness Rule
Today’s Discussion
Overview of CMS Emergency Preparedness Rule
Why Now?
NYS & The New Rule
Next Steps
Resources

3. Overview September 15, 2016 November 15, 2017
Final Rule published to strengthen emergency preparedness in Medicare and Medicaid facilities applies to 17 Medicare and Medicaid providers/suppliers
November 15, 2017
Implementation deadline
Surveys will include new provisions and facilities will be penalized for deficiencies

4. Emergency Planning & Risk Assessment
4 Components
Emergency Planning & Risk Assessment
Policies & Procedures
Communications Plan
Training & Testing

5. Goals of the Rule Patient Safety
Coordinated Response
…you are not alone during a disaster
Patient Safety
Consistent Emergency Preparedness Requirements
…with continual improvement

6. Why Now?
Recently, several natural and man-made disasters have stressed health-care facilities nationwide.

7. 48% of all Hurricane Katrina victims were aged 75 or older
Nursing home deaths account for about 10% (103) of the 971 Hurricane Katrina related deaths in Louisiana.
48% of all Hurricane Katrina victims were aged 75 or older
472 Report showed that at least 50% of deaths were 75 and older

8. Hurricane Sandy
More than 6,400 patients from hospitals and residential-care facilities were safely evacuated and relocated to appropriate settings.

9. Recent Preparedness Concerns
Patient safety issues
Planning for emergencies (emergency evacuation, etc.)
Elopement of residents
Communicating during disasters
Safety & security of living spaces

10. NYS & the Emergency Preparedness Rule
During a disaster, facilities are required to track locations of staff and patients.
e-FINDS can be used to satisfy the patient tracking requirement.
You should still have another plan to track your staff

11. NYS & the Emergency Preparedness Rule
2) Hazard Assessment:
Annually
All Hazards

12. NYS & the Emergency Preparedness Rule
3) Two drills annually:
One drill must be full scale.
Drills will be analyzed and plans must be revised as needed.

13. NYS & the Emergency Preparedness Rule
4) Plans must include provision of subsistence needs.
There are also significant requirements for generator testing and plans for maintaining generator fuel.

14. NYS & the Emergency Preparedness Rule
5) Plan for either evacuation or sheltering in place.

15. NYS & the Emergency Preparedness Rule
6) Facilities must have a written plan to contact staff, physicians, and suppliers.

16. NYS & the Emergency Preparedness Rule
7) Plans must reflect internal and external coordination.

17. NYS & the Emergency Preparedness Rule
8) Surveys will now include testing of personnel familiarity with emergency plans.

18. NYS & the Emergency Preparedness Rule
9) Annual training mandate: Develop training and provide to all staff with an annual refresher requirement.

19. Next Steps Expected early 2017. Guidelines will include checklists.
The CMS Survey and Certification Group is developing guidelines
Will be specific for long-term care facilities.
CMS will also develop web-based training
NYS DOH will be developing a program for outside NYC.
Long-Term Care Emergency Management Program

20. Resources
Templates/Checklists Enrollment-and-Certification/SurveyCertEmergPrep/Templates- Checklists.html
Final Rule /medicare-and-medicaid-programs-emergency-preparedness- requirements-for-medicare-and-medicaid
Rule Table: and-Certification/SurveyCertEmergPrep/Downloads/EP-Rule-Table- Provider-Type.pdf
Healthcare Emergency Preparedness Information Gateway:

21. Contact Us
519 Eighth Avenue, 16th Floor New York, NY T/ Blog: