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Emergency Operations Plan
Also known as an EOP Presenter: Rachel Mockros, RHPC
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Emergency Operations Plan Development
Outlines the facility’s strategy for responding to and recovering from a threat, hazard, or other incident Information in the EOP is to be used during response and should provide abbreviated guidance and quick reference material The Incident Command System should serve as the foundation on which to design the organizational structure and processes included in the EOP
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Organization of the EOP
Example from Minnesota’s LTC Toolkit Title page Introduction Table of contents Executive summary Base Plan Appendixes
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EOP – Base Plan Base Plan—Provides an understanding of how the organization responds and how it interfaces with its outside environment during response Purpose and/or mission: Goal and objectives Scope Situation and assumptions Policies and authorities Concept of operations Summary of HVA Chain of Command Definitions – Emergency Alerts and Key Terms Activation of Plan
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EOP – Base Plan Possible healthcare concept of operations stages:
Event recognition Initial notification and activation Mobilization Incident operations Demobilization Transition to recovery
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EOP – Appendices More specific and detailed description for response guidance Provides the general response objectives for the functional area, the response structure, activation, and mobilization procedures specific to that function Concept of operations for each functional area Position descriptions and qualifications; operational checklists (Job Action Sheets [JAS]) for the positions Forms (including ICS forms) and other job aids to accomplish the task
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EOP - Appendices Job action sheets Checklists and algorithms
Hazard specific response procedures Facility specific information
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Evacuation or Shelter in Place
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Communications Notification and Warning
Public Information/Media Communications Staff Recall and Identification Family & Visitor Communications
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Staff Roles & Responsibilities
Essential and non essential personnel Assignments Reporting structure Volunteers and credentialing Departmental response Job Action Sheets
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Utilities Electricity Water Fuel Med Gases Heating/Cooling/Ventilation
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Assets & Resources Replenish medications Access to medication caches
Replenish medical supplies Replenish non-medical supplies Share resources and assets with other organizations Transportation of patients, meds, supplies, equipment and staff to alternate care sites Transferring pertinent information to alternate care sites A lesson learned from Katrina and from evacuations closer to home that if you are evacuating bus loads of people to a receiving health care facility, to assure that there is plenty of water and medication on the bus. Some facilities have transported the medications in a separate vehicle and this has caused issues with the meds not getting to the residents in time.
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Safety & Security Role of local law enforcement Hazardous materials
Decontamination Traffic and People Movement Control Lockdown/Restricted Access
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Resident Care Activities
Hygiene and sanitation Mental Health services Mortuary services Document and track resident information
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Business Continuity Organizations from all sectors, including public, private, and nonprofit, are at risk for hazards that will impact their business operations and/or their services or product operations
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Business Continuity Ensures that the service and products are not disrupted and can return to normal operations rapidly Business continuity management Contingency planning Disaster recovery Earthquakes Y2K Hurricanes Katrina and Rita
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Business Continuity Utilize the same procedures and the same format as the EOP May not need to include specific incident response appendixes Leadership must be involved Committee will also provide for better cooperation from departments
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Infectious Disease Outbreaks
Surveillance Isolation Quarantine Mass Vaccination Resources such as PPE Consider Hot Zones Communication Local Public Health – HAN alerts
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Fatality Management Mass fatality incident that results in surge of deaths and overwhelms local mortuary services. Plan with County Emergency Manager Temporary Morgue location Consider Universal and Standard Precautions Additional resources – body bags, tags Engineering considerations – cooling Behavioral Health Decedent Identification and tracking
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Prepare, Review & Approve the Plan
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Implement & Maintain the Plan
Education and Training Review Plan at least annually
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