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Disaster Planning in Hospital Administration

A primer for prospective managers

Christopher Savoy

on 9 July 2017

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Transcript of Disaster Planning in Hospital Administration


Key Terms
A primer for prospective managers
Prospective administrators must be familiar with the terminology of disaster planning.
Joint Commission standards and government regulations will continue to evolve.
Information management during disasters will soon be addressed on a national scale.
Hospital Emergency Incident
Command Systen (HEICS)
Surge Capacity
Joint Commission
Christopher Savoy
Northwestern State University
Hazard Vulnerability
Analysis (HVA)
Disaster Medicine and Public Health
Preparedness (DMPHP)
National Incident Management
System (NIMS)
Federal Emergency Management
Agency (FEMA)
Department of Homeland
Joint Commission

Patient Needs
Four Phases of Disaster
Medical Supplies (3 Days)
"96 Hour Rule"
Stategic National Stockpile
Adequate Personnel
Secure Perimeter
Control Points
Do not assume availability of local law enforcement!
Communication "Hardware"
ex: Phones & Radios
Communication "Software"
ex: Internal Command Structure
Consider creating a register of retired volunteers
Utilize the
Emergency System for Advanced Registration of Volunteer Health Proffesionals in Disaster Response
Ensure that surge staff have adaquate food, water and hygene supplies for a potentially long stay
*Keep hard copies of all contact info!
Information Management
Vulnerable Populations
Hygiene & Sanitation
Mental Health Needs
Mortuary Services
Information Management
Gases (Oxygen)
Siphon Pumps
Every facility must provide an HVA to the Joint Commission
A self-investigative process
Creates an inventory of possible threats to a hospital's disaster readiness (Lusby, 2006)
Shover (2007) defines surge capacity as the measure of a hospital's ability to to expand acute medical care capabilities for an increased volume of patients.
DMPHP is a movement concerned with improving disaster response
AMA and the Center for Disaster Medicine and Public Health Preparedness
Chartered under the department of homeland security
Applicable to a wide range of incidents
Similar to HEICS
Any hospital recieving Federal preparedness grants MUST be NIMS compliant!
A unified emergency response protocal was first requested by the Reagan administration in reaction to California forest fires.
San Mateo County, California answered the call by developing the Incident command system...
...which later evolved, and became known as the Hospital Emergency Incident Command System (HEICS)...
...HEICS then evolved into it's current form, the Hospital Incident Command System (HICS)...
Founded in 1951


To continuously improve health care for the public, in collaboration with other stakeholders, by evaluating health care organizations and inspiring them to excell in providing safe and effective care of the highest quality and value.
Congressional Act of 1803
Bureau of Public Roads
Disaster Relief Act (1974)
Executive Order 12127 (1979)
Absorbed by the Department of Homeland Security (March 2003)
Signed into law November 25th 2002
Our nation's response to 9/11
National Incident Management Systems (NIMS)
Assessment of potential weaknesses
Hazard Vulnerability Analysis (HVA)
Six functional criteria
Resource inventory
Staff training
Coincides with response
Return to normal operations
Carries out the disaster plan
Public address
Disease monitoring


Cavagnaro, M. (2009). Management Q&A. Plan, prepare for disasters. MLO: Medical Laboratory Observer, 41(7), 44. Retrieved from EBSCOhost.

Disaster preparedness requires HEICS. (2006, September/October). Practical Health
Law. Retrieved from http://www.hallrender.com/library/newsletters/

Federal Emergency Management Agency “NIMS implementation activities for
hospital and healthcare – system implementations – frequently asked questions.”
2007. http://www.fema.gov/pdf/emergency/nims/hospital_faq.pdf (5 October

Joint Commission Resources, Joint Commission on Accreditation of Healthcare
Organizations. “Surge hospitals: Providing safe care in emergencies.”

The Joint Commission “Frequently asked questions – 96 hour rule.” 2009
dsFaqId=301&ProgramId=1 (18 October 2011)

Lusby, L. R. (2006). Are you ready to execute your facility's emergency management plans?. Journal of Trauma Nursing, 13(2), 74-77. Retrieved from EBSCOhost.

McCann, D. (2009). Preparing for the worst: A disaster medicine primer for health care. Journal of Legal Medicine, 30(3), 329-348. Retrieved from EBSCOhost.

Peterson, C. (2006). Be safe, be prepared: Emergency system for advance registration of volunteer health professionals in disaster response. Online Journal of Issues in Nursing, 11(3), Retrieved from EBSCOhost.

Shover, H. (2007). Understanding the chain of communication during a disaster. Perspectives in Psychiatric Care, 43(1), 4-14. Retrieved from EBSCOhost.

Smith, E., & Macdonald, R. (2006). Managing health information during disasters. Health Information Management Journal, 35(2), 8-13. Retrieved from EBSCOhost.

Steinhauer, R., & Bauer, J. (2002). A readied response. The emergency management plan. RN, 65(6), 40. Retrieved from EBSCOhost.

Storbakken, S., Lackey, C., & Kendall, S. (2008, July). Strategies for 96-hour critical
infrastructure compliance. Presented at the Forty-fifth American Society for
Healthcare Engineering Conference and Technical Exhibition, Washington, D.C.

Abstract retrieved from: http://www.hfmadv.org/documents/Strategiesfor96hourcr

United States Department of Homeland Security “NIMS: Frequently asked questions.”
http://www.fema.gov/pdf/emergency/nims/NIMSFAQs.pdf (5 October 2011)

Will your emergency operations plan hold up to Joint Commission scrutiny?. (2011). ED Management, 23(7), 77-78. Retrieved from EBSCOhost.
Courtesy EXCELth, Inc.
Courtesy Coastal Family Health Center
The Medical Record Department Should Know:
The location of the disaster plan.
Which staff members should be contacted.
Emergency contact details.
Evacuation procedures.
Location of disaster records.
Access to electronic lists of patient details.
Steps Toward Preparedness
needs assessment
electronic lists
patient ID #'s
convert to electronic records
protect paper records
plan for loss of infrastructure
develop an HIS disaster plan
New Orleans VA
September 1st. 2005:

A computer specialist was flown from New Orleans to Houston carrying electronic records of 50,000 patients.

It took 100 hours to transfer the records in Houston.

These records are available to any VA hospital nationwide.

-Cadence Group (2005)
1st Piece of Disaster legislation
Provided Assistance to New Hampshire
Followed a devestating fire
Led to ad hoc legislation to many other disasters
Given authority to provide reconstruction funding
Earthquake, fire, floods
Flood control act of 1936 led to federal flood relief
Established individual and family assistance through state and local government
Created FEMA
FEMA absorbed other existing agencies:
Federal Insurance Administration
National Fire Prevention and Control Administration
National Weather Service Community Preparedness Program
Federal Disaster Assistance Administration
After the Storm:
Remember: Patient information must still be protected according to HIPPA standards during disaster situations!
Historical Backround
Key Terms
Joint Commision Standards
Information Management
Six Functional Criteria
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