Resource Library
Search a variety of tools and template that make emergency preparedness planning easier. If you are looking for any resources that are not listed please feel free to utilize the contact us link and we will attempt to assist you.
active shooter
2017_Active_Shooter_Planning_and_Response_in_a_Healthcare_Setting
ARMER
- 01_ottc_armer_system_wc_and_cm_hpg_janaury_2012
- 02_ottc_radio_101_wc_and_cm_hpg_january_2012
- 03_ottc_talkgroup_affiliation_and_prioritization_wc_and_cm_hpg_january_2012
- 04_ottc_fleetmapping_and_interoperability_wc_and_cm_hpg_january_2012
- 05_ottc_hospital_and_ems_interoperability_corresponds_to_the_bpg_january_2012
- 06_ottc_scanning_hospital_and_ems_january_2012
- 07_ottc_system_and_subscriber_programming_considerations_hosp_and_ems_january_2012
- MnFOG 2-2 — 2017-10-26
- National Interoperability Field Operations Guide v1 6 1
at risk & functional needs
ASPR/HPP Guidance
- ASPR Introduction fact sheet – 2016
- 2017-2022-ASPR Health Care Preparedness and Response Capabilities
- CDC-RFA-TP17-1701 Final FOA
- Capabilities crosswalk Feb2017
- Logic model
- New capability break down Feb2017
Burn Surge
closed pod information (Point of Dispensing)
CPOD Planning Tool – Word Version
CMS UPDATE INFORMATION 2017
17-Facility-Provider-Supplier-Types-Impacted
Breakdown of CMS requirements – info for surveyors
08 2017 Continuous Patient Readiness Plan
CMS Emergency Preparedness Documentation Readiness Checklist
Section 1135 Waivers in emergencies
continuity of operations
- MDH COOP Workshop – Participant Guide
- COOP Workshop Slides
- COOP Workshop Exercise
- COOP Workshop Resources
crisis standards of care
CRISIST STANDARDS OF CARE FRAMEWORK – JULY 2018
Patient Care Strategies for Scare Resource Situations – June 2019
decon resources
Signage:
- Instructions:
- Pictures:
ebola and highly infectious disease
- CDC Donning & Doffing Video Links
- EMS Protocol for Ebola-HID Ambulance Service
- Ebola-HID Ambulance – Hospital Request Procedure
- MDH Category “A” Waste Guide
- MDH Ebola Plan
- MDH HCID Toolkit
- Transportation and Contact info for HCID
- WCMHPC Appendix 3.5.8 Handling of Solid Waste Contaminated with a Category ‘A’ Infectious Waste
- CMHPC _App J_ Handling of Solid Waste Contaminated with a Category ‘A’ Infectious Substance for EMS
Evacuation tools
Hazard vulnerability analysis tools
Healthcare Incident Command System (HICS)
NIMS 2017 Instructor/Student Learning Materials
HICS Forms:
- HICS Incident Action Plan – Quick Start
- HICS 200 Incident Action Plan – IAP
- HICS 201 Incident Briefing
- HICS 202 Incident Objectives
- HICS 203 Organization Assignment List
- HICS 204 Assignment list
- HICS 205A Communications List
- HICS 206 Staff Medical Plan
- HICS 207 Hospital Incident Management Team HIMT Chart
- HICS 213 General Message form
- HICS 214 Activity Log
- HICS 215A Incident Action plan Safety Analysis
- HICS 221 Demobilization Check Out
- HICS 251 Facility System Status Report
- HICS 252 Section Personnel Time Sheet
- HICS 253 Volunteer Registration
- HICS 254 Disaster Victim Patient Tracking
- HICS 255 Master Patient Evacuation Tracking
- HICS 256 Procurement Summary Report
- HICS 257 Resource Accounting Record
- HICS 258 Hospital Resource Directory
- HICS 259 Hospital Casualty Fatality Report
- HICS 260 Patient Evacuation – Tracking form
HICS Job Action Sheets:
Command Staff:
- Incident Commander
- Liaison Officer
- All HICS forms are available for download on the California Hospital Association Website. Click here for the California Hospital Association HICS section
HICS for Small & Rural Hospital Tools:
- Hospital Based Incident Command Systems – Small and Rural Hospitals ASPR
- Hospital Resources HICS Command Staff
- Hospital Resources HICS General Staff
- Hospital Resources HICS Job Aids
- Hospital Resources Med-Tech
- Hospital Resources Small Hospital IMT Chart
- Hospital Resources Using the HICS Job Action Sheets for Small Hospitals
The Center for Preparedness Education – excellent tools utilizing HICS for small hospitals.
Supplemental ICS Forms:
- ICS Form 205 Incident Radio Communications Plan
- ICS Form 208 Safety Message-Plan
- ICS Form 209 Incident Status Summary
- ICS Form 210 Resource Status Change
- ICS Form 211 Incident Check-In List
- ICS Form 213rr Resource Request Message
- ICS Form 215 Operational Planning Worksheet
- ICS Form 218 Support Vehicle-Equipment Inventory
- ICS Form 225 Incident Personnel Performance Rating
Supplemental USCG ICS Forms:
- ICS 202A CG Command Direction
- ICS 202B CG Critical Information Requirements
- ICS 204A CG Assignment List Attachment
- ICS 217A CG Communications Resource Availability Worksheet
- ICS 230 CG Daily Meeting Schedule
- ICS 232 CG Resources at Risk Summary
- ICS 232A CG Area Contingency Plan Site Index
- ICS 233 CG Incident Open Action Tracker
- ICS 234 CG Work Analysis Matrix
- ICS 235 CG Facility Needs Assessment Worksheet
- ICS 236 CG Tentative Release List
- ICS 237 CG Incident Mishap Reporting Record
- ICS 238 CG Demobilization Tracking Table
- ICS 261 CG Incident Accountable Resource Tracking Worksheet
- ICS AC 202 CG EPA Area Command Objectives
- ICS AC 205A CG EPA Area Command Communications List
- ICS AC 207 CG EPA Area Command Organization Chart
- ICS AC 209 CG EPA Area Command Incident Status Summary
- ICS AC 215 CG EPA Area Command Resource Allocation & Prioritization Worksheet
- ICS AC 230 CG EPA Area Command Daily Meeting Schedule
The Planning “P”
Home Healthcare Resources
Home Health Care – Emergency Preparedness presentation
EP Packet for Home Health Agencies
HHA Business continuity plan template
LTC PREPAREDNESS tools
Minnesota Department of Health LTC Toolkit
THE FOLLOWING LTC ALL HAZARDS TOOLKIT IS DESIGNED TO BE CUSTOMIZED FOR YOUR FACILITY. YOU CAN USE WHATEVER PIECES YOU WISH FOR YOUR PLAN. THE FIRST LINK TO THE LTC ALL HAZARDS TOOLKIT (NOV 2016) IS THE INITIAL BASE PLAN – THIS PLAN ALSO NEEDS TO BE CUSTOMIZED.
LTC All Hazards Toolkit – November 2016
LTC All Hazards Template Appendixes
- Appendix A – CMS Emergency Preparedness Checklist
- Appendix B – Hazard Vulnerability Analysis Tool
- Appendix C ICS Guides
- Appendix D – Facility Contact List template
- Appendix E – Facility Specific Information template
- Appendix F – HIPAA Waiver toolkit
- Appendix G – Evacuation Plan and Checklists/Transportation Agreements
- Appendix H – Facility Shelter in Place planning including Supply and Equipment and checklists
- Appendix I – MOU Templates
- Appendix J – Recovery Checklists
- Appendix K – Staff Care planning
- Appendix L – Exercise Evaluation and Improvement Planning checklist and AAR
- Appendix M – Regional Resources and contacts
LTC All Hazards Template Annexes
- 19-1-14-1-apartment-evacuation-policy
- 19-1-14-2-behavioural-health-psychological first aid
- 19-1-14-3-bioterrorism-threats
- 19-1-14-4-bomb-threat-policy
- 19-1-14-5-chemical-spills
- 19-1-14-6-communications
- 19-1-14-7-electrical-power-outage-policy
- 19-1-14-8-elevator-policy
- 19-1-14-9-emergency-notification-of-administrator
- 19-1-14-10-fire-policy
- 19-1-14-11-heat-humidity-policy
- 19-1-14-12-loss-of-telephone-service-policy
- 19-1-14-13-missing-person-policy
- 19-1-14-14-severe-weather-policy
- 19-1-14-15-water-shortage-policy
- 19-1-14-15-1-emergency-water-supply-planning-guide
- 19-1-14-16-winter-storms-safety-precautions
- 19-1-14-17-active-shooter-and-hostage-policy
- 19-1-14-17-1-incorporating-active-shooter-incident-planning
- 19-1-14-17-2-preventing-violence-in-healthcare
OTHER OPTIONS FOR YOU TO CONSIDER USING:
Washington_LTC_Toolkit_334222_7
LTC Exercise toolkit
This information was gathered and/or developed by Regional Coordinators throughout the state to help LTC agencies develop their exercise planning…..this is a link to the region that has agreed to house all the documents. If you have any questions please feel free to contact either Don Sheldrew or Shawn Stoen.
LTC EXERCISE TOOLKIT – click here
LTC EOP TEMPLATE
The following template is a simple template that is designed to be customized for your facility. The components of this template do include the CMS update requirements.
California Association of Health Facilities – LTC EOP template
LTC/Nursing Home Incident Command
Nursing Home Incident Command System Forms
- NHICS 200_IncidentActionPlanQuickStart_2017
- NHICS 201_IncidentBriefing_2017
- NHICS 202_IncidentObjectives_2017
- NHICS 203_OrganizationAssignmentList_2017
- NHICS 204_AssignmentList_2017
- NHICS 205_CommunicationsList_2017
- NHICS 206_StaffMedicalPlan_2017
- NHICS 207_IncidentManagementTeamChart_2017
- NHICS 214_ActivityLog_2017
- NHICS 215A_IncidentActionPlanSafetyAnalysis_2017
- NHICS 251_FacilitySystemStatusReport_2017
- NHICS 252_SectionPersonnelTimeSheet_2017
- NHICS 253_VolunteerRegistration_2017
- NHICS 254_EmergencyAdmitTracking_2017
- NHICS 255_MasterResidentEvacuationTracking_2017
- NHICS 257_ResourceAccountingRecord_2017
- NHICS 258_FacilityResourceDirectory_2017
- NHICS 259_FacilityCasualtyFatalityReport_2017
- NHICS 260_ResidentEvacuationTracking_2017
Nursing Home Incident Command System Job Action Sheets
- Command Staff:
- Operations Section
- Planning Section
- Logistics Section
- Finance & Administration Section
NHICS Incident Response Guides
- ActiveShooterIRG_2017
- EarthquakeIRG_2017
- EvacuationIRG_2017
- FireIRG_2017
- FloodIRG_2017
- HazardousMaterialWasteIRG_2017
- InfectiousDiseaseIRG_2017
- MissingResidentIRG_2017
- SevereWeatherColdHeatIRG_2017
- ShelterInPlaceIRG_2017
- UtilityFailureIRG_2017
NHICS Full Materials
NHICS Training Modules
- NHICS_2017_training_module_one_personal_prep
- NHICS_2017_trianing_module_two_Guidebook
- NHICS_2017_training_module_three_Response_toolkit
- NHICS_2017_training_module_four_planning_toolkit
The following link will connect you to a great resource that provides that appropriate incident command documents for your facility…..this is your go-to kit during a response. We recommend that you also incorporate incident command in your training, exercises, and real life events.
California Association of Health Facilities – Nursing Home Incident Command System
Links to other sites
This area will provide you with links to other preparedness sites that you may find helpful/informative.
ASPR TRACIE – this site was designed for/by the US Department of Health & Human Services as a site for emergency preparedness technical resources, assistance center, and information exchange.
BOLDPlanning – this site provides information on healthcare continuity planning. It contains for video training options.
California Hospital Preparedness – this site is a direct link to the Hospital Incident Command documents.
Center for Health Professional Training & Emergency Response
bParati – Breaks down the CMS requirements per the 17 Healthcare entities EXCELLENT RESOURCE
Michigan Department of Health & Human Services – LTC Preparedness tools
Emergency Medical Services for Children – excellent tools for pediatric preparedness and response
The Center for Preparedness Education – excellent tools utilizing HICS for small hospitals
MNTrac – TOOLS
HOW TO ACKNOWLEDGE AN ALERT OR ADVISORY
HOW TO UPDATE YOUR CURRENT BED STATUS
HOW TO UPDATE YOUR BED SURGE AVAILABILITY
DIVERSION SETTINGS AND FACILITY BASED ANNOUNCEMENT
RADIATION EMERGENCY MEDICAL MANAGEMENT
The following links may be of assistance for hospitals developing or working on the REMM planning:
- PAG Manual: Protective Action Guides and Planning Guidance for Radiological Incidents, EPA-400/R-17/001 (PDF – 1.48 MB) (EPA, January 2017) EPA released the final version of this guidance in January 2017.
- Health and Safety Planning Guide – For Planners, Safety Officers, and Supervisors for Protecting Responders Following a Nuclear Detonation (US Government Interagency, December 2016)
- Nuclear/Radiological Incident Annex to the Response and Recovery Federal Interagency Operations Plan (PDF – 3.38 MB) (US Government Interagency, October 2016)
SUPPLY CHAIN MANAGEMENT
Supply Chain Disaster Preparedness Manual
west central mn – Minnesota responds resources