Next, implement mechanisms and policies to promptly alert key facility staff and then disseminate relevant updates to all employees. Alcohol-based hand rub (ABHR) should have at least 60% alcohol and be readily accessible for makeshift pre-screening zones in the absence of a hand basin with soap and water. Identify staff to collaborate with local and state health authorities and notify them of reportable conditions. Optimize the supply of personal protective equipment (PPE) by fully understanding your ongoing PPE inventory and utilization rates. Indeed, the accreditation process can be used as a starting point to effectively incorporate quality improvement initiatives needed to adapt to this dynamically evolving pandemic. The three key components that must be identified to help protect a healthcare facility during a public health emergency are 1) an emergency preparedness plan, 2) potential risks, and 3) patient scheduling and pre-screening procedures. �h. To support efforts to mitigate risk of spreading infection, AAAHC has been guiding its accredited organizations through the necessary processes and carefully following recommendations from the CDC to help healthcare providers maintain essential services and provide safe and quality care as operations resume more widely. All staff should be educated on these updates in a timely manner. To ensure the plan is optimized for COVID-19 prevention, update the section addressing the prevalence of infectious diseases and isolation policies. The purpose of the All Hazards Emergency Management Plan (EMP) is to establish a basic emergency preparedness program to provide timely, integrated, and coordinated response to the wide range of natural and man-made disasters that may disrupt normal operations and require a preplanned response. 1,2 AAAHC’s survey data show that more than 10% of healthcare organizations experience difficulty complying with emergency preparedness standards set by AAAHC as well as CMS’ Conditions of Coverage. Sean Greene Sean is January’s employee of the month because he always goes above and beyond to do what is right for not only for WOSC patients, but also WOSC employees. +����L�� Z����=a��B�cd룄�찏����a��S���B��MO.eT�]��P. 2020-05-18T08:36:06-05:00 The online brochure includes a step-by-step guide for assessing, planning, performing and evaluating internal emergency and disaster preparedness drills. Ultimately, the AAAHC accreditation process can help pinpoint areas of improvement for a facility’s emergency plans and protocols specific to COVID-19 identification, isolation, and information. a Testing and Training Program. default Evaluate all your environmental cleaning practices, from discharge cleaning and wipe-downs of high-touch objects to terminal cleaning and sterilization of dedicated medical equipment. AAAHC Institute Toolkits are resources that have been developed for the internal use of ambulatory health care organizations and are not intended for additional distribution without prior written permission of the AAAHC Institute. Each facility must create a plan for contacting patients, staff, and key local and state emergency preparedness officials. Like most initiatives with great vision, accreditation first requires a significant commitment from those adopting the model, and then ongoing evaluation, refinements, and time to succeed. Conventional capacity, which involves strategies that should already be in place, Contingency capacity measures, which conserve supply during periods of PPE shortages, Crisis capacity, which is implemented when supplies cannot meet the facility’s utilization rate. 2020-05-18T08:36:06-05:00 Reinforce the necessary safety measures as much as possible among both staff and patients. Ultimately, the AAAHC accreditation process can help pinpoint areas of improvement for a facility’s emergency plans and protocols specific to COVID-19 identification, isolation, and information. Copyright © 2021 HCPro. Emergency Preparedness Program Emergency Preparedness Program – Blog Equipment PMs and Manuals Infection Prevention (IP) Home Page Add/Edit Policy Draft Policies Green Sheet WOSC Blog Inservice Activites and [416.54(d)] E-0036 10.I.O. The CDC recommends EPA-registered hospital disinfectants that are effective against other respiratory pathogens, such as seasonal influenza and other human coronaviruses. Whether offering limited services, operating at full capacity, or preparing to reopen after temporary closure, ambulatory healthcare facilities must continue to stay up to date on the coronavirus situation to implement best practices, both during the state of emergency and following the gradual reopening of state healthcare systems. Adobe InDesign 15.0 (Macintosh) To ensure everyone understands the COVID-19 plans and protocols, consider allowing staff to submit questions, or hold regular Q&A sessions. 1 0 obj <>>> endobj 2 0 obj <>stream False Federally Qualified Health Centers are often on the front lines when a state or federal emergency happen. The ASC must establish and maintain an emergency preparedness program that meets the requirements of this section. Note: While all 17 Provider/Suppliers are impacted; requirements may differ between types Providers/Suppliers Facilities Impacted by the Emergency Preparedness Rule 1. A comprehensive plan should include strategies to manage patient flow and capacity. The CDC addresses prioritization in three ways: Designate time to educate staff on CDC updates, revised facility procedures, PPE, COVID-19 symptoms, management and notification, and transmission-based precautions. xmp.did:4a104f3f-dc22-486a-9224-bcfd256a7896 xmp.did:6dda36a2-7e7c-40b5-a5dc-8bd7f7b297e4 Increased attention to sanitation and assessment of cleaning practices is important to help isolate COVID-19. CMS Emergency Preparedness Rule What’s New based on the Medicare and Medicaid Programs; Regulatory Provisions to Promote Program Efficiency, Transparency, and Burden Reduction Final Rule Provided By: Quality from application/x-indesign to application/pdf Ask specific questions about testing dates, recent travel, or known exposures, and note if they have had fevers or any other COVID-19 symptoms. the all-hazard Emergency Operations Plan (EOP) that is based on a Hazard Vulnerability Analysis (Risk Assessment), 2.) The emergency preparedness program must include, but not be limited to, the following elements: Quality, Safety & Oversight Group- Emergency Preparedness Regulation Guidance Guidance for Surveyors, Providers and Suppliers Regarding the New Emergency Preparedness (EP) Rule On September 8, 2016 CMS published in the Federal Register the Emergency Preparedness Requirements for Medicare and Medicaid Participating Providers and Suppliers Final Rule. In other settings, staff should be wearing PPE before coming within 6 feet of any patient. xmp.did:4a104f3f-dc22-486a-9224-bcfd256a7896 Consider reaching out to patients who may be at higher risk of COVID-19-related complications, such as seniors and those with medical comorbidities or respiratory diseases, to ensure adherence to current medications and therapeutic regimens. Studies show that ASCs can prepare for emergencies more effectively by holding simulations or disaster drills. The Emergency Preparedness Program consists of four core elements: 1.) Shop the Red Cross Store, and stock up on emergency preparedness kits, first aid supplies, reference guides, manuals, DVDs, and Red Cross apparel *Promotion Details Terms & Conditions: Coupon code SEALQUIK0221, TRAIN0221, and PREP0221 expire at 11:59am (noon) EST on February 15, 2021. Emergency Preparedness Program Emergency Preparedness Program – Blog Equipment PMs and Manuals Infection Prevention (IP) Home Page Add/Edit Policy Draft Policies Green Sheet WOSC Blog Inservice Activites and Emergency Preparedness Resources. Upon arrival, take each patient’s (and visitor’s) temperature and clean the thermometer. Confirm they have sufficient medication refills, and provide instructions to notify their provider by phone if they become ill. Patient scheduling and pre-screening: In anticipation of the possible need to manage an influx of COVID-19 patients, your organization should have a plan for how to assess patients prior to entry into your system. Consider staffing issues that may occur due to exposure; provisions for safe evacuation, especially for those who are at greater risk; and measures for participation in a potential community health crisis. At minimum, your organization should have written policies and procedures that ensure the isolation or immediate transfer of patients with COVID-19 symptoms, timely communication to public health authorities of reportable conditions, and adequate surveillance of people and facilities. In surgical settings, stress that staff must don their mask before entry into the patient room and put on eye protection, gloves, and gowns upon entry. %PDF-1.7 %���� Adobe InDesign 15.0 (Macintosh) In-depth cleaning throughout the entire facility should be done between every shift, while high-touch surface areas should always be cleaned between patients as well as regularly in high-traffic areas, such as waiting rooms and nurse stations. Infection control risk assessment: Comprehensive infection prevention and control includes evaluations of equipment and staff training. This includes possible coordination with the city, county, state, or Centers for Medicare & Medicaid Services (CMS). AAAHC clarifies number, type of emergency drills Emergency preparedness becomes a more important part of the accreditation survey, according to revisions made to the Accreditation Association for Ambulatory Health Care’s 2006 standards. This involves a focus on transmission-based precautions, patient monitoring and placement, and environmental cleaning. Another great resource comes in the form of the AAAHC “Patient Safety Toolkit: Emergency Drills” available from the Accreditation Association for Ambulatory Healthcare (AAAHC). Participation in benchmarking shows organizations where they stand relative to peers and helps them Patient management is key to maintaining high-quality service and protecting the health of both patients and staff. Emergency Preparedness For Medicare-certified ASCs, emergency preparedness (EP) plans and procedures must comply with a final rule published in September 2016 by the Centers for Medicare & Medicaid Services (CMS). Avoid having visitors in the facility, or limit to only one visitor at a time to accompany patients under 18, patients with disabilities (ADA), and/or post-procedure patients. “We are Emergency preparedness plan: Conduct a thorough review of the written emergency preparedness plan, and ensure it addresses internal and external threats. Inform patients that you require drivers to wait outside. All rights reserved, Accreditation Insider - Volume 15 Issue 1, AAAHC issues COVID-19 risk prevention guidelines. Section 1833(i)(1)(A) of the Act authorizes the Secretary to specify those surgical procedures that can be performed safely in an ASC. AAAHC encourages accredited centers to reference this crosswalk in conducting a gap analysis to use in reviewing, developing, implementing and evaluating their emergency preparedness plan and infection control processes. Please review the content below for the changes relevant to your organization. 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