Emergency Preparedness

​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​AHCA/NCAL provides information and resources to help members respond to an emergency in a timely, organized, and effective manner. ​​​



 

 

 

Maintenance Director Training Course on ahcancalEDhttps://www.ahcancal.org/News-and-Communications/Blog/Pages/Maintenance-Director-Training-Course-on-ahcancalED.aspxMaintenance Director Training Course on ahcancalED4/14/2026 4:00:00 AM<p><span style="font-size:11pt;">The Emergency Preparedness & Life Safety Committee is excited to announce another live session to introduce more providers to the </span><a href="https://educate.ahcancal.org/products/maintenance-director-training" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" target="_blank" style="font-size:11pt;">Maintenance Director Training Course</a><span style="font-size:11pt;">, now available on ahcancalED. This resource is designed to support long term care facility managers and maintenance directors in building compliant environmental programs that meet regulatory standards. </span></p><div><span style="font-size:11pt;">The Maintenance Director Training Course is structured into four focused modules, each addressing critical areas of facility safety and compliance: </span></div><div><br></div><div><ol><li>Maintenance Director Overview </li><li><span style="font-size:11pt;">Fire and Smoke Door Inspection </span></li><li><span style="font-size:11pt;">Generator Inspection, Testing, and Maintenance </span></li><li><span style="font-size:11pt;">Portable P</span><span style="font-size:11pt;">atient-Care Related Electrical Equipment (PCREE) Testing </span></li><li><span style="font-size:11pt;">Kitchen Fire Safety and Compliance </span></li><li><span style="font-size:11pt;">Oxygen Cylinder Storage </span></li><li><span style="font-size:11pt;">Sprinkler System Inspection, Testing, and Maintenance </span></li></ol></div><div><br></div><div><span style="font-size:11pt;">Each module includes educational videos, downloadable PowerPoint presentations, and handouts to support learning and implementation.  </span></div><div><br></div><div>Whether you’re looking to train new staff or reinforce existing protocols, this course offers flexible learning options. Modules can be completed individually or as a full series, allowing facilities to tailor the experience to their specific needs. </div><div><br></div><div>Upon successful completion, participants will receive a certificate that can be used to demonstrate competency in fire and smoke door inspections, fulfilling annual requirements under NFPA 80 and NFPA 105, as part of the 2012 Life Safety Code®. </div><div><br></div><div>AHCA/NCAL members are invited to a <a href="https://educate.ahcancal.org/products/maintenance-director-training" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" target="_blank">live webinar</a> on <strong>April 22 at 12PM ET.</strong> Attendees will get an overview of the training program and be able to participate in a live Q&A session with life safety experts. <em>Registration is free for AHCA/NCAL members, $65 for nonmembers.</em><br></div><p>​</p>The Emergency Preparedness & Life Safety Committee is excited to announce another live session to introduce more providers to the Maintenance Director Training Course, now available on ahcancalED.
New Therapeutics Reporting Options Now Available in NHSNhttps://www.ahcancal.org/News-and-Communications/Blog/Pages/New-Therapeutics-Reporting-Options-Now-Available-in-NHSN-.aspxNew Therapeutics Reporting Options Now Available in NHSN4/14/2026 4:00:00 AM<p><span style="font-size:11pt;">Beginning March 30, 2026, facilities may optionally report weekly data on therapeutics administered to residents for COVID-19, influenza, and RSV using the NHSN Respiratory Pathogens and Vaccination (RPV) Module.  </span></p><div><strong style="font-size:11pt;"><em>Reporting for the therapeutics data fields is optional.</em></strong><span style="font-size:11pt;"> More information is available in the following resources:  </span></div><div><br></div><div><ul><li><a href="https://t.emailupdates.cdc.gov/r/?id=h9be65054%2c1f2ca05b%2c1f2cddee&e=QUNTVHJhY2tpbmdJRD1VU0NEQ18yMTM3LURNMTU0MTQzJkFDU1RyYWNraW5nTGFiZWw9TmV3JTIwVGhlcmFwZXV0aWNzJTIwUmVwb3J0aW5nJTIwT3B0aW9ucyUyMEF2YWlsYWJsZSUyMGluJTIwTkhTTg&s=rscTUVcJF6-D8DNxMBl-zwFaBoRqx83v-H0YZDqP1fk" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" target="_blank">LTCF Respiratory Pathogens and Vaccination Module CDC Webpage</a>. This site includes revised forms, instructions, FAQs, .CSV file templates, and file layout documents <br><br></li><li><span style="font-size:11pt;"><a href="https://t.emailupdates.cdc.gov/r/?id=h9be65054%2c1f2ca05b%2c1f2cddef&e=QUNTVHJhY2tpbmdJRD1VU0NEQ18yMTM3LURNMTU0MTQzJkFDU1RyYWNraW5nTGFiZWw9TmV3JTIwVGhlcmFwZXV0aWNzJTIwUmVwb3J0aW5nJTIwT3B0aW9ucyUyMEF2YWlsYWJsZSUyMGluJTIwTkhTTg&s=UPAUo6ZdMMxuTM48DwBTnusieCnJ02bHQyEhuc_d9BY" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" target="_blank">Weekly Respiratory Pathogen and Vaccination Summary for Residents of Long Term Care Facilities (57.218)</a>  <br><br></span></li><li><span style="font-size:11pt;"><a href="https://t.emailupdates.cdc.gov/r/?id=h9be65054%2c1f2ca05b%2c1f2cddf0&e=QUNTVHJhY2tpbmdJRD1VU0NEQ18yMTM3LURNMTU0MTQzJkFDU1RyYWNraW5nTGFiZWw9TmV3JTIwVGhlcmFwZXV0aWNzJTIwUmVwb3J0aW5nJTIwT3B0aW9ucyUyMEF2YWlsYWJsZSUyMGluJTIwTkhTTg&s=GTUg3C_SSGq7JePaE0ukHD9NpRSYOkdqxl94kklAV7E" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" target="_blank">RPV Residents Table of Instructions</a>  <br><br></span></li><li><span style="font-size:11pt;"><a href="https://t.emailupdates.cdc.gov/r/?id=h9be65054%2c1f2ca05b%2c1f2cddf1&e=QUNTVHJhY2tpbmdJRD1VU0NEQ18yMTM3LURNMTU0MTQzJkFDU1RyYWNraW5nTGFiZWw9TmV3JTIwVGhlcmFwZXV0aWNzJTIwUmVwb3J0aW5nJTIwT3B0aW9ucyUyMEF2YWlsYWJsZSUyMGluJTIwTkhTTg&s=xoPCDfOqZqcs4vRGQxm0XuG87OsahS6S2wtNHibJPwI" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" target="_blank">2026 Respiratory Pathogens & Vaccination Protocol </a> <br><br></span></li><li><span style="font-size:11pt;"><a href="https://t.emailupdates.cdc.gov/r/?id=h9be65054%2c1f2ca05b%2c1f2cddf2&e=QUNTVHJhY2tpbmdJRD1VU0NEQ18yMTM3LURNMTU0MTQzJkFDU1RyYWNraW5nTGFiZWw9TmV3JTIwVGhlcmFwZXV0aWNzJTIwUmVwb3J0aW5nJTIwT3B0aW9ucyUyMEF2YWlsYWJsZSUyMGluJTIwTkhTTg&s=MDjytwhJg4Kxqa7pLoPV57QKXd0svLPkuVt61NraKOg" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" target="_blank">RPV Module Residents Group and Facility CSV File Layout </a> <br><br></span></li></ul></div><a href="https://t.emailupdates.cdc.gov/r/?id=h9be65054%2c1f2ca05b%2c1f2cddf3&e=QUNTVHJhY2tpbmdJRD1VU0NEQ18yMTM3LURNMTU0MTQzJkFDU1RyYWNraW5nTGFiZWw9TmV3JTIwVGhlcmFwZXV0aWNzJTIwUmVwb3J0aW5nJTIwT3B0aW9ucyUyMEF2YWlsYWJsZSUyMGluJTIwTkhTTg&s=z8DZdEmMReRd6W9Uwu4awLdivvJ4JGB0_5OVWIZ1dlk" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" target="_blank"><div><ul><li><span style="font-size:11pt;">RPV Module Resident Summary Guidance Document </span></li></ul></div></a><div><br></div><div><span style="font-size:11pt;">The NHSN team will host two training sessions in late April 2026 to review RPV Module updates including new therapeutics reporting capabilities. Registration links and additional information will be sent closer to the event. </span></div><div><br></div><div><span style="font-size:11pt;">Please submit questions to the NHSN Help Desk via <a href="https://t.emailupdates.cdc.gov/r/?id=h9be65054%2c1f2ca05b%2c1f2cddf4&e=QUNTVHJhY2tpbmdJRD1VU0NEQ18yMTM3LURNMTU0MTQzJkFDU1RyYWNraW5nTGFiZWw9TmV3JTIwVGhlcmFwZXV0aWNzJTIwUmVwb3J0aW5nJTIwT3B0aW9ucyUyMEF2YWlsYWJsZSUyMGluJTIwTkhTTg&s=CvXcb1oL7yhvEO7CyV_4aPXmeIFTzPcXioxFhGw6nMk" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" target="_blank">NHSN-ServiceNow</a> with the subject line “Therapeutics Reporting”. If you are unable to access NHSN-ServiceNow, please <a href="mailto:nhsn@cdc.gov?subject=Therapeutics%20Reporting" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" target="_blank">submit a question</a> to the NHSN Help Desk via email at <a href="mailto:nhsn@cdc.gov" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" target="_blank">nhsn@cdc.gov</a> with the same subject line. You may also submit questions to <a href="mailto:regulatory@ahca.org" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" target="_blank">regulatory@ahca.org​</a>.</span><span style="font-size:11pt;">​</span></div><p>​<br></p>Beginning March 30, 2026, facilities may optionally report weekly data on therapeutics administered to residents for COVID-19, influenza, and RSV using the NHSN RPV Module.
Are You Prepared for a Gas Emergency?https://www.ahcancal.org/News-and-Communications/Blog/Pages/Are-You-Prepared-for-a-Gas-Emergency-.aspxAre You Prepared for a Gas Emergency?4/7/2026 4:00:00 AM<p><span style="font-size:11pt;">Natural gas and propane are common fuel sources in long term care facilities. These gases are widely used to power heating systems, cooking equipment, fireplaces, and emergency generators. As part of your organization’s annual Hazard Vulnerability Assessment (HVA), the use of and reliance on natural gas or propane is typically evaluated. </span></p><div><span style="font-size:11pt;">That assessment should address not only the operational impact of a gas service interruption, but also the risks associated with a gas leak. While the likelihood of a significant gas leak is generally low, the consequences can be severe. Certain concentrations of gas mixed with air can create an explosive atmosphere, where even a small ignition source may result in a serious explosion. </span></div><div><br></div><div><strong>Recognizing the Signs of a Gas Leak </strong></div><div><span style="font-size:11pt;">Early recognition of a gas leak is critical to minimizing risk. Staff should be trained to recognize the following warning signs: </span></div><div><ul><li><strong>Smell: </strong>Natural gas and propane are odorized with mercaptan, which creates a strong rotten-egg or sulfur-like smell to make leaks easier to detect. <br></li><li><strong>Sound:</strong> Escaping gas may produce a hissing or whistling sound. Larger leaks may sound like a roaring noise. <br></li><li><strong>Sight:</strong> Although gas is invisible, leaks may produce a white mist, fog, or cloud. Underground leaks may cause bubbling in standing water or result in dead or discolored vegetation. </li></ul></div><div><br></div><div><strong>Response Actions When a Gas Leak Is Suspected </strong></div><div><span style="font-size:11pt;">When a gas leak is identified or suspected, staff should immediately initiate the facility’s gas emergency procedures. These procedures should include the following actions: <br><br></span></div><div><ol><li><span style="font-size:11pt;"><strong>Move People to Safety </strong></span></li><ul><li><span style="font-size:11pt;">​</span><span style="font-size:11pt;">For interior leaks, relocate residents and staff away from the affected area. This may involve moving residents to a remote section of the building or evacuating to a safe distance outdoors. </span></li></ul><ul><li><span style="font-size:11pt;">​</span><span style="font-size:11pt;">For exterior leaks, it may be safer to bring residents indoors and close doors and windows to limit gas infiltration. <br><br></span></li></ul><li><span style="font-size:11pt;"><strong>Eliminate Potential Ignition Sources </strong></span></li><ul><li><span style="font-size:11pt;">​</span><span style="font-size:11pt;">Extinguish all open flames and prohibit smoking. </span></li></ul><ul><li><span style="font-size:11pt;">​</span><span style="font-size:11pt;">Dietary staff should turn off pilot lights and shut down gas-fired cooking equipment if the leak is in or near the kitchen. </span></li></ul><ul><li><span style="font-size:11pt;">​</span><span style="font-size:11pt;">Do not operate light switches, phones, or other electrical devices in the affected area. </span></li></ul><ul><li><span style="font-size:11pt;">​</span><span style="font-size:11pt;">Do not unplug electrical equipment, as unplugging can create a spark. <br><br></span></li></ul><li><span style="font-size:11pt;"><strong>Notify Emergency Services and the Gas Utility</strong> </span></li><ul><li><span style="font-size:11pt;">​</span><span style="font-size:11pt;">Call 911 and notify the gas company immediately. </span></li></ul><ul><li><span style="font-size:11pt;">​</span><span style="font-size:11pt;">Fire department responders and gas utility personnel have specialized equipment to locate leaks and secure gas service. </span></li></ul><ul><li><span style="font-size:11pt;">​</span><span style="font-size:11pt;">Follow all instructions provided by emergency responders, as additional evacuation may be required. <br><br></span></li></ul><li><span style="font-size:11pt;"><strong>Notify Maintenance </strong></span></li><ul><li><span style="font-size:11pt;">​</span><span style="font-size:11pt;">Maintenance personnel should be trained to shut off gas service to individual appliances or the entire building. </span></li></ul><ul><li><span style="font-size:11pt;">​</span><span style="font-size:11pt;">For exterior leaks, Maintenance should shut down or adjust HVAC systems, through-the-wall units, and window units to reduce the intake of outside air. </span></li></ul></ol></div><div><br></div><div><strong>Preparing in Advance </strong></div><div><span style="font-size:11pt;">Gas emergencies can occur at any time, including when maintenance staff may not be immediately available. Facilities should consider developing clear, easy-to-read diagrams that identify all utility shut-off locations, including gas valves, and include step-by-step shut-off instructions. </span></div><div><br></div><div>Keeping appropriate tools, such as a gas shut-off wrench, secured near shut-off valves can be helpful. Ensure that diagrams and instructions are accessible to staff on all shifts so they can provide them to emergency responders or initiate shut-down procedures themselves if responders are delayed. </div><div><br></div><div><strong>Additional Resources </strong></div><div><span style="font-size:11pt;">Most gas utility companies offer online education and emergency preparedness resources related to gas safety. These materials can be valuable when reviewing and updating your facility’s gas leak emergency procedures. Additional emergency preparedness tools and resources are also available through <a href="/Survey-Regulatory-Legal/Emergency-Preparedness/Pages/default.aspx" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" target="_blank">AHCA’s emergency preparedness webpage</a>. </span></div><div><br></div><div>Questions can be sent to <a href="mailto:emergencyprep@ahca.org" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" target="_blank">emergencyprep@ahca.org​</a>.<br></div><p>​</p>Natural gas and propane are common fuel sources in long term care facilities.
CMS Releases Updated Emergency Preparedness Provider Information: What Providers Need to Knowhttps://www.ahcancal.org/News-and-Communications/Blog/Pages/CMS-Releases-Updated-Emergency-Preparedness-Provider-Information-What-Providers-Need-to-Know-.aspxCMS Releases Updated Emergency Preparedness Provider Information: What Providers Need to Know3/10/2026 4:00:00 AM<p></p><div>The Centers for Medicare & Medicaid Services (CMS) recently released updated <a href="https://www.cms.gov/medicare/health-safety-standards/quality-safety-oversight-emergency-preparedness/health-care-provider-guidance" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" target="_blank"><strong>Health Care Provider Guidance</strong></a> aimed at strengthening emergency preparedness across care settings, including long term care. The update reinforces a clear message: effective planning, coordination, and continuous readiness are central to protecting patients, staff, and communities before, during, and after emergencies. This guidance is in alignment with current long term care regulatory requirements under <a href="https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107ap_z_emergprep.pdf" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" target="_blank">Appendix Z of the State Operations Manual (SOM)</a>, <strong>there are no regulation or surveyor guidance changes.  </strong></div><div><br></div><div>As health care organizations continue to navigate increasingly complex threats—ranging from natural disasters to technological failures and public health events—this refreshed information provides a timely framework for resilience. </div><div><br></div><div><strong>Key Elements of the Updated Information </strong></div><div><br></div><div><strong>1. </strong><strong>A Comprehensive All Hazards Planning Approach  </strong></div><div><br></div><div>CMS underscores that emergency preparedness must begin with <strong>robust hazard identification</strong>, commonly known as a Hazard Vulnerability Assessment (HVA), addressing both direct impacts to a facility and indirect threats affecting the surrounding community—such as utility disruptions or supply chain interruptions. This approach ensures plans aren’t designed for just one scenario but can flex to address a wide spectrum of events.  </div><div><br></div><div><strong>2. Strengthening Mitigation Strategies </strong></div><div><br></div><div>The information elevates the importance of <strong>proactive mitigation</strong>, encouraging organizations to minimize risk before an event occurs. This includes safeguarding residents, ensuring staff receive appropriate safety training, and integrating mitigation into day-to-day operations. These mitigation plans can be built into your HVA and should be documented in your EP Plan. Notably, CMS emphasizes that mitigation is not a standalone phase—it directly shapes response and recovery readiness.  </div><div><br></div><div><strong>3. Preparedness Through Training, Testing, and Plan Evolution </strong></div><div><br></div><div>Preparedness now centers on an organization’s capacity to <strong>maintain continuity of operations</strong> even when essential services are compromised. This requires ongoing review of hazard analyses, facility capabilities, and resource availability, at least annually as per the regulatory requirements.  </div><div><br></div><div><span style="font-size:11pt;">CMS reiterates that emergency plans must be <strong>regularly trained, tested, and revised</strong>, ensuring teams know their roles and systems perform under stress.  </span></div><div><br></div><div><strong>4. A Coordinated, System Level Response</strong> </div><div><br></div><div>CMS highlights that no provider operates in isolation during an emergency. An effective response is built on <strong>coordination with public health agencies, emergency medical services, health care coalitions, and other community partners. </strong>Establishing, maintaining, and documenting partnerships should be part of your annual EP updates.  </div><div><br></div><div><strong>Why This Update Matters for Providers </strong></div><div><br></div><div>For leaders responsible for quality improvement and emergency preparedness, this guidance is more than regulatory direction—it’s a blueprint for <strong>safer, more resilient health care delivery</strong>. The emphasis on comprehensive planning, staff readiness, and community collaboration aligns with best practice emergency management principles and supports providers in meeting both operational and regulatory expectations. </div><div><br></div><div><strong>Practical Steps for Compliance and Readiness </strong></div><div><br></div><div><strong>Long term care providers are required to review and update emergency preparedness programs and its elements annually, </strong>per §483.73(a). Organizations should consider using this update as an opportunity to: </div><div><br></div><div><ul><li>Review the current regulatory requirements in <a href="https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107ap_z_emergprep.pdf" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" target="_blank">Appendix Z of the State Operations Manual (SOM)  </a><br><br></li><li>Utilize AHCA’ s Emergency Preparedness regulations <a href="/Survey-Regulatory-Legal/Emergency-Preparedness/MemberOnlyDocs/EP%20regulation%20crosswalk%20Feb%202025.pdf" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" target="_blank">crosswalk tool</a> to determine your survey preparedness  <br><br></li><li>Revisit and revise their <strong>all hazards risk assessment</strong> (also known as a hazard vulnerability assessment, or HVA).<span style="white-space:pre;"> </span><br> <br></li><ul><li>An HVA template can be found <a href="/Survey-Regulatory-Legal/Emergency-Preparedness/MemberOnlyDocs/AHCA%20HVA%20Worksheets.xlsx" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" target="_blank">here</a>, and instructions for use can be found here  <br><br></li></ul><li>Strengthen <strong>cross departmental training</strong> and ensure all staff understand their emergency roles. <br><br></li><ul><li>An EP checklist to build, mature, and nurture your preparedness, including building an EP team, found <a href="/Survey-Regulatory-Legal/Emergency-Preparedness/MemberOnlyDocs/AHCA%20EPP%20Checklist.LTCAL.pdf" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" target="_blank">here</a>  <br><br></li></ul><li>Evaluate and update <strong>communication protocols</strong>, both internal and external. <br><br></li><ul><li>CMS requires LTC facilities to complete and document two annual exercises - one needs to be a full-scale exercise, and the second can be a tabletop exercise or mock disaster drill, or a second full-scale exercise, per <a href="https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107ap_z_emergprep.pdf" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" target="_blank">§483.73(d)</a> <br></li></ul><li>Conduct more frequent <strong>tabletop or full scale exercises</strong> reflecting realistic event scenarios. <br><br></li><ul><li>California Association of Health Facilities Disaster Preparedness and Arizona’s Disaster Ready site provide exercise and drill resources <a href="https://www.cahfdisasterprep.com/exercises" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" target="_blank">here</a> and <a href="https://www.disasterreadyaz.org/prepare/" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" target="_blank">here </a><br></li></ul><li>Enhance partnerships with <strong>local and regional emergency management entities</strong>. <br><br></li><ul><li>​Review guidance on engaging with health care coalitions <a href="/Survey-Regulatory-Legal/Emergency-Preparedness/MemberOnlyDocs/Practices%20for%20Health%20Care%20Coalition%20Involvement.pdf" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" target="_blank">here </a><br></li></ul></ul></div><div><br></div><div>These actions not only support compliance but also build a stronger safety culture and improve operational resilience.  </div><div><br></div><div>To help Medicare-participating long term care organizations, ASPR TRACIE created a Topic Collection area that includes by-provider checklists, encompassing CMS’s Appendix Z guidance, and also provides various other resources and tools. <a href="https://asprtracie.hhs.gov/technical-resources/52/long-term-care-facilities/47" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" target="_blank">Long-term Care Facilities | ASPR TRACIE.</a>  </div><div><br></div><div>Additionally, ASPR TRACIE provides personalized support for requests for information and technical assistance (TA) and is accessible by toll-free number (1-844-5-TRACIE (587-2243)), email (askasprtracie@hhs.gov), or web form (<a href="https://asprtracie.hhs.gov/assistance-center/online-request-form" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" target="_blank">https://asprtracie.hhs.gov/assistance-center/online-request-form</a>).  </div><div><br></div><div>AHCA remains committed to providing resources and support in member preparedness; all resources can be found <a href="/Survey-Regulatory-Legal/Emergency-Preparedness/Pages/default.aspx" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" target="_blank">here</a>. Please reach out to <a href="mailto:emergencyprep@ahca.org" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" target="_blank">emergencyprep@ahca.org</a> with any questions. </div><div><br><br></div><p><br><br></p><div> <br></div><p>​</p>CMS recently released updated Health Care Provider Guidance aimed at strengthening emergency preparedness across care settings, including long term care.

 Top Resources

 Assisted Living Resources

​The Emergency Preparedness Guide for Assisted Living is a comprehensive resource that will assist members with developing emergency operations plan and includes the planning process. The guide includes templates and numerous resources for members to utilize.

 

Assisted Living Incident Command System (ALICS)

The Incident Command System (ICS) is one component of the National Incident Management System or (NIMS). The Assisted Living IncidentCommand System or “ALICS” is a simplified ICS and through its use, long-term care providers can become part of this standardized system of efficient response. ICS was modified by two consultants for assisted living and reviewed by AALNA board members and then reviewed by the NCAL Workgroup of the AHCA/NCAL Emergency Preparedness Committee.

ALICS offers long-term care providers a flexible framework for command and control that is based on the standardized system of ICS. It does this through a system that is designed to:
  • Manage all emergency, routine, or planned events, of any size or type, by establishing a clear chain of command and a process for communication, decision‐making and delegation.
  • Allow personnel from different agencies or departments to be integrated into a common structure that can effectively address issues and delegate responsibilities.
  • Provide needed logistical and administrative support to operational personnel.​

 Planning Ahead

​In order to effectively handle disasters and emergencies, it is important for centers to plan ahead and prepare in advance. Long term and post-acute care centers can use a targeted approach to addressing vulnerabilities and hazards to help them best respond to and recover from events. This site seeks to assist centers in creating a plan to address its greatest risks:
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Hazard Vulnerability Assessment
The Hazard Vulnerability Assessment (HVA) is a tool designed to assist centers in evaluating vulnerability to specific hazards. The tool uses various categories, such as probability of experiencing a hazard, human impact, property and business impact and response, to create a numeric value based on various hazards.

 Incident Command System

The Incident Command System is part of the emergency management system in many levels (federal, state, and local). Every significant incident or event, whether large or small, and whether it is even defined as an emergency, requires certain management functions to be performed.

The Nursing Home Incident Command System (NHICS) and Assisted Living Incident Command System (ALICS) outline a management framework that empowers long-term care staff to improve the effectiveness and efficiency of their incident response -- no matter what shift, or what day of the week the event occurs. ​​

Resources

 ‭(Hidden)‬ CMS Emergency Preparedness Rule

The Emergency Preparedness Final Rule was released on Friday, September 16, 2016. AHCA, along with guest speakers, will hold a webinar series event​ this year on the new emergency preparedness final rule impacting Skilled Nursing Facilities (SNF), Nursing Facilities (NF) and Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID). This final rule is not applicable to Assisted Living Providers. 

Providers will need to be in compliance by November 15th 2017. The webinar series will include, special guest speakers, an overview of the key new requirements, a list of tools to assess if you are prepared for the rule, steps to take now to prepare.

On Friday, September 1st, CMS released a memorand​um to State Survey Agency Directors announcing that the Emergency Preparedness Training is now available. All surveyors are required to take the training prior to surveying the Emergency Preparedness requirements. Surveying for requirements begins November 15th, 2017. 

The online course is now available on the Surveyor Training Website On-Demand. Once in the course catalog for provider training, search “emergency” and the course information will appear. Providers will have continued (ongoing) access to the course, so they can review it anytime.

Members are strongly encouraged to review and complete the training as it includes quizzes and exercises to check understanding. The training states to surveyors that the requirements do not prescribe or mandate specific technology or tools nor detailed requirements for how facilities should write emergency plans. The training includes the questions surveyors will ask and how documentation will be reviewed and checked. Links to resources and glossary terms are also included.​

​Emergency Resources

In addition to planning for natural disasters, staff and facilities must be prepared for other emergencies, such as pandemics, influenza, active shooters and more. All emergency situations must be handled swiftly, diligently and with the utmost care for staff and patients.

 Active Shooter

​While many emergencies are caused by natural disasters and are, staff and facilities should also be prepared for other types of emergencies. One emergency for which facilities should have plans in place is an active shooter.
Please note: The policies below are models only and should be modified and tailored to meet the needs of individual communities. 

External Resources

 Pandemic and Influenza

 Shelter In Place

Shelter In Place: Planning Resource Guide for Nursing Homes

For the purposes of this resource guide, shelter in place (SIP) is defined as: A protective action strategy taken to maintain resident care in the facility and to limit the movement of residents, staff and visitors in order to protect people and property from a hazard.

Shelter In Place Guidebook (PDF)


 In Case of An Emergency

AHCA/NCAL regularly publishes and distributes informative documents for members regarding emergency preparedness, response, and recovery.

During public health emergencies, CMS will post updates on waivers on their Emergency Response and Recovery page. Members should check this page for updates during an event.