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Source:Massachusetts Executive Office of Health and Human ServicesDate Published:06/30/2012Format:PDFAnnotation:The eight files in this toolkit are a resource for hospitals to prepare their own comprehensive evacuation plans. The toolkit is designed to assist hospitals as they review and update their plans annually for partial or full evacuation. It contains a main evacuation guide that describes planning for the evacuation, and tools that can be adapted and easily incorporated into any hospital evacuation plan. It is also available from MDPH at http://www.mass.gov/eohhs/gov/departments/dph/programs/emergency-prep/hospital-and-ems/mdph-hospital-evacuation-toolkit.html.Type:Guideline/Assessment Tool
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Source:Florida Department of HealthDate Published:05/2011Format:PDF (1.38 MB)Annotation:The purpose of this Florida Department of Health (FDOH) Hospital Emergency Evacuation Toolkit is to serve as guidance for the development of hospital-specific emergency evacuation response plans that have a common underlying basis throughout Florida’s acute care hospital system. The overall goal is to ensure that required evacuations are conducted in a planned and orderly manner with consistency from hospital to hospital that ensures sound patient care management throughout the evacuation as well as the staff and patient re-entry process.Type:Guideline/Assessment Tool
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Source:American College of Emergency PhysiciansDate Published:02/2011Format:Video or MultimediaAnnotation:The intent of this program is to provide hospital administrators and hospital emergency planning staff with the tools, the knowledge, and the considerations necessary to review hospital evacuation plans within their respective facilities and ensure that they have developed a safe and effective evacuation plan that can be implemented as necessary. The four components of this awareness level course are risk and vulnerability assessment, plan development, facility evacuation, and recovery issues.Type:Instructional/Training MaterialAccess Notes:Site requires free registration. Recommended system requirements for optimal viewing can be found at https://live.blueskybroadcast.com/bsb/client/CL_DEFAULT.asp?Client=688794&ACTION=SNIFFER&title=System%20Requirements
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Source:Agency for Healthcare Research and QualityDate Published:12/01/2010Annotation:This is a quick reference that summarizes the Hospital Preparedness Exercises Guidebook meant to help hospital evacuation decision teams with information on the factors that bear on the decision to order an evacuation.Type:Web SiteAccess Notes:Public Health Emergency Preparedness program publications were discontinued and archived by AHRQ in June 2011.
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Source:California Hospital Association Hospital Preparedness ProgramDate Published:10/27/2010Annotation:The purpose of this checklist is to provide guidance in the development or update of a hospital evacuation plan containing detailed information, instructions, and procedures that can be implemented in any emergency situation necessitating either full or partial hospital evacuation, as well as sheltering in place.Type:Guideline/Assessment Tool
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Source:Agency for Healthcare Research and QualityDate Published:05/01/2010Annotation:Agency for Healthcare Research and Quality created this guide to assist hospitals in evaluating the factors that influence the decision to evacuate the facility, as a supplement to the hospital’s emergency plan. The guide includes a Pre-Disaster Hospital Self-Assessment and discussions of both pre- and post-event evacuation decisionmaking. The Pre-Disaster Hospital Self-Assessment includes two tools. The first assesses critical infrastructure vulnerabilities which may force hospital evaluation. It examines the following areas: municipal water, steam, electricity, natural gas, boilers/chillers, powered life support equipment, information technology and telecommunications, and security. The second helps to create a framework for estimating the time required to safely evacuate all patients. It considers the following factors: the number of patients, mix of patient acuity, available staff, available hospital exit routes, patient transportation requirements, available transportation resources (vehicles and the necessary accompanying staff, equipment, and supplies), entry and egress points at the hospital, road and traffic conditions, and the location of receiving care sites. Chapter 3 assists the decision maker in evaluating the need to evacuate prior to a pending emergency event; Chapter 4 looks at evacuation protocols during an emergency even. The guide is available in both html and pdf formats.Type:Guideline/Assessment ToolAccess Notes:Public Health Emergency Preparedness program publications were discontinued and archived by AHRQ in June 2011.
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Source:Columbia University, Mailman School of Public Health, National Center for Disaster PreparednessDate Published:04/01/2010Format:PDF (177 KB)Annotation:This roundtable held on February 23, 2010 at the Columbia University Mailman School of Public Health, National Center for Disaster Preparedness discussed conditions that would result following the detonation of a nuclear device by terrorists in a major United States city and its environs. The panel looked at the ability of cities to cope with the health needs of the population as well as with the ability to control such issues as mass evacuation and fallout concerns. They also identified key areas that would require additional attention and resources: communications, nuclear device-specific regional training exercises, hospital capacity and coordination, and intergovernmental coordination. Based on these categories, the panel devised a series of questions that should be addressed in future exercises and planning initiatives and presented key recommendations for key issues regarding regional preparedness.Type:Report
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Source:City of Indianapolis and Marion CountyDate Published:01/04/2010Format:PDFAnnotation:This document from the Department of Public Safety, Indianapolis/Marion County Division of Homeland Security outlines response to natural and man-made disasters, technological incidents, and national security emergencies that affect the City of Indianapolis. The plan is broken into four parts with four available appendices (several appendices are not available through this link, as they contain confidential material). Part I is an overview, with an organizational chart and listing of emergency authorities on the federal, state, and local levels. It explains the phases of the emergency, and the continuity of government operations. Part II explains the concept of operations: how various public and private organizations will operate in the emergency. It briefly defines the alerting and warning systems and breaks down the initial field response to the disaster. Part III explains the activities in the Emergency Operations Center and the Rapid Impact Assessment Teams. It defines a declaration of emergency and the effect of that declaration. It explains the responsibility of the Emergency Operations Center to the Media and Media access to the Center. Part IV presents information on short and long term recovery operations, damage and safety assessments, and the documentation required in the recovery process. It also includes the needed information for an effective After Action Report. Available appendices include incident checklists for the following scenarios: Aircraft Accident, Biological Terrorism (Announced and Covert), Chemical Terrorism, Civil Disturbance, Conflagration, Dam Breach, Disease Epidemic, Earthquake, Explosion, Flood, HAZMAT Incident, High Rise Fire, Ice Storm/Blizzard, Mass Casualty Incident, Missing Person Search, Radiological Emergency, Tornado, Hospitals Mass Evacuation Plan. Emergency support function checklists and descriptions are also included as is a “Heat and Cold Plan” for emergency activities during weather extremes.Type:Guideline/Assessment Tool
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Source:Trust for America's HealthDate Published:12/01/2009Format:PDF (1.68 MB)Annotation:The seventh annual report from the Trust for America's Health and the Robert Wood Johnson Foundation uses the lens of the H1N1 pandemic as a means of determining the efficacies of current public health initiatives to prepare for emergency situations. The report found improvements, but also revealed many areas in which modernization was required. This was especially true in the area of the electronic surveillance systems necessary for the tracking and sharing of information. The current economic crisis has resulted in cuts to public health programs, which undercut much of the progress that had been made since 2001. In Section One of the report, State-by-State Public Health Preparedness Indicators and Scores are presented. A map illustrates the states' ratings (from a high score of 10 to low of 0) for their ability to respond to 10 key indicators. These indicators include: a state purchasing at least 50% of its antivirals to stockpile for use during an influenza pandemic; participation in the National Hospital Available Beds for Emergencies and Disasters System; the state's public health laboratory having the staffing capacity to work five, 12-hour days in case of an infectious disease outbreak, and having access to pick-up and delivery of samples 24/7; state use of a surveillance system that is compatible with CDC's national system; the ability to report food-borne disease outbreaks at a rate that met or exceeded the national average of 46%; Medical Reserve Corps meeting the national readiness criteria; the requirement within the state that all licensed childcare facilities have a written multi-hazard evacuation and relocation plan; laws that reduce or limit the liability for businesses and non-profit organizations that serve in a emergency; maintaining or increasing funding for public health programs in 2008/2009. Section Two discusses Federal Preparedness, looking specifically at: H1N1 preparedness and response; funding for pandemic, all-hazards preparedness, and core public health capacity; national stockpiles and development of medical countermeasures; real-time disease surveillance systems and health information technology; implementation of the 2006 Pandemic and All Hazards Preparedness Act (PAHPA); and Emergency care issues. Section Three concentrates on Health Care System Preparedness. Of concern are: the financing of health care system preparedness and the development and maintenance of surge capacity; helping the health care sector weather and recover from the economic fallout of a mass casualty event; and mass casualty personnel and logistics issues, including the rationing of scarce resources, legal liability issues, compliance with health care laws and regulations, and reimbursement. Appendices detail state-by-state preparedness grants, state-by-state H1N1/seasonal flu grants, and the data and methodology for state indicators.Type:Report
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Source:Clinical Pediatric Emergency MedicineDate Published:09/01/2009Annotation:This article contains guidelines on hospital preparedness for disasters involving children that stress pediatric principles of surge capacity, development of decontamination protocols, infection control, evacuation strategies, and other principles in response to the report Ready or Not? 2008, which stated that response planning for those areas was incomplete.Type:Article
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