Appendix C Compendium of Emergency Management Best ......2010 2011 Michigan Winter Weather Hazards Awareness November 2010 Michigan Committee for Severe Weather Awareness This publication

Appendix C: Compendium of Emergency Management Best Practices, Lessons Learned, and Guidance for FQHCs

The materials provided in the subject compendium will assist the Michigan Primary Care

Association and constituent Michigan-based FQHCs with overall emergency

management program activities. Materials were selected based on the framework of

the gap analysis performed under this project and availability of relevant materials.

Materials included in this compendium address individual best practices and lessons

learned, as well as guidance tools (which in turn are based on best practices and lessons

learned, as well as case studies and other forms of research). Sources of the materials

provided in the compendium include DHHS Agency for Healthcare Research and Quality,

DHHS-Centers for Disease Control and Prevention, DHHS-Office of the Assistance

Secretary for Preparedness and Response, DHS Lessons Learned Information Sharing,

National Association of Community Health Centers, and others.

Compendium of Emergency Management Best Practices, Lessons Learned, and Guidance for FQHCs Table of Contents 2010 2011 Michigan Winter Weather Hazards Awareness .............................................. 1

2010 Michigan Severe Weather Awareness Packet ......................................................... 1

A Prospective Cohort Study of the Effectiveness of Employer-Sponsored Crisis

Interventions after a Major Disaster ................................................................................ 2

Are You Ready: An In-Depth Guide to Citizen Preparedness ............................................ 2

Be Red Cross Ready – Fire Prevention ............................................................................. 3

Be Red Cross Ready – Fire Prevention, Spanish ................................................................ 3

Be Red Cross Ready – Flood Safety .................................................................................. 3

Be Red Cross Ready – Flood Safety, Spanish .................................................................... 4

Be Red Cross Ready – Flu Checklist .................................................................................. 4

Be Red Cross Ready – Flu Checklist, Spanish .................................................................... 4

Be Red Cross Ready – Get a Kit ........................................................................................ 4

Be Red Cross Ready – Get a Kit, Spanish .......................................................................... 4

Be Red Cross Ready – Heat Wave Safety Checklist ........................................................... 5

Be Red Cross Ready – Heat Wave Safety Checklist, Spanish ............................................. 5

Be Red Cross Ready – Pets and Disaster Safety Checklist ................................................. 5

Be Red Cross Ready – Pets and Disaster Safety Checklist, Spanish ................................... 6

Be Red Cross Ready – Power Outage Checklist ................................................................ 6

Be Red Cross Ready – Power Outage Checklist, Spanish .................................................. 6

Be Red Cross Ready – Shelter In Place ............................................................................. 7

Be Red Cross Ready – Taking Care of your Emotional Health after a Disaster .................. 7

Be Red Cross Ready – Taking Care of your Emotional Health after a Disaster, Spanish ..... 8

Be Red Cross Ready – Thunderstorm Safety Checklist...................................................... 8

Be Red Cross Ready – Thunderstorm Safety Checklist, Spanish ........................................ 9

Be Red Cross Ready – Tornado Safety Checklist ............................................................... 9

Be Red Cross Ready – Tornado Safety Checklist, Spanish ............................................... 10

Be Red Cross Ready – Wild Fire Safety Checklist ............................................................ 10

Be Red Cross Ready – Wild Fire Safety Checklist, Spanish .............................................. 10

Be Red Cross Ready – Winter Storm Safety Checklist ..................................................... 11

Compendium of Emergency Management Best Practices, Lessons Learned, and Guidance for FQHCs Be Red Cross Ready – Winter Storm Safety Checklist, Spanish ....................................... 11

Bio-event Tabletop Exercise Toolkit for Hospitals and Primary Care Centers ................. 12

Children's reactions and needs after disaster ................................................................ 12

Clinic Disaster Plan Guidance ......................................................................................... 13

Collaborating with Community Health Centers for Preparedness .................................. 14

Community Clinic and Health Center ............................................................................. 14

Continuity of Operations (COOP) Plan Template Instructions ........................................ 15

Coordination of Mental Health & Community Agencies in Disaster Response ............... 15

County Emergency Managers ........................................................................................ 15

Critical Incident Protocol, a Pubic and Private Partnership............................................. 16

Developing Partnerships with Community Health Centers for Emergency Preparedness

Planning ........................................................................................................................ 16

Do1thing - April ............................................................................................................. 16

Do1thing - August.......................................................................................................... 16

Do1thing - December .................................................................................................... 17

Do1thing - February ...................................................................................................... 17

Do1thing - January ........................................................................................................ 17

Do1thing - July............................................................................................................... 17

Do1thing - June ............................................................................................................. 17

Do1thing - March .......................................................................................................... 17

Do1thing - May.............................................................................................................. 17

Do1thing - November .................................................................................................... 17

Do1thing - October ........................................................................................................ 17

Do1thing - September ................................................................................................... 17

Emergencies Happen, An In-Depth Guide to Emergency Management for Health Centers

...................................................................................................................................... 18

Emergency Management Programs for Healthcare Facilities: Exercise Program ............ 18

Emergency Management Programs for Healthcare Facilities: Hazard Vulnerability

Analysis: Assembling the Planning Team ....................................................................... 19

Emergency Management Programs for Healthcare Facilities: Program Organization ..... 19

Compendium of Emergency Management Best Practices, Lessons Learned, and Guidance for FQHCs Emergency Management Programs for Healthcare Facilities: The Incident Management

System .......................................................................................................................... 19

Emergency Operations Plan Template ........................................................................... 19

Emergency Preparedness Toolkit for CHCs .................................................................... 19

Family Preparedness Guide ........................................................................................... 20

FEMA Partnerships in Preparedness Volume I ............................................................... 20

FEMA Partnerships in Preparedness Volume II .............................................................. 21

FEMA Partnerships in Preparedness Volume III ............................................................. 22

FEMA Partnerships in Preparedness Volume IV ............................................................. 23

Health Care Organization Mutual Aid MOU ................................................................... 24

Homeland Security Exercise and Evaluation, Volume I ................................................... 24

Homeland Security, Protect Your Workplace ................................................................. 24

HRSA Policy Information Notice, Health Centers Emergency Preparedness Expectations

...................................................................................................................................... 25

Legacy of a Disaster: Health Centers and Hurricane Katrina One Year Later................... 25

Local Emergency Management Standards ..................................................................... 25

Mass Fatality Management for Community Health Care Centers (CHCs) ....................... 26

Mass Medical Care with Scarce Resources: A Community Planning Guide ..................... 27

Mass Medical Care with Scarce Resources ..................................................................... 27

Michigan 211 Call Centers ............................................................................................. 28

Michigan 211 Fact Sheets .............................................................................................. 28

Michigan 211 Crisis & Emergency Risk Communication ................................................. 28

Michigan Emergency Management Act ......................................................................... 29

Michigan Guide for Developing Crisis Communication Plans.......................................... 29

Michigan Local Emergency Managers ............................................................................ 29

Michigan Local Emergency Planning Workbook (Pub 201) ............................................. 30

Michigan Review Guide for Local Emergency Response Plans/Guidelines ...................... 30

Michigan Volunteer Registry General Info Sheet ........................................................... 31

Model Operational Plan For Patient Evacuation ............................................................ 31

NPFA 1600, Standard on Disaster Emergency Management & Business Continuity

Program, 2010 ............................................................................................................... 31

Compendium of Emergency Management Best Practices, Lessons Learned, and Guidance for FQHCs OHSA Fact Sheet, Respiratory Infection Control: Respirators versus Surgical Masks ...... 31

OSHA Fact Sheet, What Employers can do to Protect workers from Pandemic Influenza

...................................................................................................................................... 32

OSHA, Pandemic Influenza Preparedness ...................................................................... 32

Pandemic Preparedness Planning Template for Federally Qualified Health Centers ...... 32

Personal Preparedness Card .......................................................................................... 33

PIO Task Book ................................................................................................................ 34

Primary Care Health Services, Inc., All Hazards Plan Orientation .................................... 35

Proposed Guidance on Workplace Stockpiling of Respirators and Facemasks for

Pandemic Influenza ....................................................................................................... 36

Public Health Workbook ................................................................................................ 36

Stafford Act Public Law 390 ........................................................................................... 37

State of Michigan Multi-Year Training & Exercise Plan, 2009-2011 ................................ 38

Tornadoes, A Preparedness Guide ................................................................................. 38

USDA, Keeping Food Safe During an Emergency ............................................................ 39

When emergency personnel have losses too ................................................................. 39

WHO global influenza preparedness plan. ..................................................................... 39

Best Practices, Lessons Learned, and Guidance for FQHCs Page 1 of 36 3/26/2012

Publication Date Date Published Publisher Abstract

2010 2011 Michigan Winter Weather Hazards Awareness

November 2010 Michigan Committee for Severe Weather Awareness

This publication includes: •The Governor's Proclamation •Committee for Severe Weather Awareness Contacts •2009-2010 Winter Season Review •Winter Safety Tips •Winter Hazards Frequently Asked Questions •Preventing Frozen Pipes •Preventing Roof Ice Dams •Ice Jams/Flooding •Preventing Flood Damage •Flood Insurance Fads •Winter Power Outage Tips - •Heat Sources Safety •Portable Generator Hazards •National Weather Service Offices

2010 Michigan Severe Weather Awareness Packet

April 2010 Michigan Committee for Severe Weather Awareness

This publication includes: •The Governor's Proclamation •Michigan Committee for Severe Weather Awareness Contacts •2009 Severe Weather Review •Michigan Tornado Chart (Current and Historic Tornadoes by County) •Tornado/Thunderstorm Safety •Tornado/Thunderstorm Facts •Flood Safety •Flood Facts •Flood Insurance •Lightning Safety •Disaster Preparedness for Pets - •NOAA Weather Radio All Hazards •National Weather Service Contacts

Compendium of Emergency Management Best Practices, Lessons Learned, and Guidance for FQHCs

Best Practices, Lessons Learned, and Guidance for FQHC s Page 2 of 39 3/26/2012


A Prospective Cohort Study of the Effectiveness of Employer-Sponsored Crisis Interventions after a Major Disaster

2005 International Journal of Emergency Mental Health

Post disaster crisis interventions have been viewed by many as the appropriate and immediate approach to enhance psychological well-being among persons affected by large-scale traumatic events. Yet, studies and systematic reviews have challenged the effectiveness of these efforts. This article provides the first rigorous scientific evidence to suggest that post-disaster crisis interventions in the workplace significantly reduced mental health disorders and symptoms up to 2 years after the initial interventions. Until now, studies have neither focused on the effectiveness and safety of brief mental health services .........

Are You Ready: An In-Depth Guide to Citizen Preparedness

August 2004 FEMA This guide has been prepared for direct dissemination to the general public and is based on the most reliable hazard awareness and emergency education information available at the time of publication, including advances in scientific knowledge, more accurate technical language, and the latest physical research on what happens in disasters.




Be Red Cross Ready – Fire Prevention 2009 Red Cross The most effective way to protect yourself and your home from fire is to identify and remove fire hazards. Sixty-five percent of home fire deaths occur in homes with no working smoke alarms. During a home fire, working smoke alarms and a fire escape plan that has been practiced regularly can save lives.

Be Red Cross Ready – Fire Prevention, Spanish 2009 Red Cross The most effective way to protect yourself and your home from fire is to identify and remove fire hazards. Sixty-five percent of home fire deaths occur in homes with no working smoke alarms. During a home fire, working smoke alarms and a fire escape plan that has been practiced regularly can save lives.

Be Red Cross Ready – Flood Safety 2009 Red Cross Floods are among the most frequent and costly natural disasters. Conditions that cause floods include heavy or steady rain for several hours or days that saturates the ground. Flash floods occur suddenly due to rapidly rising water along a stream of low-lying area.




Be Red Cross Ready – Flood Safety, Spanish 2009 Red Cross Floods are among the most frequent and costly natural disasters. Conditions that cause floods include heavy or steady rain for several hours or days that saturates the ground. Flash floods occur suddenly due to rapidly rising water along a stream of low-lying area.

Be Red Cross Ready – Flu Checklist 2009 Red Cross General overview and checklist of influenza.

Be Red Cross Ready – Flu Checklist, Spanish 2009 Red Cross General overview and checklist of influenza.

Be Red Cross Ready – Get a Kit 2009 Red Cross It’s important to prepare for possible disasters and other emergencies. Natural and human caused disasters can strike suddenly, at any time and anywhere. There are three actions everyone can take that can help make a difference …

Be Red Cross Ready – Get a Kit, Spanish 2009 Red Cross It’s important to prepare for possible disasters and other emergencies. Natural and human caused disasters can strike suddenly, at any time and anywhere. There are three actions everyone can take that can help make a difference …




Be Red Cross Ready – Heat Wave Safety Checklist

2009 Red Cross In recent years, excessive heat has caused more deaths than all other weather events, including floods. A heat wave is a prolonged period of excessive heat, often combined with excessive humidity. Generally temperatures are 10 degrees or more above the average high temperature for the region during summer months, last for a long period of time and occur with high humidity as well.

Be Red Cross Ready – Heat Wave Safety Checklist, Spanish

2009 Red Cross In recent years, excessive heat has caused more deaths than all other weather events, including floods. A heat wave is a prolonged period of excessive heat, often combined with excessive humidity. Generally temperatures are 10 degrees or more above the average high temperature for the region during summer months, last for a long period of time and occur with high humidity as well.

Be Red Cross Ready – Pets and Disaster Safety Checklist

2009 Red Cross Our pets enrich our lives in more ways than we can count. In turn, they depend on us for their safety and well-being. The best way to ensure the safety of your family is to be prepared with a disaster plan. If you are a pet owner, that plan includes your pets. Being prepared can help save lives.




Be Red Cross Ready – Pets and Disaster Safety Checklist, Spanish

2009 Red Cross Our pets enrich our lives in more ways than we can count. In turn, they depend on us for their safety and well being. The best way to ensure the safety of your family is to be prepared with a disaster plan. If you are a pet owner, that plan includes your pets. Being prepared can help save lives.

Be Red Cross Ready – Power Outage Checklist 2009 Red Cross Sudden power outages can be frustrating and troublesome, especially when they last a long time. If a power outage are 2 hours or less, you need not be concerned about losing your perishable foods. For prolonged power outages, though, there are steps you can take to minimize food loss and to keep all members of your household as comfortable as possible.

Be Red Cross Ready – Power Outage Checklist, Spanish

2009 Red Cross Sudden power outages can be frustrating and troublesome, especially when they last a long time. If a power outage are 2 hours or less, you need not be concerned about losing your perishable foods. For prolonged power outages, though, there are steps you can take to minimize food loss and to keep all members of your household as comfortable as possible.




Be Red Cross Ready – Shelter In Place 2010 Red Cross Sheltering in place can disrupt our routines and challenge our ability to tend to responsibilities, such as work and caring for loved ones. Understandably, we may become nervous or uncomfortable when sheltering in place. The following information can help you cope emotionally with this type of emergency.

Be Red Cross Ready – Taking Care of your Emotional Health after a Disaster

2009 Red Cross Disasters can bring about significant stress. This is especially true if you have experienced a previous disaster. The good news is that many people have experience coping with stressful life events and are naturally resilient—meaning we are designed to bounce back from difficult times. Here is some information on how to recognize your current feelings and tips for taking care of the emotional health of you, your family and your friends.




Be Red Cross Ready – Taking Care of your Emotional Health after a Disaster, Spanish

2009 Red Cross Disasters can bring about significant stress. This is especially true if you have experienced a previous disaster. The good news is that many people have experience coping with stressful life events and are naturally resilient—meaning we are designed to bounce back from difficult times. Here is some information on how to recognize your current feelings and tips for taking care of the emotional health of you, your family and your friends.

Be Red Cross Ready – Thunderstorm Safety Checklist

2009 Red Cross A thunderstorm is considered severe if it produces hail at least 1 inch in diameter or has wind gusts of at least 58 miles per hour. Every thunderstorm produces lightning, which kills more people each year than tornadoes or hurricanes. Heavy rain from thunderstorms can cause flash flooding and high winds can damage homes and blow down trees and utility poles, causing widespread power outages.




Be Red Cross Ready – Thunderstorm Safety Checklist, Spanish

2009 Red Cross A thunderstorm is considered severe if it produces hail at least 1 inch in diameter or has wind gusts of at least 58 miles per hour. Every thunderstorm produces lightning, which kills more people each year than tornadoes or hurricanes. Heavy rain from thunderstorms can cause flash flooding and high winds can damage homes and blow down trees and utility poles, causing widespread power outages.

Be Red Cross Ready – Tornado Safety Checklist 2009 Red Cross A tornado is a violently rotating column of air extending from the base of a thunderstorm down to the ground. Tornado intensities are classified on the Fujita Scale with ratings between F0 (weakest) to F5 strongest). They are capable of completely destroying well-made structures, uprooting trees and hurling objects through the air like deadly missiles. Although severe tornadoes are more common in the Plains States, tornadoes have been reported in every state.




Be Red Cross Ready – Tornado Safety Checklist, Spanish

2009 Red Cross A tornado is a violently rotating column of air extending from the base of a thunderstorm down to the ground. Tornado intensities are classified on the Fujita Scale with ratings between F0 (weakest) to F5 (strongest). They are capable of completely destroying well-made structures, uprooting trees and hurling objects through the air like deadly missiles. Although severe tornadoes are more common in the Plains States, tornadoes have been reported in every state.

Be Red Cross Ready – Wild Fire Safety Checklist 2009 Red Cross More and more people are making their homes in woodland settings, rural areas or remote mountain sites. There, residents enjoy the beauty of the environment but face the very real danger of wild fires. Wild fires often begin unnoticed. They spread quickly, igniting brush, trees and homes. In a wild fire, every second counts!

Be Red Cross Ready – Wild Fire Safety Checklist, Spanish

2009 Red Cross More and more people are making their homes in woodland settings, rural areas or remote mountain sites. There, residents enjoy the beauty of the environment but face the very real danger of wild fires. Wild fires often begin unnoticed. They spread quickly, igniting brush, trees and homes. In a wild fire, every second counts!




Be Red Cross Ready – Winter Storm Safety Checklist

2009 Red Cross Winter storms can range from a moderate snow over a few hours to a blizzard with blinding, wind driven snow that lasts for several days. Some winter storms are large enough to affect several states, while others affect only a single community. Many winter storms are accompanied by dangerously low temperatures and sometimes by strong winds, icing, sleet and freezing rain.

Be Red Cross Ready – Winter Storm Safety Checklist, Spanish

2009 Red Cross Winter storms can range from a moderate snow over a few hours to a blizzard with blinding, wind driven snow that lasts for several days. Some winter storms are large enough to affect several states, while others affect only a single community. Many winter storms are accompanied by dangerously low temperatures and sometimes by strong winds, icing, sleet and freezing rain.




Bio-event Tabletop Exercise Toolkit for Hospitals and Primary Care Centers

9/1/2005 New York City Department of Health and Mental Hygiene

This toolkit can aid hospitals and primary care centers in conducting healthcare facility-based drills to train staff on their roles and responsibilities in responding to a bio-terrorism attack, and to identify and address current gaps in emergency preparedness plans. These materials were tested in 10 hospitals and 5 primary care centers in New York City and served as an important resource for staff training and a method to evaluate facility preparedness involving five biological agents. The toolkit contents can be modified to account for the distinct geographic, patient, resource, and staffing challenges faced by individual hospitals and primary care centers. The kit also includes instructions on planning, conducting, and evaluating a tabletop exercise.

Children's reactions and needs after disaster September 2001 International Critical Incident Stress Foundation, Inc.

Most children in the USA and even outside the USA will be directly and indirectly affected by this disaster (act of terrorism) to a greater or lesser degree. In the light of the events, and the turmoil that followed, children may a) not understand, b) understand a little, c) understand a fair amount of what happened.




Clinic Disaster Plan Guidance 6/1/2002 State of California, Governor’s Office of Emergency Services, Southern Region

This document will assist in preparing clinic staff and facility to handle emergencies and disasters, and in the development of a plan. This guidance document addressed some of the issues to consider when developing a clinic plan. Much of the information in this document can be adapted to fit the unique needs of a clinic facility. Overall disaster response objectives targeted by a plan based on this guidance are to minimize injuries and fatalities of staff and clients, physical damage to the facility, and facilitate recovery efforts. This guidance document also provides resource materials, such as supplemental forms and templates for specific procedures, as well as an agency and organization resource list.




Collaborating with Community Health Centers for Preparedness

5/1/2008 Association of State and Territorial Health Officials (ASTHO), National Association of Community Health Centers (NACHC), National Association of County and City Health Officials (NACCHO)

This report outlines the work of the Task Force on Health Agency-Community Health Center Coordination in Preparedness, explains the roles and responsibilities of each partner in emergency responses, and provides recommendations for and examples of effective collaboration among the partners. The section on roles and responsibilities examines the assets and activities of each partner with regards to personnel, facilities, equipment, medication, vaccines and supplies, drills and exercises, communication strategies, and access to community members.

[Note: This document provides additional considerations for FQHCs to become more actively involved with preparedness in general. It offers a very thorough treatment of the topic, with examples from various states.]

Community Clinic and Health Center Emergency Operations Plan

2006 – 2007 Community Health Care Association of New York State (CHCANYS)

The purpose of this manual template is to aid Community Health Centers (CHCs) in developing and maintaining an emergency management plan that guides their response to all hazards. Included are policies, procedures, and forms needed to create a comprehensive plan. These templates may be used to both initiate and maintain emergency management programs.




Continuity of Operations (COOP) Plan Template Instructions

April 2004 FEMA This guide provides instructions for developing a Continuity of Operations (COOP) Plan according to Department of Homeland Security (DHS) Headquarters (COOP) Guidance Document, dated April 2004. Although general guidance and sample information is provided in this guide for reference, organizations are encouraged to tailor COOP Plan development to meet their own needs and requirements.

Coordination of Mental Health & Community Agencies in Disaster Response

2000 International Journal of Emergency Mental Health

Within the past 10 years, the American Red Cross has responded to dramatic disasters and terrorist events that have resulted in significant loss of life and traumatic stress responses. These disasters have included events as diverse as earthquakes, explosions, and aviation accidents

County Emergency Managers N/A N/A List of Michigan County Emergency Managers




Critical Incident Protocol, a Pubic and Private Partnership

2000 MSU This publication Critical Incident Protocol: A Public and Private Partnership discuss the essential and beneficial process of the public and private sectors working together to plan for emergencies. Important elements include planning, mitigation, business recovery, lessons learned, best practices, and plan exercising. Whether it is a minor incident or a major terrorist activity involving weapons of mass destruction, the community’s collective resources must unite and work to understand the processes necessary to resolve the matter.

Developing Partnerships with Community Health Centers for Emergency Preparedness Planning

1/1/2007 The Association of State and Territorial Health Officials (ASTHO)

This issue brief highlights the value of developing effective partnerships between state health agencies and community health centers in preparedness planning.

[Note: This was written from the perspective of a State Health Agency (e.g., MDCH), but nevertheless offers some interesting considerations for FQHCs to become more actively involved with emergency preparedness in general.]

Do1thing - April April Do1thing To prepare yourself with a food supply that will meet the needs of your household for three days without assistance.

Do1thing - August August Do1thing Facts and tips on how to make sure the people who depend on you are prepared for a disaster.




Do1thing - December December Do1thing Be prepared to deal with medical emergencies while waiting for first responders.

Do1thing - February February Do1thing Emergency sources and facts to better prepare you for a water system failure.

Do1thing - January January Do1thing Understand what puts you at risk from disasters and take steps to lower your risk.

Do1thing - July July Do1thing Have the ability to locate and communicate with your family members during a disaster.

Do1thing - June June Do1thing Be informed and remember what important items may be overlooked when leaving your home during an emergency.

Do1thing - March March Do1thing Understand how to respond safely when instructions are given to evacuate or take shelter.

Do1thing - May May Do1thing Information on how to make your community stronger by getting trained and getting involved.

Do1thing - November November Do1thing In an emergency, it is important to be prepared to handle emergencies without outside assistance for 72 hours.

Do1thing - October October Do1thing Be able to safely meet your basic needs during an electrical outage.

Do1thing - September September Do1thing Making sure everyone in your household can receive, understand, and act on information received in an emergency.




Emergencies Happen, An In-Depth Guide to Emergency Management for Health Centers

January 2007 National Association of Community Health Centers

The intent of this health center resource guide is to provide health centers with detailed information and resources including various approached to assist health centers in developing and implementing an Emergency Management component to their established risk management program. This guide assumes an all-hazards approach for developing an emergency management plan (EMP) based on the phases of emergency management and disaster recovery, including planning, mitigation, preparedness, response, and recovery. This resource guide is a tool for all health centers whether just starting the process or developing a comprehensive EMP or for use in updating existing plans.

Emergency Management Programs for Healthcare Facilities: Exercise Program

4/19/2004 Lessons Learned Information Sharing

This Best Practice provides an overview of an exercise program for a healthcare facility. A focused exercise program will increase organizational learning, and improve preparedness by building on a progression of knowledge and experience. The program should include training, drills, and exercises (such as tabletop, functional, and full-scale exercises).




Emergency Management Programs for Healthcare Facilities: Hazard Vulnerability Analysis: Assembling the Planning Team


This best practice identifies which healthcare facility staff and community members should be involved in the hazard vulnerability analysis (HVA) process.

[Note: This document is perhaps more geared toward hospitals, but offers a good framework for FQHCs as well.]

Emergency Management Programs for Healthcare Facilities: Program Organization


This best practice reviews managerial roles and responsibilities for a healthcare facility's Emergency Management Program (EMP).

Emergency Management Programs for Healthcare Facilities: The Incident Management System


The IMS may help a healthcare facility manage its internal emergency operations, facilitate coordination with other healthcare organizations, and integrate with community response and recovery operations. Establishing a common management structure, enhancing information management, and maintaining span of control at each level of activity will improve operational consistency.

[Note: While the document refers "HEICS" and "JCAHO", terms that have evolved since its writing, the content is still very relevant, and offers a nice, concise overview of IMS in a healthcare setting.]

Emergency Operations Plan Template 6/1/2003 SME Consulting This is a template for an emergency operations plan for a healthcare facility. This template can be adopted by hospitals and other healthcare organizations into their own specific planning document.

Emergency Preparedness Toolkit for CHCs 07/10/2007 New Jersey Department of Health and Senior Services New Jersey State Office of Rural Health New Jersey Primary Care Association

The purpose of this template is to provide the Federally Qualified Health Centers (FQHC) with a framework for health care preparedness planning and continued operation during an influenza pandemic. The information and tools in this template should be




adapted for each health center and take into account the specific roles of each FQHC during an influenza pandemic.

Family Preparedness Guide NA Michigan State Police Emergency Management and Homeland Security Division

This document will help you learn what to do before, during, and after an emergency, create an emergency plan for your family, prepare an emergency supply kit, and find websites for additional information

FEMA Partnerships in Preparedness Volume I 12/1/1995 Federal Emergency Management Agency

This first edition of Partnerships in Preparedness represents the results of an initial canvassing of the Federal Emergency Management Agency’s (FEMA’s) regional offices in search of exemplary practices in emergency management. The organization of this document responds to FEMA’s goal to inform all interested individuals of innovative and promising approaches to emergency management. Each listing provides data in the following categories: name of the program; contact person’s name, address, and phone and fax numbers; program type; population targeted for the program; program setting; startup date; description of the program; evaluation information; annual budget; sources of funding; and in some cases, additional sources for information.




FEMA Partnerships in Preparedness Volume II 5/1/1997 Federal Emergency Management Agency

This Compendium of Exemplary Practices in Emergency Management, Volume II, is a product of the emergency management community working in partnership in service to the public. It is the result of FEMA’s outreach initiative to identify the innovative ideas, emergency management talent, and resources that exist throughout the country. This Compendium describes public and private sector emergency management practices that include unique coordination among organizations, volunteer projects, resource sharing, and other innovative approaches to emergency management.




FEMA Partnerships in Preparedness Volume III 10/1/1998 Federal Emergency Management Agency

This Compendium of Exemplary Practices in Emergency Management, Volume III is the result of FEMA’s continuing outreach initiative to identify the innovative ideas, emergency management talent, and abundant resources that exist throughout the country. The objective of FEMA’s Compendium is to share information regarding innovative emergency management programs that have worked well so that these programs can be adopted elsewhere. By disseminating information on exemplary practices that have worked, communities can better prepare themselves to respond to the diversity of natural or man-caused disasters.




FEMA Partnerships in Preparedness Volume IV 1/1/2000 Federal Emergency Management Agency

This Compendium of Exemplary Practices in Emergency Management, Volume IV is the result of FEMA’s continuing outreach initiative to identify the innovative ideas, emergency management talent, and abundant resources that exist throughout the country. This volume contains various exemplary practices detailing how some communities have built partnerships and implemented innovative programs to address specific areas of emergency management. It is FEMA’s goal that the methods and principles contained in this Compendium be applied in any community across the country to help build a safer and stronger America.




Health Care Organization Mutual Aid MOU 5/30/2007 (Consortium of hospitals and regional biodefense networks)

The complexity of disaster response coupled with the finite capabilities of hospitals, health systems, and communities create a need for external support. However, due to a variety of challenges (e.g., artificial planning borders, credentialing issues, liability issues, etc.) the ability for a healthcare organizations affected by a disaster to get external support is hindered. This Memorandum of Understanding seeks to overcome some of the challenges that hinder healthcare organizations from receiving external support during disasters. To date, a variety of healthcare organizations from the States of Michigan and Ohio have joined to participate in the agreement. Ingham Regional Medical Center (Lansing, Michigan) maintains a centralized repository of signed agreements.

Homeland Security Exercise and Evaluation, Volume I

February 2007 US Department of Homeland Security

HSEEP Overview and Exercise Program Management provides guidance for building and maintaining an effective exercise program and summarizes the planning and evaluation process.

Homeland Security, Protect Your Workplace February 2006 Homeland Security Guidance on Physical and Cyber Security and Reporting of Suspicious Behavior, Activity, and Cyber Incidents




HRSA Policy Information Notice, Health Centers Emergency Preparedness Expectations

8/22/2009 HRSA/BPHC This Policy Information Notice (PIN) provides guidance to health centers (i.e., section 330 funded grantees and Federally Qualified Health Center (FQHC) Look-A-likes) on emergency management expectations related to planning and preparing for future emergencies.

Legacy of a Disaster: Health Centers and Hurricane Katrina One Year Later

1/1/2006 National Association of Community Health Centers

In the aftermath of Hurricane Katrina, Community Health Centers answered the immediate health care needs of communities torn apart by a multi-state disaster. They dispensed medications, gave counseling, and addressed chronic health needs that unchecked would have led to even greater sickness and potential death. The lessons of the Gulf Coast make clear that health centers, and the preventive care in which they specialize, are critical to disaster response. In addition, the opportunity to rebuild an entire public health infrastructure is raising important questions about the role of health centers – a role that recent experience shows should be both greater and more central.

Local Emergency Management Standards 11/1/1998 Emergency Management Division Michigan Department of State Police

An instrument for assessing and measuring a local jurisdiction’s capability to mitigate against, prepare for, respond to, and recover from emergency and disaster events.




Mass Fatality Management for Community Health Care Centers (CHCs)

6/27/2008 Indiana Primary Health Care Association

This concept paper addresses the sub-capability of mass fatality in order to better prepare CHCs to integrate with hospitals, the public health sector and other entities impacted by mass fatality events, as well as to strengthen their service to their client base and community-at-large. IPHCA plans to make this information available to the Indiana statewide CHCs through web-postings, in-service trainings, and other means.




Mass Medical Care with Scarce Resources: A Community Planning Guide

2/1/2007 Health Systems Research, Inc., for: Agency for Healthcare Research and Quality

The product of a collaboration between the Department of Health and Human Services' Office of the Assistant Secretary for Preparedness and Response and the Agency for Healthcare Research and Quality (AHRQ), this guide is written by leading experts in six areas related to mass casualty care: prehospital care, hospital and acute care, alternative care sites, palliative care, ethical issues, and legal considerations. The report provides information on: the circumstances that communities are likely to face in an MCE, key constructs, principles, and structures to be incorporated into the planning for an MCE, approaches and strategies that could be used to provide the most appropriate standards of care possible under the circumstances, examples of tools and resources to help States and communities in their planning process, illustrative examples of how specific health systems, communities………

Mass Medical Care with Scarce Resources February 2007 Health Systems Research, Inc. The purpose of this guide is to provide community planners – as well as planners at the facility/community, State, and Federal levels – with valuable information and insights that will help them in their efforts to plan for and respond to a mass casualty




event (MCE).

Michigan 211 Call Centers

NA United Way This Michigan 2-1-1 is a guide that connects people with information and resources to build healthy, safe communities. 2-1-1 is the health and human service equivalent of 9-1-1 to give or get help spearheaded by United Way.

Michigan 211 Fact Sheets NA United Way This document provides you with facts and tips about Michigan 2-1-1 that supply a variety of information developed by United Way.

Michigan Crisis & Emergency Risk Communication

10/01/2003 Michigan Department of Community Health, Office of Public Health Preparedness

The expertise of health education and health communication specialists is paramount in emergency preparedness efforts. Communicating health risk information effectively to diverse audiences in response to public health threats requires careful pre-event planning. The purpose of this document is to provide guidelines on developing crisis communication plans. It is intended for local public health departments and healthcare organization public information personnel in Michigan.




Michigan Emergency Management Act 10/22/2009 Emergency Management and Homeland Security Division Michigan Department of State Police

The goal of the Emergency Management Act is to provide for planning, mitigation, response, and recovery from natural and human-made disaster within and outside this state; to create the Michigan emergency management advisory council and prescribe its powers and duties; to prescribe the powers and duties of certain state and local agencies and officials; to prescribe immunities and liabilities; to provide for the acceptance of gifts; and to repeal acts and parts of acts.

Michigan Guide for Developing Crisis Communication Plans

10/1/2003 Michigan Department of Community Health, Office of Public Health Preparedness

The expertise of health education and health communication specialists is paramount in emergency preparedness efforts. Communicating health risk information effectively to diverse audiences in response to public health threats requires careful pre-event planning. The purpose of this document is to provide guidelines on developing crisis communication plans. It is intended for local public health departments and healthcare organization public information personnel in Michigan.

Michigan Local Emergency Managers 7/9/2010 Michigan Emergency Management

This document provides the emergency managers from each county of Michigan. It supplies what county they represent, their name, phone number, and email address.




Michigan Local Emergency Planning Workbook (Pub 201)

10/1/2009 MSP This Local Emergency Planning Workbook provides the basis for establishing, enhancing, and implementing a community’s emergency management program and capabilities. It promotes a common understanding of the fundamentals of planning and decision-making to help emergency managers examine a threat or hazard and produce integrated, coordinated, and efficient response capabilities. Its purpose is to assist local emergency management coordinators and planners in gathering information about (1) how the program functions, (2) the community it serves, and (3) identifying the hazards that may affect them. The workbook allows a planning team to develop a “basic plan” as a foundation for an overall emergency response plan.

Michigan Review Guide for Local Emergency Response Plans/Guidelines

February 2010 EMHSD/MSP The purpose of the Review Guide is to provide a measure for determining whether a community’s emergency management planning documents are adequate in accordance to planning standards and for the integration of the National Incident Management System (NIMS). This document is a list of items incorporating planning considerations common to all hazards.




Michigan Volunteer Registry General Info Sheet NA Chippewa County Health Department

The Michigan Volunteer Registry is an Internet-based volunteer registry system. It provides a secure, electronic environment for volunteers to indicate their interests, specialties and contact information, which provides hospitals, public health officials and emergency authorities’ immediate access to personnel that may be needed during an emergency.

Model Operational Plan For Patient Evacuation NA R2S This Operational Plan is intended to address logistical considerations to help facilitate and manage patient evacuation or emergency transfer, utilizing the existing framework of Hospital Evacuation Plans and Mutual Aid Agreements.

NPFA 1600, Standard on Disaster Emergency Management & Business Continuity Program, 2010

2010 NFPA This standard provides the fundamental criteria to develop, implement, assess, and maintain the program for prevention, mitigation, preparedness, response, continuity, and recovery.

OHSA Fact Sheet, Respiratory Infection Control: Respirators versus Surgical Masks

May 2009 OSHA Respiratory Infection Control: Respirators versus Surgical Masks. It is important that employers and workers understand the significant differences between these two types of personal protective equipment.




OSHA Fact Sheet, What Employers can do to Protect workers from Pandemic Influenza

May 2009 OSHA What Employers Can Do to Protect Workers from Pandemic Influenza.

OSHA, Pandemic Influenza Preparedness 2009 OSHA The goal of this document is to help healthcare workers and employers prepare for and respond to an influenza pandemic.

Pandemic Preparedness Planning Template for Federally Qualified Health Centers

7/10/2007 New Jersey Department of Health and Senior Services, New Jersey State Office of Rural Health, New Jersey Primary Care Association

The purpose of this template is to provide the Federally Qualified Health Centers (FQHC) with a framework for health care preparedness planning and continued operation during an influenza pandemic. The information and tools in this template should be adapted for each health center and take into account the specific roles of each FQHC during an influenza pandemic.




Personal Preparedness Card February 2010 CARD – Collaborating Agencies Responding to Disasters

Personal Emergency Preparedness Card




PIO Task Book 3/15/2007 U.S. Department of Homeland Security

Incident Management Team Position Task Book - All-Hazards Public Information Officer




Primary Care Health Services, Inc., All Hazards Plan Orientation

Fall 2008 Center for Public Health Preparedness University of Pittsburgh

This orientation will provide you with basic information about the PCHS All‐Hazards Plan and when the plan would need to be activated, as well as background information on federal, state and local level emergency preparedness and response priorities. PCHS is a private non-profit community-based corporation in Pittsburgh, Pennsylvania. It consists of 13 health centers and 5 special initiatives located in four Pittsburgh neighborhoods and six municipalities in Allegheny County. As a network of Federally Qualified Health Centers, PCHS is committed to providing quality health care at an affordable cost.




Proposed Guidance on Workplace Stockpiling of Respirators and Facemasks for Pandemic Influenza

2/1/2007 The Department of Labor (DOL) and the Department of Health and Human Services (HHS)

This proposed guidance is designed to encourage employers in the private and public sectors to purchase and stockpile facemasks and respirators in advance of an influenza pandemic, because manufacturing capacity at the time of an outbreak would not meet the expected demand for respiratory protection devices during the pandemic. Through advanced planning and stockpiling, employers will be able to better protect their employees as well as lessen the impact of a pandemic on their business, society, and the economy.

Public Health Workbook N/A Department of Health and Human Services Centers for Disease Control and Prevention Office of Public Health Preparedness and Response

This document describes a process that will help planners to define, locate, and reach at-risk populations in an emergency. Additional tools are included to provide resources for more inclusive communication planning that will offer time-saving assistance for state, local, tribal, and territorial public health and emergency management planners in their efforts to reach at-risk populations in day-to-day communication and during emergency situations.




Stafford Act Public Law 390 10/30/2000 FEMA It is the intent of the Congress, by this Act, to provide an orderly and continuing means of assistance by the Federal Government to State and local governments in carrying out their responsibilities to alleviate the suffering and damage which result from such disasters by-- revising and broadening the scope of existing disaster relief programs; encouraging the development of comprehensive disaster preparedness and assistance plans, programs, capabilities, and organizations by the States and by local governments; achieving greater coordination and responsiveness of disaster preparedness and relief programs; encouraging individuals.




State of Michigan Multi-Year Training & Exercise Plan, 2009-2011

2009-2011 The United States Department of Homeland Security (DHS) and Federal Emergency Management Agency (FEMA)

The purpose of the Multi-Year Training and Exercise (T&E) Plan is to provide a roadmap for the State of Michigan to follow in accomplishing State homeland security priorities, goals, and objectives through performance-based initiatives. The goals of the Michigan Multi-Year T&E Plan, as applicable, are linked to actionable elements within Improvement Plans (IP) and further connected to associated target capabilities2 that would facilitate goal accomplishment. This Plan also includes the training and exercises that will help the State and/or respective jurisdiction obtain or validate those capabilities and address such homeland security goals, priorities, and objectives.

Tornadoes, A Preparedness Guide 2/1/1995 US Department of Commerce, National Oceanic and Atmospheric Administration, National Weather Service, Federal Emergency Management Agency (FEMA), American Red Cross

This is a template that provides information about tornadoes (what causes them, the various amounts, how they are formed, where they occur, as well as myths and facts). This template also provides the reader with tips on how to look out for a tornado, what to listen for, and what you can do to be safe from these natural disasters.




USDA, Keeping Food Safe During an Emergency 9/1/2006 United States Department of Agriculture Food Safety and Inspection Service

This is a guide for the public that gives food safety information. This guide will help you understand how to determine if food is safe and how to keep food safe in order to help minimize the potential loss of food and reduce the risk of food borne illness. This fact sheet will help you make the right decisions for keeping your family safe during an emergency.

When emergency personnel have losses too NA Jeffrey T. Mitchell, Ph.D., CTS One of the most challenging situations for a crisis intervention team is to provide support services to emergency personnel who have sustained personal losses in a critical incident or a disaster. Some may have lost their homes or other property. Others from the same neighborhoods, stations or precincts may not have such losses or the damage to their homes could be more, or less, than others in their unit. The provision of support services is more seriously complicated if the losses include deaths or serious injuries to family members and friends of emergency personnel.

WHO global influenza preparedness plan. 2005 WHO The role of WHO and recommendations before and during pandemics.

Documents

Appendix C Compendium of Emergency Management Best ......2010 2011 Michigan Winter Weather Hazards Awareness November 2010 Michigan Committee for Severe Weather Awareness This publication