One of the things ASC directors should keep in mind while putting new emergency preparedness regulatory compliance on their to-do lists is that this advance work can prove to be a figurative and literal lifesaver in the event of an actual disaster.
, ASCs Must Be Ready for CMS Emergency Preparedness Regs, Successful Total Joint Program Offers Model for Making 23-hour Stays Work, With a Clinical Registry, ASCs Can Improve Outcomes and Quality, Infection Preventionists Could Be Helpful to ASCs Infection Control Efforts. During a risk assessment, ASCs should determine where they would move patients and staff in the event of a sudden storm or tornado. You should adapt the template to your facility/organization's situation and needs. The concept of emergency preparedness is defined as a continuous cycle of planning, organizing, training, equipping, exercising, evaluating, and taking corrective active in an effort to ensure effective coordination during incident response (National Incident Management System). Knowing what your emergency response plans are may be vital to the strength of your communitys emergency responders in times of disaster. Here are 10 of the most critical policies and procedures for reducing risk at an ASC according to Nancy Burden, MS, RN, CPAN, CPAP, director of BayCare Ambulatory Surgery in Largo, Fla., and Terri Brickey, RN, BSN, LHRM, CASC, administrator of Physicians Surgery Center in St. Petersburg, Fla. P:kAnKhL} YG)wxT{{[JU@E DwZ',8{kMCMkzQ=%dDB;@@!d(_jxkE\gHhc9 rhoQ@N1C=!LTNn1-}Z.cK?A'WOJ%-"eC1DR3CS(j(VL1 CQ(rCNf]@"q(824ut~J]M0R3sMhgSsCS&5[Flm%Dl+V}HH7&Xi6rvGBxd!Bd.fk'48Hb4 hbbd```b``Z"k3d FK K$TK+@ ~ You should also make sure the patient and family has a phone number to call if they have any questions or concerns." Secure .gov websites use HTTPSA * note: in a real emergency it might not be safe to talk on the phone, but you can still call 9-1-1 and leave the phone on. When creating or evaluating your practice's plan for responding to unexpected medical crises, consider the following: 1. Burden. This Emergency Management Plan template should be used as a guide. Louisiana Department of Health. f&[;P_Z1.0Tgbo|Mc,oAh5?(A*E6x1C6dzi#lwrU6d!c?o7cFzF0Ui=:a/Fxq _} @q 7`73xM\1x*1,B9nO8O;\Y.?pjc6TV+$5U"tB^S"Mdc*+Me~w!:HTQ#H|1E^7!|Kn||UQ-a?I$44}T;D],lV;*qT{mDT +QH2!\jO;?&Dmk& 1 0 obj<> endobj 2 0 obj<>/Font<>/ProcSet[/PDF/Text]/ExtGState<>>> endobj 3 0 obj<>stream "You must have a process in place for the proper evaluation of patients," says Ms. Brickey. Cybersecurity has been a prevalent news topic recently, with high-profile ransomware attacks threatening a number of health care stakeholders. That document is available to our members here. .gov We develop and implement measures for accountability and quality improvement. A tabletop exercise may be acceptable to satisfy this requirement if conducted every 2 years. Burden. "You should have the patient state the information, rather than asking 'Is this correct?'" $ *,7{uKX5W1]fw0V Z` ~ All Rights Reserved. The best thing facilities can do is create a functional plan to deal with disasters that would provide details on what to do and how to operate during an emergency, says Brendan McCluskey, JD, MPA, CEM, CBCP, director of emergency preparedness and operations at the New Jersey Department of Health in Trenton, NJ. Templates & Checklists. Facilities are required to provide education/instruction to ensure that all staff or other facility workers are aware of EP plan procedures. An annual disaster drill should allow practice for staff members to assemble at the evacuation point; and there should be a prior discussion about what equipment will be required during an evacuation. Its up to the organization to decide on which drills to do for that year, but it could be based on the risk assessment and their priorities of disasters that would most likely impact them.. CT\_GT@:I VI>A#8FeFY"(Bh8 Drive performance improvement using our new business intelligence tools. Find out about the current National Patient Safety Goals (NPSGs) for specific programs. Receiving emergency information also is important. Not everyone understands that disasters are not limited to just weather occurrences like hurricanes and flooding; they can also include events as simple as a minor plumbing leak a disaster that might prevent the safe use of the operating rooms. An official website of the United States government Interested in Group Sales? The Joint Commission is a registered trademark of the Joint Commission enterprise. During disasters or public health emergencies clinics, community health centers, mental/behavioral healthcare providers, federally-qualified health centers, private physician offices, ambulatory procedure centers, and other outpatient facilities play a critical part in the response by addressing the needs of patients with both acute and chronic conditions. Program: Integrated Health and Safety Toolkit. At a minimum, ASCs should have emergency supplies on hand that include flashlights, bottled water, shelf-stable food, and emergency generators. A variety of survey tools is available to identify potential gaps IV. The following are some strategies for assessing risk, creating an emergency preparedness plan, and complying with CMS new disaster preparedness regulations: Assess all risks and potential disasters. Sample Infection Control Competency Quiz and Staff Questions. For instance, they can purchase a NOAA All-Hazards/Weather radio and store it in a place where its easy to hear when theres an alert, McCluskey suggests. Ambulatory Surgical Center: Emergency Operations Plan. Each toolkit includes a description of the importance of the issue, a review of selected literature, and a process description or tool (e.g., checklist, sample forms) that you can put to use in your practice setting. These webinars provide information about the new and revised Emergency Management chapter standards and elements of performance (EPs) and provide recommendations for implementing the new and revised standards/EPs. Burden says that the patient consent process can also provide a "stop" mechanism even before the day of surgery if any part of the surgery center's schedule, patient record or surgical plan do not match the patient's expectations. Ambulatory Surgical Centers must provide initial training in emergency preparedness policies and procedures to all new and existing staff, individuals providing on-site services under arrangement, and volunteers, consistent with their expected roles. This business plan explores how this outpatient surgery center can be designed and the number of patients it will take and its strengths, weaknesses, threats, and operations. ASCs are required to take part in two annual emergency preparedness tests. 800-688-2421. Stay up to date with all the latest Joint Commission news, blog posts, webinars, and communications. If you want to learn more or withdraw your consent to all or some of the cookies, please review our, AHRQ Safety Program for Ambulatory Surgery, Clinical & Operational Benchmarking Survey, Outpatient Surgery Quality and Access Act of 2023, CMS Surveyors Employ New COVID-19 Prevention Resources, Expanding COVID-19 Response Under Federal Emergency Rules: A Q & A from ASCA, 17 Medicare and Medicaid provider and supplier types. Emergency Management Plan The purpose of the <Name of Community Health Center> All Hazards Emergency Management Plan (EMP) is to establish a basic emergency preparedness program to provide timely, integrated, and coordinated response to the wide range of natural and man-made disasters that may disrupt normal operations and require a preplanned Your Disaster Plan should be shared with local emergency preparedness and government agencies to assure your local first responders are aware of your plans. Each clinic in each community is unique and you should develop a plan that is specific to your community. Burden. ipM(F(dyu#S[jmh}E53|^'^`15vQZ}aU\S^Yc}3aCo[ybrb~b,{Cl2y(EvQr@$EFYry{ [=}7(G`;tjkoZ#ZPG|u=%I,nhnVDj _%-Zx&;"ub\Z+){w2&IK u_{c}.z#6-M32m. The AAAHC Institute for Quality Improvement develops resources for internal use by ambulatory health care organizations and their teams. 808 certified writers online. https:// There was a fire blanket container on the courtyard wall, but there was no fire blanket in there.. endstream endobj 145 0 obj <>stream Toolkits are tailored for primary care, surgical/procedural, or universal patient care settings and address a range of vital topics, covering areas of high deficiency, AAAHC Standards, and best practices. Ophthalmic Surgical Checklist - Ambulatory Surgery Center Association. Efficiency. "You have to have processes to track everything you've sterilized, and you have people who know what they're doing. This describes integrated planning to prepare for a wide range of man-made and natural emergencies, focusing on those most likely to occur for the specific provider/supplier location. Youre not going to hear sirens or receive a phone call that you need to evacuate.. Any effective risk management program should include policies and processes that support proactive actions and retroactive incident reporting. .i6_\{I A^av`!b{aKI Also, employees can communicate with the ASC and each other on the facilitys website. Communicate with your staff and municipality during a disaster.. Ambulatory Surgery and Obstructive Sleep Apnea During department orientation and training, staff learns about their department's role in emergency preparedness, emergency response plan and department specific evacuation plans. Tags: Emergency Preparedness. "Involving the family in the discharge instructions give everyone more confidence in being able to care for the patient during the home recovery. Mandated preoperative time outs. We have policies in place to safeguard our patients against any of these types of incidences, says Stephanie Danielson, RN, MSN, CNOR, administrator of Crescent View Surgery Center. We help you measure, assess and improve your performance. This final rule established national emergency preparedness requirements for all 17 Medicare and Medicaid provider and supplier types. You can decide how often to receive updates. Discharge process that involves the patient's family and outcome tracking. Evacuate as instructed by the Emergency Coordinator and/or the designated official. Mary Sibulsky is Nurse Manager of an Ophthalmic ASC in North Idaho and has been a nurse since 1975. We use cookies on this website to understand how you use our site and to improve your experience. 27P-20). By continuing to use our site, you consent to the use of cookies outlined in our Privacy Policy. For all other Joint Commission accredited organizations, please continue to follow the current EM standards, EM.01.01.01-EM.04.01.01. xWn8}7TxE(&(CZv!%Y".papeA>C:_JRj~=hNRM"2"r:YN,;F'tK,KR,IBxc:3g"Dx"%CH(C,(+,4(JyE*?%?XG 93Au .1H(@d4zRNB>)D~6DO~%d);4s09v`pp2C9^Ie "If there are any red flags, we can address these right away," she says. Identify if your ambulatory surgical center is located within the 10 mile or 50-mile emergency planning zones of a nuclear power plant. "You must empower your staff to respond and truly follow up with patient grievances," says Ms. Brickey "There's a reason the patients are reaching out, and their complaints can provide you with information to improve your care."Ms. Ongoing patient identification. These webinars are specifically for Joint Commission Accredited Hospitals and Critical Access Hospitals. and local emergency preparedness agencies will also be key resources to your organization for guidance and information about local plans to integrate into your Disaster Plan. A plan is only paper if the information in it isnt disseminated to those impacted by the plan. Training. This includes personalizing content and advertising. The Occupational Safety and Health Administration (OSHA) provides preparedness and response resources for a variety of emergency scenarios. 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