All Hazards Associates LLC provides effective strategies in the areas of security, safety, and emergency management for organizations throughout the US. Methods for adequately processing and disseminating information during an emergency, including names and contact information for external liaisons and contacts at other HCOs and the jurisdictional level (Tier 3). EOP Base Plan - Provides an understanding of how the organization responds and how it interfaces with the outside environment during response. The approach to emergency preparedness and response for these Tier 1 assets can be relatively simple.
However, these entities may find themselves, during a major incident, compelled to participate in the community response beyond simply referring patients to a hospital or closing down their clinical operations.
Emergency Management is tasked with the creation, evaluation, and revision of Emergency Operations Plans (EOP) and all-hazards mitigation plans.
Main ContentIn the past, the HCO EOP was commonly (and inaccurately) referred to as the disaster plan. The management structure and methodology that will be used in an emergency, including the organization and operation of the internal HCO Incident Command Post (ICP). Guidance on how to develop and release public messages during emergencies, including coordination with the jurisdiction (Tier 3) public information function.
The structure of the EOP in emergency management is becoming more standardized, and HCOs should consider conforming to this structured approach.


Where to obtain information on whether public health emergency powers have been invoked, allowing release of private patient information, and other deviations from standard medical practice. Depending on incident circumstances, the Tier 2 coalition may elect to write a comprehensive incident action plan (IAP) that summarizes each participant's HCO IAP (Figure 3-1).[7] This is most likely to occur when the response will be drawn out over an extended period of time (days or weeks). The Tier 2 coalition IAP developed for each operational period requires approval by each coalition member.
The HCO mutual aid memorandum of understanding (MOU) is commonly a voluntary commitment (not a legal agreement) by each participating HCO to share information and provide available assistance in a major emergency or disaster. Additional information on the key components of an incident action plan is provided in Appendix C. The organizing body must have the ability to manage ongoing EMP activities and, during response, to perform incident management processes, such as incident action planning and disseminating information to its participants. Fortunately, this has begun to change as the EOP evolves into a guide to address less overwhelming emergencies and hazard threats. Figure 2-1 provides a synopsis of the EOP structure demonstrated in the National Response Plan (NRP)[8] and the example below provides an EOP structure and format specifically for HCOs. For example, an HCO may grant or deny a request for mutual aid based on perceived ability to adequately maintain its own operations.
In other cases, the coalition IAP may simply aggregate action plans from individual HCOs into a pre-designated format.


Examples could include HCO action plans, initial and updated bed counts, patient volumes, and status of personnel, supplies, and equipment.
Historically, this agreement allowed for the provision of emergency services, on a reciprocal basis, when individual resources were inadequate to deal with a specific incident. For early response activities, the EOP uses operational checklists (or job action sheets) for designated functions.
For example, the Emergency Medical Services System Act passed by Congress in 1973 identified mutual aid as one of fifteen essential components in the formation of EMS systems in the United States.
The mutual aid system is not a replacement for any individual hospital's emergency preparedness plan; rather, it is meant as a supplement that will augment an institution's capabilities.
For example, the coalition EOP might provide instructions on such issues as how to request and integrate mutual aid assets into an HCO's incident operations, and what designated communication methods to use between HCOs during response. Any event requiring activation of the mutual aid system is expected to be of a magnitude that it also involves municipal emergency services and the jurisdiction's department of public health.



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