Resources, Documents, and Templates
- Appendix A CMS Emergency Preparedness Checklist for Effective Healthcare Facility Planning
- Appendix B Hazard Vulnerability Analysis tool
- Appendix C ICS Organization chart, job action sheets, and ICS Quick start guide
- Appendix D Facility Contact Lists
- Appendix E Facility Specific Information
- Appendix F HIPAAWaiverToolkit
- Appendix G Evacuation Plan and Checklists, and Transportation agreements
- Appendix H Facility Shelter in Place plan, Supply and Equipment lists, and checklists
- Appendix I MOU Templates
- Appendix J Recovery Checklists
- Appendix K Staff Care Plan documentation
- Appendix L Exercise, Evaluation, and Improvement planning checklist and AAR
- Appendix M Regional Resources and Contacts
- Annex A: Apartment Evacuation Policy & Procedure
- Annex B: Behavior Health
- Annex C: Bioterrorism Threats
- Annex D: Bomb Threat Policy and Procedure
- Annex E: Chemical Spills
- Annex F: Communication Plan
- Annex G: Electrical Power Outage Policy and Procedure
- Annex H: Elevator Policy and Procedure
- Annex I: Emergency Notification of Administrator
- Annex J: Fire Policy & Procedure
- Annex K: Heat and Humidity Policy and Procedure
- Annex L: Loss of Telephone Service Policy and Procedure
MDCH – LTC Disaster Planning Resources