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Documents

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

 

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