Emergency Plan Manual

AHCA Form 3110-1022, Rev March 2013 Rule 59A-8.027, Florida Administrative Code http://ahca.myflorida.com/MCHQ/Health_Facility_Regulation/Home_Care/HHA/index.shtml#other . Page 32 of 54 A. Direction and Control __pg 4___ 1. Identify the chain of command to ensure continuous leadership and authority in key positions. __pg 5___ 2. State the procedures to ensure timely activation of the agency’s emergency management plan and staffing of the home health agency during an emergency. __pg 5-6_ 3.State the operational and support roles of all those home health agency staff who are designated to be involved in emergency measures during times of emergency. __pg 7 __ 4. Provide information on the management of patients who will continue to receive treatment by the home health agency during an emergency. B. Education of Patients Prior to an Emergency __pg 8__ 1. Describe procedures for educating patients or patients’ caregivers about the agency’s emergency management plan. __pg 8 __ 2. Describe procedures for discussing with those patients who need continued services, who are not registered with the special needs registry, the patients’ plan during, and immediately following, an emergency. __pg 9__ 3. Describe procedures for discussing the special needs registry with those patients who will require to be evacuated to a special needs shelter during an emergency. __pg 9__ 4. Describe the agency’s procedures for collecting patient registration information for the special needs registry, pursuant to 59A-8.027(12), F.A.C. Patients must be registered with the special needs registry prior to an emergency, not when an emergency is approaching or occurring. __pg 9__ 5. Describe how patients will be educated in the role of their medication, supplies and equipment list (refer to Appendix B, section 2 of this document). __pg 9/18 6. Describe procedures for discussing with those patients registered with the special needs registry the following: The information in Appendix B of this document; the limitation of services and conditions in a shelter: that the level of services will not equal what they receive in the home; that conditions in the shelter may be stressful and may be even inadequate for their needs; and that the special needs shelters are an option of last resort. C. Notification Procedures must be in place for the home health agency to receive timely information on impending threats and the alerting of home health agency decision makers, staff and patients of potential emergency conditions. __pg 10_ 1. Explain how the home health agency staff in charge of emergency plan implementation will receive warnings of emergency situations, including off hours, weekends and holidays. __pg 3__ 2. If the home health agency provides skilled care, identify the home health agency’s 24 hour contact number, if different than the number listed in the introduction.

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