Certified Hospital Emergency Coordinator CHEC Training Program The

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Certified Hospital Emergency Coordinator (CHEC) Training Program The Hospital Emergency Coordinator: Key Roles Daily

Certified Hospital Emergency Coordinator (CHEC) Training Program The Hospital Emergency Coordinator: Key Roles Daily and in an Integrated Response

Certified Hospital Emergency Coordinator (CHEC) Training Program Objectives Upon lesson completion, you should be

Certified Hospital Emergency Coordinator (CHEC) Training Program Objectives Upon lesson completion, you should be able to: u u Identify important roles of the Hospital Emergency Coordinator (HEC) Recognize how the HEC can integrate the Hospital Emergency Management Program (HEMP) within the larger community response network

Certified Hospital Emergency Coordinator (CHEC) Training Program Objectives, continued Be able to name key

Certified Hospital Emergency Coordinator (CHEC) Training Program Objectives, continued Be able to name key partners essential to the makeup of the Hospital Emergency Management Committee (HEMC) u Describe the main activities of the HEMC u

Certified Hospital Emergency Coordinator (CHEC) Training Program Who is the Hospital Emergency Coordinator (HEC)?

Certified Hospital Emergency Coordinator (CHEC) Training Program Who is the Hospital Emergency Coordinator (HEC)? It is a common misconception that the CEO must always serve as the Healthcare System Commander

Certified Hospital Emergency Coordinator (CHEC) Training Program The Hospital Emergency Coordinator is: u u

Certified Hospital Emergency Coordinator (CHEC) Training Program The Hospital Emergency Coordinator is: u u The individual who leads the emergency management program and plans for emergent situations and disasters An individual dedicated to leading the hospital’s response to disasters Someone knowledgeable and skilled in emergency management A person with enormous responsibility who must work as part of a team

Certified Hospital Emergency Coordinator (CHEC) Training Program As a Hospital Emergency Coordinator what are

Certified Hospital Emergency Coordinator (CHEC) Training Program As a Hospital Emergency Coordinator what are your Emergency Management Responsibilities Daily? And During an Emergency?

Certified Hospital Emergency Coordinator (CHEC) Training Program Advice to Hospital Emergency Coordinators Researchers asked

Certified Hospital Emergency Coordinator (CHEC) Training Program Advice to Hospital Emergency Coordinators Researchers asked experienced Emergency Program Managers this question: “What 2 or 3 most important pieces of advice would you give? ” They provided 12 themes as food for thought.

Certified Hospital Emergency Coordinator (CHEC) Training Program Advice to Hospital Emergency Coordinators 1. 2.

Certified Hospital Emergency Coordinator (CHEC) Training Program Advice to Hospital Emergency Coordinators 1. 2. 3. 4. 5. 6. Meet and greet agency heads Establish personal credibility and commitment Use past experience Research your community Ascertain the mission and the level of commitment to it Engage in consensus-building activities

Certified Hospital Emergency Coordinator (CHEC) Training Program Advice to Hospital Emergency Coordinators 7. 8.

Certified Hospital Emergency Coordinator (CHEC) Training Program Advice to Hospital Emergency Coordinators 7. 8. 9. Coordinate, do not control Increase public awareness and knowledge Establish media relationships Continue your own professional development 10. Establish a professional network 11. Be tenacious 12.

Certified Hospital Emergency Coordinator (CHEC) Training Program HEC Job Duties and Responsibilities: Overview u

Certified Hospital Emergency Coordinator (CHEC) Training Program HEC Job Duties and Responsibilities: Overview u Support the implementation of, and training for, the Incident Command System (ICS) q ICS is essential for security, safety, and communications during training and disaster response

Certified Hospital Emergency Coordinator (CHEC) Training Program HEC Job Duties and Responsibilities: Overview (Continued)

Certified Hospital Emergency Coordinator (CHEC) Training Program HEC Job Duties and Responsibilities: Overview (Continued) u Ensure all regulatory standards (e. g. : TJC, DNV, CMS) are communicated and met u Assist in the design, coordination, and implementation of emergency operations plans, procedures, and training for both internal and external events

Certified Hospital Emergency Coordinator (CHEC) Training Program HEC Job Duties and Responsibilities: Overview (Continued)

Certified Hospital Emergency Coordinator (CHEC) Training Program HEC Job Duties and Responsibilities: Overview (Continued) u u u Support project management Lead the hospital emergency management committee (HEMC) and other related sub-committee meetings Depending on the size and resources available at any given hospital, the HEC may have to serve multiple roles and participate with multiple committees

Certified Hospital Emergency Coordinator (CHEC) Training Program HEC Job Duties and Responsibilities: Overview (Continued)

Certified Hospital Emergency Coordinator (CHEC) Training Program HEC Job Duties and Responsibilities: Overview (Continued) u u Develop project plans and timelines for accomplishing outstanding tasks Ensure that all departments are aware of the Joint Commission’s Emergency Management standards q Monitor compliance to these standards u u www. jcrinc. com TJC Environment of Care News

Certified Hospital Emergency Coordinator (CHEC) Training Program HEC Job Duties and Responsibilities: Overview (Continued)

Certified Hospital Emergency Coordinator (CHEC) Training Program HEC Job Duties and Responsibilities: Overview (Continued) u u Work with the HEMC in preparing an annual report on the HEMP Present the report and program critiques to the Hospital Safety and Executive Committees

Certified Hospital Emergency Coordinator (CHEC) Training Program HEC Job Duties and Responsibilities: Overview (Continued)

Certified Hospital Emergency Coordinator (CHEC) Training Program HEC Job Duties and Responsibilities: Overview (Continued) u u Develop and maintain the Emergency Operations Plan (EOP) Ensure that an updated version of the manual is available biannually and that the plan meets regulatory standards

Certified Hospital Emergency Coordinator (CHEC) Training Program HEC Job Duties and Responsibilities: Overview (Continued)

Certified Hospital Emergency Coordinator (CHEC) Training Program HEC Job Duties and Responsibilities: Overview (Continued) u u Investigate best practices with respect to emergency preparedness and incorporate them into the plan Coordinate and propose all capital and significant operational requests to support emergency preparedness

Certified Hospital Emergency Coordinator (CHEC) Training Program HEC Job Duties and Responsibilities: Overview (Continued)

Certified Hospital Emergency Coordinator (CHEC) Training Program HEC Job Duties and Responsibilities: Overview (Continued) u Help design, develop, coordinate, and implement hospital-wide and site-specific training regarding the various elements of the HEMP and the EOP

Certified Hospital Emergency Coordinator (CHEC) Training Program HEC Job Duties and Responsibilities: Overview (Continued)

Certified Hospital Emergency Coordinator (CHEC) Training Program HEC Job Duties and Responsibilities: Overview (Continued) u Ensure that the Emergency Management Call Lists are up to date and functional q q u Send out semi-annual reminders to update departments' internal call lists Drill on these call lists and publish updates Seek continual self-improvement q Attend seminars, obtain resource material for review, and study best practices

Certified Hospital Emergency Coordinator (CHEC) Training Program HEC Job Duties and Responsibilities: Overview (Continued)

Certified Hospital Emergency Coordinator (CHEC) Training Program HEC Job Duties and Responsibilities: Overview (Continued) u Coordinate and execute a minimum of two emergency preparedness hospital exercises per year q One of these exercises must integrate a community response per Joint Commission standards and per the new CMS Co. Ps

Certified Hospital Emergency Coordinator (CHEC) Training Program HEC Job Duties and Responsibilities: Overview (Continued)

Certified Hospital Emergency Coordinator (CHEC) Training Program HEC Job Duties and Responsibilities: Overview (Continued) Utilize HSEEP methodology u Convene a planning group for each drill u Assist in the design of exercises and selection of a scenario u Develop After Actions Reports (AARs) and reviews lessons learned u Develop and oversee Improvement Plans (IP) based on AARs u

Certified Hospital Emergency Coordinator (CHEC) Training Program Practical Exercise/Group Discussion Have you ever prepared

Certified Hospital Emergency Coordinator (CHEC) Training Program Practical Exercise/Group Discussion Have you ever prepared an AAR? u Does your hospital use a template? u What items are included? u How are AARs acted upon? u How are improvement plans developed and implemented ? u

Certified Hospital Emergency Coordinator (CHEC) Training Program Sample HEC Job Qualifications u Master’s degree

Certified Hospital Emergency Coordinator (CHEC) Training Program Sample HEC Job Qualifications u Master’s degree preferred u u Relevant education in a degree, a certification, or courses taken Ability to make quick decisions and to work under pressure u Possess excellent written and oral communication skills u Leadership skills u Knowledge of hospital facilities u Knowledge of or job history involving emergency management Strong interpersonal skills and team player capabilities u Computer skills u

Certified Hospital Emergency Coordinator (CHEC) Training Program Community Response and the HEMP u u

Certified Hospital Emergency Coordinator (CHEC) Training Program Community Response and the HEMP u u The HEC must share the hospital plan with the local emergency management agency He or she must work with local experts to ensure that emergency preparedness equipment and supplies are available and functional

Certified Hospital Emergency Coordinator (CHEC) Training Program Community Response and the HEMP u u

Certified Hospital Emergency Coordinator (CHEC) Training Program Community Response and the HEMP u u u The HEC should attend emergency preparedness meetings with external agencies at the local, regional and state levels HEC should participate in local exercises The HEC should develop hazard vulnerability analyses in consultation with community planning experts

Certified Hospital Emergency Coordinator (CHEC) Training Program Leading and Relying on Others: It’s Not

Certified Hospital Emergency Coordinator (CHEC) Training Program Leading and Relying on Others: It’s Not a Paradox The HEC must lead and simultaneously work as a member of a team u Invest in yourself! Take courses in leadership and get to know both your management style and leadership style (there is a difference!) u

Certified Hospital Emergency Coordinator (CHEC) Training Program Hospital Emergency Management Committee: HEMC Overview u

Certified Hospital Emergency Coordinator (CHEC) Training Program Hospital Emergency Management Committee: HEMC Overview u Roles and responsibilities: Develop and update annually a comprehensive “All Hazards” HEMP q Conduct an annual Hazard Vulnerability Analysis (HVA) q Develop an “all-hazard” EOP and standard operating procedures for particular identified hazards q

Certified Hospital Emergency Coordinator (CHEC) Training Program HEMC Overview, continued q q q Develop

Certified Hospital Emergency Coordinator (CHEC) Training Program HEMC Overview, continued q q q Develop hospital continuity of operations plans Ensure training of all employees and medical staff in their roles and responsibilities during emergency response and recovery Attend to the mental health needs of responders and victims

Certified Hospital Emergency Coordinator (CHEC) Training Program HEMC Overview, continued q q Collaborate and

Certified Hospital Emergency Coordinator (CHEC) Training Program HEMC Overview, continued q q Collaborate and coordinate planning and preparedness with community response partners Educate administration and employees on the Emergency Management Program and the EOP

Certified Hospital Emergency Coordinator (CHEC) Training Program HEMC Overview, continued q Develop and carry

Certified Hospital Emergency Coordinator (CHEC) Training Program HEMC Overview, continued q Develop and carry out training and exercises u. Internal exercises, including drills and tabletops, and offering educational opportunities such as seminars for all employees u. External exercises with community response partners

Certified Hospital Emergency Coordinator (CHEC) Training Program HEMC Overview, continued q Report committee progress,

Certified Hospital Emergency Coordinator (CHEC) Training Program HEMC Overview, continued q Report committee progress, challenges, and successes to: u Hospital employees and medical staff u Hospital’s Chief Executive Officer and the “C Suite” u Senior Administrators u Healthcare corporation officials u The Healthcare Coalition

Certified Hospital Emergency Coordinator (CHEC) Training Program HEMC Constituents: Internal u All healthcare organizational

Certified Hospital Emergency Coordinator (CHEC) Training Program HEMC Constituents: Internal u All healthcare organizational departments should be represented q Inclusion of key leaders, unit managers, and a balanced representation of operational and supporting units in the Healthcare Organization (HCO) is essential

Certified Hospital Emergency Coordinator (CHEC) Training Program HEMC Constituents: External u HEMC should also

Certified Hospital Emergency Coordinator (CHEC) Training Program HEMC Constituents: External u HEMC should also include External Response Partners: Law Enforcement q Fire and Emergency Medical Services q Emergency Management q Public Health q Other key community response partners q

Certified Hospital Emergency Coordinator (CHEC) Training Program HEMC Main Goals: HVA Review u The

Certified Hospital Emergency Coordinator (CHEC) Training Program HEMC Main Goals: HVA Review u The HEMC is responsible for conducting an annual Hazard Vulnerability Analysis (HVA) q The HVA is a key element of the hospital EOP

Certified Hospital Emergency Coordinator (CHEC) Training Program HEMC Main Goals: HVA Review u A

Certified Hospital Emergency Coordinator (CHEC) Training Program HEMC Main Goals: HVA Review u A major planning tool for incident specific planning, the HVA: q Identifies, prioritizes and defines threats that may impact business & patient care operations q Offers specific steps to reduce the impact of an untoward event q Ensures continuity of business functions

Certified Hospital Emergency Coordinator (CHEC) Training Program HEMC Main Goals: EOP Introduction u u

Certified Hospital Emergency Coordinator (CHEC) Training Program HEMC Main Goals: EOP Introduction u u The HEMC must develop an EOP and standard operating procedures for identified hazards The EOP outlines the hospital’s strategy for: q Response q Recovery q Implementation of the ICS q Communication and coordination

Certified Hospital Emergency Coordinator (CHEC) Training Program HEMC Main Goals: COOP The HEMC is

Certified Hospital Emergency Coordinator (CHEC) Training Program HEMC Main Goals: COOP The HEMC is also charged with developing continuity of operations plans u The hospital must be able to continue essential functions in the face of an emergency q If the hospital must be evacuated, the COOP must consider how to continue care provision despite the challenges of relocating patients u The COOP is a government mandate u

Certified Hospital Emergency Coordinator (CHEC) Training Program COOP called upon Sumter Regional Hospital in

Certified Hospital Emergency Coordinator (CHEC) Training Program COOP called upon Sumter Regional Hospital in Americus, Ga. , was caught in the path of a tornado March 1 that devastated the 265, 000 -square -foot, 143 -bed complex. Seventy patients were safely evacuated.

Certified Hospital Emergency Coordinator (CHEC) Training Program HEC & HEMC: The bottom line in

Certified Hospital Emergency Coordinator (CHEC) Training Program HEC & HEMC: The bottom line in the 4 phases of EM u. Support the hospital and the healthcare organization’s business continuity plans in the following ways: u. Mitigation: Prevention Strategies u. Preparedness: Individual, Departmental, & Organizational u. Response: Internal and External Response u. Recovery: Plan for it in detail

Certified Hospital Emergency Coordinator (CHEC) Training Program Hospital Emergency Management Program: Review 1 2

Certified Hospital Emergency Coordinator (CHEC) Training Program Hospital Emergency Management Program: Review 1 2 Designate Emergency Management Committee Conduct a Hazard Vulnerability Analysis Identify priority hazards, threats, and events Establish roles, assign responsibilities 5 6 3 Develop the Emergency Operations Plan 4 Develop Incident. Specific Guidance For priority hazards, threats, and events Describe how the organization will respond and coordinate Implement Mitigation and Preparedness Strategies Review and revise operating unit templates 7 Coordinate with External Entities Provide Education and Training to Staff Engage in community-wide cooperative planning Understand roles, build competencies and confidence, exercise EOP 8 9 Implement Emergency Operations Plan In response to an actual event Conduct Ongoing Reviews and Corrective Actions Review and refine program, documentation, and training

Certified Hospital Emergency Coordinator (CHEC) Training Program The Hospital Emergency Coordinator: Key Roles Daily

Certified Hospital Emergency Coordinator (CHEC) Training Program The Hospital Emergency Coordinator: Key Roles Daily and in an Integrated Response Questions?