On this page:

• Regional and Local Contact Information
• Upcoming Trainings
• Communications and Response Systems
• Developing Emergency Plans for Your Facility
• Pandemic Influenza Planning Tools
• Evacuation Planning Tools & Checklists
• Hazard Vulnerability Assessment Templates
• Exercise Templates
• Memoranda of Understanding (MOU) or Mutual Aid Agreements (MOA)
• Incident Command System (ICS) Training Modules
• Helpful Articles
• Additional Links
  
  

Regional and Local Contact Information:

To the right, you will find a map of the 8 regional healthcare coalitions. Identify in which county your facility resides to determine your designated region.

Region 1: Clinton, Eaton, Gratiot, Hillsdale, Ingham, Jackson, Lenawee, Livingston, and Shiawassee Counties Region 2N: Oakland, Macomb, and St. Clair Counties Region 2S: City of Detroit; Monroe, Washtenaw, and Wayne Counties Region 3: Saginaw, Alcona, Iosco, Ogemaw, Arenac, Gladwin, Midland, Bay, Genessee, Tuscola, Lapeer, Sanilac, and Huron Counties Region 5: Allegan, Barry, Calhoun, Branch, St. Joseph, Cass, Berrien, Van Buren, and Kalamazoo Counties Region 6: Clare, Ionia, Isabella, Kent, Lake, Mason, Mecosta, Montcalm, Muskegon, Newaygo, Oceana, Osceola, and Ottawa Counties Region 7: Manistee, Wexford, Missaukee, Roscommon, Benzie, Leelanau, Grand Traverse, Kalkaska, Crawford, Oscoda, Antrim, Otsego, Montmorency, Alpena, Presque Ilse, Cheboygan, Emmet, and Charlevoix Counties Region 8: Chippewa, Mackinac, Luce, Schoolcraft, Delta, Alger, Marquette, Dickinson, Menominee, Baraga, Iron, Gogebic, Ontonagon, Houghton, and Keweenaw Counties Each region has a Regional Coordinator that manages the ASPR cooperative agreement for healthcare preparedness activities. Each county has a local Emergency Manager who is responsible for assessing and measuring a local jurisdiction's capability to mitigate against, prepare for, respond to, and recover from emergency and disaster events. At each of the local public health departments, there is a full-time Emergency Preparedness Coordinator who manages the CDC cooperative agreement activities for their jurisdiction. Local Health Department Emergency Preparedness Coordinators Local Emergency Managers Regional Coordinators

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Upcoming Trainings:

• Region 3 LTC Workshop and Tabletop Exercise May 8, 2012 (1:00 – 4:00pm).
  For more detail contact the Region 3 Office 989-758-3712.
• Region 5 LTC Conference May 9, 2012 (10:00am – 3:00pm).
  For more details contact the Region 5 Office 269-337-6549.
• Region 2S LTC Workshop and Tabletop Exercise May 22, 2012.
  For more details contact the Region 2S Office 734-728-7674.
• Region 6 LTC Workshop June 2012.
  For more details contact the Region 6 Office 231-728-1967.
• Fall 2012 Joint Provider Training - September 18, 2012

Communications and Response Systems:

• EMResource. This is an internet-based application which tracks the status of various resources such as bed availability and medical resources within the emergency medical care environment. This system provides a communication pathway between pre-hospital, hospital, and potentially public health officials during day-to-day or emergency situations. EMResource lists the resources within a geographic area and can be constantly monitored, as needed, during a disaster. Long Term Care Bed and Equipment Availability Quick User Guide.
• MI-TRAIN. Through MI-TRAIN, a premier learning resource for professionals who protect the public's health you are given the opportunity to quickly find and register for many courses, track your learning with personal online transcripts, access valuable materials, course reviews, and discussions to improve your learning experience, and stay informed of the latest public health and healthcare trainings for your area of expertise.
• MI-Volunteer Registry. The MI-Volunteer Registry is used to register, notify, and inform individuals who are interested in volunteering in the event of a natural or public emergency. 
  By adding your name and information to the Registry, you are indicating your willingness to volunteer your time and skills in an emergency.  Registering places you under no obligation to volunteer.
• The Michigan Health Alert Network (MIHAN) is a secure, internet-based, emergency notification system. Each person who participates in MIHAN specifies up to five methods of contact for each of the three priority levels of alerts. Alerts may be sent out as high, medium or low priority. The MIHAN contains over 4,000 participants from each of the local health departments, hospitals, clinics and many other critical first responders across the state. It also includes many of Michigan's state governmental agencies. Specific roles which have prescribed duties for response to incidents have the ability to alert a wide range of participants on the system. MIHAN Registration Form.

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Developing Emergency Plans for Your Facility:

• Michigan Disaster Preparedness Guidelines
• Nursing Home Administrator Letter 3-12-12
• Michigan Department of Community Health. 2009. Emergency Guide for Michigan Health Care Facilities.
• Alzheimer's Association. 2009. Home and Community-Based Services for People with Dementia and Their Caregivers.
• Alzheimer's Association. 2007. Disaster Preparedness Topic Sheet.
• American Red Cross. Primary Business Continuity Planning Template.
• Centers for Disease Control and Prevention, Healthy Aging Program. Disaster Planning Tips for Older Adults and Their Families.
• Centers for Medicare & Medicaid Services, Survey and Certification Group:  website for developing robust emergency plans and responses
• DHHS, Center for Medicare & Medicaid Services. 2007. Emergency Preparedness Checklist: Recommended Tool for Persons in Long-Term Care Facilities, Their Family Members, Friends, Personal Caregivers, Guardians, and Long Term Care Ombudsman.
• Florida Healthcare Association, Florida Center for Assisted Living. 2006. Disaster Preparedness Guide for Assisted Living Facilities.
• Disaster Preparedness Plan: Template for Use in Long Term Care Facilities.
• Disaster Preparedness Guidelines for Employees.

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Pandemic Influenza Planning Tools:

• DHHS. 2008. Guidance on Allocating and Targeting Pandemic Influenza Vaccine.
• DHHS. 2006. Long-Term Care and Other Residential Facilities Pandemic Influenza Planning Checklist.
• The Givens Estate, Inc. 2008. Seasonal Influenza Plan.

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Evacuation Planning Tools & Checklists:

• California Association of Health Facilities, Disaster Preparedness Program. Long Term Care Facility Evacuation Resident Assessment Form for Transport and Destination.
• California Association of Health Facilities, Disaster Preparedness Program. Long Term Care Facility Evacuation: Planning Considerations.
• Florida Health Care Education and Development Foundation. 2008. National Criteria for Evacuation Decision-Making in Nursing Homes. John A. Hartford Foundation
• National Fire Protection Association. 2007. Emergency Evacuation Planning Guide for People with Disabilities.
• Evacuation Procedures for Any Disaster.
• Policy on the Evacuation of Healthcare Facilities.
  • Long Term Care Facility Evacuation Checklist.
• Evacuation and Shelter-in-Place Procedures.

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Hazard Vulnerability Assessment Templates:

• Canadian Centre for Emergency Preparedness. Sample Risk Assessment Tool.
• North Carolina. Sample Hazard Vulnerability Assessment for Human, Natural, and Technological Events.
• Sample Vulnerability Assessment for Natural Hazards.
• Sample Vulnerability Assessment for Hazardous Materials.
• Sample Vulnerability Assessment for Human Hazards.
• Sample Vulnerability Assessment for Technological Events.

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Exercise Templates:

• California Association of Health Facilities, Disaster Preparedness Program. 2009. Evacuation Drill for Long Term Care Facilities.
• Emergency Preparedness Training and Exercise Guide for Nursing Homes. MSWord version or PDF version
• Palmisano, B. et al. Taking Steps toward Enhancing Emergency Preparedness and Response in Long-Term Care Facilities: Facilitators' Guide for Staff Development. Western Reserve Geriatric Education Center and Northeastern Ohio University.

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Memoranda of Understanding (MOU) or Mutual Aid Agreements (MOA):

• Healthcare Mutual Aid Assistance MOU
• Trinity Health System. Agreement to Provide Physical Facilities for Temporary Shelter.
• Wayne County Hospitals & Health Care Organizations Mutual Aid Assistance Agreement Standard Operating Procedures.
• Wayne County Hospitals & Health Care Organizations Mutual Aid Assistance Agreement Standard Operating Procedures, Addendum D: Approval by Long Term Care Facilities.

Incident Command System (ICS) Training Modules:

• California Association of Health Facilities, Disaster Preparedness Program. 2009. Nursing Home Incident Command System.
• California Association of Health Facilities, Disaster Preparedness Program. 2009. Nursing Home Incident Command System: Module 1, Personal Emergency Preparedness.
• California Association of Health Facilities, Disaster Preparedness Program. 2009. Nursing Home Incident Command System: Module 2, Introduction to the Incident Command System.
• California Association of Health Facilities, Disaster Preparedness Program. 2009. Nursing Home Incident Command System: Module 3, Applying ICS in Nursing Homes.
• California Association of Health Facilities, Disaster Preparedness Program. 2009. Nursing Home Incident Command System: Module 4, Toolkit.
• California Association of Health Facilities, Disaster Preparedness Program. 2009. Nursing Home Incident Command System: Module 5, Implementing NHICS in Your Facility.
• Federal Emergency Management Agency. Independent Study Program. The following courses are recommended:   Introduction to the Incident Command System for Healthcare/Hospitals (IS100HC), Applying ICS to Healthcare Organizations (IS200HCa), National Incident Management System: An Introduction (IS700a), and National Response Framework: An Introduction (IS800b).
• Incident Commander, Job Action Sheet.
• Michigan Department of Community Health, Office of Public Health Preparedness. 2007. Michigan Hospitals' Minimum National Incident Management System (NIMS) Training Guidelines.
• Sample Incident Command System at a Healthcare Facility.

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Helpful Articles:

• Cefalu, C. 2006. Disaster Preparedness for Long-Term Care Facilities. Annals of Long Term Care, 14(9): 31-33.
• Florida Health Care Association. New Tools Help Nursing Homes with Emergency Management Planning.
• Gershon, R. et al. 2010. Factors Associated with the Ability and Willingness of Essential Workers to Report to Duty During a Pandemic. Journal of Occupational and Environmental Medicine. 52(10): 995-1003.
• Kailes, J. and A. Enders. 2007. Moving beyond "Special Needs". Journal of Disability Policy Studies, 17(4): 230-237.
• Levinson, D. 2012. Gaps Continue to Exist in Nursing Home Emergency Preparedness and Response During Disasters: 2007-2010. Office of Inspector General.
  
• Murtiashaw, S. 2000. The Role of Long-Term Care Ombudsmen In Nursing Home Closures and Natural Disasters. National Long Term Care Ombudsman Resource Center.
• O'Brien-Suric, N. 2009. In Emergencies, Older Adults Left Behind. John A. Hartford Foundation.
• Smith, P. W. et al. 2008. Preparedness for Pandemic Influenza in Nursing Homes. Journal of the American Medical Association, 300(4): 392-394.

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Additional Links:

• Office of Public Health Preparedness
• Centers for Disease Control and Prevention: Emergency Preparedness and Response Website, Resources for Long-Term, Acute, and Chronic-Care Facilities, Keep It with You: Personal Medical Information Form
• DHHS Administration on Aging - Resources for Individuals, Families and Caregivers
• Disaster Preparedness in Michigan
• Do1Thing
• Administration on Aging
• Michigan Skilled Nursing Home Facilities Directory
• FEMA Public Assistance Grant Program
• Florida Health Care Association - Emergency Preparedness Tools
• Michigan State Police: Emergency Management & Homeland Security Division, Family Preparedness Guide
• The National Long-Term Care Ombudsman Resource Center - Emergency Preparedness Checklist and Resources
• Pets Unlimited. In Case of Disaster, Protect Your Pet!
• Ready America
• Mather LifeWays Institute on Aging. “PREPARE” Training Program for Healthcare Workers.
• Vulnerable Older Adults and Legal Options for Increasing Their Protection During All Hazard Emergencies

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