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Long Term Care Disaster Planning Resources
COVID-19 Information
- Monoclonal Antibody Therapy - AFC/HFA
- Monoclonal Antibody Therapy - Skilled Nursing
- CDC- Preparing for COVID-19 in Nursing Homes
- MDHHS Coronavirus Link
- Epidemiology of Covid-19 in a Long-Term Care Facility in King County, Washington
- Nursing Home COVID-19 Plan - includes guidance on testing strategies, reporting requirements as well other important information
- Managing Staffing Shortages Guidance
- COVID-19 Considerations, Strategies and Resources for Crisis Standards of Care
Featured Resources:
- LARA Partner Resources
- Long Term Care Introduction to ICS 100 Online Course
- Omnibus Burden Reduction (Conditions of Participation) Final Rule CMS-3346-F -9/26/19.
- CMS Emergency Planning Checklist: Michigan Planning Toolkit
- American Hospital Association (AHA) Implications of the CMS Emergency Preparedness Rule
- CMS Letter: Information on the Implementation Plans for the Emergency Preparedness Regulation - 10/28/16
- Revised CMS interpretation guidelines - Updates to Appendix Z of the State Operations Manual (SOM)
- Example Respiratory Protection Plans
On this page:
Regulations and Waivers
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Emergency Reporting Memo State of Michigan (LARA) - Published 9/5/14
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Katrina HIPAA Privacy and Disclosures in Emergency Situations
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CMS Provider Survey and Certification for Declared Public Health Emergencies FAQ
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Additional Emergency and Disaster Related Policies and Procedures With a 1135
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.
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Region 1: Clinton, Eaton, Gratiot, Hillsdale, Ingham, Jackson, Lenawee, Livingston, and Shiawassee Counties
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Region 2N: Oakland, Macomb, and St. Clair Counties
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Region 2S: City of Detroit; Monroe, Washtenaw, and Wayne Counties
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Region 3: Saginaw, Alcona, Iosco, Ogemaw, Arenac, Gladwin, Midland, Bay, Genessee, Tuscola, Lapeer, Sanilac, and Huron Counties
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Region 5: Allegan, Barry, Calhoun, Branch, St. Joseph, Cass, Berrien, Van Buren, and Kalamazoo Counties
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Region 6: Clare, Ionia, Isabella, Kent, Lake, Mason, Mecosta, Montcalm, Muskegon, Newaygo, Oceana, Osceola, and Ottawa Counties
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Region 7: Manistee, Wexford, Missaukee, Roscommon, Benzie, Leelanau, Grand Traverse, Kalkaska, Crawford, Oscoda, Antrim, Otsego, Montmorency, Alpena, Presque Ilse, Cheboygan, Emmet, and Charlevoix Counties
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Region 8: Chippewa, Mackinac, Luce, Schoolcraft, Delta, Alger, Marquette, Dickinson, Menominee, Baraga, Iron, Gogebic, Ontonagon, Houghton, and Keweenaw Counties
Each regional healthcare coalition 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.
Developing Emergency Plans for Your Facility:
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Alzheimer's Association. 2017. Disaster Preparedness Topic Sheet.
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American Red Cross. Primary Business Continuity Planning Template.
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Centers for Disease Control and Prevention, Healthy Aging Program. Disaster Planning Tips for Older Adults and Their Families.
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Centers for Medicare & Medicaid Services, Survey and Certification Group: website for developing robust emergency plans and responses
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Florida Healthcare Association, Florida Center for Assisted Living. 2006. Disaster Preparedness Guide for Assisted Living Facilities.
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Disaster Preparedness Plan: Template for Use in Long Term Care Facilities.
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Defining Emergency Operations -Basic Plan Elements Modified for Nursing Homes from FEMA Guide
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Ethical Guidelines for the Development of Emergency Plans AHCA
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Activation of Communications Pathway Algorithms for Long Term Care Facilities in Michigan
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FEMA Continuity Plan Template and Instructions for Non-Federal Governments
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Psychological First Aid: Field Operations Guide for Nursing Homes
Evacuation Planning Tools & Checklists:
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Florida Health Care Education and Development Foundation. 2008. National Criteria for Evacuation Decision-Making in Nursing Homes. John A. Hartford Foundation
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Region 1 Client & Resident Long Term Care Go-Kit Supply List
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Sample Policy on the Evacuation of Healthcare Facilities - Wisconsin
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AHRQ Disaster Alternate Care Facilities: Selection & Operations
Hazard Vulnerability Assessment Templates:
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Canadian Centre for Emergency Preparedness. Sample Risk Assessment Tool.
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North Carolina. Sample Hazard Vulnerability Assessment for Human, Natural, and Technological Events.
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Spectrum Health Hazard and Vulnerability Assessment Instructions
Communications and Response Systems:
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EMResource. This is an internet-based application which tracks the status of various resources such as bed availability and medical resources. This system provides a communication pathway 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.
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MI-TRAIN. A premier learning resource for professionals to quickly find and register for many courses, track learning with personal online transcripts, access valuable materials, course reviews, and to stay informed of the latest trainings for your area of expertise.
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MI-Volunteer Registry. By adding your name and information to the Registry, you are indicating your willingness to volunteer your time and skills in an emergency.
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The Michigan Health Alert Network (MIHAN) is a secure, internet-based, emergency notification system.
Memoranda of Understanding (MOU) or Mutual Aid Agreements (MOA):
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Trinity Health System. Agreement to Provide Physical Facilities for Temporary Shelter.
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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:
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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).
Exercise Templates:
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Florida Health Care Association Emergency Preparedness Training and Exercise Guide for Nursing Homes
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HSEEP also provides a set of guiding principles for exercise programs, as well as a common approach to exercise program management, design and development, conduct, evaluation, and improvement planning. https://www.fema.gov/media-library-data/20130726-1914-25045-8890/hseep_apr13_.pdf
Helpful Articles:
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The Role of Long-Term Care Ombudsmen In Nursing Home Closures and Natural Disasters
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Office of Inspector General Gaps in Nursing Home Emergency Preparedness 2007-2010
LTC Staff Resources:
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"Nursing Home Emergency Preparedness Training Series Videos" produced by Virginia's Northwest Regional Coalition and the Central Shenandoah Health District
Additional Links:
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Florida Health Care Association - Emergency Preparedness Tools
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Michigan State Police: Family Preparedness Guide
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The Technical Resources, Assistance Center, and Information Exchange (TRACIE) was created to meet the information and technical assistance needs of regional ASPR staff, healthcare coalitions, healthcare entities, healthcare providers, emergency managers, public health practitioners, and others working in disaster medicine, healthcare system preparedness, and public health emergency preparedness.
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The Association of Healthcare Emergency Preparedness Professionals (AHEPP) was formed in 2014 to achieve our mission, "Moving Preparedness Forward", by providing healthcare and other preparedness professionals with opportunities for networking, resource sharing, continuing education, and scholarly exchange.