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Learn MoreFor the United States, and really the whole world, this is a time when large-scale disasters are becoming more frequent, some of them linked to climate change and global warming. Whether in response to an event like the current COVID-19 pandemic, widespread wildfires, earthquake, or a hurricane, healthcare organizations can find their operations threatened and even overwhelmed by human need as well as catastrophic system failure. This blog looks at healthcare disaster impacts, serious vulnerabilities, preparation best practices, and the need for enhanced disaster recovery planning in healthcare organizations.
At this point, healthcare providers and their suppliers must be compliant with "national emergency preparedness requirements to ensure adequate planning for both natural and man-made disasters, and coordination with federal, state, tribal, regional and local emergency preparedness systems." These are published by CMS in the Federal Register, with regulations stating that "Each provider and supplier will have its own set of Emergency Preparedness regulations incorporated into its set of conditions or requirements for certification"… in order "to participate in the Medicare or Medicaid program." Given the pace of catastrophe, having a disaster management plan in healthcare is a necessity, not just for compliance, but for healthcare disaster preparedness.
According to CMS, here are some specific disasters and how they can affect providers and other healthcare-related entities:
Earthquakes – "May cause a variety of hazards, such as care-related emergencies, equipment and power failures, interruptions in communications and operations as well as loss of normal supply essentials or structure of the facility."
Hurricanes – "May cause a variety of hazards, such as care-related emergencies, equipment and power failures, interruptions in communications and operations as well as loss of normal supply essentials or structure of the facility."
Severe Weather – "Similar to other natural disaster which may cause a variety of hazards, such as care-related emergencies, equipment and power failures, and more; severe weather also has extended implications and may cause transportation challenges for some areas. Functional healthcare systems are therefore critical as hazardous conditions may lead to a variety of healthcare emergencies and mass surge influx of patients dependent on the duration of the severe weather. Additionally, residents may seek shelter in certain healthcare environments based on loss of power."
Fires – "Whether man-made or natural, can often have a massive impact on operations."
Disease Epidemics – "In 2014, the Ebola Virus Disease (EVD) manifested as a public health crisis internationally, and tested our national preparedness on disease control, such as related to virus outbreaks. Providers and suppliers faced a variety of challenges during the wake of the virus, which included basic care and treatment of patients with EVD; segregation; infection control; waste management; personal protective equipment (PPE) and more. Additionally, influenza such as the H1N1 pandemic, H3N2v in the United States, Zika Virus and others have reemphasized the need for disease control, prevention and preparedness, not to mention COVID-19! … In keeping with the all-hazards methodology, infectious diseases pose a threat to the community, healthcare workers as well as national response and recovery efforts."
According to the New York Times, across the nation "hospitals and health care systems are trying to answer the central question of how to care for patients when climate change threatens their ability to keep hospitals open. Many of the changes to improve resilience are not sleek, tech-forward responses to crisis. Rather, they often represent common-sense solutions: moving technical equipment from basements where floodwater could damage it up to higher floors; organizing patient transfers in advance of catastrophes; improving energy efficiency; better air filters; and more backup systems and redundancies, just in case." The same article mentions that during fire season and extreme heat waves "power can go out or electric utilities may shut off power to avoid sparking fires or creating systemwide blackouts, both of which mean that hospitals have to run on their generators." In response, an important part of disaster planning in healthcare includes finding new ways to generate electricity, like through solar energy cells or cogeneration facilities, as a way to have backup power with generating problematic particulate exhaust from diesel generators.
The University of St. Augustine offers the following advice for healthcare organizations' readiness for the next disaster or catastrophe:
Be Organized – "it is important that healthcare organizations have a disaster plan that is well documented and that they practice the steps they will take. The most important piece of disaster preparedness is making sure the patients are properly taken care of including their diagnosis, treatment, and follow up. For this to happen, healthcare organizations must have a method of entering the patient into their "system" so the procedures and care process can begin."
Act Collaboratively – "Healthcare organizations should provide additional advanced training to prepare personnel. Key staff members, usually directors or mid-high-level managers, should be assigned specific tasks during disaster situations. Their primary responsibilities are to keep the process flowing as smoothly as possible, handle press requests, keep the patients and family members as calm as possible, and meet the needs of the customers.
"Prepare, Plan, Practice, Repeat – Advanced planning and practice is necessary so that when an emergency arises the healthcare staff is prepared for it… Walking through an emergency operations plan in advance of a real situation allows the personnel to encounter problems that could occur during a real disaster and allows for further refinement of the processes." Also, "Disaster planning should also include situations where the healthcare facility itself is the victim of a disaster rather than the place where the victims can come for treatment and refuge."
Since 2012, HealthStream has partnered with Yale New Haven Health System Center for Emergency Preparedness and Disaster Response (YNHHS-CEPDR) to provide courseware designed to help healthcare workers and leaders understand their respective roles in providing care for patients in the event of an emergency. Yale New Haven Health System Center for Emergency Preparedness and Disaster Response develops and disseminates programs and services in the areas of healthcare and public health emergency preparedness, response, recovery, and mitigation.
HealthStream's YNHHS-CEPDR library includes:
HealthStream’s learning management system and comprehensive suite of competency management tools empower your healthcare workforce to deliver the best patient care.
View All Learning & PerformanceHealthStream offers performance learning management solutions to help develop your healthcare staff into leaders and reduce turnover.
View All ProductsHealthStream works with healthcare organizations to create engaging and high-quality training videos for your staff and management.
View All ProductsImprove care quality and save money by making informed decisions about your healthcare facility and staff with HealthStream's reporting analytics solution.
View All ProductsHealthStream's proven methods for the improvement and overall engagement of your healthcare staff foster a positive workplace and increase retention rates.
View All ProductsThe leadership development program from HealthStream helps mold your high-potential healthcare employees into proven leaders.
View All ProductsWhen you enact HealthStream's quality compliance solutions, you can do so with the confidence your healthcare organization will meet all standards of care.
View All Quality & ComplianceFulfill compliance requirements with a variety of programs and courseware designed to address critical regulatory requirements as well as educate staff to recognize and mitigate risks.
View All ProductsBy increasing your healthcare staff's focus on quality and safety with HealthStream, they can help to reduce medical errors and readmission rates.
View All ProductsLearn about what HealthStream's healthcare policy management software and how it can help aid your organization efforts.
View All ProductsHealthStream's education helps address diversity, equity, and inclusion within your organization, as well as promoting health equity in the communities you serve.
View All ProductsHealthStream offers professional training and education on how to best optimize your reimbursement process within your healthcare organization.
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View All ResuscitationNurture the skills of your nurses and medical staff to help mold them into effective leaders with development training from HealthStream.
View All ProductsIn all areas of resuscitation, from neonatal to elderly care, clinical deterioration is a risk that can be avoided with the help of HealthStream's training programs.
View All ProductsExpand the decision-making skills and effectiveness of your healthcare workforce with HealthStream's clinical development programs and services.
View All Clinical DevelopmentMake sure your clinicians have the support they need to provide competent care with clinical competency training and development from HealthStream.
View All ProductsThe suite of healthcare onboarding solutions available from HealthStream aids in nurse retention and improved patient outcomes.
View All ProductsGive your healthcare staff the decision support and skills training they need with the online products available from HealthStream.
View All ProductsHealthStream's solutions allow your healthcare workforce to be confident and competent with the knowledge they are upholding the highest of standards.
View All ProductsHealthStream’s learning management system and comprehensive suite of competency management tools empower your healthcare workforce to deliver the best patient care.
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View All ProductsTake the stress out of scheduling with real-time technology that engages nurses and healthcare workers from HealthStream.
View All ProductsProvide an easier way to view healthcare staff capacity insights while seeing a patient’s journey with HealthStream’s operational intelligence and machine learning products.
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