(Additional Services if Needed) Collaboration Contact Grid The following grid can be completed and retained for the purpose of collaborating with appropriate local, tribal, regional, state, and federal emergency preparedness partners. These contacts can be resources during emergency preparedness program development and evaluation, and during real-world emergencies. Using an all-hazards approach to emergency preparedness, ASCs should have the ability to communicate with all relevant partners, if necessary. However, during an emergency, facilities should prioritize communication with those entities with an immediate response role such as local public health, local emergency management, and their regional healthcare coalition. Emergency Preparedness Contacts Level Description Contact Name Phone Email Local Public Health Local Emergency Management Tribal Healthcare Regional: Coalition Healthcare Coalition Coordinator Ann Angell/SRO 608-266-9422 (AA) Leona Magnant 920-448-5240 (LM) Contact the /NERO appropriate 414-227-4563 Division of Quality Carol Jean regional (CJR) Assurance Rucker/SERO office. 715-836-3030 (TM) Modl /WRO 715-365-2801 (JR) Jessica Radtke /NRO State: Office of DHS 24-hour Answering service will Emergency Emergency direct to the correct 608-258-0099 none Preparedness and Hotline personnel. Health Care CMS Region 5 Emergency Coordinator Primary: Justin Pak Secondary: Primary: Federal: CMS CMS Region 5 Secondary: Gregory Secondary: Emergency Hann Preparedness Rule POC Secretary’s Federal: ASPR Operation 24/7 Staffing 202-619-7800 Center (SOC)
(Additional Services if Needed) Collaboration Contact Grid The following grid can be completed and retained for the purpose of collaborating with appropriate local, tribal, regional, state, and federal emergency preparedness partners. These contacts can be resources during emergency preparedness program development and evaluation, and during real-world emergencies. Using an all-hazards approach to emergency preparedness, ASCs should have the ability to communicate with all relevant partners, if necessary. However, during an emergency, facilities should prioritize communication with those entities with an immediate response role such as local public health, local emergency management, and their regional healthcare coalition. Emergency Preparedness Contacts Level Description Contact Name Phone Email Local Public Health Local Emergency Management Tribal Regional: Healthcare Coalition Healthcare Coalition Coordinator Division of Quality Assurance Contact the appropriate regional office. Ann Angell/SRO Leona Magnant /NERO Carol Jean Rucker/SERO Modl /WRO Jessica Radtke /NRO 608-266-9422 (AA) 920-448-5240 (LM) 414-227-4563 (CJR) 715-836-3030 (TM) 715-365-2801 (JR) State: Office of Emergency Preparedness and Health Care DHS 24-hour Emergency Hotline Answering service will direct to the correct personnel. 608-258-0099 none Federal: CMS CMS Region 5 Emergency Coordinator CMS Region 5 Emergency Preparedness Rule POC Primary: Justin Pak Secondary: Gregory Hann Secondary: Primary: Secondary: Federal: ASPR Secretary’s Operation Center (SOC) 24/7 Staffing 202-619-7800
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