when applicable of its participation in collaborative/coope rative planning (b) Policies and (1.) Provision of is new No amount of supplies specified by CMS but will be determined by the Procedures subsistence needs requirement facility and on their risk assessment. Based on risk for staff and assessment and residents, whether Taking subsistence Suggest involve dietary consultant to address amounts, of supplies, communication evac or shelter in along during evac also storage for Shelter in Place and evacuation at least until residents are in plan place including but new the receiving health care facility. not limited to the following P&Ps must be i. Food, water, Pharmaceuticals new Medications - Suggest this be researched with medical director, reviewed and medical and pharmacies and insurance plans which medications are critical to have, updated at least pharmaceutical and how to stockpile and/or resupply meds annually and supplies If stockpiled need to develop system for how to and control access. address the following: ii. Alternate sources New requirement for CMS clarifies sources of energy depend on the resources – “Alternate of energy to sewage and waste available to a facility, such as battery-operated lights, propane lights, or maintain: systems, along with heating, in order to meet the needs of a facility during an emergency. A] Temps to protect the need to maintain resident health and temps for residents We would encourage facilities to confer with local health department and safety and safe and storage of emergency management officials, as well as and healthcare coalitions, to storage of provisions determine the types and duration of energy sources that could be provisions available to assist them in providing care to their patient population B] Emergency Some facilities may during an emergency. lighting have to replace C] Fire detection, generators if their risk As part of the risk assessment planning, facilities should extinguishing, and assessment indicates determine the feasibility of relying on these sources and plan accordingly” alarms systems that a generator is provision and restoration of sewage and waste disposal systems D] Sewage and required to meet this “…the need and the addition waste systems could be beyond the operational control of some providers.
when applicable of its participation in collaborative/coope rative planning (b) Policies and Procedures Based on risk assessment and communication plan (1.) Provision of subsistence needs for staff and residents, whether evac or shelter in place including but not limited to the following is new requirement Taking subsistence along during evac also new No amount of supplies specified by CMS but will be determined by the facility and on their risk assessment. Suggest involve dietary consultant to address amounts, of supplies, storage for Shelter in Place and evacuation at least until residents are in the receiving health care facility. P&Ps must be reviewed and updated at least annually and address the following: i. Food, water, medical and pharmaceutical supplies Pharmaceuticals new Medications - Suggest this be researched with medical director, pharmacies and insurance plans which medications are critical to have, and how to stockpile and/or resupply meds If stockpiled need to develop system for how to and control access. ii. Alternate sources of energy to maintain: A] Temps to protect resident health and safety and safe storage of provisions B] Emergency lighting C] Fire detection, extinguishing, and alarms systems D] Sewage and waste systems New requirement for sewage and waste systems, along with the need to maintain temps for residents and storage of provisions Some facilities may have to replace generators if their risk assessment indicates that a generator is required to meet this need and the addition CMS clarifies – “Alternate sources of energy depend on the resources available to a facility, such as battery-operated lights, propane lights, or heating, in order to meet the needs of a facility during an emergency. We would encourage facilities to confer with local health department and emergency management officials, as well as and healthcare coalitions, to determine the types and duration of energy sources that could be available to assist them in providing care to their patient population during an emergency. As part of the risk assessment planning, facilities should determine the feasibility of relying on these sources and plan accordingly” “…the provision and restoration of sewage and waste disposal systems could be beyond the operational control of some providers.
SNF%20Emergency%20Preparedness%20CMS%20Final%20Rule%20Summary.docx