A Self-Assessment Guide for Health Care Organizations - IFC

Standard FSE.3 [Emergency management plan]
The organization develops and maintains an Emergency Management Plan (or similar) and program to respond to likely community
emergencies, epidemics, and natural or other disasters.
Intent of FSE.3
Emergencies, epidemics, and disasters may directly affect the organization. These might range, for example, from earthquake damage to
patient care areas, to a flu outbreak that prevents staff from coming to work. To respond effectively, the organization develops an Emergency
Management Plan and a program to manage such emergencies.
Measurable Element Look for Score Observations
What is required
1) The organization has
identified the major
internal and external
disasters and major
epidemic events which
pose significant risks of
occurring.
How is this element
assessed
A document lists all the major
internal and external disasters and
epidemics that could pose a risk to
the organization.
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2) The organization plans
its response to likely
disasters. The plan sets out
processes for
a. determining the type,
likelihood and
consequences of
hazards, threats, and
events,
b. determining the
organization’s role in
such events,
c. communicating
strategies for events,
d. the managing of
resources during
events, including
alternative sources,
e. the managing of
clinical activities during
an event, including
alternative care sites,
and
f. the identification and
assignment of staff
roles and
responsibilities during
an event.
A disaster plan addresses actions to
take for all the identified risks ........................................................
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66 IFC Self-Assessment Guide for Health Care Organizations