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Drills and Exercises

MPMC conducts exercises to assess the Emergency Operations Plan's appropriateness; adequacy; and the effectiveness of logistics, human resources, training, policies, procedures, and protocols. Exercises attempt to stress the limits of the plan to support assessment of MPMC's preparedness and performance.  The design of each exercise should reflect likely disasters but should test MPMC's ability to respond to the effects of emergencies on its capabilities to provide care, treatment, and services.

Requirements:
(EP1) As an emergency response exercise, the hospital activates its Emergency Operations Plan twice a year at each site included in the plan.

Note 1: If the hospital activates it's Emergency Operations Plan in response to one or more actual emergencies, these emergencies can serve in place of emergency response exercises.

Note 2: Staff in freestanding buildings classified as a business occupancy (as defined by the Life Safety Code) that do not offer emergency services nor are community designated as disaster-receiving stations need to conduct only one emergency management exercise annually.

Note 3: Tabletop sessions, though useful, are not acceptable substitutes for these exercises.

(EP2)  For each site of the hospital that offers emergency services or is a community-designated disaster receiving station, at least one of the hospital's two emergency response exercises includes an influx of simulated patients.

Note 1: Tabletop sessions, though useful, cannot serve for this portion of the exercise.

Note 2: This portion of the emergency response exercise can be conducted separately or in conjunction with EM.03.01.03, EPs 3 and 4.

(EP3)  For each site of the hospital that offers emergency services or is a community-designated disaster receiving station, at least one of the hospital's two emergency response exercises includes an escalating event in which the local community is unable to support the hospital.

Note 1: This portion of the emergency response exercise can be conducted separately or in conjunction with EM.03.01.03, EPs 2 and 4.

Note 2: Tabletop sessions are acceptable in meeting the community portion of this exercise.

(EP4)  For each site of the hospital with a defined role in its community's response plan, at least one of the two exercises includes participation in a community-wide exercise.

Note 1: This portion of the emergency response exercise can be conducted separately or in conjunction with EM.03.01.03, EPs 2 and 3.

Note 2: Tabletop sessions are acceptable in meeting the community portion of this exercise.

(EP5) Emergency response exercises incorporate likely disaster scenarios that allow the hospital to evaluate its handling of communications, resources and assets, security, staff, utilities, and patients. (See also EM.02.01.01, EP 2)

(EP6)  The hospital designates an individual(s) whose sole responsibility during emergency response exercises is to monitor performance and document opportunities for improvement.

Note 1: This person is knowledgeable in the goals and expectations of the exercise and may be a staff member of the hospital.

Note 2: If the response to an actual emergency is used as one of the required exercises, it is understood that it may not be possible to have an individual whose sole responsibility is to monitor performance.  Hospitals may use observations of those who were involved in the command structure as well as the input of those providing services during the emergency.

(EP7)  During emergency response exercises, the hospital monitors the effectiveness of internal communication and the effectiveness of communication with outside entities such as local government leadership, police, fire, public health officials, and other health care organizations.

(EP8)  During emergency response exercises, the hospital monitors resource mobilization and asset allocation, including equipment, supplies, personal protective equipment, and transportation.

(EP9)  During emergency response exercises, the hospital monitors its management of the following: safety and security.

(EP10)  During emergency response exercises, the hospital monitors its management of the following: staff roles and responsibilities.

(EP11) During emergency response exercises, the hospital monitors its management of the following: utility systems.

(EP12)  During emergency response exercises, the hospital monitors its management of the following: patient clinical and support care activities.

(EP13)  Based on all monitoring activities and observations, the hospital evaluates all emergency response exercises and all responses to actual emergencies using a multidisciplinary process (which includes licensed independent practitioners).

(EP14)  The evaluation of all emergency response exercises and all responses to actual emergencies includes the identification of deficiencies and opportunities for improvement. This evaluation is documented.

(EP15)  The deficiencies and opportunities for improvement, identified in the evaluation of all emergency response exercises and all responses to actual emergencies, are communicated to the Emergency Management Committee for monitoring environment of care issues. (See also EC.04.01.05, EP 3)

(EP16)  The hospital modifies its Emergency Operations Plan based on its evaluations of emergency response exercises and responses to actual emergencies.

Note: When modifications requiring substantive resources cannot be accomplished by the next emergency response exercise, interim measures are put in place until final modifications can be made.

(EP17)  Subsequent emergency response exercises reflect modifications and interim measures as described in the modified Emergency Operations Plan.

See support doc.

(Attach drill documentation)

US Patent Numbers 7,720,998 B2, 7,836,207