CareLink - Fall/Winter 2017 - 12

FEATURE

Are You Prepared for the

CMS
Management Rule?
By Robin A. Bleier, RN, LHRM, CLC President, RB Health Partners, Inc.

E

mergency preparedness requires an all-hazard
approach. In defining an emergency, one could say that
it is an unexpected, possibly serious, often dangerous
situation that requires action. Disasters, man-created
and/or natural, have ravaged our country extensively during
the past decade and have put health care professionals to the
test of preparedness. (At press time, we have all been watching
Houston and Texas get flooded by Hurricane Harvey.)
The CMS rule on emergency preparedness includes
planning for all providers/suppliers that accept Medicare
and Medicaid monies. While CMS has recognized our
profession's emergency preparedness operations plans,
noting improvements in the past 15 years, CMS established
new guidance due to a belief that the planning was not
comprehensive enough to address the complexities of actual
emergencies.

New Rule's Four Core Elements
To help providers with their planning to implement and
meet the requirements of the new rule, CMS has provided
four core elements to the rule and guidance that surveyors
that should be consider. The four core elements include:


Risk Assessment and Planning

A fundamental requirement of the
CMS emergency preparedness rule
is the risk assessment. Using the CMS-directed concept
that facilities employ an all-hazard approach, an integrated
approach to emergency preparedness planning focuses on
capacities and capabilities that are critical to preparedness
for a full spectrum of emergency events.


Policies and Procedures

The facility policies and procedures are directed to be based
on the individual facility risk assessment. This assessment
takes into account key specifics such as:

12 | CareLink

*
*
	
	
	


Providing subsistence
Housing related:
✓ Evacuation
✓ Sheltering in place
✓ Tracking residents

Communication Plan

Keys for communication planning must:
* Comply with both State and Federal laws, in addition in
some cases the local county may have requirements.
* The plan must include coordination of care with the
facility and across health care providers and be reviewed/
updated annually.


Training and Testing

Develop and maintain training and testing programs,
including initial training in policies and procedures.
The result of the training and testing is that the facility
and staff are to:
* Conduct drills and exercises
* Develop and maintain training and testing programs,
including initial training in policies and procedures
* Staff needs to demonstrate knowledge of
emergency procedures
* Provide annual training



Summary

An all-hazard approach is an integrated approach to
emergency preparedness planning that focuses on capacities and
capabilities that are critical to preparedness for a full spectrum
of emergencies or disasters, including internal emergencies.
Robin A. Bleier is the chair of the FHCA Emergency Preparedness
Council for the past 12 years. For more information, contact Robin
A. Bleier at robin@rbhealthpartners.com.



Table of Contents for the Digital Edition of CareLink - Fall/Winter 2017

Chair’s Message
President’s Message
Employee Turnover: Your Symptoms, Diagnosis & Treatment Plan
Are You Prepared for the CMS Emergency Management Rule?
KAHCF Vendor Members/ Buyers’ Guide
Association News
Index of Advertisers
Education Calendar
KAHCF New Members
CareLink - Fall/Winter 2017 - intro
CareLink - Fall/Winter 2017 - cover1
CareLink - Fall/Winter 2017 - cover2
CareLink - Fall/Winter 2017 - 3
CareLink - Fall/Winter 2017 - 4
CareLink - Fall/Winter 2017 - 5
CareLink - Fall/Winter 2017 - Chair’s Message
CareLink - Fall/Winter 2017 - President’s Message
CareLink - Fall/Winter 2017 - Employee Turnover: Your Symptoms, Diagnosis & Treatment Plan
CareLink - Fall/Winter 2017 - 9
CareLink - Fall/Winter 2017 - 10
CareLink - Fall/Winter 2017 - 11
CareLink - Fall/Winter 2017 - Are You Prepared for the CMS Emergency Management Rule?
CareLink - Fall/Winter 2017 - KAHCF Vendor Members/ Buyers’ Guide
CareLink - Fall/Winter 2017 - 14
CareLink - Fall/Winter 2017 - Association News
CareLink - Fall/Winter 2017 - 16
CareLink - Fall/Winter 2017 - Index of Advertisers
CareLink - Fall/Winter 2017 - KAHCF New Members
CareLink - Fall/Winter 2017 - cover3
CareLink - Fall/Winter 2017 - cover4
http://www.nxtbook.com/naylor/KAHB/KAHB0218
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http://www.nxtbook.com/naylor/KAHB/KAHB0217
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