Fla. Admin. Code Ann. R. 59A-38.018 - Comprehensive Emergency Management Plan
(1)
Pursuant to section 400.610(1)(b),
F.S., each hospice shall prepare and maintain a comprehensive emergency
management plan, hereinafter referred to as "the plan, " in accordance with the
"Comprehensive Emergency Management Plan (CEMP) Format for Hospices, " DOEA
Form H-001, March 2007, which is incorporated by reference. This document is
available from the Agency for Health Care Administration, Licensed Home Health
Programs Unit, 2727 Mahan Drive, Mail Stop 34, Tallahassee, Florida 32308 or
the agency Web site at
http://elderaffairs.state.fl.us/doea/ruleforms/DOEA-Form-H-001.pdf, and shall
be included as part of the hospice's comprehensive emergency management
plan.
(2) The plan shall be
submitted electronically for review to the local county health department in
each county that the hospice is licensed to serve. Any method other than
electronic submission of the form shall be expressly approved by the local
county health department.
(3) The
hospice shall report changes in the after-hours emergency telephone number and
address of those staff who are coordinating the hospice's emergency response to
the local emergency management agency and county health department. The
telephone numbers must include all numbers where the coordinating staff can be
contacted outside the hospice's regular office hours. All hospices must report
these changes, whether the plan has been previously reviewed or not, as defined
in subsection (2) above.
(4) Upon a
change of ownership, the new owner shall submit a new plan identifying any
substantive changes, including facility renovations and changes noted in
subsection (3) above. Those hospices which previously have had the plan
reviewed by the local county health department as defined in subsection (2)
above, shall report any substantive changes to the reviewing entity.
(5) The plan shall describe:
(a) Procedures to ensure preparation of
hospice patients for potential or imminent emergencies and disasters.
(b) Procedures for annual review of the plan
and for the governing body to incorporate substantive changes to the
plan.
(6) In the event of
an emergency or disaster, the hospice shall implement the hospice's plan in
accordance with section
400.610, F.S.
(7) On admission, each hospice patient and,
where applicable, home caregiver shall be informed of the hospice plan and of
the special-needs registry maintained by the local emergency management agency,
pursuant to section 252.355, F.S. The hospice shall
document in the patient's file if:
(a) The
patient plans to evacuate the home or the hospice facility;
(b) The caregiver can take responsibility for
services normally provided by the hospice during the emergency or disaster;
or
(c) The hospice needs to arrange
for alternative caregiver services for the patient.
(8) Upon imminent threat of an emergency or
disaster, the hospice shall confirm each patient's plan during and immediately
following an emergency or disaster.
(9) When the hospice is unable to provide
services during an emergency or disaster, the hospice shall make all reasonable
efforts to inform, where applicable, those facility and home patients whose
services will be interrupted during the emergency or disaster, including
patients sheltering in place, and shall inform when services are anticipated to
be restored.
(10) Each hospice shall
contact each local emergency management agency in counties served by that
hospice to determine procedures for registration of special-needs registrants
as referenced in section
252.355, F.S.
(11) Upon admission of a patient, each
hospice shall collect registration information for special-needs registrants
who will require continuing care or services during a disaster or emergency,
consistent with section
252.355, F.S. This registration
information shall be submitted, when collected, to the local emergency
management agency, or on a periodic basis as determined by the local emergency
management agency.
(12) The hospice
shall educate patients registered with the special-needs registry that services
provided by the hospice in special-needs shelters shall meet the requirements
in section 400.610(1)(b),
F.S.
(13) The hospice shall maintain
a current list of patients who are special-needs registrants, and shall forward
this list to the local emergency management agency upon imminent threat of
disaster or emergency and in accordance with the local emergency management
agency procedures.
(14) Each hospice
record for patients who are listed in the special-needs registry established
pursuant to section 252.355, F.S., shall include a
description of how care or services will be continued in the event of an
emergency or disaster pursuant to section
400.610(1)(b),
F.S. The hospice shall discuss the emergency provisions with the patient and
the patient's caregiver, including where and how the patient is to evacuate,
procedures for notifying the hospice in the event that the patient evacuates to
a location other than the shelter identified in the patient record, and advance
directives.
(15) The hospice shall
maintain for each special-needs patient a list of client-specific medications,
supplies, and equipment required for continuing care and service, should the
patient be evacuated. If the hospice provides services to home patients, the
hospice shall make arrangements to make the list of medications, supplies, and
equipment available to each special-needs registrant in the event of an
evacuation. The hospice shall notify the patient that he or she is responsible
for maintaining a supply of medications in the home. The list shall include the
names of all medications, dose, frequency, times, any other special
considerations for administration, any allergies, names of physicians and
telephone numbers, and name and telephone number of the patient's pharmacy. If
the patient gives consent, the list may also include the patient's
diagnosis.
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