On September 8, 2016 the Centers for Medicare and Medicaid released information regarding the final CMS Emergency Preparedness Rule for facilities receiving CMS funding. This long awaited and much debated new standard is meant to ensure a safer patient experience while supporting communities in the provision of healthcare during emergencies and disasters. As a result, healthcare facility leaders have until November 16, 2017 to update their plans, policies, and procedures to meet the stringent new regulations.
Deadline for Implementation
Key Emergency Preparedness Rule Resources
Crisis Focus Service Offerings
Training Program Design
Risk Analysis / HVA
After Action Reporting
What is required:
- Emergency plan: Based on a risk assessment, develop an emergency plan using an all-hazards approach focusing on capacities and capabilities that are critical to preparedness for a full spectrum of emergencies or disasters specific to the location of a provider or supplier.
- Policies and procedures: Develop and implement policies and procedures based on the plan and risk assessment.
- Communication plan: Develop and maintain a communication plan that complies with both Federal and State law. Patient care must be well-coordinated within the facility, across health care providers, and with State and local public health departments and emergency systems.
- Training and testing program: Develop and maintain training and testing programs, including initial and annual trainings, and conduct drills and exercises or participate in an actual incident that tests the plan.
Critical Access Hospitals
Long Term Care Facilities
Intermediate Care Facilities
Psychiatric Residential Group Facilities
Rural Health Clinics/ Federally Qualified Health Clinics (RHC/FQHC)
Religious Nonmedical Health Care Institutions (RNHCIs)
Programs for All-Inclusive Care for the Elderly (PACE)
Home Health Agencies
Comprehensive Outpatient Rehab Facilities (CORF)
Community Mental Health Centers (CMHC)
Organ Procurement Organizations (OPO)
Clinics for Rehabilitation and Therapy
End State Renal Disease “Dialysis Centers” (ESRD)
Key timeline elements of the CMS Emergency Preparedness Rule:
- February 20, 2014: Crisis Focus publishes the first article on the proposed CMS Emergency Preparedness Rule in the IAEM Bulletin.
- September 8, 2016: CMS Announces Final Emergency Preparedness Rule
- September 16, 2016: Emergency Preparedness Rule Published
- September 16, 2016: Conditions of Participation Published in eCFR
- September 23, 2016: Crisis Focus hosts an introductory Webinar for the Healthcare Industry on the Emergency Preparedness Rule
- Spring 2017: Interpretive Guidelines to be Published
- November 16, 2017: Full Compliance Required by 17 Provider Types
Recent CMS Crisis Blog Posts
Late this past week CMS published an “Advanced Copy” of the Interpretive Guidelines (IGs) for the Emergency Preparedness Rule finalized in the Fall of 2016. This 72-page document will guide State Survey Agencies as to how to determine compliance of the 17...read more
We have partnered with local coalitions to offer onsite, no cost to attend, workshops to help providers to reach compliance with the CMS Emergency Preparedness Rule. These half-day sessions are efficient uses of the participant’s time, with sessions dedicated to...read more
Post Call Update: After the brief CMS National provider Call, we believe the analysis below was spot on. Our two main takeaways from the call not necessarily covered in the written content or analysis below include: CMS will define annual in a rolling 12-month...read more