Personal, family, and community | Communication and reunification plans | Verify location/safety of family members | Housing | Safe housing |
School | Safe schools |
Supplies | Reunification if possible | Childcare | Immunizations up to date |
Evacuation plans and routes | Access emergency information (broadcast radio, CERT teams, Internet, television, etc) | Employment | Practice routine infection control (cough etiquette and hand hygiene) |
Prescription medications | Mental health needs |
Children with special needs | Health care |
Accurate personal emergency information at school,
workplace, childcare | Ensure that vulnerable populations have access
to and receive response resources | Family integrity | |
Rehabilitation needs | |
CERT (Community Emergency Response Team) participation | | | |
First-aid training | | | |
Identify and address needs of vulnerable individuals, households,
and neighborhoods | | | |
Health care professionals | Register as medical volunteer | Triage | Reestablish routine health care | Structural integrity of practice
site (flood, wind, earthquake resistance) |
Incorporate preparedness into routine anticipatory guidance | Outpatient/home/alternative care site care
& guidance | Screen for mental health needs and refer as appropriate |
Disaster triage and disaster first-aid training | Decontamination, mass prophylaxis, immunization,
and/or treatment | Coordinate rehabilitation | Disease surveillance and timely reporting
to local health authorities |
Address needs of children without caregivers |
DMAT team participation |
Develop familiarity with local
response plans | Provide health care services where
and how they are most needed (as coordinated through the Incident Command
System, with public health, emergency medical services, and health
care facilities | Ensure continuity of medical
care (records transfer; patient tracking, chronic disease management) | Participate in immunization and disease registries |
Anticipatory guidance (home first
aid, caring for ill family members, how to talk to children about
frightening events) |
Advocate for children’s needs in local
preparedness planning |
Family/personal preparedness at home and for staff |
Organize local health care professionals re
preparedness |
Maximize use of pediatric expertise |
Participate in local or regional preparedness trainings,
drills, exercises, and registries |
Act as a trusted resource for
patients and a conduit for public health messages |
Act as a resource for planning by schools
and childcare providers |
Infection control and surveillance |
Health care facilities (inpatient and outpatient) | Surge capacity: plan for greatly
increased patient volume in terms of staff, space, supplies, recordkeeping,
etc | Triage | Staged resumption of normal activities | Sound buildings (earthquake,
flood, wind) |
Acute care of victims |
Diagnosis/case identification | Address backlog of unmet/elective
care needs | Sound infrastructure (generators, water supply,
redundant supply chain, back-up communication and IT systems including
medical records, billing, etc) |
Mass prophylaxis |
Continuity of operations planning
(COOP): anticipate limited staff, facilities, supplies, and/or infrastructure;
identify essential functions; cross-train staff; identify alternate
practice venues |
Decontamination | Ensure continuity of medical care (records
transfer; patient tracking) |
Manage patient surge in collaboration with
emergency medial services |
Assess response and make improvements in preparedness
plans |
Infection control measures as appropriate |
Collaborate with public health authorities
regarding allocation of scarce health care resources |
Evacuation plans and routes |
Alternate care sites |
Coordination with emergency medical services
re patient transfer and acceptance |
Surveillance and reporting to
public health authorities |
Follow Joint Commission on Accreditation and
Healthcare Organization preparedness guidelines |
Public health authorities (including World
Health Organization, Centers for Disease Control, state and local
health departments) | Participate in local and regional disaster planning | Coordinate mass prophylaxis,
treatment, or immunization | Ongoing surveillance for long-term
disaster consequences | Health and Immunization registries |
Coordinate health-related preparedness activities
across sectors | Real-time disease surveillance and reporting
systems |
Access Strategic National Stockpile (SNS) | Evaluate response and use lessons
learned to improve plans and future response |
Public education | Request mutual aid |
Develop and communicate prioritization
plans for scarce resources (medications, vaccines, health care) | Declaration of health emergencies |
Order isolation and/or quarantine as appropriate |
Prepare and disseminate public information |
Develop and maintain stockpiles
of emergency supplies |
Ensure appropriate allocation of scarce health
resources (medications, vaccines, medical care) |
Develop and maintain mobile field hospitals |
Coordinate medical disaster volunteer registries |
Surveillance for adverse events
or unintended health consequences associated with response |
Act as a resource for schools and childcare
providers |
Disease and outbreak surveillance systems with
capacity to expand/adapt to meet disaster needs |
Health care regulators | Develop alternate standards of
care related to surge conditions, alternative care sites, and emergency response. | Regulatory oversight of emergency
response | Direct the resumption of standard
regulatory environment | Ensure structurally sound health care facilities |
Monitor quality assurance measures |
Evaluate response and make regulatory changes
to facilitate improved future disaster response |
Address liability and reimbursement issues for emergency
providers, including “good Samaritan” protection
of medical volunteers |
Real-time credentialing verification capacity |