It’s Not If, But When: Is Your Organization Prepared for the Next Emergency Event

Host: Carolyn St.Charles, RN, BSN, MBA – Chief Clinical Officer
Presenter: Ernest Allen, ARM, CSP, CPHRM, CHFM
Date & Time: November 17, 2020 at 12pm CT


In November 2017, CMS issued for the first time Conditions of Participation (CoP) related to healthcare emergency preparedness. The CoPs were updated and revised in November of 2019 as part of the Omnibus Burden Reduction Final Rule CMS-3346-F and included:

  • Removed the requirement to contact and document coordination with local, tribal, regional, state, and federal emergency preparedness officials
  • Review of emergency plans changed to every other year, except for long-term care who are still required to update the plan annually
  • Staff training changed to every two years except for long-term care who must still train annually
  • Reduced the testing requirement from two exercises to one exercise annually for outpatient providers, which may be either one community-based full-scale exercise, or an individual organizational -based functional exercise

The webinar will review the emergency management CoPs, including how the regulations affect the day-to-day operations and preparations expected to ensure patient and staff safety during a major emergency event.  The webinar will also discuss the process of completing a Hazard Vulnerability Analysis, planning effective emergency management drills, and completing a comprehensive after-action assessment and plan for improvement.


Upon completion of the webinar, the participant will:

  1. Understand the main requirements of the CMS CoPs and how they apply to your organization
  2. Understand the importance of staff education as part of an effective emergency operations plan
  3. Understand the process for identifying regional and organizational hazards and risks

Fun Fact:

Emergency (disaster) drills and exercises do not have to be complicated.  In fact, most staff practice their emergency roles as part of their daily activities!