CMS Requirement Emergency Preparedness Program



The Ambulatory Surgery Center must establish and maintain an emergency preparedness program that describes the actions to be taken in an emergency and includes a process for cooperation and collaboration with local, state, and federal emergency preparedness officials. The program contains 15 policies including the new Emerging Infectious Disease,  Conditions for Coverage, Emergency Agency Coordination and Training, Drills and Exercises. Also I provided for you an example of a full scale exercise drill and follow up action report.
Conditions for Coverage
Review and Approvals
Facility Description, Demographics, Contacts
Reporting Emergencies
Scope of Plan
Mitigation (Hazard Vulnerability / Risk Assessment)
Initial Communication and Notification
Continuity of Operations Planning (COOP)
Emergency Agency Coordination
Staff Notification / Training / Drills / Exercises
Building Evacuation / Shelter In Place / Active Shooter
Suspension of Services / Volunteers / Serge Capacity / Disaster Medical Resources /
Emerging Infectious Disease




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