COVID-19 Information
- Monoclonal Antibody Therapy - AFC/HFA
- Monoclonal Antibody Therapy - Skilled Nursing
- CDC- Preparing for COVID-19 in Nursing Homes
- MDHHS Coronavirus Link
- Epidemiology of Covid-19 in a Long-Term Care Facility in King County, Washington
- Nursing Home COVID-19 Plan - includes guidance on testing strategies, reporting requirements as well other important information
- Managing Staffing Shortages Guidance
- COVID-19 Considerations, Strategies and Resources for Crisis Standards of Care
Featured Resources:
- LARA Partner Resources
- Long Term Care Introduction to ICS 100 Online Course
- Omnibus Burden Reduction [Conditions of Participation] Final Rule CMS-3346-F -9/26/19.
- CMS Emergency Planning Checklist: Michigan Planning Toolkit
- American Hospital Association [AHA] Implications of the CMS Emergency Preparedness Rule
- CMS Letter: Information on the Implementation Plans for the Emergency Preparedness Regulation - 10/28/16
- Revised CMS interpretation guidelines - Updates to Appendix Z of the State Operations Manual [SOM]
- Example Respiratory Protection Plans
- Example Plan 1
- Example Plan 2
- MIOSHA Respiratory Plan Template
On this page:
Regulations and Waivers
Regional and Local Contact Information
Upcoming Trainings
Developing Emergency Plans for Your Facility
Evacuation Planning Tools & Checklists
Hazard Vulnerability Assessment Templates
Communications and Response Systems
Memoranda of Understanding [MOU] or Mutual Aid Agreements [MOA]
Incident Command System [ICS] Training Modules
Exercise Templates
Helpful Articles
LTC Staff Resources
Additional Links
Regulations and Waivers
Emergency Reporting Memo State of Michigan [LARA] - Published 9/5/14
Katrina HIPAA Privacy and Disclosures in Emergency Situations
Authority To Waive Requirements During National Emergencies
1135-Waiver for New York during Hurricane Sandy
CMS Provider Survey and Certification for Declared Public Health Emergencies FAQ
Additional Emergency and Disaster Related Policies and Procedures With a 1135
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Regional and Local Contact Information:
To the right, you will find a map of the 8 regional healthcare coalitions. Identify in which county your facility resides to determine your designated region.
Region 1: Clinton, Eaton, Gratiot, Hillsdale, Ingham, Jackson, Lenawee, Livingston, and Shiawassee Counties
Region 2N: Oakland, Macomb, and St. Clair Counties
Region 2S: City of Detroit; Monroe, Washtenaw, and Wayne Counties
Region 3: Saginaw, Alcona, Iosco, Ogemaw, Arenac, Gladwin, Midland, Bay, Genessee, Tuscola, Lapeer, Sanilac, and Huron Counties
Region 5: Allegan, Barry, Calhoun, Branch, St. Joseph, Cass, Berrien, Van Buren, and Kalamazoo Counties
Region 6: Clare, Ionia, Isabella, Kent, Lake, Mason, Mecosta, Montcalm, Muskegon, Newaygo, Oceana, Osceola, and Ottawa Counties
Region 7: Manistee, Wexford, Missaukee, Roscommon, Benzie, Leelanau, Grand Traverse, Kalkaska, Crawford, Oscoda, Antrim, Otsego, Montmorency, Alpena, Presque Ilse, Cheboygan, Emmet, and Charlevoix Counties
Region 8: Chippewa, Mackinac, Luce, Schoolcraft, Delta, Alger, Marquette, Dickinson, Menominee, Baraga, Iron, Gogebic, Ontonagon, Houghton, and Keweenaw Counties
Each regional healthcare coalition has a Regional Coordinator that manages the ASPR cooperative agreement for healthcare preparedness activities. Each county has a local Emergency Manager who is responsible for assessing and measuring a local jurisdiction's capability to mitigate against, prepare for, respond to, and recover from emergency and disaster events. At each of the local public health departments, there is a full-time Emergency Preparedness Coordinator who manages the CDC cooperative agreement activities for their jurisdiction.
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Developing Emergency Plans for Your Facility:
Michigan Disaster Preparedness Guidelines
Healthcare and Public Health Sector Energy Brochure
Emergency Guide for Michigan Health Care Facilities
Alzheimer's Association. 2017. Disaster Preparedness Topic Sheet.
American Red Cross. Primary Business Continuity Planning Template.
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Centers for Disease Control and Prevention, Healthy Aging Program. Disaster Planning Tips for Older Adults and Their Families.
Centers for Medicare & Medicaid Services, Survey and Certification Group: website for developing robust emergency plans and responses
Florida Healthcare Association, Florida Center for Assisted Living. 2006. Disaster Preparedness Guide for Assisted Living Facilities.
Disaster Preparedness Plan: Template for Use in Long Term Care Facilities.
Disaster Preparedness Guidelines for Employees.
Defining Emergency Operations -Basic Plan Elements Modified for Nursing Homes from FEMA Guide
Influx Surge Guideline 2013 - Draft from Massachusetts
Emergency Preparedness Planning.- Vermont
Ethical Guidelines for the Development of Emergency Plans AHCA
Region 1 LTC Disaster Codes
Activation of Communications Pathway Algorithms for Long Term Care Facilities in Michigan
Meds Transfer Form
Room Check Log for Shelter in Place Incident
FEMA Continuity Plan Template and Instructions for Non-Federal Governments
CA Continuity of Operations Plan Template
Disaster Plan Flowchart
Psychological First Aid: Field Operations Guide for Nursing Homes
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Evacuation Planning Tools & Checklists:
Florida Health Care Education and Development Foundation. 2008. National Criteria for Evacuation Decision-Making in Nursing Homes. John A. Hartford Foundation
Long Term Care Facility Evacuation Checklist
Evacuation and Shelter-in-Place Procedures
LTC Facility Evacuation Considerations - from California
Minimum Level of Evacuation Equipment
Evacuation Checklist - Dane County
Shelter in Place Checklist - Dane County
Region 1 Client & Resident Long Term Care Go-Kit Supply List
Region 2S LTC Client and Staff Go-Kits
Region 6 Go Kit
Region 8 Go Kit Content List
Sample Policy on the Evacuation of Healthcare Facilities - Wisconsin
LTC Facility Evacuation Considerations - California
AHRQ Disaster Alternate Care Facilities: Selection & Operations
Alternate Care Site Evacuation Tool
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Hazard Vulnerability Assessment Templates:
Canadian Centre for Emergency Preparedness. Sample Risk Assessment Tool.
North Carolina. Sample Hazard Vulnerability Assessment for Human, Natural, and Technological Events.
Spectrum Health Hazard and Vulnerability Assessment Instructions
Spectrum Health Hazard and Vulnerability Assessment Tool
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Communications and Response Systems:
EMResource. This is an internet-based application which tracks the status of various resources such as bed availability and medical resources. This system provides a communication pathway during day-to-day or emergency situations. EMResource lists the resources within a geographic area and can be constantly monitored, as needed, during a disaster. Long Term Care Bed and Equipment Availability Quick User Guide.
MI-TRAIN. A premier learning resource for professionals to quickly find and register for many courses, track learning with personal online transcripts, access valuable materials, course reviews, and to stay informed of the latest trainings for your area of expertise.
MI-Volunteer Registry. By adding your name and information to the Registry, you are indicating your willingness to volunteer your time and skills in an emergency.
The Michigan Health Alert Network [MIHAN] is a secure, internet-based, emergency notification system.
Priority Communication Services
TSP Brochure
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Memoranda of Understanding [MOU] or Mutual Aid Agreements [MOA]:
Trinity Health System. Agreement to Provide Physical Facilities for Temporary Shelter.
Wayne County Hospitals & Health Care Organizations Mutual Aid Assistance Agreement Standard Operating Procedures.
Wayne County Hospitals & Health Care Organizations Mutual Aid Assistance Agreement Standard Operating Procedures, Addendum D: Approval by Long Term Care Facilities.
Region 1 Long Term Care MOU
Region 3 Long Term Care MOU
Region 3 Sample Mutual Aid Agreement - Transportation 2013
Region 3 Mutual Aid Agreement - Healthcare Facility 2013
Region 3 Sample Mutual Aid Agreement - Temporary Shelter
Facility to Facility Sample MOU
Transportation Mutual Aid Agreement
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Incident Command System [ICS] Training Modules:
Michigan NIMS Recommendations for Long Term Care Facilities
Federal Emergency Management Agency. Independent Study Program. The following courses are recommended: Introduction to the Incident Command System for Healthcare/Hospitals [IS100HC], Applying ICS to Healthcare Organizations [IS200HCa], National Incident Management System: An Introduction [IS700a], and National Response Framework: An Introduction [IS800b].
Incident Commander, Job Action Sheet.
Sample Incident Command System at a Healthcare Facility.
Sample Incident Command Forms
Nursing Home Incident Command System CA Guidebook
Florida 36 Job Action Sheets for ICS
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Exercise Templates:
CMS AAR Instructions
CMS AAR Template
Florida Health Care Association Emergency Preparedness Training and Exercise Guide for Nursing Homes
Region 1 Shelter in Place - Evacuation Tabletop Exercise
Region 6 Long Term Care Evacuation Drill Sample
Region 6 LTC Evacuation Tabletop Exercise Template
Evacuation Tabletop Exercise Scenario PowerPoint
HSEEP also provides a set of guiding principles for exercise programs, as well as a common approach to exercise program management, design and development, conduct, evaluation, and improvement planning. //www.fema.gov/media-library-data/20130726-1914-25045-8890/hseep_apr13_.pdf
AAR and Improvement Plan Template
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Helpful Articles:
Sheltering In Danger Article
Michigan Emergency Water Supply Guidance
Gaps Continue to Exist in Nursing Home Emergency Preparedness and Response During Disasters: 2007-2010
The Role of Long-Term Care Ombudsmen In Nursing Home Closures and Natural Disasters
Vulnerable Older Adults and Legal Options for Increasing Their Protection During All Hazard Emergencies
Dementia Care during an Influenza Pandemic AHCA
CDC Identifying Vulnerable Older Adults and Legal Options for Increasing Their Protection During All-Hazards Emergencies Guide 2012
FEMA Guidance on Planning for Integration of Functional Needs Support Services in General Population Shelters
Office of Inspector General Gaps in Nursing Home Emergency Preparedness 2007-2010
Guidance for Bottled Water Storage for Emergency Planning
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LTC Staff Resources:
Sample Staff Quizzes
"Nursing Home Emergency Preparedness Training Series Videos" produced by Virginia's Northwest Regional Coalition and the Central Shenandoah Health District
Sample Disaster Drill Evaluation
Sample Exercise Scenario for Staff
Sample Serve Weather Scenario
Sample Severe Weather Drill Exercise
Staff Scenarios for Tabletop Drills
Psychological First Aid for Nursing Homes
MI Prepares Emergency Plan Mobile App
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Additional Links:
MDHHS Division of Emergency Preparedness and Response
Michigan Prepares
Do1Thing
Florida Health Care Association - Emergency Preparedness Tools
Michigan State Police: Family Preparedness Guide
Ready America
Naeir.org
The Technical Resources, Assistance Center, and Information Exchange [TRACIE] was created to meet the information and technical assistance needs of regional ASPR staff, healthcare coalitions, healthcare entities, healthcare providers, emergency managers, public health practitioners, and others working in disaster medicine, healthcare system preparedness, and public health emergency preparedness.
The Association of Healthcare Emergency Preparedness Professionals [AHEPP] was formed in 2014 to achieve our mission, "Moving Preparedness Forward", by providing healthcare and other preparedness professionals with opportunities for networking, resource sharing, continuing education, and scholarly exchange.
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