Emergency Preparedness
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CMS Rule for Minimum Emergency Preparedness Requirements

CMS’ new Emergency Preparedness (EP) rule was created to increase patient safety during emergencies, establish a more coordinated response to natural and man-made disasters, and establish consistent emergency preparedness requirements across 17 different Medicare and Medicaid provider and supplier types (one being FQHCs).


The EP final rule timeline:

Published in the Federal Register on September 16, 2016

Effective date 11/16/16

Compliance of rule by 11/16/17



Newly Released: CMS Interpretive Guidance

CMS released an Advanced Copy of the final interpretive guidelines and survey procedures that support the adoption of a standard all-hazards emergency preparedness program for all certified providers and suppliers. The final CMS guidance will be incorporated in the State Operations Manual (SOM) within the next several weeks. This guidance also addresses the unique differences of other providers and suppliers.

The updated ASPR TRACIE CMS EP Rule: Resources at Your Fingertips document includes links to resources applicable to a variety of providers and suppliers.


Other Rule-Related Publications

The Yale New Haven Health System Center for Emergency Preparedness and Disaster Response recently updated their CMS EP Rule Crosswalk, which maps the association between the CMS EP Rule Conditions of Participation and existing regulatory and accreditation standards.





Health Center Specific Tools and Resources

HRSA - Health Resources and Services Administration

Health Center Emergency Management Program Expectations (Policy Information Notice 2007-15)
PIN 2007-15 provides guidance on emergency management expectations for Health Centers to assist them in planning and preparing for future emergencies.


Federal Tort Claims Act Coverage for Health Center Program Grantees Responding to Emergencies (Policy Information Notice 2007-16)
PIN 2007-16 clarifies the circumstances under which Federal Tort Claims Act (FTCA)-deemed Health Center Program grantees (section 330(e), (g), (h) and (i) grantees) are covered under the FTCA as they respond to emergencies and to address frequently asked FTCA questions.


HRSA Website – Emergency Preparedness & Continuity of Operations


CHCANYS - Community Health Care Association of New York State


NACHC - National Association of Community Health Centers

Emergencies Happen: An In-Depth Guide to Emergency Management for Health Centers
The intent of this Health Center resource guide is to provide Health Centers with detailed information and resources, including various approaches to assist Health Centers in developing and implementing an Emergency Management component to their established risk management program.

Developing and Implementing an Emergency Management Plan for Your Health Center
This informational bulleting discusses reasons why Health Centers should develop a comprehensive Emergency Management plan; explores activities typically included in EM plans; provides a step-by-step approach to assist Health Centers in developing, implementing, and executing EM plans that are appropriate in terms of organizational size and composition, while taking into consideration the environment in which the organization operates; and provides an overview of “business interruption insurance,” as well as a list of outside resources, which may provide further assistance to Health Centers in preparing their EM plans.


Other Resources



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