Angela: This webinar focuses
on the new EM standard 12.02.05:
Emergency Operations Plan for Patient Clinical
and Support.
The standards are for hospitals
and critical access hospitals.
I'd like to take a moment to introduce myself.
My name is Angela Murray.
I'm a Project Director for Healthcare Standards Development
in the Department of Standards and Survey Methods.
With me is Marisa Voelkel, a Physical Environment Specialist
in the Standards Interpretation Group.
These slides are current as of April 11th, 2022.
The Joint Commission reserves the right
to change the content of the information, as appropriate.
These slides are only meant to be cue points,
which were expounded upon verbally
by the original presenters and are not meant
to be comprehensive statements of standards interpretation
or represent all the content of the presentation.
Thus, care should be exercised
in interpreting Joint Commission requirements based solely
on the content of these slides.
These slides are copyrighted
and may not be further used, shared, or distributed
without permission of the original presenters.
Distribution of this presentation other than
in PDF format is expressly prohibited.
At the conclusion of this webinar, participants will be
able to describe the new and revised
Emergency Management chapter standards,
describe implementation of these standards,
and identify new versus old standards.
The Emergency Operations Plan for Patient Clinical
and Support, EM.12.02.05.
The new standard for 12.02.05 says the hospital
has a plan for providing patient care and clinical support
during an emergency or disaster incident.
And the hospital uses its prioritized hazards identified
as part of its hazard vulnerability analysis
when developing a plan for patient care
and clinical support.
The standard rationale for EM.12.02.05.
Planning for patient clinical support focuses on equipment
and resources that play a direct role
in an incident response.
The hospital's emergency operations
plan addresses patient care and clinical support activities,
including transfer plans, continuity of care,
and rapid acquisition of patient care supplies,
healthcare records.
And especially when evacuation is imminent.
Now I'm gonna turn it over to Marisa
to describe the elements of performance for the standard.
Marisa.
Marisa: EM.12.02.05, EP 1.
This element of performance discusses providing patient care
and clinical support with written procedures
and arrangements with other hospitals and providers
on how you're gonna share patient care information
and medical documentation.
To implement this element of performance,
this plan needs to be written,
needs to include procedures and arrangements
for patient care and medical information sharing,
these procedures may need to be expedited,
even if you are using similar procedures
they used normally day to day.
This plan also needs to include
how you will transport patients.
If you're going to use additional ambulance services,
a different or alternate point of exit and entry
in and out of your hospital and so forth.
Let's review a couple of examples.
In the Acme Coyote Plains Hospital
they will provide patient care
and clinical support information
and documentation through the following mechanisms.
Their primary is through secure fax,
through the electronic medical record
because all hospitals in the city use the same system
and are able to review records,
and through phone calls from care-giver to care-giver.
Their alternate way of sharing medical information
and patient care information
is through a state-wide sharepoint system,
through paper documentation transfer
with the patient and verbal hand-off.
The examples here demonstrate that this hospital
has a primary and alternate method for sharing information
on patients with other people in the case
that the primary fails.
EM.12.02.05, EP 2.
This EP is regarding the hospital's plan
for providing patient care and clinical support
for managing individuals that may present
to the hospital that are not in need of medical care.
This plan should also be written, it needs to be specific
for managing non-patient and non-injured individuals.
This may be friends and family that co-present
with a victim, may be potential victims that have
been brought in, but triage has dictated
they do not need care.
And it could be curious visitors.
Things to consider in this plan is location.
Where are you going to stage these individuals
or hold them so that they are taken care of,
but out of the way of those who need immediate care?
Providing shelter for them,
security of your facility and security of your staff,
as well as identifying those that present,
whether they are being triaged and need care
or are just there with other victims
or concerned citizens.
EM.12.02.05, EP 3.
This element of performance discusses coordinating
with the local medical examiner's office, mortuary services,
and other local, regional, or state services
when there is a surge of unidentified or deceased patients.
This element of performance, in order to be implemented,
needs to be written,
procedures need to be specific to deceased
and unidentified individuals presenting during a surge.
This could include a mass fatality of patients.
This will likely include expedited processes
for involving the coroner, mortuary services,
and so forth in order to preserve the bodies
and make space for new patients and victims.
New versus old, the EM standards.
We wanna demonstrate once again
how the two different standards line up.
So as you can see by our chart,
written procedures for managing visitors is a new standard.
The other standards,
coordinating with hospitals about patient information
and mortuary services are combinations
of previously existing standards,
streamlined into three elements of performance.
Thank you for watching this webinar.
Angela: If you require further information
regarding these standards, feel free to
use the form located at dssminquiries.jointcommission.org.
Again, thank you.