What is the annual evaluation requirement for Environment of Care management plans?

Any examples are for illustrative purposes only. 

An annual evaluation of the management plans provides a systematic approach that the organization can use to ensure that the plans are still relevant, effective and useful. 
Organizations are required to have a written plan for managing the following: 

• Environmental safety of patients and everyone else who enters the facility
• Security of everyone who enters the facility
• Hazardous materials and waste
• Fire safety
• Medical equipment
• Utility systems

It is not necessary to have a separate plan for each of these environments of care risk categories, they may all be contained in a single document.  

Review of the plan since the last annual evaluation would include a determination of:

• effectiveness of the plan 
• whether the previous year’s objectives were achieved
• new services, programs, or sites added
• services, programs, or sites that have been eliminated
• new hazards that have been introduced 
• critique of fire drills
• review of incident reports 
• need for new objectives areas for improvement

Additional Resources:
EC.01.01.01
EC.04.01.01 EP 15