to main content Plans - Emergency Operations Creation Participation | Hospital and Hospital Clinics | Emergency Management EM | The Joint Commission
Plans - Emergency Operations Creation Participation

Are hospital leaders and medical staff required to participate in creating the Emergency Operations Plan?

Any examples are for illustrative purposes only.  

Someone from the medical staff or physician member and someone from the hospital executive leadership (as opposed to middle management) team should participate in planning activities prior to the development of the Emergency Operations Plan. Medical staff and hospital leadership will be directly involved in the management of an implementation of the emergency operations plan, so their input is essential to establish the expected capabilities and duties of these entities.  

It is also important for medical staff and executive leadership to understand the duties and capabilities for the staff that will support the emergency operations plan, and the capabilities of community support entities. Many disaster scenarios involve patient care regarding management of current patients and managing influx of patients. Hospital leaders must understand the command structure and how it functions. 

Reference EM.02.01.01 EP1 
Last updated on May 15, 2020
Manual: Hospital and Hospital Clinics
Chapter: Emergency Management EM

If no, please comment on how we could improve this response.

If you have additional standards-related questions regarding this topic, please use the Standards Online Submission Form
Surgeons in an operating room

Additional Resources

Train your staff with a tool to quickly and efficiently assess standards compliance with our 2021 Hospital Compliance Assessment Workbook.

A group of medical professionals have a discussion in a meeting room

Hospital Webinars

Keep learning with our Hospital Breakfast Briefings Webinar Series. Get a deep dive into our standards, chapter-by-chapter, individually or as a team.

Female doctor using digital tablet in her office.

Looking for Standards?

Get key information your hospital needs to achieve and maintain continuous standards compliance and experience operational improvement.