Healthcare Preparedness
in South Dakota
or, How I learned to Stop Worrying and Love CMS Preparedness Rules
Andy Klitzke
Jan Clites
Hospital Preparedness
Program Coordinator
Partnership Coordinator
South Dakota State
Department of Health
605-773-4412
[email protected]
South Dakota Healthcare
Coalition
Objectives for today’s presentation

Describe the structure, functions, and members of the SD
Healthcare Coalition including points of contact for
technical assistance on preparedness, response, and
recovery activities.

Discuss activities required under the new CMS
Preparedness Rule and how they apply to individual
facilities

Identify local, county, and state partners in preparedness.
What is a Healthcare Coalition?
A Healthcare Coalition is:
A network of healthcare
organizations and their respective
public and private sectors
response partners
Why do Healthcare Coalitions exist?
So who are we?
Four (4) regional planning groups that supports healthcare
organizations and communities through planning, organizing,
equipping, training, exercising, evaluating, and networking

Hospitals

Public Health

Long Term Care

Emergency Management

Clinics

EMS/EMS-C

Home Health Services

Volunteer Agencies

Mental and Behavioral Health
Services

National Guard

Nation Weather Service

SD Fusion Center

FQHC’s
Where are we located?
Contacts for each regional coalition

Region 1 Coalition:

Andy Klitzke
605-773-4412
[email protected]

Region 2 Coalition:
Alexandra Little
605-626-2227
[email protected]
Region 3 Coalition:
Samantha Hill
605-367-4510
[email protected]

Region 4 Coalition:
Carol Taylor
605-367-7496
[email protected]
What is our Mission?
The mission of the Coalition is to enhance
statewide relationships for Healthcare
Emergency Preparedness and Response
What is our vision?
The vision of the Coalition is to
significantly improve coordination of
healthcare resources among and within the
coalition.
Our Core Values:

PARTNERSHIPS: effective relationships through a
coalition exists to support healthcare
organizations and save lives

PREPAREDNESS: planning is based on a foundation
of all-hazards approach from mitigation through
recovery

EXCELLENCE: members are recognized for their
expertise and experience in emergency planning
and response as related to healthcare needs
Our Structure:

One (1) statewide healthcare coalition comprised of four (4)
regional healthcare coalitions for planning and responding to an
event

A Governing Board comprised of the Regional Chairperson and
at least one additional representative from each Region; the
Executive Director; and SD DOH representative(s).

Committees and workgroups with member representatives from
each Region and organized under the umbrella of the SDHC
Membership shall be open to all organizations that provide or
support health services within the State that wish to work
collaboratively on emergency preparedness and response
activities.
Our work is based on Health Care
Preparedness and Response Capabilities

Capability 1 – Foundation for Health Care and Medical Readiness –
build strong relationships; identify hazards and risks; plan, train and
exercise

Capability 2 – Health Care and Medical Response Coordination – share
and analyze information, share resources and coordinate strategies

Capability 3 – Continuity of Health Care Service Delivery - provide
uninterrupted, optimal medical care to all populations

Capability 4 – Medical Surge – sustain the ability to care for an
increased volume of patients that exceeds normal capacity
Five Year Grant Period
Working in close collaboration with internal and external
subject matter experts (SMEs), ASPR and CDC developed a
set of performance measures for 2017-2022 that enable
ASPR and its HPP awardees to:

Enhance situational awareness

Provide technical assistance

Support program improvement and inform policy

Increase transparency

Promote sound stewardship of Federal tax dollars by using
the data to assess impact of public funding and ensure that
the American taxpayer sees a return on his or her investment.
The Fabulous CMS Preparedness Rule
What we know:
Applies
Four
to 17 Provider Types
Core Activities
Emergency
Policies
Plan
and Procedures
Communications
Training
Plan
and Testing
17 Provider Types

Hospitals

Home Health Agencies

Religious Nonmedical HCO’s


Ambulatory Surgical Centers
Comprehensive Outpt. Rehab.
Facilities

Hospices

Critical Access Hospitals

Psychiatric Residential Treatment
Facility

Outpt. PT & Speech Pathology
Services

All-Inclusive Care for the Elderly

Community Mental Health Centers

Transplant Centers

Organ Procurement Organizations

Long-Term Care Facilities

Rural Health Clinics

Int. Care Facilities For Individuals
w/ Intellectual Disabilities

Federally Qualified Health Centers

End-Stage Renal Disease Facilities
Develop Emergency Plan

Develop an emergency plan based on a risk
assessment.

Perform risk assessment using an “all-hazards”
approach, focusing on capacities and capabilities.

Update emergency plan at least annually.
Develop Policies and Procedures

Develop and implement policies and procedures
based on the emergency plan and risk assessment.

Policies and procedures must address a range of
issues including subsistence needs, evacuation
plans, procedures for sheltering in place, tracking
patients and staff during an emergency.

Review and update policies and procedures at
least annually.
Develop Communications Plan

Develop a communication plan that complies with
both Federal and State laws.

Coordinate patient care within the facility, across
health care providers, and with state and local
public health departments and emergency
management systems.

Review and update plan annually.
Develop Training and Testing Program

Develop and maintain training and testing
programs, including initial training in policies and
procedures.

Demonstrate knowledge of emergency procedures
and provide training at least annually.

Conduct drills and exercises to test the
emergency plan.
What we don’t know:
 Implementation
Guide expected…….soon,
so we don’t know what the test questions
will be
Resources

ASPR’s Technical Resource, Assistance Center,
Information Exchange (TRACIE)
 https://asprtracie.hhs.gov/

Yale New Haven Crosswalk for all 17 Provider Types
 https://www.ynhhs.org/emergency/insights/library
.aspx

Local and industry partners

SD Healthcare Coalition Members
How Does The Healthcare Coalition Help
You With CMS Preparedness Rule
Compliance?
How can we partner together?
Source: Kansas Regional Preparedness Training 2012
Healthcare Coalitions offer a whole
community approach to planning
Healthcare Coalitions can offer:
 Tools
 Resources
 Best
Practices
Healthcare Coalitions may be able to
provide some funding

Each Regional Coalition has funding available to
address preparedness gaps in their region and can
combine efforts statewide.

Target systematic gaps.
 Training
 Equipment

It doesn’t hurt to ask.
Healthcare Coalitions can help you
exercise your plans
 Examples
of organizational exercises
 Members can serve as facilitators and/or
evaluators
 Members can serve as participants to allow
for inclusion of community
 Members can help connect you to partner
agencies
Questions??? Concerns???
Stinging Rebuttals???