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XI. CLINICAL & BUSINESS RECOVERY

Recovery activities involve the restoration of services and returning the affected area(s) to pre-emergency conditions. Based on the scope of the event, recovery operations may commence subsequent to incident resolution, or it can be a prolonged event requiring recovery to begin during the response phase. Commencement of recovery operations will be based on the following assessments:

Integrity of mission critical systems, especially power; lighting; steam; HVAC; fire detection, suppression & alarm systems; communications & information systems.

Current capacity and expected time to full service restoration for any mission critical system adversely impacted by the disaster.

Decontamination of nuclear, chemical, biological substances.

Availability of staff, supplies and equipment to meet existing and anticipated patient care needs.

Availability of supplies, housing, parking & psychosocial support resources for staff
Frequency of crisis communication to the HICS Team, general staff, patients and the community, including a schedule of Command Center briefings.

Whether to maintain staffed and equipped operational centers.

Service assessments/capabilities will be conducted by department heads and reported up to the Incident Commander through the HICS organizational structure. The Business Continuity Emergency Planner will assist with the assessment process as needed. These essential services include:

Admissions Center

Blood Bank

Central Processing

Clinical Chemistry

Clinical Information Center (CIC)

Environmental Services

Facilities Management

Food and Nutrition Services

General Stores and Offsite Distribution

Hematology

In-Patient Units

Microbiology

Patient Information

Patient Support Services - Linen

Patient Support Services – Distribution

Patient Support Services – Patient Escort

Perioperative Services

Pharmacy

Radiation Oncology

Radiology

Radiology/Nuclear Medicine

Radiology/PACS

Respiratory Therapy

Security

Social Work

Telecommunications

Urgent Care Center

Volunteer Services

An outline of Essential Services Recovery and the Hospital Recovery Checklist is located in Appendix B.

HICS/EOP Deactivation Process
Based on essential services assessment, if appropriate, the Incident Commander will deactivate

1.The Incident Commander will direct the PIO to develop and communicate a Center-wide announcement HICS deactivation.

2.Upon announcement, all information concerning the emergency will be recorded and properly filed by the Director of Emergency Management.

3.The Director of Emergency Management will direct the After Action Meeting and Reporting process. After Action Surveys will be provided to HICS team members and other staff who participated in the response.

4.Unit leaders will email or completed surveys to their respective Section Chief and copy the Director of Emergency Management

5.All expenses and overtime information will be provided to the Finance Department for documentation. Evidence of the damage or abnormalities caused by the emergency, or response to the emergency, will be documented through photographs or descriptive writings.

6.Information Systems/Conference planning will evaluate communication equipment, data processing systems, and other equipment used during the emergency will be evaluated for appropriate use in the next emergency and consumable supplies documented for restocking.

7.The Command Center Manager will assure that:

a. HICS identification apparel is repacked and ready for the next activation, and

b. All documents used for event will be gathered and replacement copies of forms and documentation sheets will be replenished.

c. The designated Command Center shall be cleaned and furniture repositioned for normal meeting operations by Conference Planning.

US Patent Numbers 7,720,998 B2, 7,836,207