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XII. PERFORMANCE, EDUCATION, EXERCISE & REVIEW
Performance Standards
Performance standards have been developed to evaluate Emergency Management Program effectiveness.  They include:

Emergency exercises to evaluate the Center's level of preparedness. 

After action review and written report of the exercise or actual response.  If indicated,  a process Improvement plan is developed and monitored for completion 

Annual written review of the EOP and Emergency Management Program.

Assessment of staff preparedness competencies for their respective roles and responsibilities.

Overall compliance with TJC Standards and regulatory standards for Emergency Management.

Staff Education       
Emergency preparedness training is provided for new employees and yearly updates are required for all staff members including licensed practitioners. The education plan ensures MSKCC staff is aware of, and prepared to address potential hazards Training topics include:

Emergency incident recognition , reporting actions, personal safety
Emergency notification and communication
Hospital Incident Command System (HICS)
Specific roles and responsibilities during emergencies
Potential reassignment for emergency response efforts

HICS Team Education
The Center and Offsite/Regional HICS Teams participate in training and exercises and performance evaluations; these events are considered learning opportunities during which important emergency management procedures may be reinforced and/or revised.

EOP Maintenance, Exercise, and Evaluation
The fundamentals, scope, objectives, processes, and effectiveness of MSKCC's EOP are formally reviewed and updated based on:

Hazard Vulnerability Analysis.
Opportunities for improvement identified during drills or actual events.
Changes in regulatory requirements.
Changes in local, regional and state emergency planning objectives.

Emergency Management Program Maintenance 
The following chart summarized the maintenance and review schedule of the Emergency Management Program.

Activity
Hazard Vulnerability Analysis Review

Tasks
Review current HVA for accuracy
Monitor events/risks and update HVA accordingly
Incorporate changes into EOP including the development or modification of appendixes, policies and attachments
Review entire plan for accuracy

Frequency
Annually by September 1, or as needed


Activity
Emergency Operations Plan Update & Committee Review

Tasks
Incorporate lessons learned and changes in policy and philosophy
Manage distribution of plan updates
Update information on members of  the Incident Command Team

Frequency
Annually by September 1


Activity
Update roster of Incident Command Team (HICS)

Tasks
Verify/Update contact information 
Update as members of the Incident Command Team change

Frequency
As needed


Activity
Maintain emergency supplies and site storage readiness

Tasks
Verify access codes and systems
Inventory and cycle supplies and equipment, including water.

Frequency
Quarterly


Activity
Review and update supporting Memoranda of Understanding/ Agreements

Tasks
Review current and new needs
Incorporate changes, if required
Obtain signature renewing agreement or confirming validity

Frequency
Annually