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Emergency Preparedness Toolkit 

Published on May 4, 2010

When an emergency hits a hospital, administrators often turn to their lawyers as issues arise in providing care during an emergency. This Emergency Preparedness Toolkit (Toolkit) is designed as a complement to AHLA’s Emergency Preparedness Response & Recovery Checklist: Beyond the Emergency Management Plan by providing a one-stop resource of emergency preparedness form policies, procedures, links, articles, sample contract language, and legal summary memoranda to assist healthcare attorneys, administrators, and providers in preparing for and responding to the issues that arise during an emergency.   

This Toolkit is organized by subtopic. It provides outlines of the federal regulatory framework for emergency preparedness and sample determinations of public health emergencies. These sample determinations illustrate the regulatory coordination of response to healthcare needs during an emergency. Other subtopics provide resources to identify, plan for and respond to issues in Emergency Medical Treatment and Active Labor Act (EMTALA), Health Insurance Portability and Accountability Act (HIPAA), Emergency Management Assistance Compact (EMAC) and mutual aid agreements, Regional Health Information Organizations (RHIOs), advance directive planning, certification, licensure, volunteers, standard of care, quarantine, employment, federal reimbursement, graduate medical education (GME) funding, and emergency use of drugs. The checklists provided at the end of the toolkit were prepared by attorneys providing legal assistance to hospitals in the New Orleans and Houston regions during and after Hurricanes Katrina and Rita. These checklists summarize issues that arose for these attorneys and serve as a preparation resource for others. While this Toolkit is comprehensive in scope, it does not purport to cover every issue arising in the provision of healthcare services during an emergency.

I. Emergency Preparedness Legal Authority

II. Sample Determinations of Public Health Emergency



V. EMAC and Mutual Aid Agreements


VII. Advance Directive Planning

VIII. Certification

IX. Licensure

X. Volunteers

XI. Standard of Care

XII. Quarantine

XIII. Employment

XIV. Reimbursement



XVII. Checklists


Access the Emergency Preparedness Toolkit in its entirety (ZIP file contains all of the materials included in the Toolkit). Please note that download may take a few minutes.

The Emergency Preparedness Affinity Group was formed by the In-House Counsel; Life Sciences; Medical Staff, Credentialing, and Peer Review; Payors, Plans, and Managed Care; and Teaching Hospitals and Academic Medical Center Practice Groups for the purpose of producing this Toolkit. 

If you would like to provide any feedback or suggestions, please email the Practice Groups staff.

We would like to acknowledge the contributions of the following individuals in the production of this Toolkit:

Lisa J. Acevedo, Esquire, Foley & Lardner LLP, Chicago, IL
Darby C. Allen, Esquire, Baker Hostetler, Houston, TX
Jon E. Anderson, Esquire, Godfrey & Kahn SC, Madison, WI
Virginia A. Brown, Washington Hospital Center, Washington, DC
Walter Carfora, Esquire, Walter R, Carfora PA, Saint Petersburg, FL
Dawn R. Crumel, Esquire, Children’s National Medical Center, Washington, DC
Maria G. Danaher, Esquire, Olgetree Deakins Nash Smoak & Stewart PC, Pittsburgh, PA
Natasha Davis, Esquire, Nationwide Children’s Hospital, Columbus, OH
James C. Dechene, Esquire, Sidley & Austin LLP, Chicago, IL
Robyn W. Diaz, Esquire, MedStar Health Inc., Arlington, VA
Lawrence L. Foust, Esquire, Children’s Hospital Los Angeles, Los Angeles, LA
Jonathan H. Glenn, Esquire, MedAssets Inc., Alpharetta, GA
Emily B. Grey, Esquire, Breazeale Sachse & Wilson LLP, Baton Rouge, LA
Cheryl D. Hardy, Esquire, Institute for Educational Equity and Opportunity, Washington, DC
Susan Feign Harris, Esquire, Baker Hostetler LLP, Houston, TX
Lisa A. Hathaway, Esquire, Blue Cross Blue Shield of Florida, Jacksonville, FL
Stephen R. Kleinman, Esquire, Schottenstein Zox & Dunn LPA, Columbus, OH
David E. Kopans, Esquire, Schottenstein Zox & Dunn LPA, Columbus, OH
Nathan A. Kottkamp, Esquire, McGuireWoods LLP, Richmond, VA
Alisa C. Kuehn, Esquire, Hall Render Killian Heath & Lyman PC, Indianapolis, IN
Cody Lawson, Esquire, Hall Render Killian Heath & Lyman PC, Indianapolis, IN
Melissa L. Markey, Esquire, Hall Render Killian Heath & Lyman PC, Troy, MI
Tolboe McKay, Esquire, Olsson Frank Weeda Terman Bode Matz PC, Washington, DC
Shirley P. Morrigan, Esquire, Foley & Lardner LLP, Los Angeles, CA
Tobi M. Murphy, Esquire, Phelps Dunbar LLP, New Orleans, LA
Rachel Nosowsky, Esquire, University of California, Oakland, CA
Paul W. Pitts, Esquire, Reed Smith LLP, San Francisco, CA
Rene Y. Quashie, Esquire, Drinker Biddle & Reath LLP, Washington, DC
Jennifer Ray, Esquire, Office of the General Counsel, Department of Health & Human Services, Washington, DC
Jeffrey M. Sconyers, Esquire, Seattle Children’s Hospital, Seattle, WA
Raymond S. Sczudlo, Esquire, Children’s National Medical Center, Washington, DC
Christina W. Severin, Esquire, Hall Render Killian Heath & Lyman PC, Milwaukee, WI
Thomas N. Shorter, Esquire, Godfrey & Kahn SC, Madison, WI
Jamie Sorley, Esquire, Office for Civil Rights, Department of Health & Human Services, Washington, DC

James P. Wolf, Esquire, Aetna, Alpharetta, GA   

Disclaimer: This Toolkit compiles information on its topic and is intended to be useful for the practicing lawyer. You should, however, verify the accuracy and completeness of any research you conduct using the toolkit before proceeding.

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