CMS Emergency Preparedness Compliance Checklist

Ensure compliance with CMS Emergency Preparedness Requirements including risk assessment, emergency planning, policies and procedures, and communication planning.

  • Industry: Healthcare
  • Frequency: Annual review
  • Estimated Time: 2-3 hours
  • Role: Emergency Manager
  • Total Items: 28
  • Compliance: CMS 42 CFR 482.15, Joint Commission EM Standards, FEMA Guidelines

Risk Assessment

All-hazards risk assessment

  • HVA completed and documented?
  • Community-based risks assessed?
  • Patient population needs considered?
  • Risk assessment updated annually?

Emergency Plan

Comprehensive emergency plan

  • Written emergency plan documented?
  • Plan addresses identified risks?
  • Shelter-in-place procedures included?
  • Evacuation procedures included?
  • Patient tracking procedures in place?
  • Plan reviewed and updated annually?

Policies & Procedures

Emergency policies

  • Subsistence needs addressed (food, water, medications)?
  • Staff tracking procedures in place?
  • Alternate care sites identified?
  • Emergency staffing procedures documented?
  • Medical documentation procedures for emergencies?

Communication Plan

Emergency communications

  • Staff notification system in place?
  • Patient/family communication procedures?
  • Government agency coordination planned?
  • Backup communication systems available?

Training & Testing

Exercises and drills

  • Staff trained on emergency procedures?
  • Annual exercises conducted?
  • Full-scale exercise conducted in 2-year cycle?
  • After-action reports completed?

Pre-Assessment Information

Initial assessment documentation and patient/facility identification

  • Assessor Name / Credentials
  • Assessment Date
  • Department / Unit
  • Assessment Type (Routine/Annual/Complaint)
  • Previous assessment findings reviewed?

Related Healthcare Checklists

Related Emergency Preparedness Checklists

Why Use This CMS Emergency Preparedness Compliance Checklist?

This cms emergency preparedness compliance checklist helps healthcare teams maintain compliance and operational excellence. Designed for emergency manager professionals, this checklist covers 28 critical inspection points across 6 sections. Recommended frequency: annual review.

Ensures compliance with CMS 42 CFR 482.15, Joint Commission EM Standards, FEMA Guidelines. Regulatory-aligned for audit readiness and inspection documentation.

Frequently Asked Questions

What does the CMS Emergency Preparedness Compliance Checklist cover?

This checklist covers 28 inspection items across 6 sections: Risk Assessment, Emergency Plan, Policies & Procedures, Communication Plan, Training & Testing, Pre-Assessment Information. It is designed for healthcare operations and compliance.

How often should this checklist be completed?

This checklist should be completed annual review. Each completion takes approximately 2-3 hours.

Who should use this CMS Emergency Preparedness Compliance Checklist?

This checklist is designed for Emergency Manager professionals in the healthcare industry. It can be used for self-assessments, team audits, and regulatory compliance documentation.

Can I download this checklist as a PDF?

Yes, this checklist is available as a free PDF download. You can also use it digitally in the POPProbe mobile app for real-time data capture, photo documentation, and automatic reporting.

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