Branch Emergency Management Plan Summary

Branch Name / LR -VNA
Street Address / #2 St Vincent Circle
Primary phone / 501-
Secondary phone / 501-
Fax number / 501-
Contact / 1st Contact # / 2nd Contact # / Comments/Instructions
Director of Operations/Branch Manager / Denise
501 / 501- / Notify DO/Mgr. anytime the Emergency Management Plan is implemented and/or your location suffers a power or communication failure.
Director of Clinical Services/Therapy/Branch Supervisor / Alex
501- / 501- / Notify DCS/Supervisor anytime the Emergency Management Plan is implemented and/or your location suffers a power or communication failure.
Branch Management not listed above / Shirley
Debby
Kelly / Notify branch management anytime the Emergency Management Plan is implemented and/or your location suffers a power or communication failure.
Area Directors / Notify area directors anytime the Emergency Management Plan is implemented and/or your location suffers a power or communication failure.
Regional VP/Manager / Notify RVP anytime the Emergency Management Plan is implemented and/or your location suffers a power or communication failure.
Regional VP/Mgrs are responsible for alerting Senior Leadership anytime an emergency plan is implemented.
Regional Clinical Manager & Regional Managers / Notify RCM anytime the Emergency Management Plan is implemented and/or your location suffers a power or communication failure.
Additional Regional Support
IT Help Desk / 1866- / Notify the Help Desk anytime the Emergency Management Plan is implemented and/or your location suffers a power or communication failure.
Normal business hours: 7:30am-5:30pm Mon.-Fri. After hours leave a voice mail message and be sure to identify the emergent nature of your call
Call Center / 513- / Notify Call Center anytime the Emergency Management Plan is implemented and/or your location suffers a power or communication failure which may affect after hours patient care activities.
Call Center hours are from 4:45pm-9:30am EST M-F
Sat-Sun 24hrs
Reminder: The Call Center is staffed to handle after hours call volume and should not be relied upon as the primary back up plan for weather emergencies and/or system failures

Chain of Command/Roles & Responsibilities

List in order of Rank (Generally DO/Gen Mgr then DCS, etc)

Name / Title / 1st contact # / 2nd contact # / Roles/Responsibilities
What activities will this person do?
Denise Looker / Director of operation / 501- / 501- / Implement disaster plan
Alex / DCS / 501 / 501- / Notify managers
Shirley / CC / 501- / 501- / Call her team and level one patients
Debby / CC / 501- / 501 / Contact her team and call level one patients
Kelly / CC / 501- / 501- / Contact her team and call level one patients

Utility/Service Providers

Identify all that apply

Type / Company Name / 1st contact # / 2nd Contact # / Special Instructions for Utility Failures
(Account information, Person to ask for, etc.)
Phone Carrier / verizon / 501-905-3040
Phone System Provider
Additional phone support/providers
Electric/Gas Provider(s) / Entergy / 1800-968-8243
Water/Sewer Service Provider
Data Line Carrier
Cell Service Provider
Building Maintenance/Landlord / StVincent infirmary / 501-552-3000
Other

Process for Forwarding & Take back of Phones

Process / Procedure
Process for transferring phones from the office
Process for transferring phones remotely
(phone system goes down before phones can be transferred)
Process for transferring phones back to the office
Instructions for transfer/take back when call center is open
Instructions for transfer/take back when call center is closed
Instructions for transfer/take back if call center is inoperable

Organizational Support Location(s)

Used in the event office is inoperable (generally a nearby branch or Support Services)

Support Location / Address & Contact Information / Leadership Contacts
(DO/DCS/Mgr cell phone #’s) / Type of Support Location Will Provide
(work stations, phone/computer access, supplies, etc.) / Special Instructions
Primary Location:
Secondary Location
Are other branches using this location for support? If so document here

Community Emergency Resource Guide

Agency/Name / Contact Name(s) / Contact Information
(phone, fax, address, email) / Specific instructions
Office of Emergency Management/Civil Defense / David Maxwell / 501-371-4510
State Health Department / 501-661-2262
County/City/Regional Health Department / 501-661-2000
Affiliated Hospital(s) / Peter Banko CEO / St Vincent Hospital Little rock Ar 501-552-
Regional Emergency Response Organizations
(if applicable)
Radio Stations to Monitor / KARN
B98.5 / 501-433-0092
501-433-0098
Television Stations to Monitor / TODAYS THV11
CHANNEL 7 / 501-376-1111
501-324-7777
Other Local Resource Agencies

Additional Instructions

Description / Instructions
Approximate time location is viable without power ( regular power and any back up power) / 1.5HRS for lap top if no power,
Process for implementing back up power
(if applicable)
Minimum office staff needed to support business operations (list titles/roles) / Do/dcs to co-ordinate disaster implementation
1 cc to contact staff 1 scheduler to schedule patients to be seen 1 intake person to enter referral and 1 ctn to be available to referral sourses
Building access information (if applicable)
Plan for communication failures
Process for identifying/communicating with priority patients
Process for identifying/communicating with priority staff

Email completed plan to Lori Koors at

Whenever the plan is updated please resend a copy

November 2013 Form #1581