Thursday, January 21, 2021
Home Virtual Event Recording RHL: Hospitals and Long-Term Care Facilities-Hand in Hand Partners in Emergency Preparedness

RHL: Hospitals and Long-Term Care Facilities-Hand in Hand Partners in Emergency Preparedness


Rural Health Leaders Conference Session

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In November 2017, CMS regulations on Emergency Preparedness became effective in eleven different categories of providers and suppliers covered by CMS. These regulations have been updated multiple times since with the latest update in November 2019. The regulations established national emergency preparedness requirements in order to adequately plan for both natural and manmade disasters and to coordinate with other local providers and the local preparedness system.

“All-hazards” planning which is the basis for hazard vulnerability assessment and planning must now include “emerging infectious diseases (EID)” such as influenza, Zika and Ebola and now Covid-19. Based upon recent experiences, changes in emergency preparedness planning for infectious disease outbreaks, i.e., early identification, personal protective equipment supply planning, infectious disease specific staff education that has not previously been included in other planning, mitigation, responds and recovery plans.

During this session, Nancy will review CMS Emergency Preparedness requirements and other topics requiring greater attention: closer planning relationships with other health care providers, tracking of staff and displaced patients/residents, providing care at alternate sites under an 1135 waiver and the role of senior leadership.


Nancy Ruzicka has experience teaching and assisting hospitals and other healthcare facilities in understanding applicable Federal and State laws, rules, regulations and interpretative guidelines. Her experience also encompasses teaching all levels of healthcare staff in understanding compliance and HIPAA requirements. Nancy has been a frequent speaker for the Iowa Hospital Association on EMTALA and Conditions of Participation for hospitals and critical access hospitals.

Nancy’s previous experiences include Director of Integrity & Compliance and Privacy Official at Mercy Medical Center, Des Moines; Director of Regulatory Compliance at UnityPoint Health and over twenty years of experience with Iowa Department of Inspections and Appeals.
Nancy received her MJ in Health Law, MBA and BS in Pharmacy from Drake University, Des Moines. She is certified in Healthcare Compliance (CHC) and maintains her Iowa pharmacy license.