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U.S. Department of Health and Human Services


Published Date: 1/1/0001 12:00:00 AM


Citizen engagement to support best MAN

As a retired rural nurse of 40-years, I was a team leader of 3 Katrina response teams through the United Methodist Church Disaster Response mobilization of Volunteers in Mission. On one of my trips, I visited with a school nurse that was part of the Disaster Response plan in Bay St Louis, MS. Per plan, she accepted evacuees from nursing homes that had oxygen concentrators and there were diabetics and other high needs medical patients. The school was not in the flood plain and it was not the school where she normally worked but one that was considered out of harms way. Everyone thought it would be for a couple hours. Instead that school lost it's electricity and if it had a back up generator, it was insufficient. She had to care for over twenty people without electricity, their medications, no change of clothes, bo other professionals, no communication after her cell phone died. No key to the food supply. She did find a crow bar and broke in to the food. It was still a nightmare. When I met her months later, she was still angry for being abandoned for three days by the very healthcare system that she was a part of. She told me that her husband risked his life at day three of the ordeal in convincing the National Guard as to why he had to get his wife help. She had the classic symptoms of PTSD, Post Traumatic Stress Disorder, and was still trying to function in her job and told me that her recovery needs were still not being met. Until we recognize that everyone, every school, church, business, and community has STARS: Skills, Talents, Attitudes, Rrsources, Services that are the real power that must be well and well functioning EVERYDAY, we will continue to have shootings and disasters brought on by stress overload and a system that is contributing to the problem. I am grateful for my Mennonite roots that modeled how everyone counts and people and the best outcomes were the focus instead of focusing on the lack of time, money, or expecting the government to solve things. I am grateful that my Father was a professor of an eclectic mix of science courses at a United Methodist College where he made $18,000 per year AND that kept us raising our own food and gave us access to every building and department of expertise and those with brilliant STAR power and a collaborative, innovative spirit. I was taught to stay out of debt or if I had to borrow money how to pay it back ASAP to avoid paying interest that I could be applying to my own financial needs and solutions for improving my life. There is a method to Rev John Wesley's Methodism. United Methodists are called to do all the good we can, wherever we can, as often as we can, whenever we can with as many people as we can. The Wesleyan philosophy combined with my roots and my family-centered rural nursing practice in the state of Kansas where our state motto is "Ad Astra per Aspera" that means "To the Stats Through Difficulty". A side benefit of growing up intellectually wealthy in a creative environment of shared resources due to equipment, tools, libraries and people was that though we were financially poor by most people's standards, it created a very resilient lifelong seeker of the best solutions and nimble teams. Kansas Wesleyan University in Salina, Kansas my alma mater because faculty kids could attend nearly free now offers the only Emergency Management Major and a cooperative minor in Unmanned Aviation Systems in cooperation with KSU Polytechnic program. And the current reality is that one of their retired alumni is in a global "new MAN" pilot project. Yes, that old nurse that still flies into action to serve in any way, place, or time where there is a need and opportunity has been tinkering away to line up all the gears for the new well functioning precision integrative community health and wellness template. Since drama was only an audited class AND daily life and times are full of it AND the Association of Applied and Therapeutic Humor is full of STARS...just like every family, business, organization, and community where there are two or more people, it is high time that we fly into action so the WOMAN gets the rest of the STARS needed to offer places in the Class ACT Innovators Lab aboard the Wellness Weavers STARship Enterprise. Eisenhower called the war, the theatre and their were war games. In the recent AARP Bulletin they referred to retirement as "the Third Act". As the Director of the Wellnesss Weavers project with a home campus only 40 miles from the "The Little Apple", in the State of Kansas, history and aviation is full of characters past and present, it has been a rich training ground, theatre, and with Internet access and a Cisco WebEx software platform, even the sky is not the limit! Any classic Emergency Preparedness MAN, organization, business, community that wants to a well functioning "Mother STARship" in their community that can serve locally even without electricity and globally by co-developing the WOMAN, is welcome to apply for a "Companion Ticket" by showing me that you are ready to share aspects of the huge project. First step is doing a search on Wellness Weavers. The right TEAM will be co-hosting the October 28-30, 2016 Happy Halloween Weekend "Back2theFuture: Healthy Relationships-Healthy Communities". November 1, 2016 is the 7th anniversary of Helen (Stucky Risdon, RN) capstone Faith Community Nurse's public health capstone project, "The Role of the Church in Emergency Preparedness". The goal of the Halloween Weekend event is to get the best WOMAN completely integrated with the MAN so all ages, abilities, and towns can thrive in place and within the local2gloval network. Healthy fun for function!
9/13/2016 9:26:27 AM


9/16/2016 2:20:57 PM

Applicability of rule

does this apply to local government agencies that are nonprofit?
9/21/2016 10:43:42 AM

Applicability of rule

Thank you for your question. We are unable to determine whether or not the rule applies to you from the information you provided in the question. Please submit your question with your contact information via the Web Request Help Form and we will route it to the appropriate person.
9/23/2016 9:32:31 AM

Consequences for non-compliance

What are the consequences for hospitals if they do not comply with the new CMS emergency preparedness requirements?
10/21/2016 8:17:11 AM

Facility requirements under the CMS rule.

Facilities, including hospitals, must meet the Conditions for Participation (CoPs)/Conditions for Coverage (CfCs). The emergency preparedness requirements set forth through this regulation are treated as any other CoPs/CfCs and is just one of many requirements. If found to be out of compliance with the requirements, CMS/Regional Offices would follow the same enforcement process currently in place, to include but termination of a provider agreement. Additional information will be forthcoming in the CMS Interpretive Guidelines.
10/21/2016 10:31:32 AM

''Life - saving training''

For sure is good to have some basic skills regarding a first aid, this is for sure part of branch of life and people skills required in certain places or required by doctors or nurses, if people are encourage for that better think do you rally want to go throughout so particularly become if you find more persons all are looking a explanation for its nonsenses and useless as they refuse to render assistance or have no coins on the lips, so be easy do is you contentment of that departments, professionalism is not foreseen or predicted or promised, reality and rall emergencies matters are not behind with any life example as same we are threaded at the same way and practices be easy do not harm people by your overestimation and use emergence chance to do something what is not allowed with knowledge or procedures, do that everybody need that practice is enough to get one lecture about that and finish, why because normally there is no normal staff all are masterpieces and there is plenty ideas for next quality or certification issues, even if you train whole life you can do wrong thing'' ; ''just call emergencies, check own safety is it not trapping hazards behind, access the situation, check if possible vital signs and other signs of required assistance perhaps is not so emergency, do basic things and follow the procedures there are few pages regarding depends scenarios and condition if really countermen . Do not forgets that human compassion can be moved against your real and life security and safety with both sides or examples and this is guide to more expertism and tripping hazards. Just do not overestimate, qualification person must tech you professionalism, is enough to have only basic course knowledge, so you see that adventure indeed. [end of comment]
1/18/2017 1:22:35 PM


There seem to be excuses for lack of support and ACTION in PR! Unacceptable that the US is so unresponsive to IT'S own people while their "leader" bemoans expense. If he were concerned for his country he could easily assist on a PERSONAL level...but Maralago was safe and why would he!? What a shame that for the first time in the history of this country...we have no LEADER!
11/1/2017 9:17:36 AM

Was Proud to serve the people of P.R.

As a member f the DMAT FL-6 team assigned to Oklahoma 1 I was proud to provide care and assistance to the great people of Puerto Rica. I was in Caguas for three of the greatest weeks on my life. A.S. Praetorius Lead Health Technician NDMS DMAT Florida 6
11/1/2017 9:15:09 AM

Great Job

You are doing a great job in Puerto Rico and please continue to do so. We are truly a mighty country and we need to show it to not just every US citizen, but to everyone in the world. There is no limit to what we will do for each other.
11/1/2017 9:15:34 AM

So heartwarming

Thank you all for helping the people of Puerto Rico, especially those that need help the most. You have quietly gone about this task even though the media and some politicians openly criticize. God bless all the men and women who are working so hard behind the scenes, bringing help and relief to a traumatized people. USA strong!
11/1/2017 9:16:16 AM

Declaring Public Health Emergency in PR

Why hasn't a Public Health Emergency been declared in PR after Hurricane Maria?
11/1/2017 9:19:51 AM


In behalf of our christen families , we thank you for your self Sacrificing time to help all who are in need!
11/1/2017 9:17:13 AM

"US Contingencies"

I have worked disasters for 15 years and PR disaster recovery and response was clearly staggered. Why? Why? why? Why? Why? why? Why? I really think it has been because the US process that we normally follow as EM following a disaster were not followed or PR just does not practice them. what ever happened to a good old IC and the ICS system. I spent 4 days in PR and the process was just not there. It may be there now but it was not there immediately after hurricane Maria like it was for Harvey, Irma, Sandy, 911. THERE WAS NO UNIFIED COMMAND SYSTEM. What is being done to learn from these mistakes?
11/7/2017 6:04:54 PM

seeking to volunteer

Kindly give me contact information to volunteer my services in Puerto Rico as a pediatrician, spanish speaking. tmoseley, md.
11/20/2017 11:10:44 AM

Thank you for your interest in volunteering.

Thank you for your interest in volunteering. You can find lots of great options at or at
11/20/2017 11:12:14 AM

Coalitions are essential

Dr K and all, Thank you for your continued work to prepare for the broad threats we all face. Two quick thoughts on coalitions and volunteerism. First, pre-hospital health, including EMS, other responders, and programs like CERT and MRC are all essential for identifying and filling gaps in preparedness planning. Second, I’ve often thought that capturing medical professionals retiring and separating from the military would be a great network to establish and mature. These are already public servants dedicated to the greater good. I know a number who would sign on in an instant, circumstances allowing. Again, thanks so much for your continued Jed service to our great Nation.
2/20/2018 10:05:03 AM

Gaps in the Coaliton Model

Interesting that little to no reference to emergency medical services...the entry point to the healthcare continuum for most disasters. Coalitions are hospital centric and often dismiss issues such as alternative transport methods (i.e. law enforcement), pre-hospital to hospital patient tracking, and a nationally accepted (And implemented) triage system. Fire, EMS,and Emergency Management are the tip of the spear, but often not consulted by coalitions. Also interesting that the blog does not mention CMS,which seems to be the driving force behind coalitions and funding. And of course, this is while there are grant funds. Hope there is a good sustainment model.
2/20/2018 10:05:11 AM

Visiting Nurse Agencies should be included.

In CT Region One Health Care Coalition, Visiting Nurse Agencies are being included as emergency preparedness partners--we can help with hospital surge, closed PODs, staffing shelters--
3/2/2018 2:35:03 PM


Thanks to first responders and all those trying to help.
3/13/2018 9:20:34 AM

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