to main content Emergency Management - Event Recovery/Continuity | Ambulatory | Emergency Management EM | The Joint Commission
Emergency Management - Event Recovery/Continuity

What is the required process for Emergency Management event recovery and Continuity of Operations Planning (COOP)?

Any examples are for illustrative purposes only.  

The Joint Commission standard for an organization's recovery and continuity of operations is performance based (EM.02.01.01). The organization will use its emergency operations plan to define its response to emergencies and to help position it for recovery after the emergency has passed. Various aspects of a recovery effort could take place during an event or after an event. Recovery strategies and actions are designed to help restore the systems that are critical to providing care, treatment, and services in the most expeditious manner possible.  

Emergency operations plans are to be designed to provide optimum flexibility to restore critical services as soon as possible to meet community needs. Recovery strategies are to maintain a focus on continuity of operations. For example: smooth transition from emergency to regular supply chains; effective decoupling of services shared with other entities during an event; use or return of stockpiled supplies; staff relief without affecting continuity of operations; creating the most seamless environment possible for patients and patient care. In order to evaluate effectiveness, the survey process will review the emergency operations plan, interview staff and review exercise evaluations. 

The requirements for a Continuity of Operations Plan (COOP) is defined in EM.02.01.01 EP12.  Think of the COOP as your emergency operations plan after the initial response to an incident.  The COOP outlines how the organization will continue to provide services until full operations are restored.  The COOP includes a strategy for a succession plan for key leaders if they are not able or available to carry out duties (for instance, if they are stranded away from the organization or have a communications interruption), as well as a delegation of authority plan for policy and decision making.   

There are differences between the EOP and the COOP.  Essentially, the EOP is a plan for how the organization will function during the mitigation, preparedness, response and recovery phases of a given emergency, or the emergency response to an event/incident.  The COOP should detail all the procedures that define how the organization will continue to operate within the emergency and/or recover the minimum essential functions in the event of a disaster.  The focus of a COOP is often protecting the physical plan, information technology systems, business and financial operations, and other infrastructure from direct disruption or damage so that the organization can continue to function through or shortly after an emergency. 

 
Manual: Ambulatory
Chapter: Emergency Management EM
First published date: April 11, 2016 This Standards FAQ was first published on this date.
This page was last updated on April 20, 2023 with update notes of: Editorial changes only Types of changes and an explanation of change type: Editorial changes only: Format changes only. No changes to content. | Review only, FAQ is current: Periodic review completed, no changes to content. | Reflects new or updated requirements: Changes represent new or revised requirements.
Was this response helpful?

If no, please comment on how we could improve this response.

If you have additional standards-related questions regarding this topic, please use the Standards Online Submission Form

Get Extra Help with Books and E-books

Browse our gallery of books and e-books to find trusted prep and readiness resources, practical checklists and toolkits, and resources on specialized health care topics.

Stay Informed with Online Education

Online education is the most convenient and cost-effective way to educate your staff and minimize expenses without the need to leave your organization.

Reach Your Safety Goals with eProducts

Assessing and sustaining compliance with accreditation standards or CMS CoPs can be a challenge, but it doesn’t have to be. Rely on our proven software solutions developed by our team of industry experts.

Can't Find What You're Looking For?

If you do not find an answer to your question, please contact the Standards Interpretation Group (SIG).

Note: To provide adequate support to those organizations that are either accredited/certified or seeking accreditation/certification, we will only answer those questions submitted by those organizations seeking accreditation/certification or currently accredited/certified by the Joint Commission. The Joint Commission no longer answers questions submitted by students or vendors. Thank you for your understanding.