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It defines the plan purpose, offers operational overview guidance for medically fragile emergency department patients and possible partial evacuations, and sets review cadence. The template also specifies actions and triggers for activation, including authority to activate, decision criteria, immediate patient safety priorities, and Emergency Operations Center activation responsibilities.",{"@graph":63,"@context":119},[64,80,102],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":46,"@type":70,"position":76},"https://docshare.wps.com/template/paper-templates/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/maintenance-of-essential-services-plans-template-attachment-e/242398/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/maintenance-of-essential-services-plans-template-attachment-e/242398.png","ImageObject",442,249,{"name":88,"@type":89},"Mabel","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-07","2026-09-12",true,{"@type":98,"interactionType":99,"userInteractionCount":101},"InteractionCounter",{"@type":100},"ViewAction",10,{"@type":103,"mainEntity":104},"FAQPage",[105,111,115],{"name":106,"@type":107,"acceptedAnswer":108},"What is the purpose of the Maintenance of Essential Services (HMES) plan template?","Question",{"text":109,"@type":110},"It provides [HOSPITAL] staff guidance to maintain essential services during shelter-in-place or evacuation emergencies. It also supports coordinated actions under the hospital emergency framework.","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"How is the plan reviewed and what is the suggested frequency?",{"text":114,"@type":110},"The template includes an annual review approach. It states the HMES plan is reviewed annually along with the entire Emergency Operations Plan and submitted for approval to relevant local and state authorities.",{"name":116,"@type":107,"acceptedAnswer":117},"When and how should the plan be activated during an emergency?",{"text":118,"@type":110},"Activation is triggered when an external danger may cause injury, exposure, or loss of life to patients, visitors, and staff. It requires defined authorities, immediate danger prioritization for patients, and Emergency Operations Center activation consistent with the hospital’s Healthcare Incident Command System model.","https://schema.org",{"og:url":78,"og:type":121,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":123,"canonical":78},"index,follow",{"doc_id":125,"site_id":56},242398,1790050458,{"code":4,"msg":5,"data":128},{"doc_id":125,"user_id":129,"nickname":88,"user_avatar":130,"doc_module":9,"category_id":45,"category_name":46,"doc_title":59,"doc_description":61,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":101,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":8,"language":136,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":61,"update_tm":140,"read_time":79},7971474920318,"https://ap-avatar.wpscdn.com/avatar/74000ee537e6b0ca360?x-image-process=image/resize,m_fixed,w_180,h_180&k=1788430171632181674","Attachment E: Maintenance of Essential Services Plans Template  \n[Template of Maintenance of Essential Services Plan (HMES) is below. Refer to Concept of Operations, Maintenance of Essential Services Plan paragraph (page 8) of this plan.]  \nHospital:  \nPerson Completing Template:  \nEmail:  \nPhone Number:  \nEffective Dates:  \nI. PURPOSE  \nPLAN PURPOSE STATEMENT HERE. Example:  \nA. To provide [HOSPITAL] staff with guidance in the maintenance of essential services in the event of a shelter-in-place or evacuation event.  \nII. OVERVIEW  \nINSERT PLAN OVERVIEW STATEMENT HERE. Example:  \nA. This document is not intended to be stand-alone and is initiated as a response to an emergency. Incident Command staff should consider all available options based on the current situation and associated risk factors.  \nB. Sheltering-in-place involves special considerations depending on the incident threat. Many Emergency Department patients may be medically fragile and dependent on mechanical support equipment; thus, ED staff must be trained on shelter-in-place procedures to progress in a planned and orderly manner.  \nC. Additionally, given the profile of the medical facility as part of the local / regional healthcare critical infrastructure of the community-at-large, it may be in the best community interest to partially evacuate the facility and shelter-in-place critical healthcare services, such as emergency services, trauma services and a limited support staff to maintain essential operations of the facility. This consideration should be made by the facility incident commander, in consultation with all associated leadership teams as well as with appropriate regional emergency managers.  \nD. Upon issuance of a Mandatory Medical Evacuation Order, [HOSPITAL]’s Emergency Operations system will ensure that this plan is initiated.  \nIII. REVIEW  \nINSERT PLAN REVIEW STATEMENT HERE – State how often your organization will review the Hospital Maintenance of Essential Services plan. Example:  \n28  \nAttachment E: Maintenance of Essential Services Plans Template  \nA. Annually: The Hospital Maintenance of Essential Services plan will be reviewed annually along with the entire Emergency Operations Plan and submitted to local Emergency Management [(INSERT CITY AND COUNTY NAMES HERE)] as well as the South Carolina Department of Health and Environmental Control, Health Licensing, prior to the annual Hurricane Season (June 1), for approval.  \nIV. ACTIONS  \nINSERT PLAN ACTIONS STATEMENT HERE–Define the trigger to implement your plan and the steps your facility will take to see the plan through. Example:  \nA. Upon notification of Mandatory Medical Evacuation Order: The Hospital Maintenance of Essential Services plan will be initiated when appropriate by the Facility Incident  \nB. Commander or designee upon notification of a Mandatory Medical Evacuation Order, if authorized by the Mandatory Medical Evacuation Order.  \nC. Immediate notification to the South Carolina Department of Health and Environmental Control Health Licensing by the facility will be initiated by the Emergency Operations Manager. This notification will be followed by certification of the application of the provisions of this plan, no later than 4 hours after the initial Mandatory Medical Evacuation Order is received. Notification will include the current census with detailed acuity (Critical Care, Med-Surg, Behavioral Health, etc.) .  \nV. ACTIVATION  \nINSERT PLAN ACTIVATION STATEMENT HERE – Define who, what, and why the plan will be activated. Who will have the authority to activate the plan? What will be done to protect patients? Why will this decision be made? How will Incident command be activated? Example:  \nA. Authority to Activate: Not all emergency situations require sheltering-in-place. When it becomes apparent that an external danger may result in injury, possible exposure, or loss of life to patients, visitors, and staff, the facility Incident Commander is responsible for ordering the fac","cbCaipcornfwkg8M","https://ap.wps.com/l/cbCaipcornfwkg8M","pdf",488035,"English","# PURPOSE\n# OVERVIEW\n# REVIEW\n# ACTIONS\n# ACTIVATION","[{\"question\":\"What is the purpose of the Maintenance of Essential Services (HMES) plan template?\",\"answer\":\"It provides [HOSPITAL] staff guidance to maintain essential services during shelter-in-place or evacuation emergencies. It also supports coordinated actions under the hospital emergency framework.\"},{\"question\":\"How is the plan reviewed and what is the suggested frequency?\",\"answer\":\"The template includes an annual review approach. It states the HMES plan is reviewed annually along with the entire Emergency Operations Plan and submitted for approval to relevant local and state authorities.\"},{\"question\":\"When and how should the plan be activated during an emergency?\",\"answer\":\"Activation is triggered when an external danger may cause injury, exposure, or loss of life to patients, visitors, and staff. It requires defined authorities, immediate danger prioritization for patients, and Emergency Operations Center activation consistent with the hospital’s Healthcare Incident Command System model.\"}]","Maintenance of Essential Services Plans Template - Attachment E | PDF",1789190057]