CMS SOM App. Z, Tag E-0027

[(b) Policies and procedures. The dialysis facility must develop and implement

emergency preparedness policies and procedures, based on the emergency plan set

forth in paragraph (a) of this section, risk assessment at paragraph (a)(1) of this

section, and the communication plan at paragraph (c) of this section. The policies

and procedures must be reviewed and updated at least every 2 years. At a

minimum, the policies and procedures must address the following:]

(8) How emergency medical system assistance can be obtained when needed.

Interpretive Guidelines for §494.62(b)(8).

ESRD facilities must include in its emergency plan, policies and procedures for obtaining

emergency medical assistance when needed. Medical system assistance can be

considered but not limited to, outside assistance such as from a nearby hospital.

Additionally, this can mean assistance from other ESRD facilities including personnel to

assist during a single-facility disaster.

Survey Procedures

• Verify the ESRD facility has included in its emergency plan, policies and procedures

for obtaining emergency medical assistance when needed.