Cameron Bruce Associates provides full service on all aspects of emergency management planning, training, and exercises.


Program Assessments
Review of your program for CMS, TJC, NFPA, NIMS and California compliance (SEMS) and good disaster management practices. Are you compliant to the new CMS requirements? Is your Hazard Vulnerability Analysis sound and do your written response plans address priority emergencies in a detailed and comprehensive manner? Does your Emergency Management Program (EMP) address all four phases of emergency management and does your Emergency Operations Plan (EOP) address the six critical areas of emergency response for each priority emergency? Do equipment, supplies, training, exercises, and memorandums of understanding reflect your priority emergencies? Have you completed a thorough 96-hour assessment for critical functions and your priority emergencies? Are leadership/physician involvement, funding, and staffing adequate and documented? Do you have comprehensive and thorough plans regarding communications, surge capacity, shelter-in-place, evacuation, decontamination, mass-fatality, and high-risk biological events? Has your EOP been updated to reflect lessons learned from recent exercises? Is it clearly organized and written in plain English with minimal use of acronyms?

We can assist you with your program goals and objectives, action plans, inventory management, and annual evaluations.

Customized Plans
We helped develop the first HICS-based Disaster Manual in 1993 for a major California hospital system. Since then, we have written many Emergency Operations Plans, customized to the particular codes and response plans of each facility. We review existing procedures and processes, recommend best practices and use flowcharts, checklists, and graphics to create well-organized and effective go-to manuals. With our knowledge of Facilities Management we ensure utility failure plans are thoroughly addressed from both the hospital-wide and engineering perspectives. We have written manuals for large and small facilities, merged organizations, and multi-campus medical centers. We also develop Quick Response Guides in a variety of formats.

We have also developed the following templates (funded by the Santa Clara County Public Health Department):
·         Hospital Surge Capacity Plan 2007 (chosen as a model practice by the National Association of County and City Health Officials (NACCHO).
·         Medical Evacuation and Shelter-in-Place Plan, 2009
·         Drive-Through Triage for Pandemic Flu, 2009 (developed in conjunction with Stanford Hospital)
·         Draft California Statewide Patient Movement Plan, 2011

Cameron Bruce Associates helps hospitals with all aspects of planning, conducting, and evaluating all types of exercises: tabletop, drill, functional, and full-scale. Following HSEEP guidelines and TJC standards, we assist with planning and preparing all documents for a realistic, well-organized exercise. During the planning phase we help by facilitating planning meetings, evaluating potential scenarios, developing exercise documents, and coordinating with third-parties.

We research the selected scenario and develop a master scenario events list to include realistic timeframes and impacts. We act as controller and evaluator. We will facilitate and document the hot wash, as well as write the after-action/improvement report. Is your organization prepared to effectively respond to an emergency incident that would overwhelm routine operations? Staff participation in a well-planned, house-wide emergency exercise will ensure they are ready to meet the challenge.

Training Programs

We develop and provide training programs for all areas of emergency management. We can supply custom materials for your own trainers to use or we can provide the training:
·         ICS, HICS, NIMS, and SEMS training
·         Decontamination and WMD training
·         Community workshops targeting a specific facility type (hospitals, SNFs, clinics)
·         In-house workshops on your organization's new or existing plans
·         Specific training and tabletop or "mini" drills for individual departments (NICU, Engineering, Security, Nursing Administration, etc.) on specific topics (utility failures, hazmat incidents, surge, active shooter, etc.)

Interim Positions and Mentoring Programs
We provide temporary on-site interim positions during periods of transition and mentoring of individuals new to Environment of Care responsibilities.