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Establish, implement, and maintain a pandemic plan.


CONTROL ID
13214
CONTROL TYPE
Establish/Maintain Documentation
CLASSIFICATION
Preventive

SUPPORTING AND SUPPORTED CONTROLS




This Control directly supports the implied Control(s):
  • Operational and Systems Continuity, CC ID: 00731

This Control has the following implementation support Control(s):
  • Match emergency policies to the level of disruption anticipated in the pandemic plan., CC ID: 14375
  • Identify employees who have family members who are first responders or medical personnel., CC ID: 14389
  • Identify tasks that can be accomplished at alternate work sites., CC ID: 14393
  • Include work that will be suspended during the pandemic in the pandemic plan., CC ID: 14380
  • Include alternate work locations in the pandemic plan., CC ID: 14376
  • Assign pandemic planning roles and responsibilities, as necessary., CC ID: 13230
  • Include modifications to the absenteeism policy in the pandemic plan., CC ID: 13232
  • Include remote access requirements in the pandemic plan., CC ID: 13233
  • Include a compensation plan in the pandemic plan., CC ID: 13231
  • Revalidate exceptions to the pandemic plan, as necessary., CC ID: 14395
  • Approve exceptions to the pandemic plan, as necessary., CC ID: 14392
  • Include a list of which emergency policies will preempt organizational policies during a pandemic in the pandemic plan., CC ID: 14374


SELECTED AUTHORITY DOCUMENTS COMPLIED WITH




  • will authorize, develop and maintain a Pandemic Response Plan addressing the following areas: (4. ¶ 1, Pandemic Response Planning Policy)
  • The process and frequency of plan updates and review at least annually with appropriate approvals or sign-off from organizational leadership or oversight. (4.13, Pandemic Response Planning Policy)
  • Conduct regular operational reviews to assess implementation success and epidemiological situation, and adjust operational plans as necessary (Pillar 1 Step 3 Action 1, COVID-19 Strategic Preparedness and Response Plan, OPERATIONAL PLANNING GUIDELINES TO SUPPORT COUNTRY PREPAREDNESS AND RESPONSE, Draft as of 12 February 2020)
  • Engage with national authorities and key partners to develop a country-specific operational plan with estimated resource requirements for COVID-19 preparedness and response, or preferably adapt, where available, an existing Influenza Pandemic Preparedness Plan (Pillar 1 Step 1 Action 2, COVID-19 Strategic Preparedness and Response Plan, OPERATIONAL PLANNING GUIDELINES TO SUPPORT COUNTRY PREPAREDNESS AND RESPONSE, Draft as of 12 February 2020)
  • Develop and implement a points of entry public health emergency plan (Pillar 4 Step 1 Action 1, COVID-19 Strategic Preparedness and Response Plan, OPERATIONAL PLANNING GUIDELINES TO SUPPORT COUNTRY PREPAREDNESS AND RESPONSE, Draft as of 12 February 2020)
  • Prepare to assess diagnostics, therapeutics, and vaccines for compassionate use, clinical trials, regulatory approval, market authorization, and/or post-market surveillance, as appropriate (Pillar 7 Step 3 Action 1, COVID-19 Strategic Preparedness and Response Plan, OPERATIONAL PLANNING GUIDELINES TO SUPPORT COUNTRY PREPAREDNESS AND RESPONSE, Draft as of 12 February 2020)
  • Develop and implement surge plans to manage increased demand for testing; consider conservation of lab resources in anticipation of potential widespread COVID-19 transmission (Pillar 5 Step 2 Action 4, COVID-19 Strategic Preparedness and Response Plan, OPERATIONAL PLANNING GUIDELINES TO SUPPORT COUNTRY PREPAREDNESS AND RESPONSE, Draft as of 12 February 2020)
  • Develop and implement a plan for monitoring of healthcare personnel exposed to confirmed cases of COVID-19 for respiratory illness (Pillar 6 Step 1 Action 4, COVID-19 Strategic Preparedness and Response Plan, OPERATIONAL PLANNING GUIDELINES TO SUPPORT COUNTRY PREPAREDNESS AND RESPONSE, Draft as of 12 February 2020)
  • Monitor IPC and WASH implementation in selected healthcare facilities and public spaces using the Infection Prevention and Control Assessment Framework, the Hand Hygiene Self-Assessment Framework, hand hygiene compliance observation tools, and the WASH Facilities Improvement Tool (Pillar 6 Step 3 Action 1, COVID-19 Strategic Preparedness and Response Plan, OPERATIONAL PLANNING GUIDELINES TO SUPPORT COUNTRY PREPAREDNESS AND RESPONSE, Draft as of 12 February 2020)
  • Ensure comprehensive medical, nutritional, and psycho-social care for those with COVID-19 (Pillar 7 Step 2 Action 3, COVID-19 Strategic Preparedness and Response Plan, OPERATIONAL PLANNING GUIDELINES TO SUPPORT COUNTRY PREPAREDNESS AND RESPONSE, Draft as of 12 February 2020)
  • Review and update existing national IPC guidance: health guidance should include defined patient-referral pathway including an IPC focal point, in collaboration with case management. Community guidance should include specific recommendations on IPC measures and referral systems for public places suc… (Pillar 6 Step 1 Action 3, COVID-19 Strategic Preparedness and Response Plan, OPERATIONAL PLANNING GUIDELINES TO SUPPORT COUNTRY PREPAREDNESS AND RESPONSE, Draft as of 12 February 2020)
  • Disseminate regularly updated information, train, and refresh medical/ambulatory teams in the management of severe acute respiratory infections and COVID-19-specific protocols based on international standards and WHO clinical guidance; set up triage and screening areas at all healthcare facilities (Pillar 7 Step 2 Action 1, COVID-19 Strategic Preparedness and Response Plan, OPERATIONAL PLANNING GUIDELINES TO SUPPORT COUNTRY PREPAREDNESS AND RESPONSE, Draft as of 12 February 2020)
  • Prepare staff surge capacity and deployment mechanisms; health advisories (guidelines and SOPs); pre- and post-deployment package (briefings, recommended/mandatory vaccinations, enhanced medical travel kits, psychosocial and psychological support, including peer support groups) to ensure staff well-… (Pillar 8 Step 2 Action 4, COVID-19 Strategic Preparedness and Response Plan, OPERATIONAL PLANNING GUIDELINES TO SUPPORT COUNTRY PREPAREDNESS AND RESPONSE, Draft as of 12 February 2020)
  • Implement triage, early detection, and infectious-source controls, administrative controls and engineering controls; implement visual alerts (educational material in appropriate language) for family members and patients to inform triage personnel of respiratory symptoms and to practice respiratory e… (Pillar 6 Step 2 Action 4, COVID-19 Strategic Preparedness and Response Plan, OPERATIONAL PLANNING GUIDELINES TO SUPPORT COUNTRY PREPAREDNESS AND RESPONSE, Draft as of 12 February 2020)
  • An oversight program to ensure ongoing reviews and updates to the pandemic plan, so that policies, standards, and procedures include up-to-date, relevant information provided by governmental sources or by the institution's monitoring program. (TIER I OBJECTIVES AND PROCEDURES BCP - Pandemic Issues Objective 8:3 Bullet 5, FFIEC Business Continuity Planning (BCP) IT Examination Handbook, February 2015)
  • Protect employees during a pandemic; (Appendix D Subsection 2 ¶ 1 Bullet 1, NIST SP 800-34, Contingency Planning Guide for Federal Information Systems, Rev. 1 (Final))