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Coordinating Healthcare Emergency Plans with OEM

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Under state and federal rules, some regulated healthcare facilities must coordinate their emergency planning with their local emergency management agency. The City of Houston Office of Emergency Management (OEM) has been working with local public safety and healthcare agencies to develop a checklist for agencies to ensure their plans meet basic requirements under the rules.

Step 1: Understand the Requirements

This document is intended to aid facilities in creating and/or evaluating an emergency operations plan (EOP) that meets or exceeds the expectations and requirements of local, state, and federal agencies. This document focuses on the Texas Administrative Code (TAC), Title 40 Part 1 Chapter 19, Texas Health and Human Services Licensing Standards for Home and Community Support Service Agencies (LSHCSSA), Subchapter C, Division 3, Section 97.256, and the Centers for Medicare and Medicaid Services (CMS) Emergency Preparedness Rule. Requirements vary based upon the facility type and from whom the facility receives payment (i.e. private pay, state, or federal).

The inclusion of the content found in the checklist below is considered fundamental for healthcare facilities (e.g. nursing homes, assisted living, home health, rehabilitation centers, adult-senior day care, 24/7 surgical centers, etc.) within Houston’s jurisdictional boundaries and may not include additional planning and preparedness requirements uniquely identified on the facility’s “Hazard Vulnerability Analysis (HVA)” assessment or required by federal agencies for developing a comprehensive emergency operations plan (EOP). The facility is responsible for ensuring that appropriate planning and preparedness efforts are taken and evident in the written EOP.

Step 2: Determine your Jurisdiction

The City of Houston's Office of Emergency Management is responsible for coordinating emergency response within the limits of the City of Houston. To find out whether or not your facility is located in Houston, visit the MyCity Address info page at

Search for your address

Look for City of Houston Service Type

If it is listed as "FULL" you are in the City limits. If listed as "LIMITED" or "NONE", you need to contact your local emergency management agency. This may be a neighboring city, or, for unincorporated areas, the County. For a list of agencies, visit

Step 3: Download the Checklist and Review Your Plan

Download the checklist by clicking the link below:
Download the Checklist as a PDF

Review your plan according to the checklist.

Step 4: Submit your Plan for Review

While the Office of Emergency Management (OEM) will review your plan, it is your responsibility to ensure that your plan meets all state and federal requirements, and that it effectively meets the needs of your individual clients. Once you have completed the checklist, email a copy of your plan and the completed checklist to