Plan Development
Example BoK 5 PD #1
1. What was performed?
- After each department has confirmed and agreed on the strategies for risk mitigation and recovery, each head of the department is required to draft and formulate an SOP and Work Instruction.
- To date, we had developed various plans with the relevant parties which includes but are not limited to:
- Emergency Management Plan
- Process Owner Chief Operating Officer
- Terrorism Incident Management Plan
- Process Owner Heads of Security
- Fire Emergency Plan / Emergency Response Plan
- Process Owner Fire Safety Manager
- Pandemic Response Plan
- Process Owner Infection Control Officer
- Department Mitigation and Recovery Plan
- Process Owner all Heads of Department
- Emergency Management Plan
2. When was it done?
- As the hospital’s Joint Commission International (JCI) champion from 201x to the present, it has been my role to work with all the heads of department and nurse leaders to develop and review new and existing policies.
- Since 201x, I stepped up to be the Vice-Chair for Facility Management & Safety (FMS) committee. My additional role requires me to work with other sisters’ hospital management to develop and review the respective policies as well. The review of policies has been taken place between June to August of the year.
3. How was it carried out?
The team will select the top three highest risk ratings to focus on.
- As the FMS Committee Vice-Chair, I worked with respective hospital’s Heads to ensure those strategies mapped out are listed in the policies and it is relevant and achievable operationally. The objective and requirements are also to aligned and met Joint Commission International standards.
- The policies are then reviewed by the committee members, endorsed by FMS Chairman and approved by the hospital’s CEO. All the plans will have complied and subsequently used for the planning of tests and exercise.