O-12-930 Emergency Plan Cross-Reference Tipsheet
π― Purpose
Identifies the corresponding areas within PointCare and Admission Paperwork where the Client's Emergency Plan is captured. Intended to be used as a tool to ensure that the documentation in the medical record coincides with the plan in the Client Calendar/Individualized Plan of Care.
π Process
The Emergency Plan is documented in the following locations:
- Start of Care (SOC) Assessment (PointCare)
- Emergency Plan/Responsible Party Form (Admission Packet β Electronic Form via Forcura)
- Client Calendar/Individualized Plan of Care (Admission Packet β Paper Form)
Emergency Plan/Responsible Party:
Completed electronically by SOC clinician via Forcura Mobile Application. After completion, this form is mailed out to clientβs home following receipt and review in the office.
Designation of Essential vs Non-Essential Services:

Emergency Contact/Responsible Party/Primary Caregiver Information:

Client Calendar/Individualized Plan of Care:
Paper copy filled out and left in clientβs home chart at the time of the SOC so it is immediately available following the SOC assessment.
Disaster Risk, Individualized Client Emergency Preparedness Plan, Plan of Action

Vendor Contact Information:

SOC Assessment (PointCare):
Clinician will document assessment findings and establish the Emergency Preparedness plan within their SOC Assessment. Following a SOC, it can subsequently be updated in the back office as needed as well.
Designation of Essential vs Non Essential, Disaster Risk, Individualized Emergency Preparedness Plan/Plan of Action:
In SOC Assessment, go to Visit Actions β Demographics (this is a required field on the SOC):

Select Emergency Preparedness:

Select Edit:

Enter an Evacuation Location:

Select Acuity Status and choose from Low, Average, High Risk:

Select Disaster Risk and choose from Essential vs Non Essential:

Emergency Contact/Responsible Party/Primary Caregiver Information/Other Contacts (ie. Vendors):
In Visit Actions β Demographics, select Contacts:

Select Edit to Add New or Edit existing contact information:

Select Add to add new:

Select

π Effective: 05/07/2024ββ|βββ Approved by: AM













