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Hospital Disaster Preparedness Self-Assessment Tool: Clinical Operations Mobile App

The Hospital Disaster Preparedness Self-Assessment Tool: Clinical Operations mobile app tool was developed to assist hospitals in revising and updating existing disaster plans or in the development of new plans. The tool was originally used by a subject matter expert survey team to collect data for a Department of Homeland Security (DHS) grant so it is constructed in a survey format. This app can also be utilized in a self-assessment format by the institution in the review of their disaster plans. This app documents the Clinical Operations. You are under no obligation to share apps you create with GoCanvas.

  • Lendlease
  • The Cooperative
  • PG&E
  • Red Bull
  • Mirvac

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Take a peek inside the Hospital Disaster Preparedness Self-Assessment Tool: Clinical Operations Mobile App

Included Features

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Included Fields

Customize to add, remove, or edit any of the fields below.

  • Ico textbox

    Hospital:

  • Ico multiline

    Address:

  • Ico textbox

    Administrator/CEO name and title:

  • Ico textbox

    Office Telephone Number:

  • Ico textbox

    Fax Number:

  • Ico textbox

    E-Mail:

  • Ico textbox

    Disaster Planning Manager name and title:

  • Ico textbox

    Department:

  • Ico textbox

    Office Telephone Number:

  • Ico textbox

    E-Mail:

  • Ico integer

    Position held for: years and/or months

  • Ico checkbox

    Full-time

  • Ico checkbox

    Part-time

  • Ico textbox

    Fax Number:

  • Ico textbox

    Person Completing Survey:

  • Ico textbox

    Name and Title:

  • Ico textbox

    Department:

  • Ico textbox

    Office Telephone Number:

  • Ico textbox

    E-Mail:

  • Ico textbox

    Fax Number:

  • Ico textbox

    Secondary Contact for Survey:

  • Ico textbox

    Name and Title:

  • Ico textbox

    Department:

  • Ico textbox

    Office Telephone Number:

  • Ico textbox

    E-Mail:

  • Ico textbox

    Fax Number:

  • Ico checkbox

    Facility has MOU’s with local EMS for patient transport.

  • Ico checkbox

    a.

  • ...and More!

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