Loss of Community Support
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Loss of Community Support Plan

Loss of Community Support is a sustained disruption, failure, or loss of support from the local community affecting hospital’s communications, resources and assets, staffing, utilities, safety and security, and/or clinical support activities lasting at least 96 hours.

The Loss of Community Support Plan is a planning document that augments the hospital’s existing Emergency Operations Plan and incorporates the fundamental principles of all-hazards emergency management.  The Loss of Community Support Plan provides a framework to help sustain hospital functions during the initial 96-hour period following an event that significantly interrupts normal community operations and support.

Strategies outlined in this annex will provide the hospital with options that promote institutional resiliency to withstand an event that disrupts community support for an extended period of time.


The hospital forms a cross-functional, multi-disciplinary planning team that can be actively engaged for the duration of the project. The Loss of Community Support Plan development process leverages a highly-collaborative planning model that is facilitated by DQE through a series of remote and/or on-site consultation and utilizes a proprietary planning tool that focuses on:

  • Providing continuity of patient care and the effective and efficient allocation of resources
  • Conserving and protecting available resources
  • Prioritizing and allocating scarce resources
  • Supplementing available resources and staff from nontraditional sources
  • Ensuring the safety of staff, patients, and building occupants
  • Resuming normal operations when an effective environment of care can be re-established


The Hospital Loss of Community Support Plan Annex addresses:

  • Mitigation measures, preparedness activities, response actions, and recovery strategies
  • Plan Activation Criteria and Concept of Operations that includes: conserving resources, curtailing services, altering standards of care, supplementing resources and evacuating the hospital
  • Strategies and decision flowcharts for managing the following: communication, resource and assets, safety and security, staff responsibilities, utility management, and patient clinical and support activities
  • Planning tools for the development and identification of department-specific, mission essential functions