The understanding and management of the interrelationship between human health, ecological condition, socio-cultural values, and economic well-being of the community and the high-value asset is essential to timely and acceptable restoration. This standard guide is designed to help responsible party(ies) with the identification and integration of affected stakeholders and with the establishment of a process to identify and resolve key issues essential to a satisfactory restoration. The standard guide is presented herein as a “framework” to help ensure that all the restoration planning process components (that is, human health, ecological condition, socio-cultural values and economic well-being) are considered. The framework is designed to allow a user to determine which components of the process are applicable to the restoration problem being addressed, and to establish the level of analytical detail necessary for each component. It provides general guidance to help with the selection of approaches and methods for specific analysis of each of the major restoration planning components (that is, human health, ecological condition, socio-cultural values, and economic well-being). By actively involving affected stakeholders in the restoration decision-making process, it will help the user to orient the process to prioritize and consider the most important issues of those who’s lives are most directly impacted by the consequences of the event and resulting restoration. This not only greatly increases the chances of a successful and acceptable restoration, but will also help promote public trust in the responsible party’s ability to rapidly restore the high-value asset(s).1.1 To ensure a publicly acceptable and timely restoration of an asset contaminated as a result of a natural or man-made disaster, including a terrorist event, it is essential to have a pre-planned strategy developed and tailored at the community level and facilitated by the government which advocates the support and involvement of the affected community during such a crisis period. This pre-planned strategy for restoration will need to be seamlessly incorporated into the overall emergency management process within the community. This guide presents a framework (that is, strategy) for involving the public in a stakeholder-focused, consensus-based event restoration process, for those situations where such involvement is essential to move a stalled (due to stakeholder issues) restoration process forward. This framework is designed to be an event-specific, community-specific process to help prioritize and consider actions necessary to optimize the restoration of an asset contaminated as the result of a disaster. 1.2 This guide is intended to describe a highly flexible restoration planning process, and therefore does not specify or recommend a specific course of action for this activity. 1.3 This guide is intended to assist in the implementation of a restoration planning process allowing a holistic assessment and balancing of the impacts associated with human health, ecology, socio-cultural values, and economic implications. It is intended to be used in alignment with current Federal Emergency Management Agency (FEMA) guidance and other guides and agency procedures and requirements to address specific stakeholder issues and concerns. 1.4 After completing the immediate response and stabilization phase of a disaster that required Federal assistance through establishment of a Joint Field Office (JFO) in accordance with the National Response Plan, mitigation and recovery activities will need to be planned and initiated to address the significant long-term impacts for any contaminated assets in the affected area. This guide provides a process that can be used by the JFO to gain stakeholder consensus on the restoration of these assets. 1.5 The user should consult other restoration-related standards, regulations, and sources for specific methods in the utilization of predictive models or other analysis tools that may be required under a restoration planning assessment. 1.6 Although the implementation of a restoration planning process is intended for use after a disaster occurs, it needs to be an integral part of a community’s pre-event planning activities and incorporated into appropriate community response plans. Identifying the important assets of a community and key stakeholders associated with each respective asset, before an event occurs through a process such as Community Asset Mapping, will help ensure a more efficient restoration process following an actual contamination of the asset in a disastrous event. 1.7 Since restoration planning as proposed in this guide follows a plan established prior to the event, it is important to coordinate asset restoration plans with event preplanning on how to minimize damages to significant assets from uncertain, low-probability, but potentially costly natural and man-made disasters. What will be required for asset restoration will be in part dependent on what measures have been taken to protect those same assets before the extreme event occurs. Guide E2506 provides a three-step protocol for formulating and evaluating risk mitigation strategies for constructed facilities. Assets identified for risk mitigation in the application of Guide E2506 prior to a disaster will likely be assets that the restoration stakeholders using this guide will want to consider restoring in the recovery phase following a disaster. 1.8 This standard guide does not purport to address all of the safety concerns, if any, associated with its use. It is the responsibility of the user of this standard guide to establish appropriate safety and health practices and to determine the applicability of regulatory limitations prior to use.

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4.1 This guide acknowledges the importance of a well-designed disaster recovery plan that will protect health information and business information from damage, minimize disruption, ensure integrity of data, and provide for orderly recovery.4.2 This guide suggests methods to protect the confidentiality and security of healthcare documentation during a disaster.4.3 It is intended that this guide will contribute to compliance with laws and regulations to improve protection of health information documentation and data integrity with the development of the contingency plan requirement.4.4 This guide will explain key points to include in preparing a disaster recovery plan to resume operations and minimize losses due to unscheduled interruption of critical services if a disaster would occur.4.5 This guide is intended to assist in the development of appropriate policies and procedures that provide protection for individually identifiable health information in a secure environment in the event of a disaster.1.1 This guide applies across multiple medical transcription settings in which healthcare documents are generated and stored: medical transcription departments, home offices, and medical transcription service organizations (MTSOs). Currently there is no standard disaster recovery plan in the medical transcription industry to provide guidelines for individuals, departments, and businesses to use for designing a disaster recovery plan for their medical transcription environment.1.2 A disaster is when a sudden event brings great damage, loss, destruction, or interruption of critical services. These guidelines could assist in developing an organized response to reduce the time for loss of services, maintain continuity of workflow, and speed the overall business recovery process.1.3 This guide supports the HIPAA Security Rule for ensuring data integrity with a contingency plan to include a data backup plan, a disaster recovery plan, and an emergency mode operational plan.21.4 This guide is consistent with the requirement for disaster planning and recovery procedures as stated in Guide E1959.1.5 This guide is not intended as a disaster recovery plan for Health Information Management Departments or for an entire healthcare facility.

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Searching vacant or collapsed structures, or both, is an important part of emergency disaster response. A uniform marking system easily identifies, from the outside of structures, the number and status of any subjects found, hazards, and the time of the search. The use of this methodology will reduce duplicate searches and wasted rescue efforts.This methodology is also used at each interior space or room searched.1.1 This practice covers the methodology for marking buildings that have been searched during disaster responses.1.2 This standard does not purport to address all of the safety concerns, if any, associated with its use. It is the responsibility of the user of this standard to establish appropriate safety and health practices and determine the applicability of regulatory limitations prior to use.

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