Sample Templates and Toolkits

Below are some sample templates and toolkits that you can use to help develop your own policies and plans for disasters, emergency situations, and special incidents.
Wisconsin Extreme Heat Toolkit (Adobe pdf)

Long Term Care Facilities
Long Term Care: Nursing and Skilled Nursing Facilities Toolkit, P-01948 (PDF)
Long Term Care: Nursing and Skilled Nursing Facilities Workbook, P-01948AW (DOC)
Additional CMS Rule Preparedness Toolkits
Long Term Care Facility self-assessment tool

Clinics and Community Health
Ambulatory Surgery
Ambulatory Surgical Center Toolkit, P-01948E (PDF) 
Ambulatory Surgical Center Workbook, P-01948EW (DOC)
Dialysis
End Stage Renal Disease Facilities (Dialysis) Toolkit, P-01948I (PDF)
End Stage Renal Disease Facilities (Dialysis) Workbook, P-01948IW (DOC)
Home Health
Home Health Agencies Toolkit, P-01948G (PDF)
Home Health Agencies Workbook, P-01948GW (DOC)
Hospice
Hospice Toolkit, P-01948H (PDF)
Hospice Workbook, P-01948HW (DOC)
Rural Health Clinics/ Federally Qualified Health Centers
Rural Health Clinic / Federally Qualified Health Center Toolkit, P-01948C (PDF)
Rural Health Clinic / Federally Qualified Health Center Workbook, P-01948CW (DOC)

Hospitals & Health Systems
Hospitals
Hospitals Toolkit, P-01948B (PDF)|
Hospitals Workbook, P-01948BW (DOC)