Be wary about using fire drills as emergency management tests
I was recently asked whether fire drills could count towards The Joint Commission’s requirements for emergency management tests under EM.03.01.03.
I suppose if you evaluated a fire drill to the extent called for under EM.03.01.03, including monitoring of the key response capabilities, you might — and I can not emphasize enough “might” — be able to use a fire drill to fulfill the provisions.
But if an internal fire is not high on your hazard vulnerability analysis (HVA) list, then you could expect a fair amount of pushback during survey if you use a fire drill as an emergency management test.
The HVA is the real driver when it comes to planning exercise scenarios, and if fire doesn’t measure up (and I imagine most organizations would not be particularly vulnerable to fire, although that is clearly the call of the hospital), then you would have a lot of ’splaining to do.



