Guideline to Memorandum of Understanding (MOU)

AHCA/NCAL - Facility to Facility MOU - Outline of Key Elements (2012)
A Guide to MOU Negotiation and Development

San Diego County Model:

Santa Clara County Emergency Medical Services Agency Allied Healthcare Facilities Work Group:
Emergency Preparedness and Planning Toolkit for Long-Term Care Providers (pdf)

North Dakota Model:
MOU - North Dakota Nursing Facilities: Payment Guidelines for Resident Care Following Evacuation
Model Facility Evacuation Agreement
Sample MOA for LTC During an Emergency

Georgia Model:

Georgia Mutual Aid Compact (pdf)

San Joaquin County Model:

San Joaquin County EMS Agency, with a group of dedicated long-term care providers and other planning partners such as fire and law, have diligently revised their Long-Term Care Evacuation Plan.  This county-wide plan is a high quality positive practice that takes a multi-disciplinary approach to:

1.  Emergent Evacuation;
2.  Slower Onset Evacuation;
3.  Single-Facility Evacuation; and
4.  Widespread/Multi-Facility Evacuation.

This plan was distributed to all long-term care providers in the San Joaquin County in January and February 2008, and the contents of the CD, including the plan and many helpful tools, are included below. Local planners and long-term care should review this information.

Stanislaus County Model:

Stanislaus County has been working with long-term care providers to develop Memorandum of Understanding (MOU) that are used voluntarily at the time of an emergency to facilitate the transfer of residents between their home facility and a new facility if evacuation becomes necessary. This type of mutual assistance smooths out many evacuation issues, particularly when MOU are developed between several facilities. Planners and providers should review this work as well.

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