A security management plan describes how the organization will establish and maintain a security management program to protect staff, patients, and visitors from harm. The plan provides processes for

a. Leadership’s designation of personnel responsible for developing, implementing, and monitoring the security management plan;

b. Addressing security issues concerning patients, visitors, personnel, and property;

c. Reporting and investigating all security incidents involving patients, visitors, and staff;

e. Controlling access to and egress from sensitive areas, as determined by the organization; and In addition, the plan establishes

g. A security orientation and education program that addresses:

1. Processes for minimizing security risks for personnel in security sensitive areas;

2. Emergency procedures followed during security incidents and

3. Processes for reporting security incidents involving patients, visitors, personnel, and property;

h. Emergency security procedures that address

1. Actions taken in the event of a security incident or failure,

2. Handling of civil disturbances,

3. Handling of situations involving VIPs or the media, and

4. Provision of additional staff to control human and vehicle traffic in and around the environment of care during disasters; and

j. How an annual evaluation of the security management plan’s objectives, scope, and performance, and effectiveness will occur.