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who are required to comply with HIP AA regulations will receive confidential medical <br />information relating to the investigation or response. <br />IX. COMMUNICATIONS: <br />KCPHD has access to 2417 support services and resources outside of the department, which <br />require communication in a timely manner. Communication may be through various means <br />including by fax, telephone landline, satellite phone, and in person requests. Communications <br />procedures are outlined in the Communications Annex, Annex E. Call down lists for 2417 <br />support services <br />X. ADMINISTRATION, FINANCE, AND LOGISTICS: <br />Memorandum of Understandings as well as local resources will be utilized first in response to <br />emergencies. KCPHD and Kittitas County polices for financial accounting and auditing will be <br />adhered to in regards to financial records, reporting, and tracking resources. All financial <br />records will be kept in accordance with archiving requirements. Special purchasing policies <br />under Kittitas County will require a Board of County Commissioners' declaration of emergency <br />in order to utilize. <br />Xl. PLAN DEVELOPMENT AND MAINTENANCE: <br />A. Training regarding this plan will be performed regularly as staff time and personnel permit. <br />B. This plan will be exercised, evaluated, and updated at least once annually hased on after <br />action reports completed after KCPHD and/or county wide drills and exercises. Evaluations will <br />include improvements as a result from exercise analysis completed and challenges identified. <br />Updates will be based on recommended changes. <br />C. Recommended changes to this plan should be submitted to the Local Emergency Response <br />Specialist at KCPHD, located at 507 N Nanum Street Suite 102 in Ellensburg, Washington, <br />98926. The phone number is 509-962-7515. Post exercise and or/incident debriefing will be <br />utilized to review effectiveness and need for revision of this plan. The report will recommend <br />changes, which will be incorporated immediately. <br />D. At a minimum, this plan will be reviewed by the Kittitas County Emergency Management <br />Council after annual review and the Local Emergency Response Specialist is responsible for the <br />annual review of the Emergency Operation Plan. Updated plans must be sent to the Region 7 <br />Emergency Response Coordinator and to the Kittitas County Emergency Management via <br />Kittitas County Sheriffs Office (KCSO). <br />16 <br />.'