A licensed acute general hospital or special hospital shall comply with the Emergency Management standards outlined in The Joint Commission’s Hospital Accreditation Standards. A licensee shall prepare an executive summary of the hospital's evacuation procedures to provide to a patient, family member, or legal representative upon request. The summary shall: Describe the hospital's Emergency Operation Plan (EOP), which is discussed throughout the Emergency Management standards cited in §A(1) of this regulation; and Describe the role and responsibilities of a patient, family member, or legal representative in the event of an emergency situation. A licensee shall have a tracking system to assist the hospital, family members, government representatives, and other authorized stakeholders, to locate and identify patients in the event of displacement due to an emergency or disaster.