Partnerships: An Essential Piece of Emergency Preparedness

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1 Partnerships: An Essential Piece of Emergency Preparedness

2 Prevent Recover Protect Respond Mitigate National Preparedness goal, 2011 A secure and resilient nation with the capabilities required across the whole community to prevent, protect against, mitigate, respond to, and recover from the threats and hazards that pose the greatest risk

3 All Hazards

4 Engaging the whole community is critical to successfully achieving a secure and resilient Nation. (U.S. Department of Homeland Security, 2013)

5 Whole Community?

6 The Big Picture Healthcare Response

7 Local & Regional Partnerships

8 83 Counties 45 Local Health Dept Emergency Preparedness 12 Federally Recognized Tribes 110 Emergency Mgmt Programs 191 Hospitals 440 LTC facilities 800 Life Support Agencies >300 FQHC,MHC,RHC Regions

9 Hospital Representatives Emergency Management EMS (Fire and Private) FQHCs Health Departments Industry (BC/BS, GM) Law Enforcement (Local, Sheriff & FBI) LEPCs Long Term Care Emergency Preparedness RegionsEmergency Preparedness Regions MCAs Medical Examiner MMRS Poison Control LHD Immunization Coordinator Epidemiologist Strategic National Stockpile Coordinator Public Information Red Cross

10 Regional Resources Currently in Place Pharmaceutical Caches MEDDRUN & CHEMPACK Redundant Communications PPE Decontamination Equipment Patient Tracking Evacuation Equipment

11 MI Transportable Emergency Surge Assistance Medical Unit

12

13 Mobile Field Medical Teams 1 Medical Unit Team Leader 1 Physician 1 Physician Assistant/Advanced Practice Nurse 6 Registered Nurses 1 Respiratory Therapist 2 EMT s and 2 Paramedics or 4 Patient Care Technicians/Certified Nursing Assistants Other Members: 1 Pharmacist 1 Pharmacist Technician 1 Case Manager

14 Volunteer Management Centralized resource for all volunteer information Registration, credentialing, deployment Approximately 8,000 registrants Licensed (50%), Unlicensed & General Support MI-MORT, MI-SART, and Citizen Corps Programs Meets National ESAR-VHP guidelines

15 Medical Reserve Corps Units

16 Mass Casualty Incident Burn Plan State Burn Coordinating Center University of Michigan Burn Centers Burn Surge Facilities Team/Equipment/Supplies: Flight nurse for acute and critical care expertise Burn nurse with special wound care expertise Surgeon with burn experience General and plastic surgery chief residents Pilot/driver

17

18 2005 MIHAN Roll Out to LTC Long Term Care Project October 2008 Mailed Toolkit and DVD to all MI LTC Facilities TIMELINE 2010 Needs Assessment Fielded to LTC Facilities st Statewide LTC Conference Oct st Drafting EP Survey & Investigative Protocols October 2013 EP Survey Protocol in effect 2007 Statewide Workgroup Established 2009 Emergency Preparedness Grant Pilot Project 2011 LTC Emergency Preparedness Website went Live April 2012 Purchased Quickseries Books for LTC April 2013 Began Statewide Trainings on EP Survey Protocol

19 MI Ethical Guidelines for Allocation of Scarce Medical Resources During Public Health Emergencies

20 Training & Exercising

21 FEMA, The fact that we ve worked together and practiced together, not just as individual hospitals, really affected our response. Paul Biddinger Lessons in Emergency Preparedness After Boston Bombings, Iowa Public Radio.

22 State Agency Partnerships

23 SEOC

24 Emergency Management Homeland Security Division PA 390 Michigan Emergency Management Plan Security Drills and Exercises Training and Education

25 Mass Care-Sheltering At Risk Populations School Safety Project-Mental Health/Prevention

26 L2K Professional License Verification Expedited nursing licensure during recent fungal meningitis outbreak Waivers during an incident Contact information regarding licensed facilities Long Term Care Emergency Preparedness Survey Project

27 Professional Organization & NGO Partnerships

28 Mass Fatality Management

29 Inter-State Partnerships

30 Great Lakes Healthcare Partnership

31 GLHP Burn Bed Capacity (Lack Of) Indiana Illinois Michigan Minnesota Ohio Wisconsin 6,589,802 = 325 patients 12,869,256 = 640 patients 9,876,187 = 500 patients 5,403,925 = 270 patients 11,736,504 = 585 patients 5,726,986 = 285 patients Total U.S. burn beds = 1820 (20-30% available daily)

32 Federal Partnerships

33 Assistant Secretary for Preparedness & Response Centers for Disease Control & Prevention

34 International Partnerships

35 Disease Outbreaks A virus anywhere is just a plane ride away CDC Director Dr. Tom Frieden

36

37 Linda Scott, RN, BSN, MA

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