Emergency Management Program

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1 Emergency Management Program Community Health Centers The University of South Alabama Center for Strategic Health Innovation University of South Alabama Center For Strategic Health Innovation. All Rights Reserved. These slides are a part of the ARRTC program and cannot be reproduced for commercial purposes.

2 Facts In 2012, 219,220 residents of public housing were served by health center program grantees. 1 Low-income, minority communities often suffer disproportionately from disasters because they lack adequate resources to prepare for and recover from disasters, such as funds to board up their house, a car to evacuate, or a place to stay if they must leave their home. 2 Many low-income families live in areas prone to natural disasters. 2

3 Facts In a survey of web sites that provide information on emergency preparedness 3 : 49.5% make no mention of racial/ethnic minorities; 37.9% acknowledge the importance of preparedness as it concerns these populations; 12.6% provide information, materials, or publications that focus wholly or largely on preparing diverse communities. Preparedness strategies need to recognize factors related to: culture, language, literacy, and trust.

4 Emergency Management Program Community Health Centers The University of South Alabama Center for Strategic Health Innovation University of South Alabama Center For Strategic Health Innovation. All Rights Reserved. These slides are a part of the ARRTC program and cannot be reproduced for commercial purposes.

5 Topics for today: 1. NIMS for CHCs 2. Incident Command for CHCs 3. Planning Guide for CHCs 4. Chemical Hazards 5. Decontamination Procedures 6. Personal Protection Equipment 7. Surge Capacity and Resource Management 8. Hazard Threat Vulnerability Assessment 9. University of South Alabama Preparedness Training 10. Questions

6 NIMS - National Incident Management System A standardized, all-hazard incident and resource management concept A national approach to incident management that is applicable to all jurisdictional levels Applicable across a full spectrum of incidents and scenarios, regardless of size Improve coordination and cooperation between public and private entities Response actions will be based on the ICS system All Response Agencies must comply with NIMS

7 NIMS - National Incident Management System Established to create uniformity: Organization Structure (ICS) Plans Training/Exercises Resources Communications/Technology ORGANIZATION

8 NIMS Implementation Requirements Activities for Health Care Agencies July 1, 2012 Consists of 11 Elements

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10 ICS Incident Command System

11 Incident Command System (ICS) Model Incident Commander Public Information Officer Safety & Security Officer Liaison Officer Command Staff Logistics Section Chief Planning Section Chief Finance/Admin Section Chief Operations Section Chief General Staff

12 Incident Command CHC Incident Commander [Administrator] June 2012 Liaison Officer (Facility Representative) [Nursing Director] Pubic Information (Media/Public Relations) [PIO/Administrator] Medical/Technical Specialists [Medical Director] Safety Officer (Facility Safety Prgm) [Maintenance] Operations Chief [Medical Director] Planning Chief [Asst. Administrator] Logistics Chief [Asst Administrator] Finance Chief [Business Mgr.] Medical Care (Healthcare Services) [Nursing Director] Infrastructure (Facility Management) [Maintenance] Security (Campus Security) [Security/Maintenance] Situation Unit (Information Manager) [? Admin?] Documentation (Information Records) [Med. Records Dir.] Services (Essential Services) [? Director?] Support (Essential Resources) [? Director?] Personnel Time (Employee/Volunteer Time Accounting) [Payroll Dept.] Procurement/ Claims/Costs (Obtaining Resources) [Risk/QM] Staging (Resource Gathering) [? Director?] * Suggested Positions ICS vs. Daily Duties

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15 Chemical / Radiological Agent and Blast/Explosion Awareness The University of South Alabama National Center for Disaster Medical Response And Center for Strategic Health Innovation University of South Alabama National Center for Disaster Medical Response. All Rights Reserved. These slides are a part of the NCDMR program and cannot be reproduced for commercial purposes.

16 Sources of Chemical / Radiation / Blasts-Explosions Chemical s Radiation Blast Explosion Industrial*** X X X Military X X X The most likely sources of toxic releases will be primarily accidental from industry or transportation Terrorist Activities Nuclear Power Plants Medical Facilities Vehicular Transportati on** Government Facilities X X X X X X X X X X X X X X X Least likely toxic releases will be from chemical/radiological warfare or nuclear power plant melt downs

17 Healthcare Facilities as First Receivers Chemical Decontamination and Personal Protective Equipment The University of South Alabama National Center for Disaster Medical Response And Center for Strategic Health Innovation University of South Alabama National Center for Disaster Medical Response. All Rights Reserved. These slides are a part of the NCDMR program and cannot be reproduced for commercial purposes.

18 Who is a First Receiver? Healthcare Facility First Receivers Employees at a healthcare facility engaged in decontamination and treatment of victims who have been contaminated by hazardous substance during an emergency incident The incident usually occurs at a site other than the facility First Receivers are a subset of First Responders (initial responders)

19 Levels of PPE Level C: Uses an air-purifying respirator as opposed to a SCBA Skin and eye protection is the same as for Level A & B Level C gear is used only when the chemical agent is known and does not warrant a higher level of protection

20 Level C

21 Surge Capacity And Resource Management The University of South Alabama Center for Strategic Health Innovation University of South Alabama Center For Strategic Health Innovation. All Rights Reserved. These slides are a part of the ARRTC program and cannot be reproduced for commercial purposes.

22 What is Surge Capacity? The ability of a healthcare system to rapidly expand beyond normal services To meet sudden or sustained increased demand for medical care To meet the demands of public health resource needs in response to a disaster or large-scale event Receiving patients (or residents) from other facilities to provide capacity and capability Can also be described as surging out evacuation

23 Hazard Threat Vulnerability Assessment Purpose of the analysis is to identify what hazards pose the greatest threat to: Community Facility - Hospital, Nursing Home, CHC, etc.. Employees The information gathered from the HVA is the foundational basis of your Disaster Plan and your Continuity of Operations Planning If you identify all of the things that can happen to your communitythen you will have a pretty good idea of what may also happen to your facility/hospital/agency/employees!

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25 Once HTVA Complete Ensure your Emergency Operations Plan is complete and includes the following components: Plans and Procedures Identification of Essential Functions Delegations of Authority Orders of Succession Alternate Facilities Interoperable Communications Vital Records and Databases Tests, Training and Exercise Note: Emergency Operations Plan is your Continuity of Operations Plan!!

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27 Basic Course On Campus 2-Day Course & Road Show Course Onsite 1-Day Course Surge Capacity and Resource Management Hazard Threat Vulnerability Assessment & Disaster Response Plans Introduction to ICS/NIMS/NRF/IS Courses & NIMS Updates Biological Awareness Chemical/Radiological Awareness Patient Decontamination Decontamination Personal Protective Equipment Blast/Explosive Awareness Fatality Management Plans Active Shooter Awareness Disaster Plans & the Planning Process Altered Standards of Care Future Threats: Industrial, Technological & Hybrid Events Rapid Assessment and Disaster Triage Methods Strategic National Stockpile and Points of Distribution Medical Reserve Corps Emergency Needs Shelters Healthcare Coalitions & Emergency Operations Centers Alabama Incident Management System (AIMS) Evacuation Plans & the Planning Process

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29 Simulation Course On Campus 1-Day Course Mass Casualty Triage Impaled Objects Crush Injuries Amputations Pediatric Trauma Chemical Exposure and Decontamination Customized Scenarios

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31 Healthcare Emergency Planner Professional Certification Course On Campus and Distance Learning In development this year, plans to host first class in the Spring of 2014.

32 Questions? National Center for Disaster Medical Response (NCDMR) Advanced Regional Response Training Center (ARRTC) University of South Alabama Mobile, Alabama David Wallace, Director, Preparedness Training Carolyn Ross, Associate Director, Preparedness Training

33 Q&A If you would like to ask the presenter a question please submit it through the questions box on your control panel If you are dialed in through your telephone and would like to verbally ask the presenter a question, use the raise hand icon on your control panel and your line will be unmuted.

34 Resources Emergency preparedness toolkit framework Emergency preparedness resources For Health Centers Emergency Preparedness Toolkit for Community Health Centers & Community Practice Sites

35 Contact Us Dr. Jose Leon Clinical Quality Manager Rachel Logan, MPH Health Research Assistant Warren Brown Resource Manager Johnette Peyton, MS, MPH, CHES Health Promotion Project Manager Joy Oguntimein, MPH Health Research and Policy Analyst Devon LaPoint Management Analyst Please contact our team for Training and Technical Support

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