EMERGENCY SUPPORT FUNCTION 8: PUBLIC HEALTH AND MEDICAL SERVICES PREPAREDNESS

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1 Planning & Operations Preparedness & Coordination Training & Outreach EMERGENCY SUPPORT FUNCTION 8: PUBLIC HEALTH AND MEDICAL SERVICES PREPAREDNESS Wednesday, August 21, 2013 American Red Cross Disaster Preparedness Summit S. Atyia Martin, Director

2 OVERVIEW Overview Office of Public Health Preparedness Boston Public Health & Healthcare System Preparedness Response and Recovery Lessons Learned

3 BPHC ORGANIZATIONAL STRUCTURE Executive Office Addictions Prevention, Treatment and Recovery Support Services Office of Public Health Preparedness Chief of Staff Communications Policy & Planning Emergency Shelter Commission Administration & Finance Information Technology Services Intergovernmental Relations Consortium for Professional Development Research & Evaluation Child, Adolescent, and Family Health Community Initiatives Emergency Medical Services Homeless Services Infectious Disease

4 PUBLIC HEALTH & HEALTHCARE CAPABILITIES PUBLIC HEALTH PREPAREDNESS CAPABILITIES 1. Community Preparedness 2. Community Recovery 3. Emergency Operations Coordination HEALTHCARE PREPAREDNESS CAPABILITES Healthcare System Preparedness.1 Healthcare System Recovery.2 Emergency Operations Coordination.3 4. Emergency Public Information and Warning 5. Fatality Management 6. Information Sharing Fatality Management.4 Information Sharing.5 7. Mass Care 8. Medical Countermeasure Dispensing 9. Medical Materiel Management and Distribution 10. Medical Surge Medical Surge Non-Pharmaceutical Interventions 12. Public Health Laboratory Testing 13. Public Health Surveillance & Epidemiological Investigation 14. Responder Safety & Health 15. Volunteer Management Responder Safety & Health.7 Volunteer Management.8

5 OPHP FUNCTIONAL AREAS

6 BOSTON HEALTHCARE SYSTEM 1 Municipal Ambulance Services 350 EMTs & Paramedics Mutual Aid Agreements with Private Ambulance Services 20 Licensed Hospitals 12 Acute Care 6 Trauma Centers 23 Community Health Centers 1 st Launched in Boston in Expansive Long Term Care, Home Health, Specialty Care, Mental Health

7 BOSTON HEALTHCARE PREPAREDNESS COALITION Strengthen medical surge capacities and capabilities Build relationships and partnerships Facilitate communication, information and resource sharing Maximize movement and utilization of existing resources Coordinate training, drills and exercises

8 COMMUNITY PREPAREDNESS INITIATIVE: BOSTON HEALTH RESILIENCE NETWORK

9 EDUCATION & TRAINING: DELVALLE INSTITUTE FOR EMERGENCY PREPAREDNESS Est ,000+ Trained Public Safety Healthcare Emergency Management Volunteers 25 Classroom Courses 111 Total 5 Online 8 e-learning Webinars 9

10 EXERCISES & REAL WORLD EVENTS Hurricane Sandy (Oct. 2012) Urban Shield Boston (Nov. 2012) MBTA Green Line Crash (Nov. 2012) Flu Public Health Emergency (Jan. 2013) Tour Bus Crash (Feb. 2013) Blizzard of 2013 (Feb.) Boston Bombings (April 2013) Special Events o Boston Marathon o Independence Day o First Night 10

11 RESPONSE & RECOVERY ROLES STEPHEN M. LAWLOR MEDICAL INTELLIGENCE CENTER Boston Public Health Commission Department Operations Center (DOC) Emergency Support Function Boston 8: Public Health Emergency & Medical Medical Services Services Operations Multi-Agency Resource Coordination Center (MACC)

12 MIC INCIDENT COMMAND SYSTEM STRUCTURE MIC Manager Public Information Officer Liaison Officer EOC ESF-8 Officer Operations Section Chief Planning Section Chief Logistics Section Chief Finance and Administration Section Chief Public Health Branch Director Resources Unit Leader MIC Support Branch Director General Counsel Group Supervisor EMS Branch Director Situation Unit Leader BPHC Support Branch Director Budget & Finance Group Supervisor Healthcare Systems Branch Director Documentation Unit Leader Emergency Staffing Branch Director Labor and Employment Group Supervisor Recovery Services Branch Director Demobilization Unit Leader Human Resources Group Supervisor

13 ACTIVATION TRIGGERS City of Boston Emergency Operations Center activation Request from an ESF 8 resource or partner Felt event Proactive Exercises or drills

14 RESPONSE OPERATIONS Level 4 (Low) Level 3 (Medium) Level 2 (High) Level 1 (Full) * ** Virtual Virtual Partial Physical Full Physical *This picture is the work of Christopher Schmidt, licensed under a Creative Commons Attribution 2.0 License. **This picture is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 2.0 License.

15 SITUATIONAL AWARENESS & INFORMATION SHARING Situational Awareness Resource Coordination Human Services Coordination ESF 8: Public Health & Medical Services Local, State, and Federal Partners Summarized Information MIC

16 RESOURCE COORDINATION Situational Awareness Resource Coordination Human Services Coordination Does NOT direct or control activities between member or other healthcare organizations Does facilitate established processes for resource support

17 HUMAN SERVICES COORDINATION Situational Awareness Resource Coordination Human Services Coordination Family Support Social Connectedness Medical Family Reunification Connection to Resources Mental Health Support Medical Services Basic Needs Food Shelter Clothing Transportation

18 BOSTON BOMBINGS: PUBLIC HEALTH & HUMAN SERVICES RESPONSE AND RECOVERY

19 OVERALL INCIDENT OBJECTIVES Activate the MIC to support Emergency Support Function 8: Health and Medical Services (ESF 8) in the City of Boston for the Boston Marathon Provide technical assistance and training for Emergency Tracking System (ETS) operations Provide ongoing situational awareness and support to appropriate ESF 8 partners

20 MIC STAFFING CHART

21 PRE-INCIDENT (FIRST) SITUATION BRIEFING

22 PRE-BOMBING RESPONSE SUMMARY 800MHz Radios Connectivity between MIC and Medical Tents WebEOC City of Boston Mass. Emergency Management Mass. Dept. of Public Health Family Reunification 77 recorded requests Patient Tracking 523 Patients Seen 193 Active, 330 Discharged 8 Transports (some non-marathon related) Resource/Staff/Volunteer Tracking SitBrief #2 at 1400hrs. 22

23 MONDAY, APRIL 15, 2013: BOMBINGS OCCUR

24 MIC COORDINATED /SUPPORTED OPERATIONS ESF-8 MACC OPHP Boston EMS Mass. DPH U.S. HHS COBTH American Red Cross Situational Awareness Resource Coordination Mental Health Requests from Partners Family Reunification Human Services Coordination Demobilization & Transition Planning 24

25 SERVICES DONATIONS & COORDINATION Coordinating Agencies: Boston Public Health Commission Mayor s Hotline One Fund Mayor s Office of Emergency Management Hospitals American Red Cross FBI Victim Assistance Massachusetts Office of Victim Assistance U.S. Attorney s Office Donations by Category 25

26 MIC MENTAL HEALTH COORDINATION 207 Sessions Held Over 1500 Served 600+ Hours Mental Health Sessions Service Providers Boston Public Health Commission Mass. Dept. of Mental Health Riverside Community Care 11% 7% 5% 13% 12% 2% BAA BPHC Community First Responders American Red Cross 50% Hospitals Salvation Army U.S. Health & Human Services Mental Health Team Schools Survivors BPHC Surveillance Hospital EDs for PTSD, Suicidal Intention, and Anxiety

27 BOSTON FAMILY ASSISTANCE CENTER THURSDAY, APRIL 17 Boston Public Health Commission American Red Cross FBI Victim Assistance Massachusetts Office of Victim Assistance U.S. Attorney s Office U.S. Health and Human Services Boston Police Department Victim Assistance Public Safety Details: Boston Police, Boston EMS, State Police Over 90 individuals (victims and/or family members) assisted

28 SHELTER-IN-PLACE IMPACT FRIDAY, APRIL 18 Situational Awareness Clarification of Shelterin-Place Order Coordination with MDPH for Consistent Messaging Assess and Mitigate Impact to Public Health & Healthcare Systems Operations OPHP / MIC Staffing BPHC Essential Services U.S. HHS Team and FAC Suspended Operations

29 COPLEY SQUARE RE-ENTRY APRIL 23-24, 2013 Phase 1: Decontamination & Testing Phase 2: Structural Building Assessment. Phase 3: Debris Removal Phase 4: Internal Building Assessment Phase 5: Re-Entry, Communications, & Counseling April 23, 1:00PM Family Assistance Center Investigative and Support Services Briefing for Survivors and Families April 23, 5:30PM Copley Square handed over to City of Boston from FBI. Begin transition of residents and businesses. April 23, 6:30PM Private Ceremony for Patient and Families. April 24, 8:00AM Re-opened to general public. 29

30 MIC ACTIVATION: BOSTON BOMBINGS

31 RESPONSE & RECOVERY SNAPSHOT Boston EMS Transported Over 90 Patients in 30 Minutes MIC Developed and Disseminated 22 Situation Briefings MIC/OPHP Tracked 281 Patients Facilitated Access to Services via FAC to over 80 Survivors and/or Family Members Mayor s Health Line Calls: 213 Client-Related Calls (36: Crisis Counseling and 80: Received Info & Referrals) MIC Deployed Over 200 Mental Health Resources in partnership with the BPHC CAFH Bureau Infectious Disease Bureau Leveraged the Surveillance System to Track Mental Health Reporting to EDs

32 SUCCESSFUL RESPONSE & RECOVERY MA Department of Public Health MA Department of Mental Health American Red Cross U.S. Health and Human Services Salvation Army Seaport World Trade Center & Hotel FBI Victim Assistance U.S. Attorney s Office Massachusetts Office of Victim Assistance Boston Police Department Mayor s Office of Emergency Management Partners Went Above and Beyond

33 Planning & Operations Preparedness & Coordination Training & Outreach THANK YOU S. Atyia Martin Director, Office of Public Health Preparedness Boston Public Health Commission

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