Regional Disaster Response Coordination to Support Health Outcomes: A Workshop Series AGENDA. March 26, 2014

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1 Board on Health Sciences Policy Forum on Medical and Public Health Preparedness for Catastrophic Events Regional Disaster Response Coordination to Support Health Outcomes: A Workshop Series AGENDA March 26, 2014 Huntington Room The Beckman Center 100 Academy Way Irvine, California When a disaster strikes, it rarely impacts just one jurisdiction. Many catastrophic disaster plans include provisions of support from neighboring jurisdictions which likely will not be available in a regional disaster. As many jurisdictions within a region will have similar vulnerabilities, it is important to establish responsibilities and capacities and be able to work toward common goals to address all-hazards when multiple areas are affected. It is important for jurisdictions to consider how they will respond to a scenario where the entire region is impacted. To explore these unique considerations the Institute of Medicine s Preparedness Forum is organizing a series of 3 workshops, each of which will explore a specific set of issues: Community Planning and Engagement, Information Sharing and Management, and Surge Management. The focus of our first workshop in Irvine, CA is on coordination at a regional level across the whole of community organizations, partners, and stakeholders to plan and prepare for health incidents in order to provide robust health outcomes. Holistic community collaboration across jurisdictions is also needed to respond to and recover from such incidents with the goal of ensuring community resiliency, well-being, and community health. Workshop Objectives: Examine how Community Planning and Engagement strengthen regional preparedness initiatives. Discuss community collaboration with schools, businesses, and community organizations across regions Explore needs of at-risk populations and programs to assist them in emergencies o Identify gaps that still exist for specific populations Discuss management of volunteers in emergencies across regions p. 1

2 o Explore ways to better coordinate groups regionally using national networks o Identify ways to incorporate local organizations into coordination Consider factors that improve social capital and cohesion and the effect on community resilience during emergencies Consider how grant guidance can be aligned with existing needs 8:30 a.m. Welcoming Remarks, Challenges to Ensuring Health in Regional Disaster Preparedness: Community Planning and Engagement, Information Management and Coordination, and Surge Management W. CRAIG VANDERWAGEN, Workshop Chair Senior Partner Martin, Blanck & Associates SESSION I: COMMUNITY PLANNING AND ENGAGEMENT Session Objectives: Define community engagement in the context of building awareness to individual and group disaster planning across sectors, including varied community sectors, and informing future policies based on community stakeholder input. Discuss progress made in community engagement, existing gaps and challenges that can be addressed to make additional impacts in regions. 8:50 a.m. Panel Presentation: Community Planning Across a Region: Previous Work, Examples of Successes and Continuing Needs to Address Regional Disasters vs. Local Disasters Cross Sector Collaboration: ANA-MARIE JONES Executive Director Collaborating Agencies Responding to Disasters (CARD) At-risk Populations: TERESA EHNERT Bureau Chief, Public Health Emergency Preparedness Arizona Department of Health Services Management of Volunteers in Emergencies CAPT ROB TOSATTO Director p. 2

3 Division of Civilian Volunteer Medical Reserve Corps Social Capital and Cohesion DANIEL P. ALDRICH Associate Professor of political science Purdue University 9:50 a.m. Discussion with panelists and attendees 10:20 a.m. BREAK SESSION II: BREAKOUT DISCUSSIONS Session Objective: Within focus areas, discuss top constraints, areas for opportunity, metrics for measurement, and potential partnerships to achieve success 10:40 a.m. Breakout Discussions by Focus Area Cross Sector Collaboration: Laguna Room What are the challenges you have in engaging the private sector in your community, and what solutions have you used to resolve these challenges? What legal challenges have you faced in establishing partnerships and what solutions have you used to resolve these challenges? What mechanisms do you have in place to facilitate cross-sector engagement? ANA-MARIE JONES Executive Director Collaborating Agencies Responding to Disasters (CARD) LYNNE KIDDER, Preparedness Forum co-chair Former President & CEO The Bipartisan WMD Terrorism Research Center At Risk Populations: Emerald Bay Room: Discuss the strategies your region uses to best identify medically vulnerable populations in a disaster. o How can the current population knowledge of DME/electricity dependent citizens be improved? How can health IT be used to improve the understanding of the needs of vulnerable populations, including populations cared for by social services, such as child care, foster care, homeless youth, child abuse and domestic violence, and the refugee population? p. 3

4 TERESA EHNERT Bureau Chief, Public Health Emergency Preparedness Arizona Department of Health Services SUZET MCKINNEY, planning committee Deputy Commissioner Chicago Department of Public Health Management of Volunteers during Emergencies: Irvine Cove Room Discuss how disaster health volunteers are managed in your region, (including credentialing, background checks, ongoing training, etc) as well as the strengths and limitation of that system. o What practices are put in place to ensure appropriate provision of care by health volunteers? What competencies are established and how is that done? o What practices can be put in place to leverage the strengths of citizen volunteers and ensure their safety and protection? To what extent do volunteers have liability protection and where do the risks still remain? CAPT ROB TOSATTO Director Division of Civilian Volunteer Medical Reserve Corps JOHN HICK, planning committee Medical Director, Office of Emergency Preparedness Minnesota Department of Health Social Capital and Cohesion: Huntington Room Identify challenges and strategies in place to engage the public in preparedness activities? o How can the public be better engaged to serve as citizen responders, strengthening the resilience of a community? What strategies have been put in place to strengthen social capital in your region? DANIEL ALDRICH Associate Professor of political science Purdue University p. 4

5 KENNETH SCHOR, Preparedness Forum Member Acting Director National Center for Disaster Medicine & Public Health 12:15 p.m. LUNCH SESSION III: BREAKOUTS CONTINUED Session Objectives: Within focus areas, discuss top constraints, areas for opportunity, metrics for measurement, and potential partnerships to achieve success 1:15 p.m. Breakout Discussions by Focus Area, continued Cross Sector Collaboration: Laguna Room Discuss the collaborations that have are essential to promoting health security in your region. Identify some of the atypical sector partners that you have engaged in your region. (e.g. education, housing) What are the relationships with colleges and universities across the region? Are there opportunities for leveraging their safety and medical officers to augment workforce? ANA-MARIE JONES Executive Director Collaborating Agencies Responding to Disasters (CARD) LYNNE KIDDER, Preparedness Forum co-chair Former President & CEO The Bipartisan WMD Terrorism Research Center At risk Populations: Emerald Bay Room How can the expansion of community health clinics be used to strengthen resilience? Identify strategies to engage the stakeholders (including unique groups that are often omitted) in supporting the at-risk populations in your region. o Specifically, how can elderly, low-income children and families, Limited English Proficiency, homeless youth, refugee populations, victims of child abuse and domestic violence, and families needing child care and/or are on WIC/SNAP assistance be better engaged and connected pre-disaster to encourage more rapid and healthy recovery after an incident? p. 5

6 TERESA EHNERT Bureau Chief, Public Health Emergency Preparedness Arizona Department of Health Services SUZET MCKINNEY, planning committee Deputy Commissioner Chicago Department of Public Health Management of Volunteers During Emergencies: Irvine Cove Room: Identify successes and failures you have experienced regarding recruitment, management and sustainment of health volunteers in your region. How can deployed volunteers across the region be better engaged with each other, i.e. MRC, American Red Cross, Citizen Corps, NDMS, VOAD network, and other community volunteer groups? Where have successful partnerships been forged and what barriers remain? CAPT ROB TOSATTO Director Division of Civilian Volunteer Medical Reserve Corps JOHN HICK, planning committee Medical Director, Office of Emergency Preparedness Minnesota Department of Health Social Capital and Cohesion: Huntington Room Discuss the social capital generated through existing medical and social networks, and how that may impact critical decision making in a disaster such as allocation of scarce resources and implementation of crisis standards of care. o Are there active volunteer or social networks besides the MRC that have not been active in disaster planning and training? Identify any latent social conflict or strong presence of social bonds that have helped or hindered building a cohesive regional network in your region. DANIEL ALDRICH Associate Professor of political science Purdue University KENNETH SCHOR, Preparedness Forum Member Acting Director National Center for Disaster Medicine & Public Health p. 6

7 2:15 p.m. Report out to larger group 3:15 p.m. BREAK SESSION IV: WRAP UP 3:30 p.m. Wrap up Discussion and Next Steps What central themes emerged across topics? o Top identified challenges? o Top identified opportunities? What next steps are needed to move the needle? W. CRAIG VANDERWAGEN, workshop chair Senior Partner Martin, Blanck & Associates 4:00 p.m. ADJOURN p. 7