Partnerships: An Essential Piece of Emergency Preparedness

Partnerships: An Essential Piece of Emergency Preparedness

Prevent Recover Protect Respond Mitigate http://www.fema.gov/national-preparedness-goal 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

All Hazards

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

Whole Community?

The Big Picture Healthcare Response

Local & Regional Partnerships

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

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

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

MI Transportable Emergency Surge Assistance Medical Unit

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

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

Medical Reserve Corps Units

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

www.michiganburn.org

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 2011 1 st Statewide LTC Conference Oct. 2012 1st 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

MI Ethical Guidelines for Allocation of Scarce Medical Resources During Public Health Emergencies http://www.mimedicalethics.org/default.aspx

Training & Exercising

FEMA, http://www.fema.gov/pdf/plan/slg101.pdf 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.

State Agency Partnerships

SEOC

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

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

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

Professional Organization & NGO Partnerships

Mass Fatality Management

Inter-State Partnerships

Great Lakes Healthcare Partnership

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)

Federal Partnerships

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

International Partnerships

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

Linda Scott, RN, BSN, MA Scottl12@michigan.gov