Flrida Healthcare Calitin Task Frce Healthcare Calitin Requirements HEALTHCARE COALITION REQUIREMENTS The fllwing is a list f requirements fr healthcare calitins (HCC) t cmplete if participating in grant funds thrugh the U.S. Department f Health and Human Services, Assistant Secretary fr Preparedness and Respnse (ASPR), Natinal Healthcare Preparedness Prgram (NHPP). The elements must be cmpleted in their entirety by the end f the 2016-2017 fiscal year which ends n June 30, 2017. This checklist serves as a resurce tl t assist HCC persnnel assist the cmpletin f ASPR, NHPP requirements. It is nt t be used as dcumentatin r reprting f cmpletin f specific elements under each functinal area. Its primary purpse is t serve as a radmap fr assuring perfrmance cmpletin f each designated functin. Functin 1 - Develp, Refine r Sustain Healthcare Calitins HCC Bundaries Identified YES NO Essential Partners Membership Includes: (Please check all that apply ) Hspitals and ther Healthcare Prviders EMS Prviders Emergency Management/Public Safety Lng-Term Care Prviders Mental/Behaviral Health Prviders Private Entities Assciated with Healthcare (Hspital Assciatins) Specialty Service Prviders (e.g., dialysis, pediatrics, wmen's health, stand-alne surgery) Supprt Service Prviders (e.g., labratries, pharmacies, bld banks, pisn cntrl) Primary Care Prviders Cmmunity Health Centers Public Health 1
HCCSWG Purpse, Missin, Visin and Imprtant Infrmatin Tribal Healthcare Federal Entities (e.g., VA Hspitals, NDMS, IHS Facilities, Department f Defense facilities) Additinal Partners: (Please check all that apply ) Lcal and State Law Enfrcement and Fire Services Public Wrks Private Organizatins Nn-Gvernmental Organizatins Nn-Prfit Organizatins Vlunteer Organizatins Active in Disaster (VOAD) Faith-based Organizatins (FBOs) Cmmunity-based Organizatins (CBOs) Vlunteer Medical Organizatins (American Red Crss) Medical Reserve Crps within the healthcare calitin bundaries Medical Examiners within the healthcare calitin bundaries Partnerships Evidenced By: (Please check all that apply ) Memranda f Understanding (MOU) Mutual Aide Agreements (MAA) Interagency Agreements (IAA) Letter f Agreement Charters Other (please specify): Written Charter YES NO Written By-laws YES NO Healthcare Calitins Organizatin and Structure: (Please check all that apply ) A leadership structure determined and appinted by the HCC. A gvernance structure that includes membership guidelines, participatin requirements and vting structure. A clear structure that can crdinate with the lcal Emergency Operatins Center. 2
HCCSWG Purpse, Missin, Visin and Imprtant Infrmatin - This includes a primary pint f cntact and/r prcess that serves as the liaisn/methd t cmmunicate with EFS#8 and Emergency Operatins Center during respnse. Cleary defined rles and respnsibilities fr each participating member as it relates t lcal disaster preparedness, respnse, and recvery. Strategies t empwer and sustain the HCC as an entity, t include financial sustainability. Prcess t implement and dcument the administrative respnsibilities needed t maintain the Healthcare Calitin. Multi-agency crdinatin during respnse: (Please check all that apply ) HCC crdinatin with lcal Emergency Management (ESF #8) HCC crdinatin with incident management at the federal, state, lcal, and tribal gvernment levels Infrmatin sharing prcedures between HCC and incident management Functin 2 - Crdinate Healthcare Planning t Prepare the Healthcare System fr a Disaster Healthcare system situatinal assessments: (Please check all that apply ) Identified demgraphics f the HCC including identificatin f at-risk individuals and thse with special medical needs. Identificatin f healthcare rganizatins within the HCC bundaries that service at-risk individuals and thse with special medical needs (i.e., dialysis centers, nursing hmes, grup hmes). Gegraphical characteristics that may impede r preclude healthcare delivery (e.g., fld plains, pr rad cnditins). HCC Risk Assessment - Identificatin and priritizatin f the risk f natural and humancaused hazards within the HCC, develped by utilizing healthcare rganizatin assessments, lcal hazard vulnerability assessments (HVAs) and ther risk assessment tls t include lcal natural and human-caused hazards Assessment f the HCC s ability t respnd t risks identified in the HCC Risk Assessment. HCC Resurce Assessment Identificatin f all disaster preparedness resurces available within the HCC Estimates f the anticipated number f casualties that cntribute t surge planning (based n identified and priritized risks). Estimates f the anticipated number f casualties that cntribute t fatality management planning (based n identified and priritized risks). Resurces: 3
HCCSWG Purpse, Missin, Visin and Imprtant Infrmatin Hazard Risk Assessment Instrument Wrkbk: http://www.cphd.ucla.edu/hrai.html FEMA: Understanding Yur Risks: Identifying Hazards and Estimating Lsses http://www.fema.gv/library/viewrecrd.d?id=1880 Healthcare System Disaster Planning: (Please check all that apply ) HCC member rganizatins bjectives and pririties fr respnse based n the HVA and risk assessment. Assist HCC member rganizatins in develping capabilities required t prevent, prtect against, respnd t, and recver frm all-hazards events when and where they are needed. Prvide a prcess t request lcal, state, and federal assistance fr HCC member rganizatins thrugh lcal emergency management. Prvide the prcesses fr HCC member rganizatins t request resurces frm cmmunity partners, stakehlders and ther healthcare rganizatins. Crdinate HCC peratins with the lcal emergency peratins center t assist with disaster respnse. Dcument the crdinatin f healthcare calitin members planning fr cntinuity f peratins plans (COOP) and the assessment f COOP capabilities. Crdinate the develpment f HCC member rganizatin plans that include specific healthcare delivery pririties including, but NOT limited t: Medical Surge Management Cntinuity f Operatins Infrmatin Management Fatality Management Cmmunicatins Functin 3 - Identify and Priritize Essential Healthcare Assets and Services Identify and priritize critical healthcare assets and essential services: (Please check all that apply ) Identificatin f and priritizatin f critical medical services (e.g., trauma, radilgy, critical care, surgery, pediatrics, EMS, decntaminatin, islatin). Identificatin f and priritizatin f critical medical supprt services (e.g., patient transprt services, pharmacy, bld banks, labratry medical gas suppliers). Identificatin f and priritizatin f critical facility management services (e.g., pwer, water, sanitatin, generatrs, heating, ventilatin, and air cnditin (HVAC), elevatrs). 4
HCCSWG Purpse, Missin, Visin and Imprtant Infrmatin Identificatin f and priritizatin f critical healthcare infrmatin systems fr infrmatin management/cmmunicatins. (e.g., failver and back up remte site hsting). Pririty healthcare assets and essential services planning: (Please check all that apply ) Develpment f prcesses fr healthcare rganizatins t quickly restre essential medical services in the aftermath f an incident. Develpment f strategies fr resurce allcatin that assist with the cntinued delivery f essential services during and after a respnse. Identificatin f prcesses fr HCC member rganizatins t request assistance and activate resurces agreements t imprve access t resurces and emergency supply lines. - The bjective shuld be t extend peratinal ability well past the 96 hur standard (The Jint Cmmissin EM.02.01.01 EP3) and if pssible up t recvery. Develpment f prcesses t crdinate with healthcare rganizatins t assist with the mvement f patients t alternate lcatins, when necessary. Identificatin f prcesses t assist HCC member rganizatins with the decmpressin (clearing) f critical beds by assisting with the mvement f patients t alternate facilities. Identificatin f prcesses t assist healthcare rganizatins with the prvisin f special services/teams t supprt patient care and treatment (e.g., DMAT Teams, SMRS Teams, mbile radilgy, mbile pharmacy, transprtatin, etc.). Crdinate the HCC s ability t assist lcal Emergency Management in disseminatin f federal-, state-and reginal-based pharmaceutical caches and medical supplies. Equipment t assist healthcare rganizatins with the prvisin f critical services: (Please check all that apply ) Identify equipment within the HCC that can prvide specialty medical services (e.g., mbile pharmacy). Identify equipment within the HCC that can deliver pwer, HVAC, prtable water, prvides fd strage, r ther equipment that sustain essential patient services. Identify systems within the HCC that can prvide redundant cmmunicatin and infrmatin management capability (e.g., failver and back up, remte site hsting). Dcument regular testing f cmmunicatin equipment with HCC member rganizatins. Identify space t secure caches f critical medical supplies and pharmaceuticals and prvide necessary envirnmental strage devices t maintain the apprpriate envirnment (climate cntrl). Functin 4 - Determine Gaps in Healthcare Preparedness and Identify Resurces fr Mitigatin f These Gaps Resurce Elements: Plans (P), Equipment (E), Skills (S), Healthcare Resurces Assessment: (Please check all that apply ) 5
HCCSWG Purpse, Missin, Visin and Imprtant Infrmatin Identificatin f gaps ascertained as a result f Functin 2 Risk and Resurce Assessments Cmmunicatins Surge r Alternate Care Sites Transprtatin Specialty services Staffing Equipment and supplies Other resurces identified by the gap analysis/crrective actins Develpment f mutual aid agreements fr resurces frm public and private sectr. Prcesses fr requesting lcal, state, and federal resurces. De-cnflictin f ver allcated resurces (e.g., cmpeting pririties fr the same resurce at the same time). Address healthcare infrmatin gaps: (Please check all that apply ) Ensure cmmunicatin and data interperability fr healthcare and respnse partners. Assist with infrmatin sharing between partners during an incident r event. Update HCC plans t test and exercise capabilities and gaps in capabilities. Functin 5 - Crdinate Training t Assist Healthcare Respnders t Develp the Necessary Skills In Order t Respnd Please check all that apply Resurce Elements: Plans (P), Equipment (E), Skills (S) Healthcare Organizatin-Natinal Incident Management System (NIMS) training. Assess NIMS cmpliance status f all HCC member rganizatins. Prmte NIMS adptin within HCC member rganizatins. Assist HCC member rganizatins in revising and updating Emergency Operatin Plans t incrprate NIMS and Natinal Respnse Framewrk cmpnents. Assist HCC member rganizatins in develping, refining, and sustaining interagency mutual aid agreements, (e.g., agreements with public, private sectr, and nn-gvernmental rganizatins). Assist HCC member rganizatins with FEMA 100, 200, and 700 level training r equivalent training. Assist HCC member rganizatins with FEMA 8000 level training r equivalent training. 6
HCCSWG Purpse, Missin, Visin and Imprtant Infrmatin Integrate NIMS cncepts and principles int all HCC training and exercises. Ensure all emergency incidents, exercises and preplanned (recurring/special) events are managed with a cnsistent applicatin f ICS rganizatinal structures, dctrine, prcesses, and prcedures. Assist HCC member rganizatins with adptin f the principle f Public Infrmatin, facilitated by the use f a Jint Infrmatin System. Identify, implement and dcument educatin and training pprtunities that address capability gaps. Functin 6 - Imprve Healthcare Respnse Capabilities thrugh Crdinated Exercise and Evaluatin Exercise Plans: (Please check all that apply ) An exercise schedule. An annual update plan. An apprach fr testing healthcare system capabilities. Rles and respnsibilities f participating healthcare entities. Exercise Implementatin and Crdinatin: (Please check all that apply ) Exercises based n the guidance and cncepts f Hmeland Security Exercise and Evaluatin Prgram (HSEEP) r equivalent prgram. Encuragement f healthcare rganizatin participatin t address gaps in capabilities. Hrizntal and vertical crdinatin with relevant respnse partners and stakehlders t include Federal, state, and lcal respnse teams. Evaluatin and Imprvement Plans. HSEEP r equivalent, based capability assessment guidance. The crdinatin f After Actin Reprts (AAR) fr exercises/actual incidents. The crdinatin f Imprvement Plans fr exercises/actual incidents. The integratin f findings frm the imprvement plan int the next planning, training, exercise, and resurce allcatin cycle. Functin 7 - Crdinate with Planning fr At-Risk Individuals and Thse with Special Medical Needs Please check all that apply Dcument the status f at-risk ppulatins and the ptential impact n healthcare delivery fr at-risk ppulatins frm disaster scenaris. Healthcare planning fr at-risk individuals and functinal needs. 7
HCCSWG Purpse, Missin, Visin and Imprtant Infrmatin The State and HCC, in crdinatin with member healthcare rganizatins, ESF#6, public health, emergency management, ESF #8, relevant respnse partners, and stakehlders, participate in planning t determine the apprpriate prtcls regarding individuals with functinal needs s that assistance and guidance can be prvided t healthcare rganizatin upn request. Resurces: ASPR Office fr At-Risk Individuals, Behaviral Health, and Human Services Crdinatin (ABC), At-Risk Individuals: http://www.phe.gv/preparedness/planning/abc/dcumkents/atrisk.pdf Guidance n Planning fr Integratin f Functinal Needs Supprt Services in General Ppulatin Shelters: http://www.fema.gv/pdf/abut/dic/fnss_guidance.pdf Special medical needs planning: (Please check all that apply ) Curses f actin t ensure individuals will be seen by the apprpriate healthcare persnnel during an incident. Crdinatin with EMS t imprve transprt capabilities. Crdinatin with alternative transprtatin prviders capable f supprting individuals with special medical needs. Crdinatin with public health and ESF #6-(Mass Care) planning t determine transfer and transprt ptins and prtcls fr individuals with special medical needs t and frm shelters/healthcare facilities. 8