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2014 Preparing for the Unexpected V Conference - Plans and Reality

2014 Preparing for the Unexpected V Conference - Plans and Reality Cross Border Emergency Preparedness “Is simple, Works and Saves Lives”. Objectives. Cross Border EMS Activity Update Cross Border Interfacility Transfer – EMS Operational Plan Appendix C

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2014 Preparing for the Unexpected V Conference - Plans and Reality

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  1. 2014 Preparing for the Unexpected V Conference - Plans and Reality Cross Border Emergency Preparedness “Is simple, Works and Saves Lives”

  2. Objectives • Cross Border EMS Activity Update • Cross Border Interfacility Transfer – EMS Operational Plan Appendix C • Paddle Quinault/Bella Bella – MCI Planning & Operations • Transport assets and capabilities within the jurisdictions and public health regions

  3. Hospital Evacuation

  4. Cross Border EMS Activity Update 44,360 • All Jurisdictions • Washington Cross Border Activity for 2013 and 2014 7,176 • British Columbia 145 • Idaho 3,775 • Oregon2,900 • Other: (Alberta, Yukon, 356 Northwest Territory Alaska, Montana)

  5. Authority • An arrangement between Alaska, British Columbia, Idaho, Oregon, Washington, and Yukon) with respect to the provision of mutual assistance • Pacific Northwest Emergency Management Arrangement http://www.pnwbha.org/reports/PNEMA-annex-a-and-b.PDF • Guidelines developed by the parties for sharing and protecting health information while respecting the individual state’s/province’s data sharing laws. • Washington – British Columbia MOU to Share and Protect Health Information to Assure Prompt and Effective Identification of Infectious Disease and Other Public Health Threats • An agreement between the federal and provincial governments and BC First Nations  to develop a Health Partnership Accord that will capture the vision of the Parties for a better, more responsive and integrated health system for First Nations in British Columbia • British Columbia Tripartite Framework Agreement on First Nations Health Governance

  6. Accomplishments • Addresses CDC/PHP CAPABILITY 10: Medical Surge, Functions 2 & 3 http://www.pnwbha.org/wp-content/uploads/2012/09/Cross-Border-EMS-Resources-08-30-2012-PNEMA.pdf • USCBP and CBSA Border Crossing Procedure/Checklist • Functional exercise 2012, 2010 Olympic & Paralympics, Table Top Exercise 2/2010

  7. Accomplishments • Canada - United States Pan Border Public Health Preparedness Council (PBPHPC) http://www.pbphpc.org/ • http://www.pnwbha.org/wp-content/uploads/2012/05/Strategic-Plan-v5-051212.doc-Revision1.pdf

  8. Next Steps • http://www.pnwbha.org/wp-content/uploads/2014/03/PNWBHA-Workshop-Overview-v21.pdf • Communicate this information to your partners • Build and update your capabilities with your partners • Beyond the Border Initiative • Text: S.J.Res.44 [112th] http://beta.congress.gov/bill/112th-congress/senate-joint-resolution/44/text

  9. Paddle to Quinault 2013

  10. Paddle Quinault– MCI Planning & Operationshttp://www.youtube.com/watch?v=d2v1njTMs9E • County Planning for huge event – 10 times average population • Building an EMS/EM response • Results

  11. Tribal and First Nations EMS, Bella Bella

  12. Paddle to Bella Bella– MCI Planning & Operationshttp://www.sklallamfoundation.org/current-projects/tribal-journey-to-bella-bella-2014.htmlhttp://vimeo.com/42146387#t=206http://fnbc.info/event/tribal-journeys-bella-bella-2014 • County Planning for huge event – 10 times average population • Building an EMS/EM response • Results

  13. Cross Border Interfacility Transfer – EMS Operational Plan Appendix C http://www.pnwbha.org/wp-content/uploads/2010/04/WA-BC-EMS-Border-Crossing-Plan.pdf • Grays Harbor EMS http://www.ghems.org/ • Initial Cross Border contact process • Patient transfer process - Appendix “C” • Results • 2 year old saved S:\HSQA\CHS\Spokane\Terrorism\Cross Border\2014 Workshop\Air ambulance closes Peace Arch border crossing 8 2012.docx • It is the Right Thing to do!

  14. 2 Year Old

  15. Transport assets and capabilities within the jurisdictions and public health regions http://www.doh.wa.gov/ForPublicHealthandHealthcareProviders/EmergencyPreparedness/PatientTransport.aspx • Statewide – Includes: British Columbia, Idaho, Oregon, and Tribes • Public Health Regions

  16. Understand potential transport capabilities • One shoe does NOT always fit all (unique local needs and transport capabilities) • School Bus, 2011 Quincy, WA. 2014 Plymouth, WA. • Transit System • Medicaid Transportation Brokerage Service Providers 2/2014 Clark Co • Casino Bus • Home care bus • Etc.

  17. http://www.toledoblade.com/Police-Fire/2008/09/26/Bomb-threat-forces-evacuation-of-Swanton-nursing-home.htmlhttp://www.toledoblade.com/Police-Fire/2008/09/26/Bomb-threat-forces-evacuation-of-Swanton-nursing-home.html

  18. Positive Effects • Develop partner relationships • Creates a transport capabilities matrix • Creates a contacts list for planning • Coordinates with response agencies

  19. Accomplishments • 2014 Plymouth, WA Liquid Natural Gas Explosion • Available for 2012 Fires - potential evacuation • In response to 2012 wild fires, alerted Medicaid transportation brokers to standby to provide transport out of area, if needed • Exercised within Region 5 during Evergreen Quake • Update, distribution, and maintenance of the matrices process

  20. Next Steps • Communicate this planning tool to all partners • Prioritization of limited resources • Build the processes into jurisdictional exercises

  21. QUESTIONS? • Lisa Hall lhall@quinault.org • Rod Salem rod.salem@bcehs.ca • Michael Smith mike.smith@doh.wa.gov

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