Collaboration of Law Enforcement and HealthCare

1. Collaboration of Law Enforcement and HealthCare Larry Moser, MajorFairfax County Police Department, Fairfax, VA Larry.Moser@Fairfaxcounty.gov 703-246-4251

2. Why Devote Valuable Time to Plan? .

3. Everyone will be affected! • Integrated Services & Command will be Essential • Emergency Management/Mass Casualty • Private Service Providers • Public Health • Fire/EMS • Courts • Sheriff/Jails • PIO

4. Impact Weeks Unprepared Prepared Why Plan? • Heightened Anxiety & Fear • Employee & family • Public • Potential for increased risk of disorder • Reduced workforce • Unfamiliar with service of health orders • Non-essential services curtailed or closed • Continuity of essential services threatened • All government services • Transportation • Food/gasoline • Utilities • All services and supplies we rely upon • Direct health impacts • Healthcare system overwhelmed • Access to care • Mass fatality implications • Security

5. Planning Dividends • Helping Employees Protect themselves & their Families • Education, Support, Resources & PPE • Sustaining Essential Police Services • Maintaining Operational Effectiveness • Staffing • Capacity to appropriately prioritize services • Maintaining Calm & Order • Managing Anxiety & Fear • Workforce • Community • Family • Effective Planning, Communication and Joint Response Protocols • Command Integration • Capacity to Rapidly Implement and Adapt Plans to Threat at Hand

6. Pandemic Flu Planning Initiative Structure Fairfax County Pandemic Flu Plan Coordinators John Burke (Deputy Fire Chief) Amanda McGill (Program Manager) Laura Suzuki, R.N. MPH (Public Health Nurse) • Vaccine and anti-viral distribution • Community disease prevention • Surge Capacity • Laboratory and Surveillance • First Responders and mass casualty • Legal Considerations • Communications and Notification • Essential Needs • Policy Support • Operational Support • Public Safety • County Infrastructure • Private Sector Planning 1 The Emergency Management Coordinating Committee will serve as the Leadership Team for this effort 2 Steering Committee: Dr. Gloria Addo-Ayensu, Dr. Raja’a Satouri, Barbara Antley, Holly Clifton, Kimberly Cordero, Zandra Duprey, Marilyn McHugh, Michelle Milgrim, John Niemiec 3 Steering Committee: John Burke, Carol Lamborn, Amanda McGill, Becky McKinney, Larry Moser Updated 8/7/2006

7. Overall FXCO Efforts Completed or Underway • Staff Workshops (April 2006) • Town Hall Meetings (April 2006) • Engaging business community (May 2006) • Critical Infrastructure (Feb. - July 2006) • Educating partners (July-December 2006) -Child Care - Long-term Care - Physicians - Human Services Partners - Home Health Care - Foster Care (January 2007)

8. FXCO Efforts Underway (Continued) • Outreach to faith community, ethnic communities and general public • Continuing health care surge planning • Enhancing capacity to communicate information to the public • Reviewing dispensing site plans to rapidly vaccinate large populations (role-played) • Identifying social distancing measures

9. Goals of FXCO Plan • Contain and control disease outbreak • Limit the number of illnesses and deaths • Preserve continuity of essential government functions • Minimize social disruptions • Minimize economic loss

10. Critical Infrastructure & Resource Management • Development of Checklist to Address: • Critical Functions & Positions • Appropriate Authorities • Communications • Strategy Service & Operations Methods • Lines of Succession • Critical Files/Records or Databases • Agency Policy Considerations • Personal Protection and Basic Supplies for your Employees

11. Critical Infrastructure & Resource Management • One-on-one meetings with select department heads and their key staff • Information & Technology • Purchasing • H&R • Risk Management • Integration into existing Continuity of Operations and Emergency Response Plans • Overall County Plan (Sept. 2006)

12. FCPD • Integrated with Health Dept structure • Internal Dept workgroup • Personnel Division • Criminal Investigations (Homicide) • School Liaison • Patrol Bureau • Wildlife Biologist • Occupational Health Liaison • Safety Officer

13. Situational & Awareness for FCPD • Released Department Plan (Oct 2006) • Roll call review of plan • Highlights • VA Dept of Health Video • Stressed Personal Planning • Home Kits • Family support • Emergency plans • Hygiene & Social Distancing • Don’t come to work sick !

14. Essential Services Defining what’s most important • Mission Critical • Immediate Post Incident • Normal Service • Examples: • Patrol response to life safety events • Patrol response to minor crimes • Crash reports • Service Methodology • On-line & phone reporting provision expansion • Accident/Alarm Policy 911

15. Communication Strategy • Employee staffing line • Email/MCT • Media • Roll call • Emergency Alert system • Tele-Video Conference pre-scheduled with shifts (1,900 users) • Frequent pulse checks on service demands and staffing availability • Emergency Operation Center Activation

16. Expanded Resource List • How did we do business before computer technology? • Carbon copy, hard copy Time & Attendance • What staff resources can we draw upon? • List of retirees • VIPS (Volunteer in Police Service) • Auxiliary Officers • CERT • Cross trained personnel

17. Critical Files & Databases • When system demands are so extreme they compromise usage, what access would be essential? • Updated inventory of databases, cluster as they relate to essential service/function • Identify tele-work expansion options & CITRIX needs • What access scheduling options exist • Can we pre-define programs and users that can be restricted to reduce demands on system? • Priority – Communications, CAD & RMS

18. Immediate Response Capacity • Established a Response Team (Volunteers) • Enhanced training • Fit testing • Table top exercises • Protocol familiarity • Isolation Orders • Quarantine Orders • Process

19. PPE • Inventoried • Surgical Mask • N95 Filter Mask • Safety Glasses • Hand Cleaner • Tyvex Cover-alls • Fit Testing • Medical Questionnaire • Annual Physical (sworn) • Prioritized non-sworn select employees

20. Investments • Extensive Collaboration • Mandates Adhered to (this is important to you!) • Trained Facilitators • Checklist • One-on-One follow-ups • Communication Methodology & Tone • Linkage to All Hazards Approach

21. Investments • Table top exercises • Crawl, Walk, Run • Experience • Anthrax/TB • Ride-alongs • Incident Command Experience

22. Key Planning Themes & Recommendations • Use existing plans- don’t recreate the wheel! • Build your plan through collaboration with other local agencies and departments. • Look for outside resources and promising approaches in other departments. • Build on existing relationships

23. Key Planning Themes & Recommendations • Start education efforts early. • Target your PIO, public education efforts early. • Manage anxiety, don’t incite it

24. Larry Moser, MajorFairfax County Police Department, Fairfax, VA Larry.Moser@Fairfaxcounty.gov 703-246-4251