Certified Hospital Emergency Coordinator (CHEC) Training Program

1. Certified Hospital Emergency Coordinator (CHEC) Training Program Hospital Preparedness Program (HPP) Overview

2. Objectives Upon lesson completion, you should be able to: • Describe the background and history of the Hospital Preparedness Program • Discuss past initiatives of the program • Define the organization and roles of important program components

3. Objectives, continued • Discuss new and future initiatives • Identify ways that the HPP fits into the “Big Picture” of emergency response

4. What is the Hospital Preparedness Program? • A federally funded initiative from the Department of Health and Human Services, Assistant Secretary for Preparedness and Response (ASPR) • Program began in 2003 under the Health Resources and Services Administration (HRSA) and was moved under ASPR in 2007

5. Mission Statement “To ready hospitals and supporting health care systems to deliver coordinated and effective care to victims of terrorism and other public health emergencies”

6. March 2007 Americus, GA

13. March 2008 Atlanta, GA

16. Radio Tower

18. United States’ Health Community • 5,627 Hospitals • With a total of 902,202 staffed beds • And over 34.8 million admissions • More than 15,200 Licensed EMS Providers / First Response • 1,200 Community Healthcare Centers with over 9,200 delivery sites • 55 Poison Control Centers • Over 15,600 Nursing Homes

19. History and Background Hospital Preparedness Program

20. History: Summer 2003 • Initial Assessments were taken in each of the following: • Hospitals • EMS Providers • Community Health Centers

21. History: Summer 2003 • Most Health Care Organizations (HCOs) do NOT use the incident command system (ICS) • Most HCOs Plans are NOT integrated into community plans • Most HCOs do NOT regularly train or exercise with other community response organizations • Most HCOs do NOT have a BT/Infectious Disease response plan

22. History: Fall 2003 • A Statement of Capacity and Needs was an analysis of each HCOs current level of Preparedness • Measuring Current Capacity in 6 areas • Decontamination • Personal Protective Equipment (PPE) • Isolation • Ventilators • Communication • Incident Command

23. History: Fall 2003 • Priority Needs • To protect the integrity of the facility/organization • To protect personnel • To provide a negative pressure isolation environment for at least one patient

24. History: Fall 2003, continued • Priority Needs, continued • Back-up internal and external communication systems • Participation in the Health Alert Network • Internet access/connectivity • An incident command/incident management system

25. What has your state or hospital done to address these priority areas?

26. Organization of ASPR and theHospital Preparedness Program • Illinois Department of Public Health • Office of Preparedness • Hospital Preparedness Program • Oregon Department of Human Services (DHS) • Public Health Division Emergency Preparedness Program (PHEP) • Hospital Preparedness Program 

27. Emergency System for the Advanced Registry of Volunteer Health Professionals (ESAR-VHP) • ServNY http://www.nyhealth.gov/servny • Integrates local, regional, and statewide volunteer programs to assist emergency response and public safety organizations during a disaster • Part of a national initiative to coordinate and mobilize volunteers to respond to all types of emergencies

28. Fundamental Program Objectives • Ensure an adequate and competent health volunteer workforce • Enable efficient and effective emergency operations • Allow sharing of health volunteers across state lines • Establish clear protections for health volunteers, hospitals and others

29. Pre-register health volunteers Apply emergency credentialing standards Allow verification of identity, credentials, & qualifications of registered volunteers SERV Functions

30. Logistics • Identify statewide gaps in equipment • Pre-position key supplies at health facilities and public health districts • Maintain inventory of ASPR supplies

31. Logistics- CHEMPACK • CDC Strategic National Stockpile (SNS) Program • Federal asset made available for State use • “Forward-placed” • Nerve Agent (Organophosphate) Antidote • Atropine • Pralidoxime Chloride (2-PAM) • Diazepam

32. CHEMPACK Program • Types of Containers • Hospital containers • Geared to clinical care environment • 85% Multi-dose vials • 1,000 casualty capacity • EMS containers • Geared to first responders • 85% auto injectors • 454 casualty capacity • Located at sites including: Hospitals, Fire Departments, EMS, and Government Buildings

33. The Big Picture

34. Regional Coordinating Hospitals

35. Regional Coordinating Hospitals • Coordinate Mutual Aid • Facilitate Regional Planning • Provide emergency preparedness updates and news • Concurrent Role(s): • Specialty Coordinating Hospitals

36. Public Health Regions

37. Public Health Regions • Emergency Coordinators or Emergency Preparedness Specialists • Training Coordinators • Public Health Educators

38. Public Health Regions • Funded primarily through the Centers for Disease Control and Prevention cooperative agreement • Maintain some caches available for hospitals • Trauma Trailers • Surge Bed Trailers

39. EmergencyMedicalServiceRegions

40. Emergency Medical Services (EMS) • Local EMS varies by county • Some Hospital EMS • County EMS • Private EMS Companies • Regional EMS offices • Program Directors • Training Specialists • NREMT Reciprocity • Check your state, some fully accept, others only partially accept it

41. Emergency Management Area Maps

42. Emergency Management • Every county is different! • Get to know your local EMA • Planning • Training • Exercises • Equipment

43. Federal Emergency Management Agency (FEMA)Regions

44. Coalitions Partners: Hospitals, SNFs, ALFs, ILs, Homecare, Hospice, DME Providers, Primary Care, Community Health Centers, Public Health, Fire/EMS, Emergency Management, Non-profits, etc…… • Many Coalitions came together in 2002 after receiving grant funds from HRSA (now ASPR) • Last decade = hospital centric • Now evolving into a collaborative group of disaster response partners

45. Coalitions • Keeping healthcare open through Collaborative Services • Healthcare Coalitions are the answer through integrated approaches- • Healthcare Intel • Information collection, analysis, and dissemination to better inform providers so they can make better decisions • Resource Management • Resource inventory, maintenance, deployment, and recovery

46. Coalitions • Integrated Approaches Continued • Training and Education • Training and educating our healthcare community in disaster response, preparedness and recovery • Incident Coordination • Utilizing incident coordination software and staff to manage information, personnel and requests

47. Long Term Care Preparedness • In a recent survey in Virginia on the State of LTC Preparedness discovered:

48. Get involved in your Coalition • Join the coalition, join the movement! • Attend a meeting and/or join a committee • Have members visit your facility to: • Consult, Train, Plan, and Exercise • Participate in Coalition trainings & exercises • Read distributed information • Work with your Public Health planner

49. Conclusions • The HPP is meant to ready health care systems to deliver coordinated and effective care when bad stuff happens • Disasters and other bad stuff can strike a community and health care facility at any time • Preparedness is critical • Many training options and opportunities are available to emergency management professionals and healthcare workers

50. Certified Hospital Emergency Coordinator (CHEC) Training Program Questions?