Collaboration in ohio local and state integration of the mrc program april 20 2006
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Collaboration in Ohio; Local and State Integration of the MRC Program April 20, 2006. Forrest Smith, MD, Ohio Department of Health David O’Reilly, Ohio Citizen Corps Paul Bender, Ohio Citizen Corps Florence Drayden, RN, MHS, Montgomery County MRC Coordinator

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Collaboration in Ohio; Local and State Integration of the MRC Program April 20, 2006

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Collaboration in ohio local and state integration of the mrc program april 20 2006

Collaboration in Ohio; Local and State Integration of the MRC ProgramApril 20, 2006

  • Forrest Smith, MD, Ohio Department of Health

  • David O’Reilly, Ohio Citizen Corps

  • Paul Bender, Ohio Citizen Corps

  • Florence Drayden, RN, MHS, Montgomery County MRC Coordinator

  • Margo Schramm, Lucas County MRC Coordinator

  • Carol Jacobson, RN, Ohio Hospital Association

2006 MRC National Leadership and Training Conference, Dallas, Texas


Collaboration in ohio local and state integration of the mrc program april 20 2006

  • Overview

    • Ohio Medical Reserve Corps

    • System and Infrastructure

    • Local MRC Units

    • Hospital-level volunteers (ESAR-VHP)

    • Future

    • Summary


Collaboration in ohio local and state integration of the mrc program april 20 2006

  • Objectives

    • Learn about state and local collaboration for disaster planning in Ohio

    • Learn about the integrated medical and non-medical volunteer database in Ohio

    • Learn about the Ohio plan to develop and support local MRC units in each county


Collaboration in ohio local and state integration of the mrc program april 20 2006

State MRC Coordination

  • Acknowledgments

  • Ohio Department of Health, Chair

  • American Red Cross

  • Association of Ohio Health Commissioners

  • Infectious Disease Society of Ohio

  • Northeast Ohio Medical Association

  • Ohio Chapter, American College of Emergency Physicians

  • Ohio Community Service Council

  • Ohio Dental Association

  • Ohio Department of Agriculture

  • Ohio Department of Mental Health

  • Ohio Department of Public Safety,

  • Ohio Homeland Security Division

  • Ohio Emergency Management Agency

  • Ohio Emergency Medical Services

  • Ohio Emergency Nurses Association

  • Ohio Hospital Association

  • Ohio Nurses Association

  • Ohio Osteopathic Association

  • Ohio Pharmacists Association

  • Ohio Psychiatric Association

  • Ohio State Medical Association

  • Ohio State Dental Board

  • Ohio State Medical Board

  • Ohio State Nursing Board

  • Ohio State Veterinary Board

  • Ohio local registered Medical Reserve Corps

  • Office of the Surgeon General

  • Office of the Surgeon General – MRC PHS Region V


Collaboration in ohio local and state integration of the mrc program april 20 2006

State MRC Coordination

  • Background

    • September, 2001

    • OMRC Committee

    • HRSA, ESAR-VHP

    • State of Ohio Security Task Force (SOSTF)

    • Ohio Citizen Corps

    • June 27, 2005 - OMRC Formed

    • Local MRC development


Collaboration in ohio local and state integration of the mrc program april 20 2006

State MRC Coordination

  • Goal

    • To develop an asset of pre-identified, credentialed healthcare professional volunteers to respond to an Ohio “event” – independent of funding source – “umbrella” structure

    • “CUSTOMERS”: Local health planners and future Incident Commander


Collaboration in ohio local and state integration of the mrc program april 20 2006

State MRC Coordination

  • Objective

    • To facilitate state, regional and local planning efforts by development of consistent, state-wide parameters to assist in the deployment of physician/professional volunteers

    • These parameters include:

      • Credentialing

      • Training

      • Identification and resolution of legal issues

      • Other issues to be identified


Collaboration in ohio local and state integration of the mrc program april 20 2006

State MRC Coordination

  • Professions

    • Physician/psychiatrist

    • Physician assistant

    • Registered nurse

    • Licensed practical nurse

    • Pharmacist

    • Pharmacy Intern

    • Psychologist

    • Licensed independent social worker

    • Licensed independent clinical counselor

    • Dentist

    • Emergency Medical Services

    • Veterinarian


Collaboration in ohio local and state integration of the mrc program april 20 2006

State MRC Coordination

  • State Roles

    • Verify individual

    • Verify licensure

    • Follow HRSA ESAR-VHP credentialing

    • Facilitate registration of local MRC units in Ohio with the Office of the Surgeon General; June 27, 2005


Collaboration in ohio local and state integration of the mrc program april 20 2006

State MRC Coordination

Senate Bill 9

  • A registered volunteer is not liable in damages to any person or government entity in tort or other civil action, including an action upon a medical, dental, chiropractic, optometric, or other health-related claim or veterinary claim, for injury, death, or loss to person or property that may arise from an act or omission of that volunteer. This division applies to a registered volunteer while providing services within the scope of the volunteer's responsibilities during an emergency declared by the state or political subdivision or in disaster-related exercises, testing, or other training activities, if the volunteer's act or omission does not constitute willful or wanton misconduct.


Collaboration in ohio local and state integration of the mrc program april 20 2006

State MRC Coordination

  • System and Infrastructure

    • OMRC Committee – State

    • Local MRC units – County, Region

    • Statewide database - Ohio Citizen Corps

    • Statewide program promotion

    • Volunteer recruitment

    • Training

    • Credentialing

    • Legislation – Senate Bill 9


Collaboration in ohio local and state integration of the mrc program april 20 2006

State MRC Coordination

  • Vision

    • Strong local efforts

    • Infrastructure to assist and support

    • Systematic approach

    • Integration into Ohio’s homeland security, disaster and emergency planning


Collaboration in ohio local and state integration of the mrc program april 20 2006

State MRC Coordination

  • Why MRC Units?

    • Disasters could overburden local response capabilities

    • Streamline volunteer response efforts with pre-identified, pre-credentialed volunteers

    • Help with other community/public health activities

    • Local units can provide additional state support

    • Common names and procedures for volunteer management


Collaboration in ohio local and state integration of the mrc program april 20 2006

State MRC Coordination

  • MRC Unit Development

    • Promote program to local health departments

    • Contact Ohio Citizen Corps

    • Letter of support from local health commissioner

    • Complete national MRC registration process

    • Ohio MRC Co-Coordinators review

    • Recommendation of approval to national MRC

    • Approval by national MRC

    • Start-up Kit

    • Support


Collaboration in ohio local and state integration of the mrc program april 20 2006

Ashtabula

Lake

Fulton

Lucas

Williams

Ottawa

HS 1

HS 2

Geauga

Cuyahoga

Erie

Sandusky

Trumbull

Lorain

Defiance

Henry

Wood

Medina

Summit

Portage

Huron

Paulding

Seneca

Mahoning

Putnam

Hancock

LVC Region B

HS 2 / HS 5

LVC Region A

HS 1 / HS 3

Ashland

Crawford

Stark

Wayne

Wyandot

Columbiana

Van Wert

Allen

Richland

HS 5

Hardin

Carroll

Holmes

Auglaize

Morrow

Mercer

Marion

Jefferson

Tuscarawas

Knox

Logan

HS 4

Harrison

Shelby

Delaware

Coshocton

Union

Darke

HS 8

LVC Region C

HS 4 / HS 6

Licking

Miami

Muskingum

Guernsey

Champaign

HS 3

Belmont

LVC Region D

HS 7 / HS 8

Clark

Franklin

Madison

Preble

Monroe

Fairfield

Perry

Montgomery

Noble

Pickaway

Morgan

Greene

Fayette

Hocking

Washington

Warren

Butler

Clinton

= Citizen Corps Council

Athens

HS 6

Ross

Vinton

Hamilton

Highland

HS 7

Registered Medical Reserve Corps Units

Meigs

Clermont

Pike

Jackson

Brown

Gallia

Scioto

Adams

Regional MRC Unit

Lawrence

Application Pending


Collaboration in ohio local and state integration of the mrc program april 20 2006

State MRC Coordination

  • OMRC Volunteers

    • Register at www.serveohio.org

    • Training

    • Verify credentials

    • Legislation – Liability & Privacy

    • Critical Responder IDs

    • Volunteer Reception Centers


Collaboration in ohio local and state integration of the mrc program april 20 2006

State MRC Coordination

  • Volunteer Recruitment

    • Fall 2005 Campaign

      • Statewide TV and radio

      • 7000 advertisements (3 months)

      • Ohio Association of Broadcasters


Collaboration in ohio local and state integration of the mrc program april 20 2006

State MRC Coordination


Collaboration in ohio local and state integration of the mrc program april 20 2006

State MRC Coordination

  • Hurricane Katrina Recruitment

    • Seize the opportunity

    • “I want to help volunteer”

    • Media blitz

    • Governor’s Office coordination

    • Website (www.serveohio.org)


Collaboration in ohio local and state integration of the mrc program april 20 2006

State MRC Coordination

  • Volunteer Recruitment

    • Spring 2006 Campaign

      • Branding and Identity

      • Resources for locals

      • Website

      • Other publications

      • Direct mail

      • Fairs and festivals


Collaboration in ohio local and state integration of the mrc program april 20 2006

WEST CENTRAL OHIO MEDICAL RESERVE CORPS

Mission: To establish teams of local volunteer medical and public health professionals and others who can contribute their skills and expertise throughout the year and during times of community crisis to improving and maintaining the health of their community.


Collaboration in ohio local and state integration of the mrc program april 20 2006

WCOMRC

  • West Central Ohio MRC

    • Volunteer group bringing health professionals and others together to support local public health, emergency and medical services in the event of a disaster.


Collaboration in ohio local and state integration of the mrc program april 20 2006

WCOMRC

  • History

    • Awarded grant - October 2003

    • Coordinator hired - January 2004

    • Started attending State MRC meetings - Feb. 2004

    • Started reporting activities to the Citizen Corps Council - February 2004

    • Initial meeting of 8 county coordinators in WCO region - April 2004

    • Presented plan to health commissioners - May, 2004

    • Developed “Introduction to the MRC” course – June 2004


Collaboration in ohio local and state integration of the mrc program april 20 2006

WCOMRC

  • History

    • Initiated training courses for volunteers – July 2004

    • Developed “Infectious Diseases of the 21st Century” course – August 2004

    • Developed database to be used by all 8 counties – September 2004

    • Purchased ID Badge machine – October 2004

    • Developed ID Badge to be used by all WCO county volunteers – November 2004

    • Developed template for newsletter – January 2005

    • Held volunteer reception for 7 counties – Nov. 2005


Wcomrc organizational chart

WCOMRCOrganizational Chart


Collaboration in ohio local and state integration of the mrc program april 20 2006

WCOMRC

  • Organization

    • All units in region are affiliated with the local health department

    • All units are assets of the public health department

    • Only one funded MRC in region due to receipt of a demonstration project grant from the federal government


Collaboration in ohio local and state integration of the mrc program april 20 2006

WCOMRC

  • Recruitment

    • Word of mouth

    • Regional newsletter to be published by-monthly

    • Health fairs

    • Ads in local newspapers

    • Ads on public broadcasting stations

    • Participating in local talk shows


Collaboration in ohio local and state integration of the mrc program april 20 2006

WCOMRC

  • Training

    • Locally developed courses

    • State developed requirements

    • National developed requirements

    • Ensure all training is related to operations in your community and is ICS compliant


Collaboration in ohio local and state integration of the mrc program april 20 2006

WCOMRC

  • Retention

    • Training classes

    • Volunteer meetings at appropriate intervals

    • Use of volunteers to help promote the MRC and provide administrative support to the MRC

    • Use of volunteers to support various activities within the health department

    • Keep those volunteers that want to be involved busy

    • Continuously communicate with volunteers

      • Start a volunteer communication committee

      • Newsletter


Lucas county medical reserve corps

Lucas County Medical Reserve Corps


Collaboration in ohio local and state integration of the mrc program april 20 2006

Lucas County MRC

  • Structure

  • Oversight Committee - Community Agencies

    • Toledo Lucas County Health Department

    • NWO Regional Medical Response System

    • Lucas County Emergency Management Agency

    • Lucas County Mental Health Board

    • Northwest Ohio Hospital Council

    • United Way of Greater Toledo

    • American Red Cross – Toledo Chapter


Collaboration in ohio local and state integration of the mrc program april 20 2006

Lucas County MRC

  • Structure

  • Oversight Committee – Representatives of

  • the Medical Professions

    • Physicians/Academy of Medicine

    • Veterinarian & Veterinary Tech/Disaster Animal Response Team

    • Dentist/Toledo Dental Society

    • Pharmacist/Area Pharmacists Associations

    • Psychologist/Toledo Academy of Psychologists


Collaboration in ohio local and state integration of the mrc program april 20 2006

Lucas County MRC

  • Recruitment

    • Mail Campaign to Medical Professionals:

      • Personalized Letter

      • Key leaders, oversight committee members listed in margin

      • Three ways to apply

      • Brochure

      • Application

      • Business reply envelope

      • Business Card


Collaboration in ohio local and state integration of the mrc program april 20 2006

Lucas County MRC

  • Volunteers

    • Physicians - 92

    • Physician Assistants - 4

    • Nurse Practitioners - 14

    • Midwives – 4

    • RN, CNS - 16

    • RN’s – 376

    • LPN’s - 85

    • Paramedics - 18

    • EMT’s - 45

    • Pharmacists - 27

  • Respiratory Therapists - 19

  • Dentists - 18

  • Veterinarians - 6

  • Vet Techs - 6

  • Psychologists - 17

  • Social Workers - 93

  • Massage Therapists - 14

  • Nursing Assistants - 52

  • Other – 43

  • Total = 949


Collaboration in ohio local and state integration of the mrc program april 20 2006

Lucas County MRC

  • Training

    • What do volunteers need to know?

      • Incident Command

      • CBRNE

      • Natural Disasters

      • Mental Health in Disasters

      • Notification/Activation procedures

    • What will they attend (what’s the right # of hours?)

      • 4 hours


Collaboration in ohio local and state integration of the mrc program april 20 2006

Lucas County MRC

  • Training

    • Existing State approved courses did not fit our needs

    • Collaborated with other MRC’s to develop a “local” training

    • Created “Introduction to Medical Reserve Corps”

    • Obtained State of Ohio approval

    • Have held courses in each of our communities


Collaboration in ohio local and state integration of the mrc program april 20 2006

Hospital Integration

  • ESAR-VHP in Ohio

    • OHA has adopted the AHA recommendations which will result in a more clearly identified pool of volunteers best qualified to assist in hospital setting

    • AHA prefers verify information up to Level 1 – Ohio is looking utilization of all levels within hospitals


Collaboration in ohio local and state integration of the mrc program april 20 2006

Hospital Integration

  • How Does ESAR-VHP Relate to Hospitals?

    • Use of volunteer services rest with hospitals

    • JCAHO vs. ESAR-VHP

    • Level of privileges will change over course of disaster

    • Large vs. Small Event

    • Depleting of hospital staff


Collaboration in ohio local and state integration of the mrc program april 20 2006

Hospital Integration

  • ESAR-VHP Hospital Subcommittee

    • Formed in July 2005

    • Subcommittee Membership

      • Hospitals (Medical Staff Credentialing and Physicians and Pharmacist)

      • Public Health and Public Health

      • MRC and Ohio Citizen Corp

    • Primary Function:

      • Ensure proper registration with proper authorizations

      • Resource Typing

      • Emergency Verification


Collaboration in ohio local and state integration of the mrc program april 20 2006

Hospital Integration

  • ESAR-VHP Hospital Subcommittee

    • Addressing Issues

      • Develop and distribute survey – determine hospital levels

      • Procedures for requesting privileged volunteers – Flow Chart

      • Develop strategies for recruitment of health care professionals

      • Credentialing/Privileging Issues

      • Develop Hospital Volunteer Management Plan


Collaboration in ohio local and state integration of the mrc program april 20 2006

Hospital Integration

  • Volunteer Management Plan

    • Volunteer Opportunities (Anticipate)

      • Need based on staffing plan/surge

      • Where volunteers will be needed

      • Specific skill sets (levels) or assignments

    • Recruitment/Selection Strategies

    • Training Strategies

    • Liability Issues


Collaboration in ohio local and state integration of the mrc program april 20 2006

Hospital Integration

  • MRC / Hospital Relationships

    • Planning

      • Standardized recruiting/registering format for MRC related to health care volunteer

      • Notification and Mobilization Issues

      • Integration of hospital volunteers into Volunteer Reception Centers

      • Hospital HR issues

    • Job Descriptions

      • Development of job descriptions based on pre-identified levels


Collaboration in ohio local and state integration of the mrc program april 20 2006

State & Local MRC Coordination

  • Future

    • Senate Bill 9 Rules

    • Position Descriptions – Target Capabilities

    • Local MRC Development

    • Exercises and Training

    • Strategic National Stockpile (SNS)

    • Medical Technical Advisory Committee (MEDTAC)

    • Pandemic Flu

    • Critical Responder IDs

    • Ohio Response Plan

    • Volunteer Coordinator Summit


Collaboration in ohio local and state integration of the mrc program april 20 2006

  • Summary

    • Continued growth - Work in progress!

    • Local MRC efforts

    • System and Infrastructure

    • Database – Ohio Citizen Corps

    • Education

    • Recruitment

    • Hospital coordination, ESAR-VHP

    • Ready to respond


Collaboration in ohio local and state integration of the mrc program april 20 2006

Questions


Collaboration in ohio local and state integration of the mrc program april 20 2006

Contact Information

  • Forrest Smith, MD, Ohio Department of Health

    • [email protected]

  • David O’Reilly, Ohio Citizen Corps, OMRC

    • [email protected]

  • Paul Bender, Ohio Citizen Corps

    • [email protected]

  • Florence Drayden, RN, MHS, WCO MRC Coordinator

    • [email protected]

  • Margo Schramm, Lucas County MRC Coordinator

    • [email protected]

  • Carol Jacobson, RN, Ohio Hospital Association

    • [email protected]


  • Collaboration in ohio local and state integration of the mrc program april 20 2006

    Contact Information

    Websites

    • Ohio Medical Reserve Corps: http://www.serveohio.org/citizencorps/mrc/mrc.htm

    • Medical Reserve Corps: http://www.medicalreservecorps.gov/

    • Ohio Citizen Corps: http://www.serveohio.org/citizencorps/


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