ESF8: Medical Surge Planning and
Download
1 / 18

ESF8: Medical Surge Planning and Coordination - PowerPoint PPT Presentation


  • 149 Views
  • Uploaded on

ESF8: Medical Surge Planning and Coordination. Emergency medical surge planning in your County and the value of integrating medical and non-medical volunteers into your plan. AGENCY LOGO. Emergency Support Function #8- Health and Medical (ESF8).

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'ESF8: Medical Surge Planning and Coordination' - farhani


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
Esf8 medical surge planning and coordination

ESF8: Medical Surge Planning and Coordination

Emergency medical surge planning in your County and the value of integrating medical and non-medical volunteers into your plan

AGENCY LOGO


Emergency support function 8 health and medical esf8
Emergency Support Function #8- Health and Medical (ESF8)

ESF8 is a system of health and medical agencies that are coordinated in an emergency based on a common set of established plans, tools and resources in order to meet specific outcomes that affect the health and medical care of those involved in the incident (casualties and responders.)


Esf8 as a system
ESF8 as a System

  • NIMS/ICS principles apply to incident response but not always to EOC management

  • Existing system of relationships become extended beyond agency/jurisdictional boundaries

    • Examples: Infection Control, Patient triage and tracking, Surge staffing for Alternate Care Facility

  • ESF8 System Models

    • Basic: agency-agency

    • Intermediate: multi-agency, limited number of ESFs

    • Complex: multi-agency, multi-jurisdictional, full EOC response


Esf8 as outcomes
ESF8 as Outcomes

  • Effective Patient Tracking

  • Effective coordination in response (resolves differences among agencies)

  • Efficient utilization of resources

  • Efficient and rapid response and request for support

  • Common operational model (local, state, federal)

  • Ensures agency response is competent based on agency/discipline standards

  • Strategic guidance and direction


Esf8 medical surge planning and coordination

Emergency Response

Complexity Analysis

ICS Level Change

Authority Change

Emergency

Operations Center

Departmental

Operations Center

Departmental

OperationsCenter

Level of Response

Daily

Organizational Objectives

Daily

Organizational Objectives

Time


Where did esf originate
Where did ESF originate?

  • National Response Framework- assigned federal agencies to “Emergency Support Functions”:

    • Guidance: “Governments at all levels should use the NIMS resource management principles described below to enhance response capabilities.”

    • State Emergency Operations Plan (SEOP)

    • County Emergency Operations Plan (Contains ESF annexes)

    • Post 9-11 mandate to remove the “silos” that limit communication between organizations.

  • “Seat” in the EOC/MACG?

    • Ops vs. non-ops. Where will you fit in?


National response framework nrf
National Response Framework (NRF)

  • Framework Document (Base Plan)

  • Support Annexes

  • Incident Annexes

  • Emergency Support Function (ESF) Annexes

    • Outline agency responsibilities for coordination, planning, support, resources, program implementation, and services during emergencies

  • ESF #11 - Agriculture and Natural Resources

  • ESF #12 - Energy

  • ESF #13 - Public Safety and Security

  • ESF #14 - Long-Term Recovery/Mitigation

  • ESF #15 - External Affairs

  • ESF #1 - Transportation

  • ESF #2 - Communications

  • ESF #3 - Public Works, Engineering

  • ESF #4 - Firefighting

  • ESF #5 - Emergency Management

  • ESF #6 - Mass Care, Housing

  • ESF #7 - Resource Support

  • ESF #8 - Public Health, Medical, Mortuary

  • ESF #9 - Urban Search and Rescue

  • ESF #10 - Oil and Hazardous Materials



  • Esf 8 public health medical mortuary
    ESF #8: Public Health, Medical, Mortuary

    • CDPHE can provide local jurisdictions the following types of support:

      • Health Surveillance

      • Biological Hazards Consultation

      • Pharmaceutical Supplies and Distribution

      • Assessment of Health/Medical Needs

      • Health/Medical Equipment and Supplies

      • Medical Care Personnel

      • Mortuary Services

      • Food and Drug Safety

      • Potable Water/Wastewater

      • Solid Waste Disposal

      • Radiological and Chemical Hazards Consultation

      • Vector Control

      • Environmental Impact Assistance

      • Public Health Information

    ESF 8: Public Health and Medical


    Esf8 medical surge planning and coordination

    Level 1

    Local, State, Federal

    Response

    Federal Declaration

    Level 2

    State, Local Response

    State Declaration

    Public

    Safety

    Governor

    Level 3

    Regional Response

    Environmental Protection Agency

    Public

    Health &

    Environment

    PersonnelandAdmin

    County

    Commissioners

    Department of Justice

    Level 4

    Local Response

    City Council

    Local Affairs

    Governors’

    Office

    Health & Human Services

    Fire Dept

    Police

    Dept

    Department of Defense

    Human

    Services

    Disaster

    Event

    Div of Emergency Mgmt

    Hospitals

    EMS

    Citizens

    Groups

    Military

    Affairs

    Emergency

    Manager

    Dept of Agriculture

    City

    Council

    Federal Emergency Management Agency

    Response

    Teams

    Interior

    Other

    Others

    Local HD

    Public

    Works

    Others

    Local

    Affairs

    Department of Energy

    General

    Services

    Natural Resources

    HigherEducation

    American

    Red Cross

    COVOAD

    volunteers

    Transportation

    Other Federal

    Agencies

    Regulatory

    Transportation


    Activation
    Activation

    Must ESF8 be activated by emergency management?


    Medical surge esf8 activation thresholds
    Medical Surge ESF8 Activation Thresholds

    Patient surge exceeds county

    Medical Resources exceed availability in county

    Patient surge exceeds hospital

    Medical Surge

    Hospital needs additional resources

    Consider activating Mesa County Hospital Coordination Center

    Consider activating Mesa County Multi-agency Coordination Group

    Consider Declaration of Emergency


    Esf8 planning committee mission statement
    ESF8 Planning Committee Mission Statement:

    • “The County Emergency Support Function 8 Planning Committee (ESF8 Committee) is a multi-disciplinary, coordinating group representing ESF8 agencies and organizations. The Committee addresses critical healthcare needs in our Community. The ESF8 Committee develops strategies and solutions which synchronize the use of diverse healthcare resources during emergencies or disasters affecting County.


    Esf8 medical surge planning and coordination

    County Health Department

    TIER III

    Primary Care & Medical Offices

    Medical Supply Caches/Warehouse

    County Healthcare Coordination System (HCS)/ESF8

    Medical Reserve Corps

    VA Hospital

    Human & Environmental Health

    County Emergency Operations Center (EOC)

    Hospital #1

    Communications Center

    Hospital #2

    Regional Liaisons

    CDEM/RETAC/Public Health

    Hospital #3

    Hospital Coordination System or Hospital Designee

    State PH Liaison

    Emergency Medical Services

    EMS Agencies

    TIER IV

    TIER II

    TIER I

    ESF 8 On the Ground


    Basic response example agency to agency
    Basic Response Example: Agency to Agency

    • Hospital-EMS

    • Public Health- Hospital ICP


    Intermediate response example multi agency multi jurisdiction limited number of esfs
    Intermediate Response Example: Multi-Agency, Multi-Jurisdiction, Limited Number of ESFs

    • Alamosa, CO, Salmonella (ESFs 3, 5, 8, and 15)

    • Limited geographic area flooding/natural disaster.

    • Chemical hazmat spill response with casualties.

    • H1N1? Intermediate or severe? Where were we at?


    Complex response example multi agency full eoc response
    Complex Response Example: Multi-Jurisdiction, Limited Number of ESFsMulti-Agency, Full EOC Response

    • Catastrophic natural event (Snowstorm, outbreak, flooding)

    • Pitkin County, CO- Dirty bomb/mass casualty

    • Train derailment (i.e. Silverton-Durango, Amtrak)