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Disaster Ready…or Not?Stan Szpytek, AzHCA ConsultantLife Safety / Disaster Planning
Arizona Health Care Association • AZ’s largest LTC Association • AHCA’s members facilities- 15,000 residents • AZ’s Long-Term Population Stats • 150 licensed SNF / 16,346 beds • 1880 licensed ALF / 30,095 beds • 250 are “centers” (10 beds are more)
CHALLENGES… • Power • Transportation • Communications • Dependence on Community • Self Reliance • Workforce • Acuity of the LTC Population • Lack of Disaster Planning • No Hazard Vulnerability Assessment • Poor Collaboration
“Gaps Continue to Exist in Nursing Home Emergency Preparedness Response During Disasters” 24 facilities, 7 states, 2007 – 2010 disasters Staffing shortages Resident Care esp. feeding tubes and ventilators Resident ID and tracking Shelter in Place supplies Communication 92% of all nursing homes in the country met federal requirements for emergency plans Most providers DO NOT use an emergency management model like the Incident Command System
Bureau of Public Health Emergency Preparedness:150 N. 18th Avenue, Suite 150Phoenix, AZ 85007(602) 364-3289(602) 542-2722 Fax
Major DRA Program Elements...... • Identify Needs • Provide Training Opportunities • Provide Resources • Develop / Facilitate Relationships
IDENTIFY NEEDS Gap Analysis Survey
Focus…… • HHS Hospital Preparedness Program (HPP) Grant Guidance • Section 1.5: Level 1 and Level Sub-Capabilities ** Essentially the desired levels of preparedness in all healthcare occupancies
Survey Process…… • Developed comprehensive survey based on grant guidance • Thirty-eight (38) probes • Utilized On-line “Survey Monkey” • Robustly Promoted by AzHCA with BA Assistance • Excellent Member Participation
Limited Alternate Comm… • Satellite phone- 2.2% • Access to ham radio operator- 1.1 %
Common Comm… • Two-way radios- 68.5% • National Weather Service alert radio- 21.3 % • Battery-powered am/fm radio- 60.7%
COLLABORATION WORKING WITH KEY PARTNERS
Participation… Does your facility participate in any local, county or state disaster planning / emergency management initiatives? • YES- 18% • NO- 73% • UNSURE 9%
HAZARD VULNERABILITY What’s beyond the fence?
Hazard Vulnerability Assessment… • YES-24.7 • NO- 58.4 • UNSURE- 16.9
Surge… • Bed Availability Tracking • YES- 59.6 % • NO- 40.4% • Formalized Receiving Plan • Yes- 58% • NO- 42%
Incident Command System… • YES- 25.6% • NO- 46.5% • UNSURE 27.9%
Handling the Deceased During Disaster… • Safe handling procedures established • YES- 20.2% • NO- 79.8% • Temporary morgue identified • YES- 19.3% • NO- 80.7%
IDENTIFY NEEDS Gap Analysis Survey- Follow-up Site Visits
TRAINING Provide Training Opportunities
NHICS Workshops- June 2012 • Tucson (Pima County Health Department) • Mesa (Southwest Ambulance H.Q.)
NIMS and the Incident Command System (ICS) One of the most important 'best practices' that has been incorporated into the NIMS is the Incident Command System (ICS), a standard, on-scene, all-hazards incident management system already in use by firefighters, hazardous materials teams, rescuers and emergency medical teams. The ICS has been established by the NIMS as the standardized incident organizational structure for the management of all incidents. www.fema.gov/txt/nims/nims_ics_position_paper.txt
What is the Incident Command System? • Standardized approach to all hazards response and recovery • Used across all disciplines • Promotes efficiency and effectiveness in response • Not a plan but a framework to overlay on existing plans • Used to manage all types of events- big or small
How do you manage CHAOS ??? By OBJECTIVES