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Disaster Ready…or Not? Stan Szpytek, AzHCA Consultant Life Safety / Disaster Planning
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  1. Disaster Ready…or Not?Stan Szpytek, AzHCA ConsultantLife Safety / Disaster Planning

  2. 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)

  3. 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

  4. Mesa Transformer Fire…

  5. Wallow Fire…

  6. Outside of Flagstaff- 10/6/10

  7. Plane CRASHES into School- 6/11/10Eager, Arizona

  8. SUNDAY, MAY 22, 2011 - 5:15 P.M.JOPLIN, MISSOURI

  9. Joplin, MO (Greenbriar)…..

  10. Colorado Springs- June 2012…

  11. How Vulnerable?

  12. OIG Report: 4/13/12

  13. “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

  14. Are LTC Facilities in AZ Ready for Disaster ?

  15. WHAT KEEPS YOU UP AT NIGHT?

  16. Bureau of Public Health Emergency Preparedness:150 N. 18th Avenue, Suite 150Phoenix, AZ 85007(602) 364-3289(602) 542-2722 Fax

  17. A program was born……

  18. Major DRA Program Elements...... • Identify Needs • Provide Training Opportunities • Provide Resources • Develop / Facilitate Relationships

  19. IDENTIFY NEEDS Gap Analysis Survey

  20. Identify Needs……

  21. 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

  22. 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

  23. SURVEY FINDINGS…

  24. COMMUNICATIONS

  25. Limited Alternate Comm… • Satellite phone- 2.2% • Access to ham radio operator- 1.1 %

  26. Common Comm… • Two-way radios- 68.5% • National Weather Service alert radio- 21.3 % • Battery-powered am/fm radio- 60.7%

  27. FB During Disaster???

  28. COLLABORATION WORKING WITH KEY PARTNERS

  29. Participation… Does your facility participate in any local, county or state disaster planning / emergency management initiatives? • YES- 18% • NO- 73% • UNSURE 9%

  30. HAZARD VULNERABILITY What’s beyond the fence?

  31. Hazard Vulnerability Assessment… • YES-24.7 • NO- 58.4 • UNSURE- 16.9

  32. Medical SurgeFacility ExpansionBed Tracking

  33. Surge… • Bed Availability Tracking • YES- 59.6 % • NO- 40.4% • Formalized Receiving Plan • Yes- 58% • NO- 42%

  34. INCIDENT MANAGEMENT

  35. Incident Command System… • YES- 25.6% • NO- 46.5% • UNSURE 27.9%

  36. FATALITY MANAGEMENT

  37. Handling the Deceased During Disaster… • Safe handling procedures established • YES- 20.2% • NO- 79.8% • Temporary morgue identified • YES- 19.3% • NO- 80.7%

  38. IDENTIFY NEEDS Gap Analysis Survey- Follow-up Site Visits

  39. Meet with Key Staff…

  40. TRAINING Provide Training Opportunities

  41. NHICS Workshops- June 2012 • Tucson (Pima County Health Department) • Mesa (Southwest Ambulance H.Q.)

  42. 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

  43. 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

  44. How do you manage CHAOS ??? By OBJECTIVES