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Sheltering for Disabilities and Special Needs

Sheltering for Disabilities and Special Needs. enABLED in Emergencies Conference 2009. The Region. 18 Counties 177 cities 6.3 Million* (27%) 877,000 with disabilities* (24%) 120+ hospitals 500+ nursing homes. Tropical Storm Allison Houston, Texas June 2001.

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Sheltering for Disabilities and Special Needs

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  1. Sheltering for Disabilities and Special Needs enABLED in Emergencies Conference 2009

  2. The Region 18 Counties 177 cities 6.3 Million* (27%) • 877,000 with disabilities* (24%) 120+ hospitals 500+ nursing homes

  3. Tropical Storm Allison Houston, Texas June 2001

  4. Hurricane Katrina Houston, Texas August 2005 Largest Patient Reception in US History

  5. Hurricane RitaTexas Gulf Coast September, 2005 Largest mass evacuation in US history

  6. 2008 Hurricane Season Ike: Largest EMS deployment in US history

  7. So how do we improve next time???

  8. EvacuationSurgeZones • Planned evacuation times • Phased-in return times • Pre-identified shelter Hubs • 19 acute care hospitals • 121 nursing homes • 1.2 million citizens

  9. Disparitybetweenassumptionandreality

  10. So what IS right for healthcare?

  11. Catastrophic Medical Operations Center (CMOC) Local and Regional asset Co-located in the HEC Recognized by the MACG for health and medical coordination NIMS Compliant Command authority Logistical and Operational Components Stand up when requested by EOC, EMC, State, or other jurisdictions of authority

  12. Mission Identify and meet the healthcare needs of the region Protect and maintain medical infrastructure of all regional healthcare facilities Provide appropriate transfer to healthcare facilities based on capacity and capability Coordinate unique requirements of “special needs” population Maintain patient tracking records

  13. “One Stop Shop” Coordination and organization of movement of medical special needs persons during a disaster Organization of transportation assets for patient movement

  14. “One Stop Shop” • Facility Assistance • Patient Tracking • Organization of Regional Public Health Issues • Presentation Trending • Coordination of Mass Fatality Issues

  15. EvacuationHubs

  16. Special Needs • Elderly/infirmed • Pediatric • Neurological/mental disorders • Multi-organ disease • Dialysis • Immunocompromised • Handicapped • Technologically dependant

  17. IdentifyingourSpecialNeedsPopulation… • 211 Registry • It is estimated that less than 10% of our special needs population have registered • Distrust • Privacy • Mistrust of government • Personal reasons • Don’t want to leave their home • Don’t want to leave their pets • Fear from last time….

  18. Identifying our Special Needs population… • Health homes • Home health care • Hospital discharge • Church and faith- based organizations • HOA’s • Community leaders • Healthcare for the Homeless

  19. SecondaryFacility(MSN RLR) • Location, Location, Location……. • Patient population • Staffing • Supplies • Medical gases • Emergency power • Nutritional support • Access/Security

  20. FieldHospitals • Collaborative effort • Houston Fire Department • Regional Hospital Preparedness Council • Regional Asset • Deployment time: 4 hrs • Shelter, equipment, pharmaceuticals • Personnel…..

  21. Electricity Outages

  22. Loss of Water and Sewer

  23. Access Challenges • Healthcare Employees • Fuel • Access to work

  24. Transportation • Ambulances • Limited distribution • Tracking • Fuel • Conflicting priorities • Travel time • Staging • Timeout

  25. Alternate Care Sites and Sheltering

  26. Hospital Evacuations/Closures 56 of 109 hospitals in affected zone

  27. EM Resource

  28. EMTrack ASP and Mobile

  29. Repatriation • Community Infrastructure Loss • Medical Infrastructure Loss • Transportation Assets • Individuals’ desire to return • Financial Implications • Tracking • EMTALA

  30. Questions

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