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Lessons Learned from the Field of Emergency Preparedness. Thursday, November 6, 2008 12:00-1:30 pm EST. 2. Questions. To pose a question to the Panelists, please post it in the Q&A panel on the right hand side of your screen and press send.
Thursday, November 6, 2008
12:00-1:30 pm EST
Senior Emergency Services Coordinator
Emergency Preparedness Office
California Department of Public Health
Identifying and Preparing Government Authorized Alternate Care Sites in California
Deputy Department Director
Missouri Department of Health and Senior Services
Resource Allocation in an Emergency: Using AHRQ Tools to Enhance State Planning Efforts
New Madrid Fault
Explosive Events (Including Dirty Bombs)
20 Federally Qualified Health Centers
123 acute care hospitals
6 children’s hospitals
23 designated trauma centers
1 pediatric trauma center
Initial planning efforts addressed pandemic influenza
As the subcommittee finished its initial efforts, the focus changed to allocation of scarce resources
Mass Medical Care with Scarce Resources
Altered Standards of Care in Mass Casualty Events
What did we need to know to develop plans that provided an effective and fair medical response to a mass casualty event?
Were there key principles that professionals had agreed upon that should inform our planning for mass casualty events?
What were the critical issues that we needed to consider and address in planning for the provision of health and medical care in a mass casualty event?
Hospital and Acute Care
Alternative Care Sites
Model framework utilized by Scarce Resource Allocation Committee
Encouraged local public health agencies to utilize the tool in their discussions with their local emergency planning committees
Utilized the mass medical care tool to inform discussions with representatives of the trial attorneys association
Statewide Emergency Medical Services Workgroup
Cross-Departmental Statute & Regulations Workgroup
Pandemic “grief” training for managers and supervisors
Creation of a statewide ethics consortium
Transferring outcomes created with tools to rural Missouri settings
Getting buy-in from non-public health state partners on tools
Lack of public awareness regarding the limitations of the health care system
Inventorying Emergency Preparedness Resources: A Regional Approach to Resource Management
Director of Safety and Emergency Management
Akron Regional Hospital Association
Emergency Management Chairman
EPRI is an internet-based tool enabling first responders, healthcare and private / public entities the ability to compile an inventory of critical resources via a public domain database tool.
Provides flexible access to inventory data via a website.
Provides the ability to make emergency requests and tabulate responses.
Generates reports on quantity, location, discipline and availability.
Meets ASPR (Assistant Secretary for Preparedness and Response) guidelines for tracking of grant funded purchases.
Identification of a region-wide issue.
Established objectives with attainable deadlines.
Development of a multidisciplinary committee.
Regional Coordinators, Emergency Management Agencies (EMA), Public Health, Hospitals
Evaluation of various resource management tools or response tools with included resource management components over a 9 month period.
Tools evaluated on the following criteria:
Ease of Use
Identified EPRI as the emergency resource tool of choice based on the following criteria:
No cost while existing contracts are in place
Remote (internet) hosted
Ability to back up information and hosting site redundancy
Password protected with various user levels
Strong reporting capabilities for all disciplines
NIMS (National Incident Management System) compliant
Customizable and able to integrate with various file types
Open ended infrastructure for mapping tie-ins
Free tech support while under contract
Presented findings to regional steering committee for approval to move forward
Identified workgroups within specific disciplines to identify resources for input
Healthcare – All ASPR funded purchases over $250.00
Public Health – All CDC (Center for Disease Control) funded purchases over $250.00
EMA – All NIMS identified resources
Worked with Abt Associates to develop training modules and user manuals
Developed region specific standard operating procedures and guidelines and policies
Worked with Abt Associates to load initial data such as demographics and contacts
Identified a pilot group to use for a 1 month period in order to identify operational opportunities for improvement.
Pilot test group consisted of the following:
2 Health Departments
Pilot group evaluations to be completed by December 1, 2008. A full report to the regional steering committee during the December meeting.
Full media campaign to begin December 1st, 2008 in order to spark interest and engagement among various disciplines.
First quarter of 2009 all 33 regional hospitals will go live with EPRI.
Usage to be tied back to ASPR funding requirements
Public Health to be on-line by mid-summer of 2009
EMAs to be brought on-line as demand exists.
Use EPRI effectively in 2009 regional exercise.
Provide EPRI to all county emergency operations centers within the region.
Work with regional fire and police entities to provide data or pull data from the State of Ohio response plans.
Provide implementation assistance to other Ohio regions, so all state healthcare organizations have access to, and provide data for, EPRI.
Work collaboratively with adjacent state regions to develop a multi-state EPRI tool.
Continue to promote the implementation and usage of EPRI to all interested parties.
Eliminating “Resource Silos”
Not overstepping the EMA’s authority
Work output at a regional level
Elimination of grant funding
Continue to provide a secure method of data input, tracking and reporting.
Stress importance of EPRI being a tool to assist EMAs in resource identification and acquisition.
Continue to engage regional participants through projects that benefit individual entities.
Think long term when developing regional based tools and how they will be funded.
Provide key contacts and “system owners” that are funded by the region or have region interests in mind.
Public Health Emergency Preparedness: Planning and Practicing for a Disaster
To learn more go to the Webcast Web page at: http://www.academyhealth.org/knowledgetransfer/EPWebcasts.htm