California Medical & Health Resource Management

1. California Medical & Health Resource Management www.DisasterDoug.com Based upon the 2011 Public Health and Medical Emergency Operations Manual

2. Objectives • List positions and levels of the Health & Medical Mutual-Aid System • Describe responsibilities of the Healthcare Provider prior to submitting a resource request to the MHOAC • List several required elements of the Medical & Health Resource Request Form • Describe the path of a Medical & Health Resource Request submitted from a local healthcare provider • Describe difference between mobilizing Personnel and mobilizing equipment or supplies www.DisasterDoug.com

3. Resource Requesting within an OA • During an emergency, Medical and Health providers request resources, unavailable through other sources, from the MHOAC. www.DisasterDoug.com MHOAC

4. MHOAC Program • The MHOAC Program will coordinate resource fulfillment within the Operational Area and through all available suppliers. www.DisasterDoug.com

5. MUTUAL-AID • If the MHOAC Program cannot satisfy the request for additional resources from within the OA, the MHOAC may request health and medical resources through the California Health & Medical Mutual-Aid System. www.DisasterDoug.com

6. Following the requesting pathfor Medical & Health Resource Requests • What is expected of Providers? • What is expected of the MHOAC Program? • What is expected of local OES? • What is the role of the RDMHC Program? www.DisasterDoug.com

7. What is Expected of Providers? • Prior to submitting a resource request to the MHOAC, the provider should confirm the following: • The resource need is immediate and significant (or anticipated to be so). • The supply of the requested resource has been exhausted, or exhaustion is imminent. • The resource is not available from internal or corporate supply chain. • The resource or an acceptable alternative is unavailable from other vendors. • The resource is unavailable through pre‐existing agreements. • Payment/reimbursement issues have been addressed. www.DisasterDoug.com

8. Complete the Resource Request: Medical & Health Form Big Rock Incident 9/11/2012 1310 Incident Name, Date, & Time www.DisasterDoug.com

9. Complete the Resource Request: Medical & Health Form Big Rock Incident 9/11/2012 1310 MHXLA-12-001 Requestor Number (for tracking purposes) www.DisasterDoug.com

10. Complete the Resource Request: Medical & Health Form Big Rock Incident 9/11/2012 1310 MHXLA-12-001 John Smith, Acme Healthcare, Emergency Preparedness Coordinator (555) 123-4567, jsmith@acme.com Requestor Name, Agency, Position, Phone / Email www.DisasterDoug.com

11. Complete the Resource Request: Medical & Health Form Big Rock Incident 9/11/2012 1310 MHXLA-12-001 John Smith, Acme Healthcare, Emergency Preparedness Coordinator (555) 123-4567, jsmith@acme.com Staff Alternate Care Site www.DisasterDoug.com Describe Mission / Tasks

12. Complete the Resource Request: Medical & Health Form Big Rock Incident 9/11/2012 1310 MHXLA-12-001 John Smith, Acme Healthcare, Emergency Preparedness Coordinator (555) 123-4567, jsmith@acme.com Staff Alternate Care Site www.DisasterDoug.com Order Sheet – See Attached

13. Complete the Resource Request: Medical & Health Form Big Rock Incident 9/11/2012 1310 MHXLA-12-001 John Smith, Acme Healthcare, Emergency Preparedness Coordinator (555) 123-4567, jsmith@acme.com Staff Alternate Care Site www.DisasterDoug.com Reply / Comments from Finance: Approved for payment. PO # 12-18365

14. Complete the Resource Request: Medical & Health Form Big Rock Incident 9/11/2012 1310 MHXLA-12-001 John Smith, Acme Healthcare, Emergency Preparedness Coordinator (555) 123-4567, jsmith@acme.com Staff Alternate Care Site www.DisasterDoug.com Finance Section Signature (Name, Position, Signature) Date / Time Approved for payment. PO # 12-18365 JP Jones, CFO 9/11/12

15. Complete the Resource Request: Medical & Health Form 1 U RN- Public Health 2 U N95 Masks www.DisasterDoug.com • Line # • Priority • Detailed Description

16. Complete the Resource Request: Medical & Health Form -- -- 5 72 hrs 1 U RN- Public Health 2 U N95 Masks N95 -- 100 7 days www.DisasterDoug.com • Kind/ Rx Strength • Type/Rx (unit or conc.) • Quantity Requested • Expected Duration of Use

17. Complete the Resource Request: Medical & Health Form -- -- 5 72 hrs 1 U RN- Public Health 2 U N95 Masks N95 -- 100 7 days • Suggested Source(s) of Supply: • Suitable Substitute(s): • Special Delivery Comment(s): www.DisasterDoug.com N100, suitable substitute for N95

18. Complete the Resource Request: Medical & Health Form -- -- 5 72 hrs 1 U RN- Public Health 2 U N95 Masks N95 -- 100 7 days www.DisasterDoug.com • Deliver to/ Report to POC(Name, Position, Phone#, Email, Radio, etc.) Acme Healthcare - 123 Mountain Rd (555) 123-4567 N100, suitable substitute for N95

19. MHOAC Program • After receiving a request for resources, confirm the resource need is immediate and significant (or anticipated to be so), and assess local availability or alternatives. Consider: • Has the supply at the requesting facility/agency of the requested resource been exhausted, or is exhaustion imminent? • Is the resource or an acceptable alternative available from other vendors, providers, or Public Health Department caches within the OA? • For EMS assets, has EMS Agency been notified? • Have payment/reimbursement issues been addressed? (i.e. Approved by requesting agency’s Finance Section, or local government authorization for reimbursable assets) www.DisasterDoug.com

20. MHOAC Program • Immediately notify the RDMHC Program that the resource is needed and work with the RDMHC Program to refine the resource request before formal submittal of the request to the local OES office. • Submit the formal request to the local OES Coordinator (or Operational Area EOC, if activated) by fax or email for approval and entry into RIMS. Note: The formal RIMS data entry process must not delay the resource request through the RDMHC from moving forward. www.DisasterDoug.com

21. MHOAC Program • Provide a copy of the resource request to the RDMHC Program by fax or email. • Contact the OES Coordinator (or OA EOC) to confirm receipt of the request and submission into RIMS. • Contact the RDMHC to confirm receipt of the request. www.DisasterDoug.com

22. Resource Requests: Medical & Health www.DisasterDoug.com

23. Filling a Resource Request from Outside the OA • When a request for medical or health resources is received from the RDMHC for another OA, the MHOAC Program will: • Assess local medical/health providers for the needed resource(s). • Notify OES/OA EOC to ensure proper tracking and fulfillment of the resource request. • Notify RDMHC of the requested resource availability. • Continue to work with the RDMHC and local providers to ensure reimbursement issues are confirmed and delivery details are verified. www.DisasterDoug.com

24. Mobilizing Resources • To facilitate the effective mobilization of health and medical resources, the completed Health and Medical Resource Request Form must provide clear and detailed information and instructions in the Deliver to/Report to Point of Contact section. www.DisasterDoug.com

25. Mobilizing Personnel • Agencies and/or organizations that agree to provide personnel resources to an affected jurisdiction should notify the personnel to mobilize, and communicate detailed information regarding when and where to report for duty (e.g., Incident Command Post, Staging Area, Mobilization Center, or EOC). • The providing agency/organization should also arrange for transportation, food, lodging, security, and other support while enroute and advise the requesting jurisdiction regarding the resource’s anticipated needs upon arrival. www.DisasterDoug.com

26. Mobilizing Personnel • Essential Elements: • Point‐of‐contact and delivery information that is complete, accurate, and provides the necessary detail for the personnel resource to be mobilized from portal to portal. • Contact information for mobilized personnel resources (cell phones, radio frequencies, etc.) while enroute to allow for information sharing, notification of travel hazards, change of assignment, change in reporting location, cancellation orders, etc. www.DisasterDoug.com

27. Mobilizing Personnel • Essential Elements: • Clear instructions regarding the mission/task assignment. • Resource order number (for resource confirmation and tracking purposes) • Special mobilization instructions, including security or recommended equipment/personal gear they should carry, based on the anticipated length of the assignment, situation and resource availability in the affected area. www.DisasterDoug.com

28. Mobilizing Equipment or Supplies • Organizations or vendors that agree to provide equipment or supplies to an affected jurisdiction should arrange for the material to be staged for shipment and be provided with detailed information regarding: • delivery contact information, • location and time, • special delivery requirements, etc. www.DisasterDoug.com

29. Resource Tracking • Providing Entity: Once personnel resources have arrived at the check-in site, the requesting entity is responsible for tracking the resources. Coordinate with the emergency management agency for the Operational Area (or Operational Area EOC if activated) to ensure resource status is properly tracked and updated in RIMS or other resource tracking system. • Requesting Entity: Coordinate with the MHOAC Program for the requesting OA. The providing entity may send an Agency Representative to the requesting entity (at the Incident Command Post or Unified Command) if needed. www.DisasterDoug.com

30. Demobilization of Resources • Providing Entity: Coordinate with the requesting entity and MHOAC Program. Confirm when resource has returned to the point of origin. • Requesting Entity: Coordinate with the providing entity and MHOAC Program to demobilize provided resources. www.DisasterDoug.com

31. Thank You! Doug Buchananwww.DisasterDoug.com