Transcript Document

CHC Board Presentation
Neighborhood Health Services Corp.
February 22, 2011
Amelia Muccio
Director of Emergency Management
NEW JERSEY PRIMARY CARE ASSOCIATION
Objectives
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Emergency management overview
CHC role in emergencies
HRSA guidance
Emergency management tools
Role of CHC Board in emergencies
Additional resources
Disaster Optimism
“It Cannot Happen to Me!”
• Panic, fear and denial
are inevitable in a
disaster situation
• Brain will perform best in
a stressful situation if you
have already put it
through a few rehearsals
– I.E. fire drills
– Pattern recognition
(respond quicker)
Emergency Management
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Mitigation
Preparedness
Response
Recovery
Emergency Management
– Mitigation (including prevention): reduce or
eliminate impact of hazards (generators)
• Every $1 on mitigation saves $7 in post-disaster
costs
– Preparedness: build capabilities to respond and
recover from the impacts of those hazards (this
training)
– Response: gain control over on-going negative
effects of the hazards (staying open)
– Recovery: return to pre-disaster condition
(normal business operations)
CHCs—Role of Ambulatory Care Facilities
• Provide services to at risk populations
• Triage, screen and treat lower acuity patients
“walking wounded”
• Provide surge capacity during emergency
• Provide mass vaccination
• Serve as Point of Dispensing
• Decompress healthcare system
• Serve as Alternate Care Site
2007-15 Health Center Emergency
Management Program Expectations
• Purpose: emergency management
expectations related to planning and
preparing for future emergencies.
• All-Hazards approach
• 3 key elements-safeguarding human
resources, protecting physical
resources and ensuring business
continuity.
• Protecting CHC staff and delivering
healthcare.
2007-15 Sections
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Expectations:
A. Emergency Mgt Planning
B. Linkages & Collaborations
C. Communications & Information
Sharing
• D. Maintaining Financial and
Operational Stability
Emergency Management Planning
• CHC's should be engaged in an
ongoing continuous process to ensure
that emergency management plans
(EMP) are appropriate.
Linkages and Collaborations
• Coordinated efforts are necessary to provide
comprehensive care during a disaster and
integration can increase the CHC’s ability to
obtain needed resources for continuing care.
• CHC’s define their role within their local
community prior to an emergency and be
proactive in engaging leaders, organizations,
and developing relationships.
• Participating in State, local and community
emergency exercises will aid in initiating and
developing linkages.
Infrastructure
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Individual facility (CHC)
Local level (local OEM)
County level (county OEM)
Regional level (MCCs)
State level (PHILEP, HCC)
Multiple States (EMAC)
Federal level (Stafford Act)
Communications and Information Sharing
• CHC’s should have policies and procedures
for communicating and sharing information
with internal and external stakeholders.
• Standard communication goes down and
CHC’s will have trouble accessing critical
information.
• EMP—strategies for communicating with
staff, patients, other agencies.
Maintaining Financial and Operational
Stability
• CHC’s business plans should address
financial viability in the event of an
emergency.
• Recovery can be hours to years.
• Adequate planning for recovery in the
assessment, planning and response
process will shorten the time it takes a
health center to become fully
operational.
Hazard Vulnerability Analysis
• BASED ON HAZARD VULNERABILITY ANALYSIS
• Identifies potential emergencies and the direct/indirect effects these
emergencies may have on CHC’s operation and demand for services.
• The risks identified should be prioritized based on likelihood of
occurrence and severity.
Business Continuity
• BIA-Business Impact Analysis
• COOP-Continuity of Operations Plan
• What are essential services of each critical
department?
• What is needed to keep these functions
continuing during an emergency (IT, payroll,
facilities, patient services, etc.)
• Pre-incident preparedness needed to sustain
these vital functions.
CHC Staff
• Use Incident Command System
• CHCs use Incident Command Team to
utilize resources and establish proper
command in an emergency “reduce
chaos”
• CHCs require planning, training and
exercising on ICS
• Job Action Sheets
ICS Structure
Personal Preparedness
• Do you have a family
communications plan?
• Do you have a go bag?
• Do you have a pet go bag?
• Have you made
arrangements for childcare
if you are needed at work?
• What about your other
family members including
elderly and pets?
Role of CHC Board
• Foster buy in for emergency preparedness
• Participate in emergency preparedness
training
• Review essential plans to promote
operational and financial viability in an
emergency
• Support CHC staff during emergency
• Strengthen relationships with other partners
Questions/Additional Resources
• SOPs/Trainings/Exercises
• HAZMAT, MCI, workplace violence, severe
weather, fit-testing, novel influenza, hostile
patient, active shooter, foodborne outbreak,
hostage situation, bomb scare,
communications, ICS/NIMS, PINS, cyber
security, power outages, COOP, business
continuity, personal preparedness…