Transcript Emergency Management

Emergency Management
CSHE Los Angeles Chapter
2013 Annual
Introduction
• Christopher Riccardi, CHSP,CHEP, CHCM-SEC
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Disaster Preparedness since 2005
6 Joint Commission Surveys
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13 CDPH Surveys
Best Practice Designation
Los Angeles County Disaster Healthcare Coalition Representative
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Small Hospitals
Hospital Association of Southern California
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Two hospitals
HDMT Trainer
Safety and Security Committee member
California Hospital Association
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2013 Disaster Preparedness Conference Planning Committee
2013 Disaster Prep Conf Presenter
Basics
• EM Became Separate Chapter from EC in
2010
• 12 Standards
• 122 Elements of Performance (EPs)
• 16 Require Documentation
• 3 Direct Impact Potential
• LD, MS, IC and HR Chapter Cross-Over
• 8 EPs Related to Utility Management Plan
Planning
4 Phases of EM
Mitigation
Preparedness
Response
Recovery
• Engineering Controls
• Activities designed to reduce the risk of and potential
damage due to an emergency.
• Activities that organize and mobilize essential
resources.
• HVA, EOP, 96 Hour Assessment
• Activities the hospital undertakes to respond to
disruptive events
• Activities the hospital undertakes to return the facility to
complete business operations.
Preparedness Continuum
Identify
Risks/Hazards
Modify Plans
Develop
Strategies
Test Plan through
Disaster
Exercises
6 Critical Elements
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Communications
Resources and Assets
Safety and Security
Staff Roles/Responsibilities
Utilities
Patient and Clinical Support Activities
Elements of Performance
(EPs)
• Emergency Operations Plan
– Dynamic Document
• Communications
• Response Procedures
– Utilities Failure Matrix
• Electrical
• H20 (Consumption/Equipment/Sanitation)
• Fuel
• Med Gases
• Essentials
– Elevators, HVAC, Sterilization
• Emergency Resources
– Resources/Capabilities At A Glance
Future Focus
• Requirements for EM Oversight
– Heavy Focus on Leadership
• Joint Commission Perspectives 7/2013, Vol 33
• Effective January 1, 2014
– “A” Standards (Performance MUST Be 100%)
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LD.04.01.05
EM.03.01.01
EM.03.01.03
LD.04.01.01
2014 EM Requirements
Best Practice
• HVA
– Kaiser Model
• Org.+ Community Stakeholders Prioritize
• Inventory of Resources/Assets
– Updated Annually
• EOP
– Reviewed Annually
• Communicate (in writing) to LIPs
– Appointment and Reappointment Signature
• Bylaws (MS)
– Must Include LIPs and SUVs
Tools
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Kaiser HVA Model
Functional Inventory with Expiration Dates
EOP
Emergency Resources At A Glance
Disaster Volunteer Toolkit (PIH, Henry Mayo,
PLCM)
• Communications to LIPs (PLCM)
• Bylaws (PLCM et al)
Emergency Resources
Emergency Resource Inventory
Resource/
Utility
Inventory (On-Site)
20,000 Gal Dom. Hot Water
5,000 Gal within piping system
8,000 Gal in Reverse Osmosis
WATER
33000 Total Gallons on site
Note: 30,000 gallons available in
sprinkler system for extreme
measures
Medical Air
Medical Gases Medical Gas (Vacuum)
(Piped)
Ventilation
Medical Suction
FUEL (Diesel)
10,000 North Tower
1,200 West/Research
30,000 South Tower
=41,200 Gallons Diesel
FULL Load/hrs
Generator
Capabilities
(In Hours)
FUEL (Gasoline)
Liquid Oxygen
G1
G2
G3
G4
G5
G6
233.6
233.6
233.6
16.8
211.4
211.4
Capabilities
3134 Staff
1000 Volunteers
298 Med Staff
558 (279 beds x2)
4990 Total x 1
gal/day/person
= 6.6 days (158 hrs)
On Emerg Power
On Emerg Power
On Emerg Power
On Emerg Power
Rationing Suggestions
-Limit Patient Bathing
(Sponge bath vs Shower
-Use of Hand Sanitizer for
Hand Washing
-No Flush Order for staff (Bag
Waste w/ scoop of kitty litter
for absorption
See Generator Capabilities
Below
77.86 hrs Full Power -POM To Ration
16.8 hrs Full Power -Load Shedding Possible to
105.7 hrs Full Power Maximize Efficiency/Prolong
Fuel Supply
¾
½ ¼
317 454 757.6
317 454 757.6
317 454 757.6
23
33 55.6
289.9 415 701
289.9 415 701
-Adjust Usage per
Capabilities Chart
NOTE: No Gasoline Storage On
Site!
Must use supply in vehicles
In parking lot
_Gasoline Generators -Utilize Siphon (also located
located in ______
in trailer) to obtain gasoline
from vehicles on site
250 inches (main)
150 inches (reserve)
50 days (1200 hrs)
30 days (720 hrs)
Daily Usage=3-5 Inches
Utilize Liquid O2 to replenish E
and H Cylinders as needed
HVA Assessment Tool
HAZARD AND VULNERABILITY ASSESSMENT TOOL
NATURALLY OCCURRING EVENTS
SEVERITY = (MAGNITUDE - MITIGATION)
RISK
PROBABILITY
HUMAN
IMPACT
PROPERTY
IMPACT
BUSINESS
IMPACT
PREPAREDNESS
INTERNAL
RESPONSE
EXTERNAL
RESPONSE
Likelihood this
will occur
Possibility of
death or injury
Physical losses
and damages
Interruption of
services
Preplanning
Time,
effectiveness,
resources
Community/
Mutual Aid staff
and supplies
Relative threat*
0 = N/A
1= Lo w
2 = M o derate
3 = High
0 = N/A
1= Lo w
2 = M o derate
3 = High
0 = N/A
1= Lo w
2 = M o derate
3 = High
0 = N/A
1= Lo w
2 = M o derate
3 = High
0 = N/A
1= High
2 = M o derate
3 = Lo w o r no ne
0 = N/A
1= High
2 = M o derate
3 = Lo w o r no ne
0 = N/A
1= High
2 = M o derate
3 = Lo w o r no ne
0 - 100%
Hurricane
1
2
2
2
3
2
1
22%
Tornado
1
1
1
1
3
2
1
17%
Severe Thunderstorm
2
1
1
1
1
1
3
30%
Snow Fall /Blizzard
0
0
0
0
0
0
0
0%
Earthquake (3.0-4.2m)
3
1
1
1
1
1
1
33%
Earthquake (4.3-5.9m)
2
2
2
2
1
1
2
37%
Earthquake (>6.0m)
2
3
3
3
1
2
2
52%
Tidal Wave
1
0
0
0
0
0
0
0%
Temperature Extremes
2
2
1
1
2
2
3
41%
Drought
2
1
1
2
2
1
2
33%
Flood, External
1
1
2
2
2
1
2
19%
Wild Fire
1
1
1
1
3
3
3
22%
Landslide
0
0
0
0
0
0
0
0%
Dam Inundation
0
0
0
0
0
0
0
0%
Volcano
1
1
1
1
3
3
3
22%
EVENT
SCORE
Influenza Pandemic
AVERAGE SCORE
3
2
1
3
1
1
1
50%
1.38
1.13
1.06
1.25
1.44
1.25
1.50
19%
*Threat increases with percentage.
RISK = PROBABILITY * SEVERITY
0.19
0.46
0.42
Questions…
Contact Information
Chris Riccardi
[email protected]
310-303-5551