Transcript Document 7309039

Regional Emergency
Coordinator Program Preparedness, Response and
Recovery
Captain Kevin Sheehan, U.S. Public Health Service
Regional Emergency Coordinator/Field Supervisor
HHS Region IX
Federal Medical Preparedness & Response for
Disasters and Special Events
• Responses:
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Haiti Earthquake
American Samoa Tsunami
President Obama Inauguration
Republican and Democratic
National Conventions
G-8 and G-20 Meetings
North Dakota Floods
Gulf Oil Spill
Hurricane Katrina
Hurricane Ike & Gustav
Many other hurricanes
http://www.phe.gov/Preparedne
ss/news/Pages/anationprepare
d.aspx
• Preparedness
─ Southern California Earthquake
Plan
─ New Madrid Earthquake Plan
─ Improvised Nuclear Plan for
Nevada
─ Hurricane Plan for Hawaii
─ Typhoon Plan for Guam
─ Northern California Earthquake
Plan
─ Cascadia Subduction Zone
Plan – Northern California
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ASPR
Dept Health & Human Services
Assistant Secretary for
Preparedness & Response
OPEO
ASH
Office of Preparedness &
Emergency Operations
Assistant Secretary
For Health
IGA
Intergovernmental Affairs
HPP
RHA
MRC
RD
Regional Emergency
Coordinators
Hospital Preparedness
Program staff
Regional Health
Administrators
Medical Reserve
Corps
Regional Directors
REGIONS
REC
HEADQUARTERS
HHS
Today’s Agenda
• Role of the Emergency Support Function 8
• Role of the Regional Emergency Coordinator Program
─ National Disaster Medical System (NDMS) Patient
Movement
• Federal Medical Service Access Teams and how they will
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interact with NDMS hospitals after a disaster
US Department of Health and Human Services role in
Recovery
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National Response Framework
Emergency Support Functions (ESF)
ESF #1
Transportation
ESF #2
Communications
ESF #3
Public Works & Engineering
ESF #4
Firefighting
ESF #5
Emergency Management
ESF #6
Mass care, housing, human services
ESF #7
Resource Support
ESF #8
Public Health & Medical Services
ESF #9
Urban Search & Rescue
ESF #10
Oil & HAZMAT Response
ESF #11
Agriculture & Natural Resources
ESF #12
Energy
ESF #13
Public Safety & Security
ESF #14
Long-term recovery
ESF #15
External Affairs
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How the United States
Government will respond
Coordination missions that
are Federal responsibility
Selectively activated as
needed
Provide staffing for
incident management
organizations
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Emergency Support Function (ESF) # 8
Department of Health & Human Services (HHS)
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Medical Care
Medical Equipment &
Supplies
Patient Evacuation
Behavioral Health Care
Vector Control/Potable
Water & Sanitation
Mortuary Services
Public Health Veterinary
Care
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About National Disaster Medical System
(NDMS)
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The mission of the National
Disaster Medical System to
temporarily supplement
Federal, Tribal, State and
Local capabilities by funding,
organizing, training,
equipping, deploying and
sustaining a specialized and
focused range of public
health and medical
capabilities.
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Disaster Medical Assistance Teams
(DMAT)
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locally sponsored and
community based.
ready to deploy within 12
hours of notification and then
remain self-sufficient for 72
hours
consists of approximately 3550 individuals in each
deployable unit
ER docs, nurses,
paramedics, coms, command
& control
deploy for 14 days
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Medical Response
• Surgical Teams
─ Haiti
• Mortuary Teams
─ Haiti
─ Buffalo Plane Crash
• US Public Health Service
Officers
─ Public Health Teams
─ Mental Health Teams
─ Environmental Health
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Health and Human Service Partners for
Medical Response
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Agenda continued,
• Role of the Emergency Support Function 8
• Role of the Regional Emergency Coordinator Program
─ Health and Human Services in the Region
─ National Disaster Medical System (NDMS) Patient
Movement
• Federal Medical Service Access Teams and how they will
•
interact with NDMS hospitals after a disaster
US Department of Health and Human Services role in
Recovery
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Regional Emergency Coordinators (RECs)
HHS/ASPR REGIONAL OFFICE RESPONSIBILITIES
Event Occurs
Preparedness and
Readiness Planning
(Ready to Act)
Response and Transition
to Recovery
Goal: Community Resiliency
Goal: Effective Field Operations
Risk Management
Mitigation
Prevention
Integration
Training and Exercises
ICS
NRF/NIMS/Health Security
Intergovernmental/Agency Coordination
and Integration
Manage Response Teams
Improve Response Times/Effectiveness
Logistics
After Action Lessons Learned
Information Analysis and
Performance Measurement
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Local Health Officials
State Health Officers
Tribes
Community Volunteer Based Organizations
Faith Based Organizations
RHA
Universities
Private Industry
DHS
Local Elected Officials
Congress
Governor’s Offices
RD
FEMA
ASPR Regional
Executive
Leadership
Network
VA
State EMA
REC
DoD
ESF #8 Response Assets
Public Affairs
Other Federal Agencies
Public Health Preparedness
Directors
HHS/ASPR Region Spheres of Influence
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Patient Movement Schematic
“The Continuum of Patient Movement”
Local
Origination /
Disaster
Area
Federal ESF#8
State
Ground / Air Transport
Patient
Transport
Begins
Destination
Site
DoD Air Transport
APOE
Hospital / FMS
APOD
FCC
* Initial JPATS Entry /
EMR Encounter
Enters
TRAC2ES
Exits
TRAC2ES
Traditional
EMR Encounter
* Notional / Desired Entry of Pt Info
Origination /
Disaster
Area
Federal ESF#8
Destination
Site
DoD Air Transport
APOD
APOE
Patient Reentry
Transport Begins
FCC
Hand-Off to Final
Destination Facility
NoTRAC2ES
JPATS / EMR
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Agenda
• Role of the Emergency Support Function 8
• Role of the Regional Emergency Coordinator Program
─ Health and Human Services in the Region
─ National Disaster Medical System (NDMS) Patient
Movement
• Federal Medical Service Access Teams and how they will
•
interact with NDMS hospitals after a disaster
US Department of Health and Human Services role in
Recovery
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Service Access Teams Overview
• Involves returning patients who were evacuated through
Federal ESF#8
─ Destination locations could include home,
originating facilities, intermediate care facilities
• HHS Service Access Teams (SATs) shall ensure proper
services afforded medical evacuees
• SAT will serve as patient advocates and provide
medical and human services case management
• Patients will be tracked through the system using Joint
Patient Assessment Tracking System (JPATS)
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Service Access Team (SAT)
• SAT will coordinate all aspects of patient return to
ensure smooth transition from host State to final
destination. Scope of services will include:
─ Work with FCCs, sending and receiving facilities, as well as
State EOCs and health departments to identify/track
patients
─ Ensure transportation, human services (language
translation, food, lodging, etc) and arrangements for
discharged patients and attendants
─ Coordinate return of patients and attendants to home state
─ Facilitate communication between attending physician and
accepting physician in home state for those requiring followon care
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SAT Primary Functions
# 1 - Coordination of Evacuee Return
• Desired end state is return to home or appropriate
placement
• Medical evacuees are allowed to return when:
─ They are well enough to travel
─ The evacuated state has declared it is safe to return
─ There is an appropriate receiving facility
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SAT Primary Functions
#2 – Medical Case Management
• Coordinate services with facility discharge planners,
receiving facilities, others as required
• Communicates clearly to patients, families, providers,
and staff of receiving facility
• Arranges for medical transportation/ equipment
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SAT Primary Functions
# 3 – Coordinate Evacuee Travel
• SAT communicates with patient movement contractor or
the ASPR Response travel Section to arrange
transportation
• Movement may be through a variety of modes: air, train,
ground
• Arrange transportation services for non-medical
attendants and/or family members who accompanied
patient
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SAT Primary Functions
# 4 – Coordinate Human Services
• HHS through the SAT will coordinate lodging and
human services needs for all discharged patients until
transportation to their final destination can be facilitated
─ Note: Family members that accompany patients or nonmedical attendants will likely re-enter with patient and will
require transportation that matches the patient
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Service Access Teams (SAT)
#5 – Data Collection
• SAT works with medical facilities, nursing homes,
rehabilitative services units who are providing care to
evacuees
• SAT personnel will have access to the Joint Patient
Tracking System (JPATS). Once operational, the SAT
will be responsible for updating JPATS until patients are
returned to their home state
• Coordination with appropriate local and state agencies
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In Case of Death
• If a patient dies during response operations- SAT will
coordinate with local or State medical examiner’s office
and patient’s family for disposition of remains
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JPATS
Concept of Operations
Joint Patient Assessment Tracking System (JPATS) Team
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Basics:
Deployed as 2-person strike teams
Deployment locations:
─ Aerial Port of Embarkation (APOE)
─ Aerial Port of Debarkation (APOD) / FCC
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Deployed within 24 hours of notification
Will remain until host unit (i.e., FCC) able to use JPATS
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Agenda
• Role of the Emergency Support Function 8
• Role of the Regional Emergency Coordinator Program
─ Health and Human Services in the Region
─ National Disaster Medical System (NDMS) Patient
Movement
• Federal Medical Service Access Teams and how they will
•
interact with NDMS hospitals after a disaster
U.S. Department of Health and Human Services role in
Recovery
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Health and Human Services during Recovery
• HHS Roles during Recovery
• Lead for Recovery in Region – Regional Health
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Administrator
Disaster Response Framework (in progress)
─ ~ National Response Framework
• Recovery Support Functions (in progress)
─ ~ Emergency Support Functions
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Health and Human Services Recovery
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Recovery Issues
─ Restoration of Clinical Care
Facilities (HHS/FEMA)
─ Patient
Discharge/Placement
(HHS/ASPR)
─ Patient Care for Uninsured
(HHS/CMS)
─ Long term population
surveillance (HHS/CDC)
─ Environmental Health
(HHS/EPA)
─ Restoration of Essential
Social Services
(HHS/ACF/AOA)
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Health & Human Services Recovery
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Laboratory Capacity
(HHS/ASPR/CDC)
Coordination of Social
Services / Disaster Case
Management
(FEMA/HHS/ACF)
Behavioral Health
(HHS/SAMHSA)
Long term responder,
occupational health issues
(HHS/CDC/NIOSH &
DOL/OSHA)
Fatality Management
(HHS/ASPR)
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Review
• Role of the Emergency Support Function 8
• Role of the Regional Emergency Coordinator Program
─ Health and Human Services in the Region
─ National Disaster Medical System (NDMS) Patient
Movement
• Federal Medical Service Access Teams and how they will
•
interact with NDMS hospitals after a disaster
U.S. Department of Health and Human Services role in
Recovery
28
Haiti Hospital Site
• Gheskio University in Port-Au-Prince Haiti
• Health and Human Services Surgical Team deployment
• http://www.youtube.com/watch?v=OM6qhVTRjRE&feature
=player_embedded
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Contact Info
• Region IX Regional Emergency Coordinators
─ Kevin Sheehan
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