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PowerPoint slide deck for a briefing on the origin, structure and operation of the DC, an ESF-8 tier 2 response organization in Washington, DC.

PowerPoint slide deck for a briefing on the origin, structure and operation of the DC, an ESF-8 tier 2 response organization in Washington, DC.

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  • 1/13/82Blizzard,AirFlorida, then 30 minutes later, a completely unrelated metro rail derailment resulted in multiple injured, fatalities and complete disruption of the rails system. 1995: Tokyo Sarin & Oklahoma City
  • Paradigm: Organizations are reimbursed for the time staff and expenses in planning & exercising.
  • EMP describes/directs preparedness and the EOP describes/directs response
  • VAMC in DC is one of the 14 hospitals Vernon Jones (Safety Manager) and EPC there is a DO-HCRT memberAdd in: VHA OEM NCR --unique VHA contribution --Not attached to a local HCO, therefore may be available for HCRT when others are not
  • Notification text alertsSituation & Bed Availability ReportingPatient TrackingResource/Personnel TrackingDocument Sharing & ReferenceStreaming of HMARS (expected mid-2011)

DC Emergency Healthcare Coalition Presentation Transcript

  • 1. DC EHC DC EmergencyHealthcare Coalition (DC EHC)a “Tier 2” Response Organization DC EHC
  • 2. Background• DC Hospital Assn. (DCHA) / EM Committee (1995) – Initial HMARS (hospital mutual aid radio system) – Initial hospital mutual aid memorandum of understanding• 2001-2006 – 9-11, Anthrax, Isabel, Katrina, pandemic planning – “mass-effect” concerns added to “mass-casualty” – Committee-based response coordination • Hospitals only (and sometimes health department) • Long conference calls • Little coordination of strategies, informtion, & messaging• 2007 – HHS Project: Mass Surge Capacity & Capability DC EHC12.7.11 DC EHC: A Tier 2 Response Organization
  • 3. Mass Surge Capacity-Capability DC EHC: • Integrates Tier 2 • Coordinates with other Tiers: – 1: HCOs – 3: Jurisdiction – 4: States Source: • Medical Surge Capacity and Capability Handbook (HHS, 2007) • http://www.phe.gov/preparedne ss/planning/mscc/ Subsequently: • MSCC: The Healthcare Coalition in Emergency Response and Recovery (HHS, 2009) DC EHC12.7.11 DC EHC: A Tier 2 Response Organization
  • 4. 2008 ASPR Grant (HHS, Assistant Secretary for Preparedness & Response) • Coalition Emergency Management Plan (EMP) • Emergency Operations Plan (EOP) – i.e. establish a “Tier 2 Response Organization” • Hospital security assessments (x14) • Hazard vulnerability assessment (HVA) • Radio system expansion & upgrade • Jurisdiction-wide automated patient ED tracking system • Training • 2 exercises • Project evaluation DC EHC12.7.11 DC EHC: A Tier 2 Response Organization
  • 5. EHC Preparedness vs. Response• Preparedness elements – Grant Steering Committee  Executive Council – Emergency Management Committee (EMC) – Work Groups / Committees• Response elements – Baseline • Coalition Notification Center (CNC) • Coalition Duty Officer (DO) – Escalated Response • Healthcare Coalition Response Team (HCRT) • Senior Policy Group (SPG) DC EHC12.7.11 DC EHC: A Tier 2 Response Organization
  • 6. Coalition EMP*• Mission • During response, facilitate – Situational awareness• Philosophy – Information sharing – Resource sharing• Governance – Strategy coordination• HVA* • During preparedness• Guidance templates – Enhance preparedness – Enhance resilience* EMP = emergency management plan HVA = hazard vulnerability assessment DC EHC12.7.11 DC EHC: A Tier 2 Response Organization
  • 7. Coalition EMP• Mission • Voluntary participation• Philosophy • Full autonomy • Consensus• Governance • Member preparedness is• HVA* still needed• Guidance templates* EMP = emergency management plan* HVA = hazard vulnerability assessment DC EHC12.7.11 DC EHC: A Tier 2 Response Organization
  • 8. Coalition EMP• Mission • Grant Steering Committee – Strategic oversight• Philosophy – Spending approval• Governance • Emergency Mgt. Committee• HVA* – Sets directions, goals• Guidance templates – Approves work products – Meets monthly • Work & Task Groups – Where the work gets done* EMP = emergency management plan HVA = hazard vulnerability assessment DC EHC12.7.11 DC EHC: A Tier 2 Response Organization
  • 9. Work & Task Groups • EOP* Development • Pubic Info. Officers • HVA* • Mass MCI & Telemedicine • Training/Education • Mass fatality – Seminar Planning • Intensive care surge • Mass fatality • Facility evacuation • Mass casualty • Communications • Burn mass casualty • HIS* enhancement • Evacuation • HMARS* expansion • Incident management • Security Directors • Active shooter • Notification Centers – Exercise Planning • ED-IT Data Sharing • 2x / year* EOP = emergency operations plan HIS = Healthcare Info. System DC EHC HVA = hazard vulnerability assessment HMARS = Healthcare Mutual Aid Radio Syst. 12.7.11 DC EHC: A Tier 2 Response Organization
  • 10. Coalition EMP• Mission• Philosophy• Governance • An annual assessment and ranking of „healthcare system‟• HVA vulnerabilities• Guidance templates* EMP = emergency management plan HVA = hazard vulnerability assessment DC EHC12.7.11 DC EHC: A Tier 2 Response Organization
  • 11. Coalition EMP• Mission• Philosophy• Governance • facility evacuation• HVA* • active shooter• Guidance templates • mass fatality • burn casualty mgt.* EMP = emergency management plan HVA = hazard vulnerability assessment DC EHC12.7.11 DC EHC: A Tier 2 Response Organization
  • 12. Coalition EOP*• Base Plan• Annexes – Communications – Facility Evacuation – Resource Sharing & Mutual Aid – Public Information Coordination – Mass Burn Casualty• SOPs – Coalition Notification Center (CNC) – Duty Officer (DO) – Healthcare Coalition Response Team (HCRT) – NCR Information Sharing Procedure* EOP = emergency operations plan HVA = hazard vulnerability assessment DC EHC12.7.11 DC EHC: A Tier 2 Response Organization
  • 13. Coalition Members• Children‟s Nat‟l. Medical • National Rehabilitation Center Hospital• George Washington Univ. • Specialty Hospitals of Hospital Wash.• Georgetown Univ. Hospital – Capitol Hill• United Regional Medical Center – Hadley• Howard Univ. Hospital • DC Primary Care Assn.• Providence Hospital • Community Connections• Sibley Memorial Hospital Mental Health Clinics• Veterans Affairs Medical • Visiting Nurses Association Center • DC Medical Society• Wash. Hospital Center • DC Healthcare Association• Psychiatric Institute of Wash. • Poison Control Center DC EHC
  • 14. Operational Communications Regional PartnersJurisdiction DC DC DC DC DC DC DOH HSEMA FEMS MPD OCME DMH NoVA RHCC HCRT* Duty Officer MD MEIMSS activation (response) (baseline) MD Beltway Coalition Notification Center (CNC) “hub” HCFsMember HCOs Primary Visiting Mental 14 Medical Poison LTC Funeral Care Nurses Health Hospitals Society Control Assn. Dirs. Assn. Assn. Assn. Clinics * HCRT = Healthcare Coalition Response Team DC EHC 12.7.11 DC EHC: A Tier 2 Response Organization
  • 15. Communications Tools • Coalition Notification Center (CNC) • Radio Networks – Healthcare Mutual Aid Radio Syst. (HMARS) – DC DOH 800 mHz Radio – Northern VA Regional Hospital Coord. Ctr. – MD Medical Communications System • DOH Health Alert Network (HAN) • Teleconferencing • Healthcare Information System (HIS) – notifications, situation boards, info sharing DC EHC12.7.11 DC EHC: A Tier 2 Response Organization
  • 16. HIS• MS SharePoint Sample content • Notifications list – Off-the-shelf software • Duty Officer contact & – Readily edited schedule • Available beds• Multiple functions • Resource needs/offers – Status/resource • Patient tracking reporting grids • Facility status report – Document sharing • Facility POCs – Notifications via e-mail & • EOP & forms • Documents on current devices incident – Streams HMARS radio DC EHC12.7.11 DC EHC: A Tier 2 Response Organization
  • 17. DC EHC12.7.11 DC EHC: A Tier 2 Response Organization
  • 18. Baseline Operations• Coalition Notification Centers (CNCs x3) – 24-7-365 operation – 3 volunteer comms/ops centers – Monthly rotation – Toll-free access number – Authorized to alert for limited scenarios• Duty Officer (DO) – Weekly on call with backup – Decision point for alerting & activation DC EHC12.7.11 DC EHC: A Tier 2 Response Organization
  • 19. Response Operations DC EHC Senior Policy Group HCRT ManagerHealthcare Coalition HCRT HCRTResponse Team PIO Liaison(HCRT) HCRT Ops HCRT Logistics HCRT Planning Section Chief Section Chief Section Chief Notification Comms Center Unit Member HIS Orgs. Support DC EHC12.7.11 DC EHC: A Tier 2 Response Organization
  • 20. HCRT Activities• Facilitating situational – Getting, validating, and awareness sharing information• Collating resource – Messaging to healthcare availability organizations• Facilitating mutual aid• Coordinating strategies• Facilitating teleconferences• Incident management using ICS DC EHC12.7.11 DC EHC: A Tier 2 Response Organization
  • 21. HCRT Activities• Facilitating situational awareness• Collating resource • Incident action planning availability • Adapted ICS forms • 201, 201, 205, 207, 209,• Facilitating mutual aid 213, 214• Coordinating strategies • Custom forms • situation report• Facilitating teleconferences • evacuation• Incident mgt. using ICS • resource needs DC EHC12.7.11 DC EHC: A Tier 2 Response Organization
  • 22. In Summary…• EHC is designed for both “preparedness” & “response”• Duty Officer & CNC monitor routinely; initiate system response if needed• Activation of the HCRT provides augmented response support• Multiple information sharing technologies available• EHC is the result of the partners working together rather then alone DC EHC12.7.11 DC EHC: A Tier 2 Response Organization
  • 23. Steve Mabley Regional Emergency Manager, National Capital Region VHA Office of Emergency Management steve.mabley@va.gov 202.461.1011 DC EHC12.7.11 DC EHC: A Tier 2 Response Organization
  • 24. HIS Demo• https://www.heoc.org/dchis/default.aspx DC EHC12.7.11 DC EHC: A Tier 2 Response Organization