Federal medical materials resources to support communities affected by disasters

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National Medical Readiness CenterNational Medical Readiness Center
Proposal to Provide Jurisdictions with Mobile Hospitals,Proposal to Provide Jurisdictions with Mobile Hospitals,
Support Infrastructure, Medical Supplies and EquipmentSupport Infrastructure, Medical Supplies and Equipment
for use during Disasters and Pubic Health Emergenciesfor use during Disasters and Pubic Health Emergencies
James M. RushJames M. Rush
Chief Operating OfficerChief Operating Officer
JVR Health Readiness Inc.JVR Health Readiness Inc.
jim.rush@jvrhr.comjim.rush@jvrhr.com
254-947-8118254-947-8118
Health Readiness
JVR

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National Medical Readiness CenterNational Medical Readiness Center
1.1. Federally - owned Repository of Mobile Hospitals with allFederally - owned Repository of Mobile Hospitals with all
support systems (e.g. generators, water treatment, wastesupport systems (e.g. generators, water treatment, waste
disposal) to sustain national disaster response and recoverydisposal) to sustain national disaster response and recovery
as well as international humanitarian relief effortsas well as international humanitarian relief efforts
2.2. Blood and tissue transshipment vehicles to collect andBlood and tissue transshipment vehicles to collect and
deliver very large quantities of critical blood and tissuedeliver very large quantities of critical blood and tissue
products during an emergencyproducts during an emergency
3.3. Thousands of jobs and training opportunities for veteransThousands of jobs and training opportunities for veterans
through our proposed consortium of medical and supportthrough our proposed consortium of medical and support
equipment manufacturersequipment manufacturers

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Economic BenefitsEconomic Benefits
 Provides local health care and public health infrastructureProvides local health care and public health infrastructure
during large scale disastersduring large scale disasters
 Enables healthcare staff to remain in the community during theEnables healthcare staff to remain in the community during the
recovery phase of a disasterrecovery phase of a disaster
 Saves lives and money by treating patients locally instead ofSaves lives and money by treating patients locally instead of
evacuating patients outside the local area and later returningevacuating patients outside the local area and later returning
themthem
 Provides jobs for veterans and others around the country at theProvides jobs for veterans and others around the country at the
Readiness CenterReadiness Center

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JVR Health Readiness, Inc.JVR Health Readiness, Inc.
(Texas-based)(Texas-based)
 Dr. Vivian Rush, MD, MPH, President andDr. Vivian Rush, MD, MPH, President and
CEOCEO
 James Rush, Chief Operating Officer (COO)James Rush, Chief Operating Officer (COO)
 Company Mission:Company Mission: Contribute to America’sContribute to America’s
Healthcare & Public Health Disaster Readiness,Healthcare & Public Health Disaster Readiness,
Protect the Health of Responders, and Support ourProtect the Health of Responders, and Support our
VeteransVeterans

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BackgroundBackground
America’s HistoricalAmerica’s Historical Disaster-Disaster-
Related CapabilitiesRelated Capabilities

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Civil Defense Era 50’s 60’s & 70’sCivil Defense Era 50’s 60’s & 70’s
 We were Ready for War and Large DisastersWe were Ready for War and Large Disasters
 Defense Logistics Agencies Supply Depots EstablishedDefense Logistics Agencies Supply Depots Established
 2,600 “2,600 “Packaged Disaster HospitalsPackaged Disaster Hospitals””
 520,000 Acute Care Beds520,000 Acute Care Beds
 2,600 Electrical Power Generators2,600 Electrical Power Generators
 2,600 X-Ray Units2,600 X-Ray Units
 7,800 Surgical Rooms7,800 Surgical Rooms
 2,600 Medical Laboratories2,600 Medical Laboratories
 Hundreds of Millions of Dollars of InventoryHundreds of Millions of Dollars of Inventory
 Very Large Defense Inventories Afforded AmericanVery Large Defense Inventories Afforded American
Industry Time to Catch Up to Surges in Product DemandsIndustry Time to Catch Up to Surges in Product Demands
 ** Defense Logistics Agency Medical Depots Downsized** Defense Logistics Agency Medical Depots Downsized
in 1992in 1992

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What America Has TodayWhat America Has Today
Federal Medical Stations in Major Cities - Minimal CareFederal Medical Stations in Major Cities - Minimal Care
• Minimal care capabilities - first aid andMinimal care capabilities - first aid and rest onlyrest only
• Quickly OverwhelmedQuickly Overwhelmed
• Requires a 20,000 SQ Ft. facility with utilities, food & latrines.Requires a 20,000 SQ Ft. facility with utilities, food & latrines.
• NoNo DedicatedDedicated Medical Materials Support SystemMedical Materials Support System
• No generators, water or sanitationNo generators, water or sanitation back-upback-up systems.systems.
•Temporary solution-not a healthcare infrastructure supportTemporary solution-not a healthcare infrastructure support
systemsystem

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 2002- Current: Hospital Preparedness Program (HPP) Grant2002- Current: Hospital Preparedness Program (HPP) Grant
Dollars distributed to States and CitiesDollars distributed to States and Cities
 Emergency Support Agencies (DHS/FEMA/HHS) have limitedEmergency Support Agencies (DHS/FEMA/HHS) have limited
assets to back-up States and Cities - per ESF-6 and ESF-8assets to back-up States and Cities - per ESF-6 and ESF-8
 New Orleans, Galveston and JoplinNew Orleans, Galveston and Joplin were unable to maintainwere unable to maintain
healthcare services during and after their disastershealthcare services during and after their disasters
 When care givers leave, communitiesWhen care givers leave, communities loselose healthcare services ,healthcare services ,
slowing community recoveryslowing community recovery
 Evacuating and returning patients to their community isEvacuating and returning patients to their community is
extraordinarily expensive and disruptiveextraordinarily expensive and disruptive
Current SituationCurrent Situation

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The Future of Disaster ReadinessThe Future of Disaster Readiness
 What do we need?What do we need?
• Federal Medical Materials Resources To SupportFederal Medical Materials Resources To Support
Communities affected by disastersCommunities affected by disasters
 Provide competent care to communities in a disasterProvide competent care to communities in a disaster
 Deployable Hospitals, ICU/Burn/Trauma/Radiation CentersDeployable Hospitals, ICU/Burn/Trauma/Radiation Centers
 Sustain emergency operations until normalcy returnsSustain emergency operations until normalcy returns
 Mayor/Governor Representatives order - we deliver, set up,Mayor/Governor Representatives order - we deliver, set up,
maintain units during deployments and remove afterwardmaintain units during deployments and remove afterward
• Meaningful and sustained jobs for veterans and othersMeaningful and sustained jobs for veterans and others
 5,000 Veterans and other American Jobs5,000 Veterans and other American Jobs
 Tens of thousands of jobs across America for manufacturersTens of thousands of jobs across America for manufacturers
equipping and supplying the Readiness Centerequipping and supplying the Readiness Center

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Manufacturing ComplexPharmaceutical Distribution
Medical Supply Distribution
Assembly Mgt
Crated Hospitals
Crated Hospitals
Crated Hospitals
Medical Equipment Inspection
Calibration & Repair
Center Administration
Equipment Staging
National Medical Readiness Center
• Mobile Hospitals
• Blood /Tissue Transport
Units
• Waste Treatment Units
• High Output Generators
• Water Purification Units
• Sanitation Systems
• Mobile Trauma Units
• ICU/Burn/Radiation
• Public Health Depts.
• Staff Living Quarters
• Feeding Centers

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 What Is It?What Is It?
• A Government Owned-Contractor OperatedA Government Owned-Contractor Operated
(GOCO) Facility(GOCO) Facility
 Hard walled hospital units stored in “ready to go” condition,Hard walled hospital units stored in “ready to go” condition,
maintained and awaiting deploymentmaintained and awaiting deployment
 Semi-rigid walled hospital units for austere environmentsSemi-rigid walled hospital units for austere environments
 All supporting equipment to be self-sustaining in a disaster area,All supporting equipment to be self-sustaining in a disaster area,
including energy, water, sanitation systemsincluding energy, water, sanitation systems
 Includes:Includes:
• Medical supplies, vaccines and pharmaceuticalsMedical supplies, vaccines and pharmaceuticals
• Blood and tissue supply capabilities through mobileBlood and tissue supply capabilities through mobile
transshipment vehicles (as discussed below)transshipment vehicles (as discussed below)
National Medical Readiness Center

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National Medical Readiness CenterNational Medical Readiness Center
 Government purchased equipment is manufactured byGovernment purchased equipment is manufactured by
American companies and maintained by JVR HealthAmerican companies and maintained by JVR Health
Readiness Inc.Readiness Inc.
 Veterans are trained by a consortium of American companiesVeterans are trained by a consortium of American companies
to maintain, deploy and reconstitute equipment at theto maintain, deploy and reconstitute equipment at the
Readiness Center after disaster useReadiness Center after disaster use
 Assets are perpetually maintained at 100% ready forAssets are perpetually maintained at 100% ready for
deployment in 12 hoursdeployment in 12 hours
 All supplies stock rotated - conserving taxpayer’s investmentAll supplies stock rotated - conserving taxpayer’s investment
 Suitable for National or International DeploymentsSuitable for National or International Deployments

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Rapid Healthcare CapabilitiesRapid Healthcare Capabilities

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BLU-MED Field HospitalsBLU-MED Field Hospitals
Lighted and Environmentally Controlled

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Intensive Care/Specialty UnitsIntensive Care/Specialty Units
All R&D Completed by ArmyAll R&D Completed by Army
Modular Extendable Rigid Walled Shelters

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Definitive Disaster HealthcareDefinitive Disaster Healthcare
ICU/Burn, Chemical, Radiological Care Units

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SummarySummary
Workers NeedWorkers Need
 Heavy Industrial JobsHeavy Industrial Jobs
 Veteran OpportunitiesVeteran Opportunities
 Economic StimulusEconomic Stimulus
 21st Century Training &21st Century Training &
Employment opportunitiesEmployment opportunities
America NeedsAmerica Needs
 Mobile Medical HospitalsMobile Medical Hospitals
 Mobile Public HealthMobile Public Health
DepartmentsDepartments
 Mobile InfrastructureMobile Infrastructure
 Medical Supplies andMedical Supplies and
Equipment InventoriesEquipment Inventories
 Rapid Federal ReliefRapid Federal Relief
ResponseResponse
 International SalesInternational Sales
 Capability to provideCapability to provide
Humanitarian AssistanceHumanitarian Assistance

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DISCUSSIONDISCUSSION
JVR Health Readiness Inc.
James (Jim) Rush
Office 254-947-8118
Cell: 443-243-7726