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Data Into Action: Developing Technology to Integrate Support Services


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Speakers:  Irina Sharkova, Senior Geographic Research Manager, WA State Department of Social
and Health Services, Research and Data Analysis Division
 Sue Bush, Director of Office of Emergency Management, WA State Department of Social
and Health Services
 Sheri Badger, Public Information Officer/Planning, Mitigation and Recovery Supervisor,
Pierce County Emergency Management
Integrating functional needs support services into emergency planning and response is essential to
making sure that all members of disaster impacted communities have equal access to services. State and
local authorities need information regarding the numbers of people with functional needs that reside in
each community and what capabilities must be addressed to meet those needs. This session will present
two efforts underway in Washington: the statewide Emergency Management Geographic Information
Systems (EM-GIS) Project and the Pierce County Community Assessment. The WA State Dept. of
Social and Health Services (DSHS) is developing the EM-GIS as a decision support system for
emergency planning and response. The system will bring together data on people with functional needs
served by DSHS; all persons served by DSHS comprise nearly a third of WA state residents. The system
will provide capabilities for analysis, mapping, and secure sharing of the information for emergency
planning and response. Sue Bush will provide brief background of WA state-level ESF 6 planning
efforts. Irina Sharkova will describe the EM-GIS project, demonstrate what kind of information it will
provide, and discuss some challenges and how the project team will address them. Sheri Badger will
discuss Pierce County‟s community assessment of access and functional needs and demonstrate a tool
that others may employ now in their community planning efforts.

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Data Into Action: Developing Technology to Integrate Support Services

  1. 1. Washington State Department of Social and Health Services Emergency Management  Geographic Information System  2011 Partners in Emergency Preparedness Conference Data into Action: Developing Technology to Integrate Functional Needs Support Services Irina Sharkova, PhD Senior Geographic Research Manager, DSHS Research and Data Analysis Division Sue Bush Director, DSHS Office of Emergency Management APRIL 26, 2011 1DSHS | Planning, Performance and Accountability ● Research and Data Analysis Division ● April 2011
  2. 2. Acknowledgments: DSHS Research and Data Analysis Division including  Elizabeth Kohlenberg, PhD, Director Sharon Estee, PhD David Mancuso PhDDavid Mancuso, PhD Barbara Lucenko, PhD Rebecca Yette Maija Sandberg b lBarbara Felver Laura Killian Jane Zerbe Joshua Sjoding Thomas Williams 2DSHS | Planning, Performance and Accountability ● Research and Data Analysis Division ● April 2011
  3. 3. Lessons of Hurricane Katrina  The White House The federal response to Hurricane Katrina: Lessons learnedThe White House, The federal response to Hurricane Katrina: Lessons learned • An estimated 1,330 people were dead as a result of the storm • Many of the dead were elderly or infirm: —In Louisiana, 71% of the victims were older than 60 years, and 47 % of  those were over 75 years old • At least 68 victims were found in nursing homes, some of whom were allegedly  abandoned by their caretakersabandoned by their caretakers • Six months later, there were 2,096 people from the Gulf Coast area still  reported missing (now the number is 138 people) Who is vulnerable?  Individuals in need of additional response assistance may include those who have  disabilities; who live in institutionalized settings; who are elderly; who aredisabilities; who live in institutionalized settings; who are elderly; who are  children; who are from diverse cultures; who have limited English proficiency or  are non‐English speaking; or who are transportation disadvantaged (FEMA, 2008). 3DSHS | Planning, Performance and Accountability ● Research and Data Analysis Division ● April 2011
  4. 4. Disaster Response in Washington • Since 2000 FEMA has made 46 emergency or major disaster declarations for• Since 2000, FEMA has made 46 emergency or major disaster declarations for  Washington, including earthquakes in 2001 and 2003 • Every county in the state has been affected at least once between 2000 and 2011 FEMA Major Disaster Declarations for Washington since 2000 Year Date Disaster TypesYear Date Disaster Types 2011 25‐Mar Severe Winter Storm, Flooding, Landslides, and Mudslides   2009 2‐Mar Severe Winter Storm and Record and Near Record Snow 2009 30‐Jan Severe Winter Storm Landslides Mudslides and Flooding2009 30 Jan Severe Winter Storm, Landslides, Mudslides, and Flooding 2007 8‐Dec Severe Storms, Flooding, Landslides, and Mudslides 2007 14‐Feb Severe Winter Storm, Landslides, and Mudslides 2006 12‐Dec Severe Storms Flooding Landslides and Mudslides2006 12 Dec Severe Storms, Flooding, Landslides, and Mudslides 2006 17‐May Severe Storms, Flooding, Tidal Surge, Landslides, and Mudslides 2003 7‐Nov Severe Storms and Flooding 2001 1‐Mar Earthquake 4DSHS | Planning, Performance and Accountability ● Research and Data Analysis Division ● April 2011 2001 1 Mar Earthquake
  5. 5. Department of Social and Health Services Serves state’s most vulnerable residents • Persons with physical and developmental disabilities (344,000 clients)  • Seniors (94 500 clients)• Seniors (94,500 clients)  • Foster children (11,000 clients)  • Persons with limited English proficiency (at least 130,600 clients) • Most clients are low‐income Lead state agency for planning related to special needs populations • Governor’s Directive to DSHS: “Assist affected jurisdictions as they identify special needs populations  in the potentially affected areas and plan for the care of special needs p y p p populations.”  5DSHS | Planning, Performance and Accountability ● Research and Data Analysis Division ● April 2011
  6. 6. DSHS provides services to . . . .  Percent served by DSHS Every 4th Washington resident* • Every 2nd child (706,200 clients)  • Every 5th adult (762 450 clients) Percent served by DSHS SFY 2007 Persons with disabilities 100% • Every 5 adult (762,450 clients)  • Every 8th senior (94,500 clients)  Every 2nd resident with disabilities** All persons • All children (63,600 clients)  • Every 2nd adult (232,300 clients)  • Every 6th senior (47,300 clients) 55% 44% 47% 16% 18% 12% 25% NOTES * Excluding DSHS clients receiving Child Support Enforcement services only.  **DSHS clients with a disability: All clients meeting one or more of the following conditions:  a) At least one month of medical coverage in SFY 2007 in any of the following coverage categories:  Medicaid Disabled; Healthcare for workers with disabilities; GA‐U; ADATSA. b) R i d f th f ll i i i SFY 2007 A i d Ad lt S i i h it id ti l i h DD DVR MHD 0‐17 18‐64 65+ All ages 6DSHS | Planning, Performance and Accountability ● Research and Data Analysis Division ● April 2011 b) Received any of the following services in SFY 2007: any Aging and Adult Service in‐home, community residential, or nursing home; any DD; any DVR; any MHD. Population data: 2008 American Community Survey.
  7. 7. GIS Support to DSHS during Major Emergencies Counties Receiving FEMA and DFSP Assistance Flood Stages on WA Rivers 7DSHS | Planning, Performance and Accountability ● Research and Data Analysis Division ● April 2011
  8. 8. GIS Support to DSHS for Emergency Planning  Lower Green River Valley, 2009 • We used Geographic Information• We used Geographic Information  System (GIS) to determine which DSHS  clients with access and functional  needs, service providers, facilities, and  staff are inside the area potentially  affected by the flood  • We prepared maps and tables for  distribution to DSHS emergency  planners 8DSHS | Planning, Performance and Accountability ● Research and Data Analysis Division ● April 2011
  9. 9. DSHS Long‐term Care Facilities  Lower Green River Valley, 2009 • In inundation area: 345 beds in 8  long‐term care facilities (1 nursing  home 2 boarding homes and 5 adulthome, 2 boarding homes and 5 adult  family homes) • In nearby area: 2,137 beds in 200  long‐term care facilitieslong‐term care facilities Long‐Term Care Facilities Depth of Potential Flooding 9DSHS | Planning, Performance and Accountability ● Research and Data Analysis Division ● April 2011
  10. 10. DSHS Clients with Limited English Proficiency Lower Green River Valley, 2009 • In the inundation area: 1,950 clients  speaking 36+ languages Top 10 languages: SPANISH 1,345 RUSSIAN 209 SOMALI 107 VIETNAMESE 48 UKRAINIAN 23UKRAINIAN 23 CHINESE 20 CAMBODIAN (KHMER) 16 SAMOAN 16 ARABIC 15ARABIC 15 TAGALOG 14 Depth of Potential Flooding 10DSHS | Planning, Performance and Accountability ● Research and Data Analysis Division ● April 2011
  11. 11. DSHS Clients with Functional Needs in the Lower Green  River Valley, 2009y Inundation Area Nearby Area Total Type of Needs Facilities Persons Facilities Persons Facilities Personsyp Nursing Homes 1 125 5 430 6 555 Boarding Homes 2 196 17 726 19 922 Adult Family Homes 5 24 178 981 183 1,005y Foster Care Homes 1 2 67 127 68 129 Medical Risk Factors 222 1,364 1,586 Transportation Need: High 142 634 776 Transportation Need:  Medium 1,266 6,525 7,791 Developmental Disabilities 267 1,385 1,652 Vocational Rehabilitation 41 547 588Vocational Rehabilitation 41 547 588 Deaf and Hard of Hearing 40 234 274 Clients with Access and  Functional Needs 2,325 8.6% 12,953 5.9% 15,278 6.1% 11DSHS | Planning, Performance and Accountability ● Research and Data Analysis Division ● April 2011 Total Population in Area 27,105 221,410 248,515
  12. 12. The Lower Green River Valley Project: Lessons Learned  h j li dThe project was complicated • The flow of data and information was arduous • Data came from multiple sources, at different times and in different formats • Issues of confidentiality of personal information when used for emergency  planning are complex, unclear W h d 3 4 th i d t f t ti l iWe had a 3‐4 months window to prepare for a potential emergency in  the Green River Valley • Most emergencies occur with little or no advance warning • Vulnerable populations are all over the state, many in rural or otherwise  hard‐to‐reach areas • The state needs:  —A central repository of timely, accurate and well‐integrated data about its  vulnerable populations —Tools to turn the data into information for decision‐makers 12DSHS | Planning, Performance and Accountability ● Research and Data Analysis Division ● April 2011
  13. 13. Our Long‐Term Goal d l hi f i S ( S)To develop a Geographic Information System (GIS) on • Residential location and functional needs of people served by DSHS  • Location of DSHS offices and critical staff‐service providers • Areas prone to natural and man‐made disasters To be ready to provide necessary information to DSHS and EMD  • Whenever a disaster happens and for planning purposes • Anywhere in the state • Close to real timeClose to real time • In accordance with applicable privacy laws First step: to develop and build a preliminary statewide GIS 13DSHS | Planning, Performance and Accountability ● Research and Data Analysis Division ● April 2011
  14. 14. Client Functional Needs  and Residential Addressesand Residential Addresses Communication, Maintaining Independence,  Medical Care, Supervision, and Transportation  Needs WASHINGTON STATE Department of Social and Health Services Known and Potential Hazards  Department of Social and Health Services  EMERGENCY MANAGEMENT GIS EM‐GIS DSHS Offices  and Staff Places Of Residential Care • City and County  Boundaries • Roads and Other  InfrastructurePlaces Of Residential Care  and Service Delivery • Shelters Nursing Homes, Boarding Homes, Adult Family Homes,  Assisted Living Facilities, Other Group Homes and Community  R id i l F ili i 14DSHS | Planning, Performance and Accountability ● Research and Data Analysis Division ● April 2011 Residential Facilities
  15. 15. Communication DSHS Clients with Access and Functional Needs Communication • Speaking  • Hearing • Seeing Transportation  & Movement Assistance in  Daily Living • Understanding • Walking • Bathing  • Using stairs • Driving • Eating • Dressing • Toileting Medical NeedsSupervision • Managing health conditions  with needed equipment  and medications  • Due to cognitive,  behavioral, or mental  health conditions 15DSHS | Planning, Performance and Accountability ● Research and Data Analysis Division ● April 2011
  16. 16. The EM‐GIS will support:  • Real‐time disaster response and assistance to DSHS clients with access  and functional needs • Planning and preparation for disasters potentially affecting DSHS clients  with access and functional needs  The EM‐GIS will provide information about DSHS clients with access and  functional needs for: —All Washington State’s jurisdictions (cities, counties) —Custom‐defined geographic areas (neighborhoods, health planning areas,  travel zones) 16DSHS | Planning, Performance and Accountability ● Research and Data Analysis Division ● April 2011
  17. 17. Questions? Suggestions?Questions? Suggestions? Contact Irina Sharkova Department of Social and Health Services, Research and Data Analysis Division 360.902.0743 Irina.Sharkova@DSHS.WA.GOV 17DSHS | Planning, Performance and Accountability ● Research and Data Analysis Division ● April 2011