Utilizing Coalitions and Volunteers to Support ESF#8 in Large Scale Disasters
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Transcript of Utilizing Coalitions and Volunteers to Support ESF#8 in Large Scale Disasters
Utilizing Coalitions and Volunteers to Support ESF#8 in
Large Scale Disasters
Karin Ford, MSPS, ICEM2013 Whole Community Preparedness Conference
November 20-22, 2013Lisle, Illinois
Full Disclosure
• I am not a nurse• I am afraid of needles• Yes I work for Iowa Dept of Public
Health• But I am a chicken• I can not help you with the medical
piece of ESF#8……..• But I can provide support for medical
personnel
I Wish It Were This Easy
Objectives
• Using existing resources and infrastructure
• Create coalitions • Identify partners• Build off ESF #6 to create ESF #8• What to avoid
Whole Community Planning
• What emergency management has already been doing
• Community continuity planning• Push to speak the same language• Hospitals speak is well, different…• In large scale disaster same
language a must
Benefits of Whole Community Planning
• Shared, informed understanding of needs, risks and capabilities• Establishment of relationship across communities• Integration of resources• Stronger social infrastructure• Increased individual preparedness• Everybody has skin in the game
Five heads are better than one
Comparison
ESF #6• Mass care• Emergency assistance• Housing – shelter• Human services• Feeding• Bulk distribution• Emergency first aid• Disaster welfare
information
ESF #8• Assessment of public
health and medical needs• Epidemiological
investigation and surveillance
• Medical surge, patient care, transport,
• Food, water and agriculture safety and security
• Medical support for general pop shelters
ESF #8
• Logistical support• Security to manage large crowds seeking medical attention• Medical staff for 24/7 immediate to long term• Reception centers, points of distribution• Public information and management• Health system readiness• Mass care
Public Health Infrastructure
• State level - most have daily functions that resemble ESF #8
• County – may have some programs, not as robust
• Some counties may be a dept. of one, the county health nurse
• Many public health agencies do not have the financial means past grants
Public Health Disaster Response
• Length of disaster• Impact on access and functional
needs• Care facilities • Hospitals, particularly surge• Impact on first responders and
healthcare workers• Pandemics and bioterrorism
Challenges in Planning
• Public/private engagement • Maintaining it• Understanding the diversity of each entity• Knowing their level of preparedness• Entities investment• Emerge with a cohesive plan of all hazard
planning to prevent, protect, mitigate, respond and recover
• Money • Manpower
Public/Private Divide
• Most healthcare organizations are private – maintain decision making
• Overall management of healthcare emergencies is public−For example pandemic,
isolation/quarantine would come from public officials
−Response private and public
Follow Through
• Maintaining interest in planning• Coalitions, Voluntary Organizations Active in Disaster (VOAD), Local Emergency Planning Committee (LEPC) become essential• Task out maintenance• Cross train each group• Credentialing• Keep in mind, we think like responders and planners, the public does not
We’ll gather all the nuts and berries we can find, we’ll survive….
Healthcare Coalitions
• Common ground for public/private• Can enhance ESF #8• Situational awareness, mutual aide,
resource sharing• Patient distribution and redistribution• Maximize regional, state and national
capabilities• Revise healthcare system to maintain
critical medical services• Must be established before disaster
Planning
• Planning can identify what you want to do and what you want to stop doing
• Identify true resources, who will show up when you call
• Opportunity to get the stubborn ones to the table
It Sounded Like A Good IdeaAttempted hospital evacuation plan in Des Moines – purpose
“Common platform for planning, coordination and incident management of an evacuation and is intended to support individual hospital evacuation plans”• Primary mission was to support healthcare response and recovery• This plan included skilled care facilities, nursing homes, etc.• Authority remained with the hospitals• Goal was to identify holding areas, surge and total evacuation
sites• Determine how long the temporary location could function• Determine what assistance Polk County Emergency Management
could provide• After months of meetings, plans came to stalemate• Territorial issues emerged
ESF #6 Can Support
• Addressing access and functional needs• Set up for medical and general population shelters• Staff the shelters in non-medical capacity• Support in disaster relief assistance – locating medical
equipment not evacuated• Communication-interpreters • Help with setting up points of distribution sites• Breakdown of large shipments of pharmaceuticals and
medical supplies – SNS distribution
Recommended Training
• IS 100: Intro to the Incident Command System
• IS 200: ICS for Single Resources and Initial Action Incidents
• IS 700: Intro to National Incident Management System
Promoting
• Website• Brochures• News media• Q & A sheet• Email• Annual report
Mass Care/ESF #6 Providers
• Usually state VOAD• In Iowa – Iowa Disaster Human
Resource Council IDHRC• Identified public/private resources• Receive unmet needs request• Tap into public employees to work in
shelters
When Responders Become Receivers
• Length and size of disaster can require outside resources and manpower
• Needs include housing, feeding, transportation, medical, laundry
• Security due to response equipment• Debriefing• Any staff trained to work in general pop
shelters can work these
Care Facilities
• Should have their own “mutual aid agreements”
• Could transfer to same level of care to avoid shelter or hospital
• Create coalition within the area• Could keep staff employed at
facilities that are not functioning
What to Avoid in Planning
• Whack-a-mole planning• Planning for a disaster that just happened• Plan or assign lead or support agencies,
assuming that they have a robust plan that will fit with yours
Support For ESF #6
• Template for ESF #6• Redundant, lengthy• Take from it what you want• I will email it to you• Access and Functional needs• Accessibility• ADA compliance