Setting the StageCoalitions and ESF 8: What?

Evolution of Hospital Preparedness

HRSA National Bioterrorism Hospital Preparedness Program

Regional response planning to strategic planning to now coordination/support planning

Facility planning, lab, EMS, poison control, decon…

Hospital Planning Matrix

2006-2007: Target Capabilities List and Capabilities-based planning

Critical Benchmarks to Metrics to Performance Measures

ESF 8 and “coalition”

Utilization of “coalition” mutual aid and ESF 8 partners jointly

Why counties are doing ESF 8 planning now?

Medical Surge Capacity and Capability Handbook

Released in September 2007

Discussion of integration of medical and health resources for large-scale emergencies

Serve as a basis for the Healthcare Preparedness Capabilities, refining TCLs

Guidance for healthcare organization, healthcare systems and healthcare coalitions preparedness efforts

Whole of community planning in accordance with PPD-8: National Preparedness

Look at continued development of the system within the context of emergency management programs

Organizational Management

Organizations need to optimally manage their own resources and to integrate with larger response community through its own Emergency Management Program

ED, Lab, decon, Medical/Surgical, Admin, etc

Emergency Operations Plan defines methodology and structure for this management

This serves as the basis for patient continuum of care and incident management actions

Healthcare “coalitions”

Emphasis on coordination and cooperative planning

Organizations maintain autonomy during incident response

Medical Mutual Aid, use of System partners, contracted suppliers

Leveraging of limited assets

Mobile Medical Facilities

CHEMPACK

CESSL

Distribution of supplies under the group’s responsibility to organizations in times of crisis

Jurisdictional Incident Management

Basis is the jurisdiction’s Emergency Management Plan

Brings together many agencies with defined roles in emergency or disaster response

Group activities include mitigation of, preparedness for, response to and recovery from incidents

Health and medical assets should be viewed as key components and should have direct input into preparedness and response planning This is where ESF 8 comes in

Jurisdictional information processing is critical in timely application of community resources to organizations

State Response & Coordination

State Emergency Management Programs should incorporate health and medical with traditional disciplines State ESF 8

Comprehensive Resource Management and Credentialing System (CRMCS) Health & Medical Guidelines

State-level incident management strengthens and supports jurisdictional/multi-jurisdictional response by coordinating resources and support

In incidents where state health and medical is primary attempts should be made to utilize Unified Management (Command) rather than ESF structure Biological Incident Annex

Interstate Regional Coordination

Interstate information sharing

Situation assessments and resource updates

Overall management strategies

Use of HHS Regional Emergency Coordinators

Interstate management coordination

Interstate mutual aid

Emergency Management Assistance Compact (EMAC)

Emergency System for the Advance Registration of Volunteer Health Professionals (K-SERV)

Federal Response

Federal health and medical assistance under ESF 8 of the National Response Plan

NDMS, SNS, FMS, MRC, DOD and VA assets

Can temporarily waive or modify requirements such as Medicare, Medicaid, State Children’s Health Insurance Program during national emergency

National emergency is a public health emergency

Healthcare providers operate in good faith are given sufficient flexibilities to continue providing services to beneficiaries and receive reimbursement for services

Kansas Emergency Management System

The Kansas Emergency Management System is structured in a manner to promote the coordination of preparedness, mitigation, response and recovery activities utilizing Capabilities-based Planning

The utilization of Emergency Support Functions (ESF) to delegate emergency management responsibilities promotes effective and efficient activities and also fosters these community/coalition partnerships identified by CDC/HHS

“Each county within this state shall establish and maintain a disaster agency responsible for emergency management and coordination of response to disasters”

Coordination Strategery

MSCC Strategy Federal Response

Interstate Regional Coordination

State Response and Coordination

Jurisdictional Incident Management

Healthcare “coalitions”

Organizational Management

KRP/ESF Strategy Federal Response

Emergency Management Assistance Compact

State Response and Coordination

County Incident Management & ESF 8

Mutual Aid/Suppliers

Organizational Management

Review

Continued evolution of the programs/continued integration with emergency management

Regional operations to strategy to planning coordination

Continued/refined organizational and local efforts using Capabilities

Continue to build the ability of our communities to mitigate against, prepare for, respond to and recovery from emergency incidents and promote the best quality of care for our citizens.