Wednesday, July 26, 2017 10:00AM - 12:00PM Kern County Public Health Department 1800 Mt. Vernon Avenue San Joaquin Room
WELCOME AND INTRODUCTIONS • Welcome & Introductions • Additions/Changes to Agenda • Member Announcements
Health Care Coalition Branding & Logo Chris Niswonger
Kern County Health Care Coalition Formerly Known As:
Kern County Health Care Coalition (KCHCC)
Governance Structure Chrystal Sheppard
What is the Purpose of a Governance? To define the structure and processes which the Kern County Health Care Coalition (KCHCC), formerly known as (DMPG), uses to develop cooperative disaster response capabilities.
Core Membership Values • Active participation • Transparent decision-making • Mutual assistance • Fairness in allocation of resources • Strong working relationships and a common vision “The mission of Kern County’s Disaster Medical Planning Group (DMPG) is to serve as a healthcare coalition for the purpose of collaborative, interdisciplinary disaster medical health planning .”
The Elements of Governance • Organizational structure • Support HCC activities • Membership guidelines for participation • Defined roles and responsibilities • Steering committee • Policies and procedures • Charter/Bylaws • Mechanisms to provide guidance and direction
Partnership Participation Agreement • Utilize Partner Participation Agreement (PPA) to establish formal roles and responsibilities. • Expectation of Coalition members (attendance, participation, etc.) • Statewide Medical and Health Exercise • Preparedness Trainings
What is our Current Organizational Model? Governance Structure Current Document Development of Comprehensive Emergency Operations Plan YES Mission/Vision Statement YES Partner Participation Agreement (PPA) used between Coalition YES Partners Ability to rapidly disseminate healthcare information from YES coalition to incident commander & other entities Healthcare coalition notification and duty officer assigned YES
The Governance wants YOU! • Revisit plans for organizational structure after Statewide tabletop exercise and full scale exercise are complete. • Poll members for feedback • Activate a Steering Committee • Add further items to agenda as they become available for review and adoption by members.
Basic EOM A Quick Overview of Disaster Resource Management Nick Lidgett
LEMSA & LHD (PHEP) PHEP LEMSA Collaborates with Public Health to Preparing, responding to & recovering from disasters affecting develop local medical & health disaster plans and coordinate medical & health Public Health responses to disasters Part of the MHOAC Program and at Coordinates communication, personnel times will second the MHOAC as a & resources at the local or OA level point of contact {EMS & EDs} Communicates with the CDPH Duty Coordinates with MHOAC Program Officer regarding communication, personnel & resources for local or OA level
RDMHC Program • H&S Code 1797.152 – an appointed position in each of the six Mutual Aid Regions • Coordinates disaster information & medical and health mutual aid assistance within the mutual aid region • Coordinates with MHOAC Programs in the region to ensure that all 17 MHOAC functions are met • RDMHS - a component of the RDMHC Program • Directly supports regional preparedness, response, mitigation and recovery activities • Communicates directly with the EMSA & CDPH Duty Officers • Region V Counties: Merced, Mariposa, Madera, Fresno, Kings, and Kern
MHOAC Program • Based on functional activities in H&S Code 1797.153 • Authorizes county health officer and local EMS Administrator to jointly act as the MHOAC or appoint an individual to fulfill roles and responsibilities • Responsible for ensuring the development of a medical and health disaster plan for the Operational Area • State Emergency Plan – Sections 8559 & 8560 17 functions • MHOAC shall assist the Office of Emergency Services (OES) Operational Area Coordinator in the coordination of medical and health disaster resources within the operational area • Single Point of contact in that operational area, for coordination with the LEMSA, LHD, EHD, RDMHC Program, Cal EMA, EMSA & CDPH
MHOAC 17 Functions (1) Assessment of immediate medical needs. (2) Coordination of disaster medical and health resources. (3) Coordination of patient distribution and medical evaluations. (4) Coordination with inpatient and emergency care providers. (5) Coordination of out-of-hospital medical care providers. (6) Coordination and integration with fire agencies personnel, resources, and emergency fire prehospital medical services. (7) Coordination of providers of non-fire based prehospital emergency medical services. (8) Coordination of the establishment of temporary field treatment sites. (9) Health surveillance and epidemiological analyses of community health status.
MHOAC 17 Functions (cont’d…) (10) Assurance of food safety. (11) Management of exposure to hazardous agents. (12) Provision or coordination of mental health services. (13) Provision of medical and health public information protective action recommendations. (14) Provision or coordination of vector control services. (mammals, birds, insects & arthropods) (15) Assurance of drinking water safety. (16) Assurance of the safe management of liquid, solid, and hazardous wastes. (17) Investigation and control of communicable disease.
Standardized Emergency Management System (SEMS) RDMHS State Regional MHOAC Operational Area Local Government Field 8/1/2017
Incident Considerations Day-to-Day Activities Unusual Events • Defined as an incident that significantly impacts or threatens emergency medical services, public health and/or environmental health Emergency System Activations • Defined as DOCs and/or EOCs are activated within the Operational Area • 3 Levels within the ESA
Day-to-Day Activities This is your daily routine LEMSA works with providers, EDs, EMSA LHD works with CDPH Hospitals work with CDPH L&C Adhere to normal communication standards and procedures
Unusual Event Defined as an incident that significantly impacts or threatens emergency medical services, public health and/or environmental health Incident significantly impacts/ anticipated to impact safety or public health Incident disrupts/ anticipated to disrupt the medical or public health systems Resources are needed/ anticipated to be needed beyond the OA accessibility Incident produces media interest or is politically sensitive Incident leads to regional/state request for information Increased information flow from OA to state will assist in management/mitigation of incident
EOC Activations • An Emergency Operations Center (EOC) is the place where significant individuals from various departments come together to handle an Emergency. These individuals are usually a representative of a specific agency (ex. Public Health, Fire, Law Enforcement) • When an Emergency event is expected to take a significant amount of resources and/or time to handle, a EOC will be activated under SEMS management. • There are three different levels in which a EOC will operate under
EOC Activation Levels
Detwiler Fire: Initial Assessment Started July 16 th as a small brush fire and has since grown to burn in excess of 78,000 acres. Evacuations of multiple towns and rural areas and the potential evacuation of a small Community Hospital that provides for the entire community of Mariposa
Detwiler Fire: Current Updates As of July 25 th 2017: Fire is approximately 65% contained. 4 evacuation shelters stood up in a different county causing a separate EOC activation. Town of Mariposa is being repopulated but maintains an open shelter. Currently, there is a count of 60+ single family residences which have been destroyed.
Detwiler Fire: Gaps Identified Gaps already identified: • Miscommunication in proper chain of command. • Licensing and Certification issues caused hesitation from hospital. • Public and private agencies not clear on the role of the MHOAC program.
Detwiler Fire: Predictions • This fire is becoming the largest fire in Central California history • There are currently 37 total private and public agencies working to resolve all issues as they arise • A total of 4,756 personnel are being staffed to aid in the incident • Recovery effort isn’t expected to take place until late August and could take up to two years before full reimbursement of services are completed.
REACHING BEYOND RESPONSE: 2017 RECOVERY & RESILIENCE EPO TRAINING WORKSHOP
CMS RULE GOALS • How do you return to your routine mission? Continuity of Operations (COOP) • Address gaps in your response planning and activities and revise your plan • Address patient population, delegation of authority/succession planning, communication, Establish consistency and coordination • Participate in the 2017 Statewide Medical Health Exercise • Must meet requirements by November 15, 2017
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