2/12/2019 Northeast Healthcare Preparedness Coalition Husky Energy - - PDF document

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Northeast Healthcare Preparedness Coalition Husky Energy Response

Jo M. Thompson, MPH, Regional Healthcare Preparedness Coordinator Adam Shadiow, MBA, Regional Healthcare Preparedness Coordinator Marilyn Cluka, MS, RN, PHN, Public Health Preparedness Consultant

Disclosures / Conflicts

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Objectives

Upon completion, participants will be able to:

• Describe successful coalition communication processes
• Identify successes and challenges as they relate to mass

casualty incidents and evacuations for hospitals, long term care, and public health

• Identify additional partners to consider engaging in the

coalition

Minnesota At a Glance Region At a Glance

• 18,263 sq miles
• 325,000

Residents

• Tourism / Large

Community Events

• Weather

Extremes

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Regional Dynamics

7 counties 3 tribes International Border (Eh?) Large Port 148th MN Air National Guard 2 additional MN Healthcare Coalitions The Bridge to Beer and Cheese

Members (NHPC)

HPP Grant Party Planners Coalition Officers

Northeast Healthcare Preparedness Coalition // A collaborative environment for agencies to plan, exchange information, and analyze hazards to mitigate negative impacts

Workgroups

“Teamwork means never having to take all the blame yourself.”

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Who Doesn’t Like to Exercise?

Whe here re is thi his in our ur HVA?

Husky Energy Refinery

Refinery in Superior Wisconsin Processes up to 38000 barrels of oil a day Much of this is sold and distributed in NE MN and NW WI

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The scene on a normal day

• Husky is highlighted in

yellow

• The white containers are,

for the most part, petroleum products

• The bottom of the image,

is the Enbridge Energy facility

Husky Energy

Some perspective … Little more perspective …

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The Initial Explosion

• In meetings, working
• n UnderOneRoof

conference, and normal business day tasks

• Initial reports came

from TV

Initial actions among regional leadership

Sharing of a news story. This looks bad…but not an oh $#!+ moment. Looked to be limited to a refinery and EMS issue.

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Awareness Level Activation

1000 - 1230

• Email to EMS leadership about MCI
• Email to RHPCs and MDH about MCI
• Phone call with Metro about burn plan

activation

Communication process

Interesting incident, but not a pressing event for us

Continued about our day

Health care response to an Mass Casualty Incident

The fire is out…or not.

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Reignition

• f the fire

Elevated concern among RHPC/PHPCs

1230–1400

Informed of EH- Sup evac by our coalition members

1330

RHPC/PHPC teleconference …that didn’t happen

1340

Decision made to activate at

• perations level

and move to SLC EOC

1400

Coalition leadership @ the EOC

• What we knew
• Evacuation of hospital
• Evacuation of community (small)
• 20 “casualties”
• EMS and fire staged and ready to

assist

Coalition leadership @ the EOC

• More importantly…what we

didn’t

• How many long term care

facilities were impacted

• What all was in the fire
• Were other containers in danger
• Rapidly changing circumstances

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Coa Coali litio ion Res esponse to

• an Evacuatio

ion

Community Perspectives Sheltering UW-Superior Students at the College of St Scholastica

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Partners in Sheltering

At a 3 p.m. press conference, Mayor Paine said everyone within a 3-mile radius of the refinery should evacuate and stay out

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Media: Gotta Love “Em

430 - 630PM

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630PM / 8PM Circumstances that allowed for success

10AM on a Thursday = All hands on deck Wind blowing smoke over a closed golf course and a smaller populated area Up to 700 employees on their break in a break room and not outside

Cross Borders Partnership and Communications

• Gaps and challenges

encountered

• Transfer/referral

patterns

• Working with or lack

thereof with HCC cross border

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Lessons Learned (Facilities)

• Staffing across state lines
• Home care clients from evac zone
• Staff family assistance
• Command structure

Lessons Learned (Coalition)

• Succession planning
• Continuity of operations planning
• Job action sheets are not enough
• More exercises for HMAC partners
• Transition from person dependent
• Long Term Care bed reporting

Whe here re is thi his in our ur HVA?

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QUESTIONS?