Kidney Community Emergency Response (KCER) Program 2017 Hurricane - - PowerPoint PPT Presentation

Kidney Community Emergency Response (KCER) Program

2017 Hurricane Season Overview

July 20, 2018

Overview

• Provide an overview of the KCER Program’s role

during the 2017 Hurricane Season.

• Discuss the impact of the season on the ESRD

community.

• Share best practices and lessons learned that

were identified from the experience.

• Review the progress of ongoing recovery efforts

in the impacted areas.

2

Emergency Response Activities

• KCER convened and coordinated national stakeholders

to discuss how the ESRD community was being impacted and identify challenges or un-met needs.

• KCER supported Networks, providers, and patients, by

tracking facility operational status, connecting stakeholders with resources to help meet un-met needs, and through the Helpline.

• KCER partnered with multiple stakeholders to address

barriers related to patient safety and access to care, including working with providers to obtain the critical supplies needed for providing treatment.

3

2017 Hurricane Season

• Hyperactive, deadly, and extremely destructive

§ Season featured multiple category 5 hurricanes

• Fifth most active season on record

§ 17 named storms § 10 hurricanes occurred in a row § Highest number of major storms since 2005

• The costliest season on record

§ Nearly all costs due to three of the season’s major hurricanes—Harvey, Irma, and Maria § Nearly twice the cost of damages recorded in 2005

4

Hurricane Harvey

August 23, 2017 Hurricane Harvey regenerates in the Gulf of Mexico August 24, 2017

Hurricane warnings issued for Texas Coast

August 25, 2017

Initial landfall on San Jose Island August 26, 2017 Second landfall on northeastern shore

• f Copano Bay

August 27–August 29, 2017 Harvey hovers over Texas Coast, moving slowing southeast towards Houston. Catastrophic flooding occurs across southeast Texas. August 30, 2017 Third and final landfall, just west of Cameron, Louisiana

5

Hurricane Harvey— ESRD Impact

Texas

• More than 14,000 patients

impacted

• More than 260 facilities

impacted

§ Nine received damage resulting in long-term closures § Three remain closed to date

6

Challenges

• Duration of the storm
• Patients who did not

evacuate – resulting in the need for rescue

• The number of facilities

impacted at once in a concentrated area

• Long-term displacement
• f patients

Best Practices

• Special Purpose Renal Dialysis

Facility (SPRDF) Approval

• Volunteer group to triage

patient needs via phone

• Large Dialysis Organizations

sent personnel to Texas to assist with rescuing patients and getting them treatment.

7

Hurricane Harvey— Lessons Learned

Hurricane Irma

August 31, 2017

Tropical Storm Irma forms in the South Atlantic

September 4, 2017

Hurricane warnings issued for U.S. Virgin Islands and Puerto Rico

September 6, 2017

Irma makes landfall in the U.S. Virgin Islands and Puerto Rico

September 8, 2017

Hurricane warnings issued for Florida

September 10, 2017

Irma makes landfall in Florida

8

Hurricane Irma—ESRD Impact

U.S. Virgin Islands

• 240 patients impacted

§ 120 patients from St. Thomas evacuated to Puerto Rico on September 9–10, 2017

• Four facilities impacted

§ Two facilities on St. Thomas received extensive damage and remain closed to date

Puerto Rico

• 6,000 patients impacted
• 48 facilities impacted

Florida

• 30,430 patients impacted
• 449 facilities impacted

9

Challenges

• Track changed quickly
• Entire state impacted
• Facilities closed too soon
• Duplication of reporting

efforts

• Hepatitis B status

unknown

• Facility voicemails not

updated

Best Practices

• Print copies of patient and

staff contact information

• Post alternative facility

information on closed facility door/window

• Review hurricane packet

with each patient at last treatment prior to the storm

10

Hurricane Irma—Lessons Learned

September 16, 2017

Hurricane Maria forms in the Western Atlantic Ocean

September 18, 2017

Hurricane warnings issued for U.S. Virgin Islands and Puerto Rico

September 20, 2017

Landfall in U.S. Virgin Islands and Puerto Rico

Hurricane Maria

11

U.S. Virgin Islands

• Out of 120 St. Thomas patients,

84 evacuated from Puerto Rico to Miami on September 19, 2017

• 96 patients from St. Croix

evacuated to Atlanta, Georgia, from September 24–30, 2017

• Two facilities on St. Croix

received extensive damage and remain closed to date

Puerto Rico

• Over 6,000 patients impacted
• More than 400 patients self-

evacuated to the mainland

• Out of 48 facilities, three facilities

remain closed to date

12

Hurricane Maria—ESRD Impact

Hurricane Maria—Incident Response

• Disruptions in infrastructure resulted in:

§ Ongoing community-wide rescue/recovery due to the major flooding § 911 system was overloaded § Transportation was affected by roads, private/public services suspended § Power/water supplies affected by flooding § Disrupted provision of dialysis due to closed or altered

• perations within dialysis providers

§ Dialysis supplies for both providers and self/home-care patients were disrupted

13

Challenges

• Scarce resources and

supplies needed to bring facilities operational

• Lack of basic supplies for

daily living and for conducting home treatments

• Influx of evacuated

patients into Florida

• Lack of identification
• Long-term displacement

Best Practices

• Pre-established contacts

at the local Emergency Operations Center

• SPRDF approval

14

Hurricane Maria—Lessons Learned

Recovery Activities

• KCER continues to submit weekly reports to

CMS that provide status updates and situational changes for all impacted areas.

• KCER communicates with the impacted ESRD

Networks frequently to monitor reopening of facilities reporting long-term closures.

• KCER tracks facility location for patients who

were displaced or evacuated, or whose facility is closed long-term.

15

@KCERProgram www.facebook.com/KCERCoalition

16

Thank you for joining us today!

17

This material was prepared by the Kidney Community Emergency Response (KCER) contractor, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy nor imply endorsement by the U.S.

• Government. CMS Contract #: HHSM-500-2006-00007C Publication Number: FL-KCER-7K1T7B-07192018-01

www.KCERCoaltion.com KCERInfo@hsag.com www.facebook.com/KCERCoalition @KCERProgram www.twitter.com/KCERProgram