Welcome Agenda ADHS Public Health Emergency Welcome Preparedness - PDF document

3/22/2016 Welcome Agenda ADHS Public Health Emergency • Welcome Preparedness & Hospital Preparedness • NDMS • Red Cross/Sheltering Program All Partners Meeting • AMR/FEMA Ambulance Contract • Region Breakout Session I This meeting was supported in part by the CDC Cooperative • Working Lunch 11:45 with CSC Presentation Agreement, Catalog of Federal Domestic Assistance (CFDA) 93.069 and the Hospital Preparedness Program (HPP) Grant CFDA 93.889. • Region Breakout Session I continued Its contents are solely the responsibility of the authors and do not • Breakout Session II – County/Tribal and Healthcare necessarily represent the official views of CDC or the Department of Health and Human Services. • Brief Back from Breakout Sessions • Preparedness Grants Funding Discussion Health and Wellness for all Arizonans 1 2 Welcome HAPPY Don Herrington Arizona Department of Health Services Assistant Director Public Heath Preparedness Health and Wellness for all Arizonans Health and Wellness for all Arizonans 3 4 Unclassified / For Official Use Only Unclassified / For Official Use Only National Disaster Medical System Arizona Department of Health Services All Partner Meeting A public/private sector partnership DHS DHHS DOD DVA Kerry Reeve Area Emergency Manager February 11, 2016 5 6 VHA Office of Emergency Management VHA Office of Emergency Management VHA Office of Emergency Management Unclassified / For Official Use Only Unclassified / For Official Use Only Unclassified / For Official Use Only UNCLASSIFIED 1

3/22/2016 Unclassified / For Official Use Only Unclassified / For Official Use Only Components of the National DISASTER MEDICAL Disaster Medical System ASSISTANCE TEAMS (DMATS) I. Medical Response: – Personnel, teams and individuals, supplies, and equipment AK • Disaster Medical Assistance Team (DMAT) • Disaster Mortuary Operational Response Teams (DMORT) MN ‐ 1 MINNEAPOLIS • National Veterinary Response Team (NVRT) AK ‐ 1 MI ‐ 1 NY ‐ 2 ANCHORAGE WESTLAND MA ‐ 1 OH ‐ 1 VALHALLA BOSTON IA ‐ 1 TOLEDO PA ‐ 1 PA ‐ 2 II. Patient Movement WA ‐ 1 DUBUQUE PITTSBURG DERRY MN ME ND OH ‐ 5 SEATTLE WA PA ‐ 3 MT DAYTON KY ‐ 1 MI ERIE VTNH MA ‐ 2 WI FORT THOMAS OR ‐ 2 SD OH ‐ 6 NY MA WORCESTER – Patient evacuation: primarily DoD, new alternate modes of OR EUGENE MI ID YOUNGSTOWN PA RI ‐ 1 WY RI VA ‐ 1 MD CT PROVIDENCE NE IA movement – Dual Use Vehicles HI ‐ 1 NORFOLK WV DE OK ‐ 1 OH NJ CT ‐ 1 WAILUKU, IL DC CA KY HARTFORD MAUI NV UT TULSA VA CO KS MO IN TN NC NJ ‐ 1 NY ‐ 4 – Medical regulating: DoD/VA ROCKLAND CO. TN ‐ 1 MS GA LYONS AR AL SC NM ‐ 1 OK HI AZ MO ‐ 1 CHATTANOOGA NC ‐ 1 ALBUQUERQUE NM ST LOUIS SC ‐ 1 WINSTON ‐ SALEM – En-route care: transport providers FL CHARLESTON TX AL ‐ 1 LA GA ‐ 4 CA ‐ 6 BIRMINGHAM AUGUSTA PR – Patient tracking/in-transit visibility: DoD/VA SAN FRANCISCO AL ‐ 3 CA ‐ 11 MOBILE FL ‐ 1 SACRAMENTO AR ‐ 1 CA ‐ 1 NV ‐ 1 CO ‐ 2 TX ‐ 1 TX ‐ 4 PENSACOLA III. Definitive Medical Care LITTLE ROCK SANTA ANA LAS VEGAS DENVER EL PASO DALLAS TX ‐ 3 FL ‐ 6 CA ‐ 2 FL ‐ 4 LAMARQUE PR ‐ 1 SAN BERNARDINO JACKONSVILLE ORLANDO CA ‐ 9 AZ ‐ 1 FL ‐ 3 SAN JUAN CA ‐ 4 GA ‐ 3 FL ‐ 2 FL ‐ 5 – Treatment provided by participating NDMS medical facilities LOS ANGELES TUCSON ST PETERSBURG SAN DIEGO RIVERDALE PORT CHARLOTTE MIAMI 7 8 VHA Office of Emergency Management VHA Office of Emergency Management Unclassified / For Official Use Only Unclassified / For Official Use Only UNCLASSIFIED UNCLASSIFIED Unclassified / For Official Use Only Unclassified / For Official Use Only Federal Coordinating Current Federal Centers Coordinating Centers • A Federal Coordinating Center (FCC) is a facility located in a metropolitan area of the United States and Puerto Rico, responsible for day-to-day coordination of planning and operations in one or more assigned geographic NDMS Primary Receiving Areas. – VA currently has 50 FCCs nationwide and in Puerto Rico – VA FCC functions are coordinated by VHA OEM Area Emergency Managers – Medical Center Directors are the FCC Director – Facility Emergency Managers train/operate FCCs 9 9 VHA Office of Emergency Management VHA Office of Emergency Management 10 VHA Office of Emergency Management Unclassified / For Official Use Only Unclassified / For Official Use Only UNCLASSIFIED Unclassified / For Official Use Only Unclassified / For Official Use Only AE System Overview Arizona Based FCC’s State EOC PMR Manifest GPMRC JPMT (GPMRC) LOCAL HOSP LOCAL HOSP P Mission Federal Coordinating Center’s (FCC) Crews AMC M Built Alerted (TACC) R  Two in Arizona Phoenix and Tucson LOCAL HOSP Regional  Arizona Air National Guard PRC – Phoenix Hospital Mission Specifics Manifest Coordinator (MSN #, Times, Etc.)  Davis Monthan AFB PRC - Tucson APOE/AMP  Hospitals with MOA’s Ambulance DASF/AELT Control  MMRS support State/Local IC CRE/CRT  Other Partners Pts moved JPRT/QRC  Patient movement (throughput) via FCC (24 to APOE NDMS HOSP NDMS DMAT/CCT and loaded hours) NDMS HOSP AE movement to APOD NDMS HOSP 11 11 12 VHA Office of Emergency Management VHA Office of Emergency Management APOD/FCC VHA Office of Emergency Management Unclassified / For Official Use Only Unclassified / For Official Use Only UNCLASSIFIED 2

3/22/2016 Unclassified / For Official Use Only Unclassified / For Official Use Only Federal Medical Station Dual Use Vehicles (FMS) • Cache of medical supplies and equipment • Temporary non-acute medical care facility • Requires Harden Bldg. • Treat & hold 250 people for 3 days • Inventory = 67 13 14 14 VHA Office of Emergency Management VHA Office of Emergency Management VHA Office of Emergency Management Unclassified / For Official Use Only Unclassified / For Official Use Only UNCLASSIFIED Unclassified / For Official Use Only Unclassified / For Official Use Only DUV’s Specifications DUV Function GENERAL 28’ DUV 36’ DUV SPECIFICATIONS (SHORT Platform) (LONG Platform) • Develop an internal VA capability that could function, if OVERALL LENGTH: 28’ 36’ necessary, independent of local, State, Federal or BODY WIDTH: 102” 102” private-sector capabilities during disasters or OVERALL HEIGHT: 12’10” 12’10” emergencies. GVWR: 26,000 LBS. 32,000 LBS. • Support routine transportation requirements for VA ENGINE: DIESEL 6.7L DIESEL 6.7L TRANSMISSION: AUTOMATIC AUTOMATIC Medical Centers and Community Based Outpatient MAXIMUM PASSENGER Clinics. 14 30 SEATING: MAXIMUM LITTER • Support patient evacuation and regulation during 9 15 POSITIONS: disasters or emergencies. MAXIMUM WHEELCHAIR 6 10 POSITIONS: 15 15 VHA Office of Emergency Management VHA Office of Emergency Management 16 16 VHA Office of Emergency Management VHA Office of Emergency Management Unclassified / For Official Use Only 3 Unclassified / For Official Use Only Unclassified / For Official Use Only Unclassified / For Official Use Only Dual Use Vehicle Small DUV • Nationwide – 118 Production Large – 208 Production Small • Arizona – 2 Large – 17 Small 17 17 18 18 VHA Office of Emergency Management VHA Office of Emergency Management VHA Office of Emergency Management VHA Office of Emergency Management Unclassified / For Official Use Only Unclassified / For Official Use Only 3

3/22/2016 Unclassified / For Official Use Only Unclassified / For Official Use Only Large DUV DUV w/loadout 19 19 20 20 VHA Office of Emergency Management VHA Office of Emergency Management VHA Office of Emergency Management VHA Office of Emergency Management Unclassified / For Official Use Only Unclassified / For Official Use Only Unclassified / For Official Use Only Unclassified / For Official Use Only DUV/Combination Loadout Stretcher 21 21 VHA Office of Emergency Management VHA Office of Emergency Management 22 22 VHA Office of Emergency Management VHA Office of Emergency Management Unclassified / For Official Use Only Unclassified / For Official Use Only Unclassified / For Official Use Only Unclassified / For Official Use Only Wheelchair Questions - Litter stanchions (stored on board) - Wheelchair tie downs - Shore power cables - Privacy curtains - L-track “D” and “Pear” rings - Crash-tested wheelchairs Kerry Reeve - NATO litters Area Emergency Manager, Phoenix, Region IX - Vehicle First Aid Kit Veteran Health Administration – Office of Emergency Management - Electrical extension cords Department of Veterans Affairs - Cargo tie down straps kerry.reeve@va.gov 480-397-2738 23 23 24 24 VHA Office of Emergency Management VHA Office of Emergency Management VHA Office of Emergency Management VHA Office of Emergency Management Unclassified / For Official Use Only Unclassified / For Official Use Only 4

3/22/2016 Mass Care Shelters & Emergency Planning  Selection  Surveys  Information sharing Mass Care Sheltering  Supplies  Training ADHS Annual HPP-PHEP All Partners Meeting February 11, 2016 Partners in Preparedness Shelter Selection Shelter Surveys Partners in Preparedness 27 Partners in Preparedness 28 Information Sharing Shelter Supplies Partners in Preparedness 29 Partners in Preparedness 30 5

3/22/2016 Shelter Training Mass Care Shelters in Response  Determining Need  Selecting Location  Notifications  Opening  Operations  Reporting 31 Determining Need Selecting the Facility 33 34 Notification Opening a Shelter 35 36 6