Winter is Coming Part Two: Cold Weather & Disasters No - - PowerPoint PPT Presentation

Winter is Coming Part Two: Cold Weather & Disasters

No November 13th, 2020 Regina Reed, MPH Policy Manager

House Keeping

• We will hear from the presenters and then have time for Q&A
• Please introduce yourselves in the chat box
• Share questions in the chat throughout the presentation
• Evaluation survey will be shared at the end of the webinar

PANE NELISTS

Noah Patton Housing Policy Analyst, National Low Income Housing Coalition John Gilvar Gilvar Consulting, HUD COVID-19 technical assistance provider Mike Savara Assistant Director of Homeless Services for Oregon Housing and Community Services Jody Rauch, BSN, MA, RN Clinical Quality Lead, Health Care for the Homeless Network Seattle, WA

Noah Patton npatton@nlihc.org

• DHRC Working Groups and Calls: https://nlihc.org/covid-19-

working-groupcalls

• Join the DHRC: https://nlihc.org/disaster-housing-coalition
• Latest Best Practices Document on FEMA PA Reimbursement:

https://nlihc.org/sites/default/files/FEMA_Housing-Is- Healthcare.pdf

Mike Savara Mike.SAVARA@oregon.gov

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HUD’s Winter Planning suite

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Extend the reach and effectiveness of the winter emergency response by ensuring planning tables are inclusive:

• Representative of the racial makeup of the populations served by the

homeless system and

• Include people with lived experience of homelessness.
• 1. Engaging Critical Partners

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En Engagi ging g Criti tical Partn tners

Partner Role in Planning Public Health

• Help review set up and operations at shelters to ensure public health standards are met
• Determine occupancy requirements for alternative sheltering sites
• Design testing strategies, set up flu clinics and coordinate PPE

Healthcare / Healthcare for the Homeless

• Create pathways to health care services for people with medical and behavioral health

needs, including those living sheltered or unsheltered who need specialized services. Emergency Management

• Can help to identify new spaces for sheltering, help plan for expansion of sites and

identify alternative staffing strategies

• Emergency response/outreach resources, skills and experience (local, state, or federal)

People with Lived Expertise

• Design and inform practical plans for effectively locating, engaging, and sheltering ALL

PEOPLE experiencing homelessness this winter. Outreach Providers and Behavioral Health

• Develop an approach to getting those experiencing more severe behavioral health

challenges into winter shelter facilities.

Adopt a contingency planning approach, which drives collaboration with critical partners PLAN A, A, B, , and C

A B C

Baseline Project Need Marginal Surge Substantial Surge

Community can meet shelter needs with existing planning & homeless resources

• Requires whole of

government response

• Demand exceeds traditional

capacity

• Activation of govt and

community partners to expand new spaces and staff

• 2. Winter Emergency Planning

HUD’s Winter Planning Guide

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Plan A Projected Need Plan B Marginal Surge Plan C Substantial Surge

Planning Assumptions Projected needs Winter Overflow Beds Needed Facilities Facilities designated to meet projected demand:

• [Facility] [Max capacity]
• [Facility] [Max capacity]
• [Facility] [Max capacity]

Site adaptations needed: Insurance needs: Facilities designated to meet surge demand:

• [Facility] [Max capacity]
• [Facility] [Max capacity]
• [Facility] [Max capacity]

Site adaptations needed: Insurance needs: Facilities designated to meet surge demand:

• [Facility] [Max capacity]
• [Facility] [Max capacity]
• [Facility] [Max capacity]

Site adaptations needed: Insurance needs: Lead (Name/Contact): Lead (Name/Contact): Lead (Name/Contact): Staffing Operational staff plan for Plan A facilities:

• [Type] [Quantity]
• [Type] [Quantity]

Security staff: Operational staff plan for Plan B facilities:

• [Type] [Quantity]
• [Type] [Quantity]

Security staff: Operational staff plan for Plan C facilities:

• [Type] [Quantity]
• [Type] [Quantity]

Security staff: Lead Name/Contact: Lead Name/Contact: Lead Name/Contact: Transportation Strategy

• Vendor:
• # of vehicles:
• Pick-up locations and schedule:
• Transport arranged through:
• COVID mitigation measures needed:
• Vendor:
• # of vehicles:
• Pick-up locations and schedule:
• Transport arranged through:
• COVID mitigation measures needed:
• Vendor:
• # of vehicles:
• Pick-up locations and schedule:
• Transport arranged through:
• COVID mitigation measures needed:

Lead Name/Contact: Lead Name/Contact: Lead Name/Contact:

Adaptable to meet communities were they’re at

Winter Planning Functions

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Es Estim imatin ing Needs (Next Slid Slide)

• Various strategies for using existing data to estimate winter beds needed

Faci cilities

• Identify alternative sheltering sites; work with public health to determine

maximum capacity of each facility; prepare for site control

St Staffin fing

• Determine client to staff ratio; consider lead operations person in charge of

preparing and activating all sites

Tr Transportation Strategy

• Develop safe transport options for moving people to/from shelters or from
• vercrowded shelters

Estimating Need

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Project ctions

• Look back at winter shelter utilization for last three years (Baseline)
• Adjust up for additional beds needed due to beds lost in decompression
• Adjust up for po

poten ential inc ncrea eases es in unsheltered (average year on year increases over last three years, real-time enrollment data or CE assessment data, etc)

Re Real-Time Estimates of Potential Incr creases

• Shelter utilization trends
• Analyzing coordinated entry data such as changes in the number of:
• Households seeking assistance;
• Assessments completed;
• Shelter/street outreach program enrollments; and
• Households entering projects from unsheltered situations.

Winter Planning Resources

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• Co

Companio mpanion n Resour urce ces

• Alternative Approaches to Winter Sheltering During

COVID-19

• Creative Staffing Solutions
• Personal Protective Equipment (PPE) Burn Rate

Calculator

• Winter Response Activation and Communications

Plan

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CoCs, providers, public health authorities, emergency management agencies, and local governments must work collaboratively to adhere to COVID-19 mitigation measures across all winter shelter sites by incorporating three primary strategies:

1.

• 1. Physical distanci

cing 2.

• 2. Ma

Mask sk weari ring ng 3.

• 3. Enhance

ced cl cleaning and disinfect ction

• 3. Preventing Spread of COVID-19

COVID-19 Preparedness Checklists for Shelters

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The Winter Planning Guide includes links to a series of checklists, which can be printed for staff or embedded in operational procedures and protocols.

q Physical Distancing, Face Coverings, and Ventilation q Safe Sleeping Protocols q Cleaning and Disinfecting q Bathroom Cleaning Protocols q Symptoms Screening for Staff and Clients q Meal Management q Testing

THANK YOU!

John Gilvar john@gilvarconsulting.com

Public Health- Seattle and King County Health Care for the Homeless Network

Jody Rauch, RN, BSN, MA Clinical Quality Lead

HEART HCHN Sites Behavioral Health CD-Epi

Environmental Health

Agencies

Winter Shelter Planning Priorities

• Engage with Community
• Ongoing Weekly Provider Calls
• Specific Planning Calls
• Increased coordination between Environmental Health, HEART, Agencies, and local

jurisdictions

• Consults with Ventilation Experts and Certified Industrial Hygienists
• Pre-evaluation of possible sites to be used for emergency winter shelters
• Emergency Shelter Guidance developed

Q& Q&A

nhchc.org/webinars