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Disaster Ready…or Not? Gil Damiani, AzHCA Consultant Disaster Planning

Disaster Ready…or Not? Gil Damiani, AzHCA Consultant Disaster Planning. Gil Damiani. 30 + years (1980-2010) in Fire Service/Emergency Management Adjunct Az State certified ICS Instructor (2004)

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Disaster Ready…or Not? Gil Damiani, AzHCA Consultant Disaster Planning

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  1. Disaster Ready…or Not?Gil Damiani, AzHCA Consultant Disaster Planning

  2. Gil Damiani • 30 + years (1980-2010) in Fire Service/Emergency Management • Adjunct Az State certified ICS Instructor (2004) • Past 8 years consulting with Tribes in Arizona and working with Nursing Homes to provide training and assist in developing disaster plans

  3. Stan Szpytek, Fire and Life Safety, Inc. Entered Fire Service in 1977 as Cadet Firefighter Hired as a Career Firefighter in 1983- Ranks Achieved: Paramedic Engineer Lieutenant Captain Fire Marshal / Emergency Manager Deputy Fire Chief Honorably Retired in 2003 Founder of Fire and Life Safety, Inc.- 2000 Gallagher Bassett RCCS- 2002 Arizona Health Care Association Consultant- 2009 CAHF Life Safety / Disaster Planning Consultant- 2010

  4. ARIZONA

  5. Mesa Transformer Fire…

  6. (2011) Wallow Fire…732 Sq. Mi 842 sq. miles Az and NM largest in lower 48 states

  7. Wildfire…

  8. Outside of Flagstaff- 10/6/10

  9. Plane CRASHES into School- 6/11/10Eager, Arizona

  10. How Vulnerable?

  11. CMS: Proposed Rule • December 27, 2013 • Existing guidance on Emergency Preparedness not comprehensive enough for complexities of actual emergencies • Proposed rule will impose extensive emergency preparedness conditions

  12. Are LTC Facilities in AZ Ready for Disaster ?

  13. Arizona Department of Health Services Bureau of Public Health Emergency Preparedness:150 N. 18th Avenue, Suite 150Phoenix, AZ 85007(602) 364-3289(602) 542-2722 Fax

  14. A program was born in 2012 VIDEO

  15. Major DR Program Elements...... • Identify Needs • Provide Training Opportunities • Provide Resources • Develop / Facilitate Relationships

  16. IDENTIFY NEEDS Gap Analysis Survey

  17. Focus…… • HHS Hospital Preparedness Program (HPP) Grant Guidance • Section 1.5: Level 1 and Level Sub-Capabilities ** Essentially the desired levels of preparedness in all healthcare occupancies

  18. Survey Process…… • Developed comprehensive survey based on grant guidance • Thirty-eight (38) probes • Utilized On-line “Survey Monkey” • Robustly Promoted by AzHCA with BA Assistance • Excellent Member Participation

  19. SURVEY FINDINGS… >90% Response

  20. COMMUNICATIONS

  21. Limited Alternate Comm… • Satellite phone- 2.2% • Access to ham radio operator- 1.1 %

  22. Common Comm… • Two-way radios- 68.5% • National Weather Service alert radio- 21.3 % • Battery-powered am/fm radio- 60.7%

  23. FB During Disaster???

  24. COLLABORATION WORKING WITH KEY PARTNERS

  25. Participation… Does your facility participate in any local, county or state disaster planning / emergency management initiatives? • YES- 18% • NO- 73% • UNSURE 9%

  26. HAZARD VULNERABILITY What’s beyond the fence?

  27. Hazard Vulnerability Assessment… • YES-24.7 • NO- 58.4 • UNSURE- 16.9

  28. Medical SurgeFacility ExpansionBed Tracking

  29. Surge… • Bed Availability Tracking • YES- 59.6 % • NO- 40.4% • Formalized Receiving Plan • Yes- 58% • NO- 42%

  30. INCIDENT MANAGEMENT

  31. Incident Command System… • YES- 25.6% • NO- 46.5% • UNSURE 27.9%

  32. FATALITY MANAGEMENT

  33. Handling the Deceased During Disaster… • Safe handling procedures established • YES- 20.2% • NO- 79.8% • Temporary morgue identified • YES- 19.3% • NO- 80.7%

  34. IDENTIFY NEEDS Gap Analysis Survey- Follow-up Site Visits

  35. Meet with Key Staff…

  36. TRAINING Provide Training Opportunities

  37. NHICS Workshops- June 2012 • Tucson (Pima County Health Department) • Mesa (Southwest Ambulance H.Q.)

  38. NIMS and the Incident Command System (ICS) One of the most important 'best practices' that has been incorporated into the NIMS is the Incident Command System (ICS), a standard, on-scene, all-hazards incident management system already in use by firefighters, hazardous materials teams, rescuers and emergency medical teams. The ICS has been established by the NIMS as the standardized incident organizational structure for the management of all incidents. www.fema.gov/txt/nims/nims_ics_position_paper.txt

  39. What is the Incident Command System? • Standardized approach to all hazards response and recovery • Used across all disciplines • Promotes efficiency and effectiveness in response • Not a plan but a framework to overlay on existing plans • Used to manage all types of events- big or small

  40. INCIDENT COMPLEXITY & RESOURCE NEEDS… ICS Structure Incident Complexity Resource Needs Complexity

  41. Incident Action Planning Management By Objectives • Flexible, Measurable & Attainable Objectives • Identified Time-Frames (Operational Period)

  42. Feature of ICS • Common terminology • Modular span of control • Resource management • Information management • Modular Organization • Incident Action Planning/Objectives • Command structure

  43. The actions that must be covered: OPERATIONS Directs Tactical Actions Reports to the Incident Commander LOGISTICS Facilities Services MaterialsCommunications COMMAND HAS OVERALL RESPONSIBILITYIS IN CHARGE OF ALL FUNCTIONS PLANNING Prepares Action Plan Maintains Resource and Situation Reporting FINANCEADMINISTRATION Tracks CostEvaluates Fiscal Considerations, Personal Issues

  44. The Power of the VEST…

  45. “All Hazards” Emergency Management • Communications • Resources and Assets • Safety and Security • Staff Responsibilities • Utilities • Patient Clinical and Support Activities

  46. HAZARD VULNERABILITY ASSESSMENT HVA WHAT potential threats and perils may impact the community and your facility?

  47. HVA Factors…..(RISK) EVENT TYPE (Specific) • Probability • Likelihood of Occurrence • Severity = Impact • Human • Property • Business • Mitigation = Preparedness + Response • Preparedness • Internal Response • External Response

  48. Hazard Vulnerability Assessment (HVA)

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