How Your Hospital Emergency Preparedness Plan Will Unfold in a CBRNE Incident

1. 5/19/2012 1 �How Your Hospital Emergency Preparedness Plan Will Unfold in a CBRNE Incident� Tuesday, May 17, 2005 1:00 PM - 2:00PM

2. 5/19/2012 2 Leadership Series Leadership Challenges Leadership Tools Hospital Emergency Preparedness Plan Legal and Financial Issues (All presentations and handouts can be found at www.wha.org)

3. 5/19/2012 3 Every Disaster Is Local Despite all the preparations at the State or National level, Every disaster is LOCAL. What matters most to your community is not the state and national response... �what will save lives is the response of your hospital

4. 5/19/2012 4 Every Hospital Must Be Ready Our approach in Wisconsin is that each hospital can be the epi-center of an incident Each hospital must be prepared to respond alone at least for the first few hours What does it mean to be READY?

5. 5/19/2012 5 Critical Benchmarks The federal government, through our granting agency, HRSA (Health Resources and Services Administration), has established Critical Benchmarks (goals) and Sentinel Indicators (measures) for the state These measures are also known as �Minimum Levels of Readiness�

6. 5/19/2012 6 Minimum Level of Readiness We have established these Minimum Level of Readiness Indicators at the individual hospital level There are two types of indicators: Capacity Indicators Capability Indicators

7. 5/19/2012 7 Capacity Indicator This indicator means that the hospital has in place the resources that will allow it to respond to a mass casualty incident A resource may be a plan, e.g. to create inpatient surge capacity beds A resource may be equipment, supplies, e.g. airborne infection isolation rooms

8. 5/19/2012 8 Capability Indicator This indicator means that the hospital has in place the ability and proficiency to respond to a mass casualty incident A tested plan and staff, who know how to deploy and staff these surge capacity beds Functional equipment, such as medical PAPRs and proficiency on how and when to use them

9. 5/19/2012 9 Goal Every hospital to be at 100% compliance with Capacity Indicators by August 31, 2006 Every hospital to be at 90% compliance with Capability Indicators by August 31, 2006

10. 5/19/2012 10 Administrative Indicators Each hospital has a contact person with the Regional HRSA Board a signed a Memorandum of Understanding to share supplies, equipment and staff an Emergency Management Plan and a Emergency Managament Committee that meets regularly

11. 5/19/2012 11 Post Incident Evaluation Each hospital has a protocol to evaluate each exercise performed a protocol to periodically evaluate its Emergency Management Plan

12. 5/19/2012 12 Surveillance Each hospital has a protocol for the reporting �unusual� occurrences of illness or injury a protocol to implement enhanced surveillance, when requested

13. 5/19/2012 13 Activation of Regional Response Each hospital knows how to activate the need for mutual assistance is familiar with the 3 Clinical Decision Thresholds (slow developing incidents)

14. 5/19/2012 14 Infection Control Each hospital can provide for the isolation of infectious patients can provide care for a surge of infectious patients has increased inventories of personal protective equipment

15. 5/19/2012 15 Response Each hospital can implement the Incident Command System has adopted at least the top 8 positions of the Incident Command System knows how to communicate with the Emergency Operations Center

16. 5/19/2012 16 Surge Capacity Each hospital has the ability to open a Triage Center to increase its capacity to treat both inpatients and outpatients

17. 5/19/2012 17 Security Each hospital has a security plan Lockdown procedures Internal and external traffic control Communications Staffing

18. 5/19/2012 18 Decontamination Each hospital has Level C decontamination equipment can decontaminate at least 4 patients within 20 minutes can decontaminate at least 2 non-ambulatory patients in 20 minutes

19. 5/19/2012 19 Indicators in Process Each hospital can distribute pharmaceuticals from the Interim Pharmaceutical Stockpile to its staff and family members has a protocol to augment and credential needed staff has the ability to track patients from the field to the hospital to transfer hospitals

20. 5/19/2012 20 Indicators In Process Each hospital has 4 levels of communications technology redundancy Landlines UHF/VHF radio Satellite telephone HAM radio Clinicians at hospitals can recognize behavioral health symptoms, resulting from a mass casualty incident

21. 5/19/2012 21 Accomplishment of Indicators Capacity will be built over the grant period It is time-limited It will need to be up-dated periodically Capability occurs through exercise It is on-going

22. 5/19/2012 22 So What Is Expected To Happen?

23. 5/19/2012 23 Refer to the Flow Charts

24. 5/19/2012 24 Flow Chart #1 Types of Incidents

25. 5/19/2012 25 Flow Chart #2 Mass Casualty Incident: All Hazards Incident Command System

26. 5/19/2012 26 Flow Chart #3 Mass Casualty Incident: All Hazards GREEN Patients

27. 5/19/2012 27 Flow Chart # 4 Mass Casualty Incident: All Hazards Hospitals

28. 5/19/2012 28 Flow Chart #5 Mass Casualty Incident: Nerve Agent

29. 5/19/2012 29 Flow Chart #6 Identification of an Outbreak of Infectious Disease

30. 5/19/2012 30 Flow Chart #7 Response to an Outbreak of Infectious Disease

31. 5/19/2012 31 Your Responsibility As Leaders The critical plan is your hospital Emergency Management Plan Wisconsin Hospital Emergency Preparedness Plan (WHEPP) contain guidelines for adapting your plan for mass casualty incidents

32. 5/19/2012 32 Capacity The HRSA Hospital Preparedness Program is assisting with funding to help build your CAPACITY 2 more years of substantial funding Sustainment budget expected thereafter

33. 5/19/2012 33 Capability Capability will only be accomplished with your support Exercise, exercise, exercise Evaluate and learn from exercise Exercise with others Learn from one another

34. 5/19/2012 34 Next Month Legal and Financial Issues Health Law Manual can be found at www.wha.org Seminars are June 6: Country Springs Hotel, Waukesha June 7: Plaza Hotel and Suites, Eau Claire June 8: Stoney Creek Inn, Mosinee

35. 5/19/2012 35 Comments and Questions

36. 5/19/2012 36 Contact Information Bill Bazan VP Metro Milwaukee Wisconsin Hospital Association 414-431-0105 bbazan@mailbag.com

37. 5/19/2012 37 Contact Information Dennis J. Tomczyk Director, Hospital Bioterrorism Preparedness Wisconsin Division of Public Health 608-266-3128 tomczdj@dhfs.state.wi.us