DSHS ESF8 Responsibilities

Slide 1:HIV Preparedness BriefingJune 24, 2010  Rick Bays, DirectorResponse and Recovery Unit

I’ll be speaking to you today about Best Practices and Existing Procedural Gaps in Disaster Preparation and Response. I will provide an overview of evacuation, patient tracking, and sheltering activities EMS trauma care system communication interoperability and volunteer involvement I’ll be speaking to you today about Best Practices and Existing Procedural Gaps in Disaster Preparation and Response. I will provide an overview of evacuation, patient tracking, and sheltering activities EMS trauma care system communication interoperability and volunteer involvement

Slide 2:NOTE TO TRAINER: Each layer of the diagram comes up separately. Reveal each layer as you refer to the handout. Use the electronic file on the thumb drive for the handout to reproduce the materials for this part of the discussion. The handout is called “Acronym Handout”. USE THE ACRONYMS AS YOU DESCRIBE THE AGENCIES. Inform the class the they have a handout in their packet that talks about these acronyms. ******************************************************************************** Click on the slide once to pull up the first layer of boxes. Say: “We start with a disaster at the local level. Recall that all disasters are managed locally.” Define the roles of EOC and EMC (use Marble Falls examples) Next, put up the next part of slide (MACS with red & green arrows). Using the handout: explain MACS (for Marble Falls it is located in Austin) Next, put up the DDC and HSR ROC (with the arrows). Explain their roles. Explain that for Marble Falls, the DDC is in Austin and the HSR is Region 7 in Temple). DDC is headed up by a DPS Captain or Lieutenant. The HSR is on the DDC to coordinate health & medical resources. Next put up the SOC. The SOC is the operations center that processes state level resource requestsNOTE TO TRAINER: Each layer of the diagram comes up separately. Reveal each layer as you refer to the handout. Use the electronic file on the thumb drive for the handout to reproduce the materials for this part of the discussion. The handout is called “Acronym Handout”. USE THE ACRONYMS AS YOU DESCRIBE THE AGENCIES. Inform the class the they have a handout in their packet that talks about these acronyms. ******************************************************************************** Click on the slide once to pull up the first layer of boxes. Say: “We start with a disaster at the local level. Recall that all disasters are managed locally.” Define the roles of EOC and EMC (use Marble Falls examples) Next, put up the next part of slide (MACS with red & green arrows). Using the handout: explain MACS (for Marble Falls it is located in Austin) Next, put up the DDC and HSR ROC (with the arrows). Explain their roles. Explain that for Marble Falls, the DDC is in Austin and the HSR is Region 7 in Temple). DDC is headed up by a DPS Captain or Lieutenant. The HSR is on the DDC to coordinate health & medical resources. Next put up the SOC. The SOC is the operations center that processes state level resource requests

Slide 3:DSHS ESF8 Responsibilities

DSHS is the lead agency for Emergency Support Function 8 (ESF8), Health and Medical. Missions include the following: Health/Medical Assessment Health Surveillance Medical Special Needs Services Chemical/Biological Consultation Radiological Response Mental Health Services Public Health Information Vector control Wastewater/Solid Waste Disposal Victim Identification/Mortuary Services

Slide 4:DSHS Missions

DSHS primary disaster response missions include the following: Medical Special Needs (MSN) Evacuation MSN Sheltering MSN Re-entry MSN Patient Tracking Coordination of Medical Services

Slide 5:MSN Evacuation

Facilities have evacuation plans and evacuation destinations; some plans fail Non-institutionalized individuals may also require assistance Conducted with a combination of air and ground resources including: Medical institutions, including hospitals and nursing homes will decide whether to evacuate, shelter-in-place, or a combination of both. The home bound MSN population will receive evacuation orders from local officials. The MSN population evacuated on State assets will be transported to a safe facility in their jurisdiction or to a receiving jurisdiction and directed to a MSN Shelter, nursing home, or hospital depending on medical needs. Initial evacuation efforts will primarily focus on ground transportation. Air operations will be initiated only if ground transportation efforts are unsuccessful or cannot meet the demand for evacuation of the MSN population. Air operations are a last resort effort to move MSN people out of an impact site. A combination of State & FEMA provided ambulances gives us capacity of approximately 500 ambulances. 100 Coach buses with medical staff are available. 10 Litter buses are being provided by Dallas County SchoolsMedical institutions, including hospitals and nursing homes will decide whether to evacuate, shelter-in-place, or a combination of both. The home bound MSN population will receive evacuation orders from local officials. The MSN population evacuated on State assets will be transported to a safe facility in their jurisdiction or to a receiving jurisdiction and directed to a MSN Shelter, nursing home, or hospital depending on medical needs. Initial evacuation efforts will primarily focus on ground transportation. Air operations will be initiated only if ground transportation efforts are unsuccessful or cannot meet the demand for evacuation of the MSN population. Air operations are a last resort effort to move MSN people out of an impact site. A combination of State & FEMA provided ambulances gives us capacity of approximately 500 ambulances. 100 Coach buses with medical staff are available. 10 Litter buses are being provided by Dallas County Schools

Slide 6:MSN Evacuation Plan

MSN Evacuees are transported by ground evacuation to Point to Point Cities Shelter Hub Cities Pre-Identified MSN Shelter Locations MSN Evacuees can be transported by air to locations including: San Antonio Dallas/Fort Worth El Paso Other Ground evacuees from Southeast Texas are transported to MSN Shelters in Austin (Galveston) and also to destinations in East/Northeast Texas. Ground evacuees from the LRGV are transported to destinations in Laredo and San Antonio. Texas Military Forces aircraft can transport MSN evacuees throughout Texas. Primary destinations for TMF aircraft are San Antonio and Dallas. National Disaster Medical System (NDMS) aircraft transport MSN evacuees to Dallas and El Paso. A combination of State & FEMA provided ambulances gives us capacity of approximately 500 ambulances. 100 Coach buses with medical staff are available.Ground evacuees from Southeast Texas are transported to MSN Shelters in Austin (Galveston) and also to destinations in East/Northeast Texas. Ground evacuees from the LRGV are transported to destinations in Laredo and San Antonio. Texas Military Forces aircraft can transport MSN evacuees throughout Texas. Primary destinations for TMF aircraft are San Antonio and Dallas. National Disaster Medical System (NDMS) aircraft transport MSN evacuees to Dallas and El Paso. A combination of State & FEMA provided ambulances gives us capacity of approximately 500 ambulances. 100 Coach buses with medical staff are available.

Slide 7:Patient Tracking - TxSNETS

TxSNETS - Web Based Program Allows tracking of evacuees throughout all phases: Evacuation: Evacuees, pets, and assets are scanned into the database at the evacuation hub Sheltering: Evacuees are scanned into shelter upon arrival Reentry: Evacuees are scanned upon departure from shelter and also upon arrival at home jurisdiction Purpose is to assist state and local emergency management personnel in evacuating, tracking and reuniting families during large scale evacuations and sheltering. There are 3 primary patient tracking systems, TxSNETS, EMTrack, and Webeoc. All three systems are integrated and information is shared between each system. TxSNETS is the primary data capture tool for gathering evacuee data and quickly reflecting the current location of evacuees. Enrollment is primarily done via TxSNETS. TxSNETS creates an individual history of each evacuee and a “bread-crumb” trail based on last seen location makes locating evacuees quicker and easier. WebEOC has the capability to add to the initial TxSNETS data as well as view shelters information and incident management information within the same tool. Purpose is to assist state and local emergency management personnel in evacuating, tracking and reuniting families during large scale evacuations and sheltering. There are 3 primary patient tracking systems, TxSNETS, EMTrack, and Webeoc. All three systems are integrated and information is shared between each system. TxSNETS is the primary data capture tool for gathering evacuee data and quickly reflecting the current location of evacuees. Enrollment is primarily done via TxSNETS. TxSNETS creates an individual history of each evacuee and a “bread-crumb” trail based on last seen location makes locating evacuees quicker and easier. WebEOC has the capability to add to the initial TxSNETS data as well as view shelters information and incident management information within the same tool.

Slide 8:MSN Sheltering

Sheltering jurisdiction participation is vital DSHS will coordinate resources to fill gaps: MSN Shelter Packs Shelter Infection Control Kits Bariatric Cots Oxygen Dialysis Medical Staffing Shelter Management Staff Pharmacy Services Resources are scarce and local (sheltering) jurisdiction support and participation is key to the success of MSN Shelters. DSHS will provide general support to local jurisdictions in order to fill MSN Sheltering unmet needs. Supplies & Equipment Oxygen Coordination of Services (Dialysis) Contracting to Manage Some MSN Shelters Medical Staffing Volunteers Contracted Activation of FMS and Staff Pharmacy Services Shelter Surveillance/Infection ControlResources are scarce and local (sheltering) jurisdiction support and participation is key to the success of MSN Shelters. DSHS will provide general support to local jurisdictions in order to fill MSN Sheltering unmet needs. Supplies & Equipment Oxygen Coordination of Services (Dialysis) Contracting to Manage Some MSN Shelters Medical Staffing Volunteers Contracted Activation of FMS and Staff Pharmacy Services Shelter Surveillance/Infection Control

Slide 9:Pharmacy Services

Emergency Pharmacy Assistance Program (EAP) Federal program Provides prescription medications to persons displaced in a disaster Insurance is billed first Payor of last resort Pharmacy Contracts State program Provides prescription medications to persons in MSN shelters Insurance is billed first Co-pays can be covered

Slide 10:Personal Preparedness

Slide 11:Ready or Not Campaign

Focused on 3 key cornerstone components Family Do you know where you’ll find your loved ones Essentials Do you have essentials such as water and medication Information Do you know how you will get trusted information Focused on 3 key cornerstone components Family Do you know where you’ll find your loved ones Essentials Do you have essentials such as water and medication Information Do you know how you will get trusted information

Slide 12:Ready or Not Campaign

www.texasprepares.org Many planning resources are available Evacuation checklists Emergency contact cards Grab-and-go kit lists Planning lists for taking care of children, older adults, special needs, and pets Basic information on disasters, and other information to help address a disasterMany planning resources are available Evacuation checklists Emergency contact cards Grab-and-go kit lists Planning lists for taking care of children, older adults, special needs, and pets Basic information on disasters, and other information to help address a disaster

Slide 13:The “TEEC”, Texas ESRD Emergency Coalition, asks:

“Are You R.E.A.D.Y.?”

Slide 16:E is for E.R., The Emergency Room. Go to the Hospital E.R. if you have serious problems, like:  Major Injury. How are you hurt? ________________________ Pain that is not normal for you. __________________________ Unusual swelling. _____________________________________ Shortness of breath, trouble breathing. ____________________ Chest pain. _________________________________________ Blurry vision. _______________________ Others: ____________________________