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Washington State Hospital Association 34th Annual Rural Hospital Summer Workshop Chelan, Washington June 29, 2010 “ Disaster Strikes: Understand What Happens Next” Assistant Secretary for Preparedness and Response Rick Buell, Regional Emergency Coordinator Seattle, Washington
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Washington State Hospital Association 34th Annual Rural Hospital Summer Workshop Chelan, Washington June 29, 2010 “Disaster Strikes: Understand What Happens Next” Assistant Secretary for Preparedness and Response Rick Buell, Regional Emergency Coordinator Seattle, Washington (206) 615-3600
2010 Olympic Winter Games Vancouver, BC 12-28 February 2010
Federal Health & Medical Response General Response Principles Recognize Washington’s existing scalable health and medical system Recognize existing mutual aid agreements Local Regional Patient Care Procedures Emergency Management Assistance Compact Pacific NW Emergency Management Arrangement Work through State Operations Centers Major Disaster Declarations e.g., Stafford Act Ensure proper health and medical resource is provided 2
Capacity & Capability Analysis Local and Regional Hospital Capacities 1 Included in total number of licensed beds 2 Not including Whatcom County numbers
Resources • HHS deploys an Advanced Incident Response Coordination Team • Response Teams • Disaster Medical Assistance Teams (DMAT) • International Medical Surgical Teams (IMSuRT) • Burn Teams • Pediatric Teams • Crush Medicine Teams • US Public Health Service
“Tools in the Kit” • Department of Veteran Affairs e.g., Disaster Emergency Medical Personnel, Mobile clinics • Activation of FEMA Ambulance Contract • Use of 1135a process • EMTALA waivers • Facility licensure process waivers • Department of Defense e.g., Combat support hospitals, Aero-Med Evacuation • National Disaster Medical System Activation e.g., Federal Coordination Centers • Federal Medical Stations e.g., ER Decompression, Treatment and Triage
NDMS Definitive Medical CareFederal Coordinating Centers (FCCs) WA AK MT ND ME MN VT OR NH WI MA SD NY RI CT ID WY MI PA CA IA NV NJ NE OH MD DE IL UT CO WV IN KS VA MO KY NC AZ OK NM TN SC TX AR AL MS LA GA FL USVI HI GUAM PR Army FCC Navy FCC Air Force FCC VA FCC
The Spectrum of Care & Federal Medical Resources Volunteers National Disaster Medical Assistance Hospitals Disaster Medical Assistance Teams VA/Dept. of Defense US Public Health Service Medical Reserve Corps Federal Medical Stations Basic First Aid Outpatient Care Emergency Departments ICU/Trauma Critical Care Pre-hospital Care Nursing Home Care Hospital Inpatient Care