1 / 30

The Role of San Diego Community Health Centers During the 2007 Southern California Fire Siege

The Role of San Diego Community Health Centers During the 2007 Southern California Fire Siege Presented by: Kelly Cheffet Emergency Preparedness Coordinator. Topics. Overview Council of Community Clinics Summary of Southern CA Firestorms Clinic’s Roles During the Fires

amena-mayer
Download Presentation

The Role of San Diego Community Health Centers During the 2007 Southern California Fire Siege

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. The Role of San Diego Community Health Centers During the 2007 Southern California Fire Siege Presented by: Kelly Cheffet Emergency Preparedness Coordinator

  2. Topics • Overview Council of Community Clinics • Summary of Southern CA Firestorms • Clinic’s Roles During the Fires • State and Local Collaboration/Best Practices

  3. Council of Community Clinics • Largest provider of primary & preventive care services to the uninsured and underinsured in San Diego County • 17 clinics with 90 locations in San Diego, Riverside, and Imperial Counties • Serve 1-6 San Diegans (no county run clinics or hospitals) • 500,000 individual patients • 1.4 million patient visits per year

  4. Emergency Preparedness and Response Program • Since 2002 • Centrally coordinate with clinics • EOP plan development • Training and exercises • Equipment ID and purchase • Response coordination

  5. Funding • San Diego County, HHSA, State Hospital Preparedness Program Cooperative Agreement • California Primary Care Association, HPP

  6. Fires in SD County • Coronado Hills • Descanso • Guajito • Harris • Horno/Ammo • McCoy • Poomacha • Rice Canyon • Witch Union Tribune

  7. 2007 San Diego Firestorm • Land/Infrastructure Burned • 370,000 acres • 1,700 homes and structures • Displaced • 515,000 people • Sheltered • 20,000 people • 2,000 horses, 2 zebras, 2 packs of wolves, 1 cheetah, and 1 python sheltered

  8. 2007 SD Firestorm cont. • Medical and Health • 3 acute care (2 hosp & 1 MH) 285+ patients • 26 clinics closed doors • 2,300 tertiary care patients evacuated from 13 facilities • 10 Deaths • $ 2+ billion in local economic damages

  9. Category IIHurricane Force Winds Directrelief.org

  10. Satellite View Binarywolf.com

  11. 1,700 Homes Destroyed Signonsandiego.com

  12. The Clinic Response • Most CCHCs remained open • Served patients on a walk-in basis • Backfilled for closed clinics • Utilized mobile clinics • Sheltered and treated fire victims

  13. Above and Beyond • Extended hours • House calls to rural and homebound patients • Stored vaccines at home • Provided on-site childcare for staff • Coordinated with relief agencies for meds • Public information outreach

  14. Clinic Losses • Approx. $1.5 million in lost revenue, personnel time, equipment and supplies • 26 sites closed due to: • fire proximity • wind • air quality • road closures • evacuation orders • low staffing

  15. View from Space

  16. Clinic Consortium Best Practices: Local Health Jurisdiction & State PCA Collaboration

  17. San Diego CountyMedical Operations Center Established after the 2003 Firestorms by the authority of the San Diego County Public Health Officer, the MOC is the central coordination center for all medical and health activities during public health emergencies.

  18. MOC • Basement of San Diego County EMS Office • Many public health agencies represented (Including Clinic Liaison) • State-of-the art IT/communications • Redundancy

  19. MOC Capabilities IT/COM • Video teleconferencing • Satellite television w/TIVO • 7 plasma displays • 10 PC terminals • Redundant internet & network server • 800 MHz radio • HAM radio • 24/7 IT support

  20. MOC Responsibilities During the 2007 Firestorm • Monitor, track, and plan for fire • Coordinate with OA EOC • Coord. the evacuation of 2 acute care &13 tertiary facilities • 2500+ patients

  21. MOC Responsibilities cont. • Patient transport (ambulance, wheelchair van, bus) • Repatriation of patients • Shelter medical care

  22. Clinic Liaison’s Role • Communication link between clinics and MOC &OA EOC • Coordinate pharm/medical supply requests • Collect and distribute daily critical information: • Operational status • Staffing levels • Patient volume

  23. Clinic Liaison’s Role cont. • Brief and debrief CEOs • After action • Corrective action

  24. What Worked • Experience from 2003 firestorm • Reverse 911 & Alert San Diego • OA EOC/MOC • County furnished WebEOC • Emergency Medical Alert Network (EMAN) • Relief organization coordination/donations

  25. What Worked cont. • California Primary Care Association • Funneled down state guidance & info • Statewide conference calls • Situational awareness • Linked clinics to relief organizations • Were there if we needed them!

  26. Room for Improvement • Clinic to clinic communication • Clinic to consortia communication • WebEOC • Mutual aid MOUs between clinic organizations • Update clinic EOPS (NIMS, Communication SOPs) • Find alternative funding

  27. Take Home • Plan with LHD and PCA (get to the table) • Develop MOUs with fellow clinics and hospitals • Update clinic EOPs, COOP, SOPs • Ask OA OES about WebEOC

  28. Kelly M. Cheffet Emergency Preparedness Coordinator Council of Community Clinics 619-542-4345 kcheffet@ccc-sd.org

More Related