Capability Cliff Notes Series PHEP Capability 5—Fatality Management

1. Capability Cliff Notes SeriesPHEP Capability 5—Fatality Management What Is It And How Will We Measure It?

2. Learning Objectives • Become familiar with Capability Functions • Become familiar with Tasks that complete the Functions • Understand how these Functions and Tasks are measured or may be measured in the future (Performance Measures)

3. Fatality Management • Fatality management is the ability to coordinate with organizations to ensure the proper recovery, handling, identification, transportation, tracking, storage, and disposal of human remains and personal effects; certify cause of death; and facilitate access to mental/behavioral health services for family members, responders, and survivors of an incident. Coordination also includes the proper and culturally sensitive storage of human remains during periods of increased deaths at healthcare organizations. • How can healthcare coalitions assist healthcare organizations in addressing fatalities, and ensuring that the families of those affected are given support?

4. Fatality Management Functions What Can Healthcare Coalitions Do to Help Healthcare Organizations Address Fatalities and Support Families? • Coordinate surges of deaths and human remains at healthcare organizations with community fatality management operations. • Coordinate surges of concerned citizens with community agencies responsible for family assistance. • Coordinate mental/behavioral support at the healthcare organization level.

5. Healthcare Coalitions’ Roles • It is understood that while some healthcare coalitions take an active role in healthcare operations, others are in support and coordination positions only. • All tasks can be read or adjusted to account for coalitions’ coordination rather than direct actions.

6. Capabilities and Measures Resources The presentation will be an overview of what the functions and tasks mean, linked to the performance measures. Please note that since the capabilities PDF document has come out, more performance measures have been developed. If performance measures have come out since the creation of the capabilities document below, they have been included in these tutorials following their function slide, even if the PDF lists that there are no measures. For functions that still have no measures, questions for health departments to begin thinking about measures have been included instead. For exact lists of the capabilities and performance measures, and data collected for the measures, documents can be found at these links: For Capabilities, Functions, and Tasks • http://www.phe.gov/Preparedness/planning/hpp/reports/Documents/capabilities.pdf For Performance Measures http://www.phe.gov/Preparedness/planning/evaluation/Documents/hpp-coag.pdf

7. Function 1: Coordinate surges of deaths and human remains at healthcare organizations with community fatality management operations How can healthcare coalitions identify ways to assist healthcare organizations in managing fatalities? • Before an incident, assist healthcare organizations with determining the amount of morgue space that is available to them during periods of death surges, and develop the processes to request support from local and state agencies. • Before an incident, coordinate with healthcare organizations to identify alternate storage and disposal options for human remains

8. Function 1 Measurement How does ASPR measure if healthcare coalitions have assisted healthcare organizations to develop processes for coordinating death surges? Percent of healthcare coalitions (HCCs) that have systems and processes in place to manage mass fatalities consistent with their defined roles and responsibilities. • Numerator: Number of HCCs that have systems and processes in place to manage mass fatalities consistent with their defined roles and responsibilities. • Denominator: Number of HCCs identified by awardees Target is 100%. All data elements must be answered ‘yes’ for an HCC to count in the numerator. Specific data elements that were included in the measure can be found at this link on pgs 29-31: http://www.phe.gov/Preparedness/planning/evaluation/Documents/hpp-coag.pdf

9. Function 2: Coordinate surges of concerned citizens with community agencies responsible for family assistance Tasks: What do healthcare coalitions need to do to coordinate with healthcare organizations in assisting families? • Before an incident, assist healthcare organizations to coordinate options for surges of concerned citizens, and direct them to the appropriate location for family assistance when citizens arrive at the facility seeking family member information.

10. Function 2 Measurement How does ASPR measure if healthcare coalitions have assisted healthcare organizations to develop processes for coordinating death surges? Percent of healthcare coalitions (HCCs) that have systems and processes in place to manage mass fatalities consistent with their defined roles and responsibilities. • Numerator: Number of HCCs that have systems and processes in place to manage mass fatalities consistent with their defined roles and responsibilities. • Denominator: Number of HCCs identified by awardees Target is 100%. All data elements must be answered ‘yes’ for an HCC to count in the numerator. Specific data elements that were included in the measure can be found at this link on pgs 29-31: http://www.phe.gov/Preparedness/planning/evaluation/Documents/hpp-coag.pdf

11. Function 3: Mental/behavioral support at the healthcare organization level Tasks: How should healthcare coalitions assist healthcare organizations in providing mental/behavioral support? • Coordinate the options for mental/behavioral support for healthcare organizations, during disasters which cause a death surge involving a large amount of human remains.

12. Function 3 Measurement How does ASPR measure if healthcare coalitions have assisted healthcare organizations to develop processes for coordinating death surges? Percent of healthcare coalitions (HCCs) that have systems and processes in place to manage mass fatalities consistent with their defined roles and responsibilities. • Numerator: Number of HCCs that have systems and processes in place to manage mass fatalities consistent with their defined roles and responsibilities. • Denominator: Number of HCCs identified by awardees Target is 100%. All data elements must be answered ‘yes’ for an HCC to count in the numerator. Specific data elements that were included in the measure can be found at this link on pgs 29-31: http://www.phe.gov/Preparedness/planning/evaluation/Documents/hpp-coag.pdf

13. Questions? Please contact: Rachel Coles Program Evaluator--CDPHE 303-692-2764 rachel.coles@state.co.us