Presentation Roadmap

1. Health Care Security: Strategies to Minimize the Loss of Life and Maximize Security in Times of Crisis

2. Presentation Roadmap • Introduction • A Personal Account • Pre-Disaster Planning • The “Main Event”, what you will need • Post-Event Consideration • Q&A

3. Presenters • Isaac E. Luten IV, JD,CPP Principal Consultant, HSS • George Patterson Director of Security, HSS- LA, MS • Dean Sobcoviak, CPP, CHPA, RHSO Vice President - Healthcare Security, HSS

4. A Personal Account • George Patterson • Director of Security • HSS - LA, MS

5. Citizens flee city, while thousands flee to the superdome and convention center

6. Levees break, city begins to flood

7. Methodist Hospital - Roof top

8. Methodist Hospital - Roof top

9. Methodist Hospital - Roof top

10. Methodist Hospital - Roof top

11. Methodist Hospital - under front canopy

12. Methodist Hospital - front canopy

13. Methodist Hospital - inside lobby

14. Methodist Hospital - inside lobby

15. Methodist Hospital - outside MOB parking lot

16. Methodist Hospital - parking lot

17. Methodist Hospital - Security vehicle

18. Methodist Hospital - employees waiting for rescue on roof top

19. Methodist Hospital - helicopter rescue

20. Methodist Hospital - employees cooling off on roof top

21. Drowned city - Day after Katrina

22. People attempt to flee flooded areas

23. Flooding around the city

24. The rescues begins

25. Evacuees rescued from flood waters taken to staging areas for departures to places unknown

26. Marshall law is declared - troops patrolling streets

27. Pre-Disaster Planning Your Security Department must have a Pre-Disaster Security plan that supports your Facilities Disaster Preparedness Plan.

28. Pre-Disaster Planning • Conduct a series of meetings that are inclusive of all departments in the hospital, discussing the who, what, when, where and how the organization is going to respond from a security perspective PRIOR to the event.

29. Pre-Disaster Planning • Create a list of all essential personnel for each Department that are required to be on site. • Clearly state in writing the repercussions of not reporting for the event such as policy regarding termination/disciplinary consequences for not reporting to duty.

30. Pre-Disaster Planning • Develop job action plans, defining specifically what duties are to be performed by whom and when. This will be vital for HR/pay/insurance purposes. • Have written agreements as it relates to pay during such events for employees, i.e. how much will security be paid, time and a half, OT, paid 24 hrs, etc.

31. Pre-Disaster Planning • In planning meetings, spend a considerable amount of time developing alternative ways to communicate during a disaster. • Assume that in the best case scenario, your top 2 preferred methods of communication within and outside of your facility will not work. • Develop a help/information line (toll-free line and web page) to keep information flowing to all employees expected to respond to the event.

32. Pre-Disaster Planning • Maintain an accurate listing of all hospital personnel on site. (Pre-event, during the event and post event) • Have forwarding address for communication/payroll for all employees including phone numbers.

33. Pre-Disaster Planning • Have a written policy defining when to evacuate, discussing the transport of patients. • Have possible evacuation sites planned, including housing, transportation and physiological support planned for entire staff after the event/contact family information. • Conduct drills simulating evacuating patients

34. Pre-Disaster Planning • Arrange to have badges created to clearly identify employees, family members & patients.

35. Pre-Disaster Planning • Secure all vehicles and other mission critical tools and resources onto the highest ground possible. • Anticipate your threats and vulnerabilities and protect the tools you will need to secure your patients, staff and their families.

36. Pre-Disaster Planning • Have a contractual agreement with an outside security provider to provide supplemental security staff to assist your facility with access control and other security needs in the event of civil unrest or to assist in securing the facility the instance you must evacuate.

37. Pre-Disaster Planning • Keep in mind when selecting supplemental security support that many if not all local resources will be faced with the same challenges your facility has an may be unable to provide you the support you contracted for. • Consider identifying resources outside of your own geographic region who may be in much better position to respond to your needs.

38. Checklist of Items Needed for the Event • Food- at least a week’s supply of non-perishable food. A variety if possible. • Water- at least a weeks supply of bottled water. 7-10 gallons per person • Sanitary Wipes, liquid soap, toilet tissue, large supply of heavy duty trash in the event there is bags that could double as portable toilets in the event plumbing ceases to exist. • Medicine- bandages, ointments, aspirin, Tylenol, penicillin if possible.

39. Checklist of Items Needed for the Event • Secure the pharmacy with extra 24/7 security with restricted access from staff. • Secure the Emergency Department and other areas considered “Security Sensitive”.

40. Checklist of Items Needed for the Event • If flooding is an identified threat or vulnerability for you facility, have one or more aluminum flat boats with motor and a supply of fuel that can be accessed. • Tool kits • Portable ladders • Large supply of heavy duty construction gloves for handling of sharp debris.

41. Checklist of Items Needed for the Event • Radios for communication throughout the facility in the instance the phones are inoperable. • Sleeping bags/blankets • Large supply of hip boots • Large supply of generator fuel if applicable to your facility that is kept in a dry/safe place for easy retrieval. • Insect Repellent

42. Checklist of Items Needed for the Event • Digital Cameras with extra battery supply • Video Camera with extra battery supply • Flares to signal helicopter/spot lights • Mega-phones for communication purposes • Battery powered flashlights • Portable TV’s, radios and scanners (emergency/weather band)

43. Checklist of Items Needed for the Event • Large supply of batteries to fit all emergency devices • Cellular phones/Blackberries with long lasting batteries that have text messaging capabilities- (Proved very beneficial during Hurricane Katrina) • One or more satellite phones with extended life batteries.

44. Post Event Considerations • Prior to exiting the event, record an accurate listing of all employees, patients, family members, members of the public, etc. • Insure facilities management or security shut off all water/power to the facility. • Secure entire facility, lock all doors, windows/board up any broken windows.

45. Post Event Considerations • Arrange for “strike team” to come in. • Communicate through the web site/ 800 line a time line for returning to work, transportation assistance, housing and benefits. • Provide up to date information as to the “state of the city”, include pictures, videos etc.

46. “Planning is bringing the present into the future so that you can do something about it now” -Alan Lakein

47. Questions????

48. Isaac E. Luten IV, J.D. CPPPrincipal Consultant, HSS303-603-3109 iluten@hss-us.com Dean Sobcoviak, CPP, CHPA, RHSOVice President of Security, HSS303-603-3103dsobcoviak@hss-us.com George PattersonDirector of Security, LA, MS504-834-3100gpatterson@hss-us.com Contact Information HSS Corporate Office 1395 S. Platte River Dr. Denver, CO 80223 HSS Louisiana Office 1937 Veterans Blvd. Suite 402Metairie, LA 70005