Susanna Shaw Manager Environmental Safety & Employee Health

1. CAERDisaster Preparedness PresentationFebruary 28, 2007 Susanna ShawManager Environmental Safety & Employee Health

2. Emergency Management • JCAHO Defines Emergency Management to Include 4 Phases of a Disaster: • Mitigation • Preparedness • Response • Recovery

3. Mitigation • Hazard Vulnerability Analysis (HVA) • Naturally Occurring Events • Technological Events • Human Hazards • Hazardous Materials • Prioritization of Disaster Preparedness Efforts: Resources, Staff Education, & Community.

8. Mitigation • Also includes everyday operations such as: • Seismic bracing of equipment over 60” in height. • Chaining and securing medical gas cylinders. • Storing hazardous chemicals in designated flammable cabinets.

9. Preparedness • Regulatory Requirements: JCAHO, DHS • Policies and Procedures • Emergency Management Manuals in all of the departments that include: • Earthquake plan • Fire plan • Decontamination Plan • Currently working on a Pandemic Plan with the County Public Health and Emergency Medical Services. • County Surge Capacity Consultant

10. Preparedness • Equipment and Supplies: • Hospitals are required to be self-sufficient for 72 hours. • Cottage Health System maintains EMERGENCY supplies on site to be sufficient for 72 hours. • For example, at SBCH we have 60,000 gallons of water (recommendations call for 1.5 gallons per person per day) • Food to feed patients and staff for almost 4 days • Emergency generator power with diesel on site to last more than 3 days • 2 mass casualty shelter tents with cots, etc.

11. Preparedness • Equipment and Supplies (cont.) • Grants • Trauma Center Grant from State EMS. • HRSA Funds.

12. Preparedness • Access to Services and Additional Supplies – Memorandums of Understanding • Improving Coordination with External Agencies • 8 Hour OSHA Decontamination trainings • 2007 – Conversion to HICS. Will conduct trainings with Administration, Management, Medical Staff Officers, and Disaster Coordinators to be NIMS Compliant.

13. Response • All hazards approach to disaster planning. “Same Plan – Different Enemy” • Hospital Emergency Incident Command System (HEICS) – See SBCH Org Chart as an example. • Note, this will change to HICS in 2007.

14. Your Company’s Emergency Response Team Structure & Call List

15. Exercising Response Plan • Disaster Drills are conducted twice a year at all three hospitals. • Drills help us identify weaknesses in our emergency management plans and correct them. • The emergency preparedness exercises also give staff time to practice skills and learn more about CHS’s emergency response procedures.

16. GVCH Disaster Drill Photos

17. GVCH Disaster Drill Photos

18. Recovery • Reimbursements: HEICS includes forms established in alignment with government reimbursement assistance. • Data Entry: This is for the “catch up” of patients entered into the electronic medical record system in the event of power failure and utilization of down time procedures.

19. What Can You Do? Be Prepared at Home!!! • Have a “Grab ‘n Go Bag” for each person in the house. Recommended items: • Flashlights, batteries, light sticks • Portable radio and batteries, paper and pencil • Toilet articles (comb, toothbrush, toothpaste, soap, washcloth, towel, shampoo, tissue, toilet paper…) • Keys (house and car), Money (coins and bills) • Medications, glasses, contact lenses & solutions • Comfortable clothing, hat, blanket, tent • Emergency phone list, people to notify out of state • Drinking water and food (granola bars, trail mix, peanut butter…)