The Supply & Demand Equation in Em Resp: Special Needs Planning, Response, Mitigation & Recovery

1. The Supply & Demand Equation inEm Resp: Special Needs Planning, Response, Mitigation & Recovery

2. George HeakeDirector of OperationsTemple UniversityCenter for PreparednessEducation & PracticeandEmergency CoordinatorTemple Institute on Disabilitiesthe University Center ofExcellence for Developmental Disabilities

3. Bo Mitchell 911 Consulting President Police Commissioner (Ret.) CPP, CBCP, CHCM, CHSP, CHS-V, CSHM, CFC, CIPS, CSSM, CSC, CAS, TFCT3, CERT, CMC, CHEP, AEM

4. SNPs:What’s the State of the Art?

5. In Emergencies • Suppliers • Demanders • Interface Between the Two

6. Suppliers

7. Suppliers Hallway of St. Rita’s Nursing Home

8. SuppliersKey Concepts • Who are the Suppliers? • What are the resources that are required to be supplied to demanders for special needs planning, response and recovery? • Resources=“Supplies” in Demander: Supplier model • How do we make it happen

9. SuppliersKey Concepts • Who are the Suppliers of Emergency Services? • What are the resources that are required to be supplied to demanders for special needs planning, response and recovery? • How do we make it happen

10. Key Concepts • Who are the Suppliers of Emergency Services •  Federal Government (Examples) • FEMA • HHS • Office of the Assistant Secretary for Preparedness and Response (ASPR) • Administration of Children and Families (ACF) • U.S. Public Health Service Commissioned Corps • Administration on Aging • Center for Disease Control (CDC) • Others?

11. Key Concepts •  State Government • State Emergency Management Agencies • State Department of Health • State Department of Public Welfare • State Department of Aging • Governor’s Office on Disabilities • National Guard • Department of Education • Department of Transportation • Others?

12. Key Concepts • County Government • County Emergency Management Agencies (EMA) • County Health Districts • County Department of Behavioral Health • County “Satellite” offices of Various State Departments (previous slide) • School Districts and or county level equivalents • County Level Law Enforcement, EMS, Fire, Search and Rescue (SAR)

13. Key Concepts •  Municipalities • Relevant level Emergency Management Agency/Organization • Relevant Level Law Enforcement, EMS, Fire, Search and Rescue (SAR) if Applicable • Others?

14. Key Concepts •  Private Sector • Wal-Mart • Home Depot • UPS, FedEx • Logistics • Technology (why?=SNP) • Transportation (why?=SNP) • Durable Medical Equipment Suppliers

15. Key Concepts •  Non-Profits • American Red Cross State Association of Independent Living Centers (SILs) and Community Independent Living Centers (CILs). • Salvation Army • Faith Based • Southern Baptist • Lutheran • Mennonite • Disability Councils (DD), Protection and Advocacy (PP&A), UCEDD

16. How have we done in the past? Have the needs changed much over the years? (Emergency Evacuation Disabled 1965 Hurricane Betsy

18. Lessons Indentified?Impact of Katrina • Despite the long history of hurricanes in the Gulf States, Hurricane Katrina and the other storms of 2005 were an anomaly - far more severe than anything that had occurred before in terms of both severity and breadth. The recent history of hurricanes on the Gulf Coast were on a much smaller scale, and after a few days of inconvenience, individuals, including people with disabilities, resumed their daily lives. • White, G. W., Fox, M. H., Rooney, C., & Cahill, A. (2007). Assessing the impact of Hurricane Katrina on persons with disabilities. Lawrence, KS: The University of Kansas, The Research and Training Center on Independent Living.

19. Impact of Katrina • The force of Katrina pushed human and material resources to extreme limits. It had a severe disruptive impact on entire communities, including people with and without disabilities as well as political, social, and legal systems. • White, G. W., Fox, M. H., Rooney, C., & Cahill, A. (2007). Assessing the impact of Hurricane Katrina on persons with disabilities. Lawrence, KS: The University of Kansas, The Research and Training Center on Independent Living.

20. Impact of Katrina • “About 6:15, I went and got the paper… I later heard gurgling water… I made it to the wheelchair… Then, I went down under the water three times. I called 911 on the cell phone and the operator told me to get up as high as I could get. But I told her, I said ‘Miss, I can’t get me any higher’….” • White, G. W., Fox, M. H., Rooney, C., & Cahill, A. (2007). Assessing the impact of Hurricane Katrina on persons with disabilities. Lawrence, KS: The University of Kansas, The Research and Training Center on Independent Living.

21. Some Statistics • 971 Katrina-related deaths in Louisianaand 15 deaths among Katrina evacuees in other states. Drowning(40%), injury and trauma (25%), and heart conditions (11%) werethe major causes of death among Louisiana victims. Forty-ninepercent of victims were people 75 years old and older. • Hurricane Katrina Deaths, Louisiana, 2005Joan Brunkard, PhD, Gonza Namulanda, MS and Raoult Ratard, MD, MPH

22. Some Statistics • Conclusions: Hurricane Katrina was the deadliest hurricaneto strike the US Gulf Coast since 1928. • Drowning was the majorcause of death and people 75 years old and older were the mostaffected population cohort. Future disaster preparedness effortsmust focus on evacuating and caring for vulnerable populations,including those in hospitals, long-term care facilities, andpersonal residences. • Hurricane Katrina Deaths, Louisiana, 2005Joan Brunkard, PhD, GonzaNamulanda, MS and RaoultRatard, MD, MPH

23. Some Statistics • Conclusion (cont.) • Improving mortality reporting timelinesswill enable response teams to provide appropriate interventionsto these populations and to prepare and implement preventivemeasures before the next disaster. • Hurricane Katrina Deaths, Louisiana, 2005Joan Brunkard, PhD, GonzaNamulanda, MS and RaoultRatard, MD, MPH

24. NIDRR Report There were significant gaps in three broad areas: • pre-disaster planning by CILs, individuals with disabilities, and local emergency management agencies; • pre- and post-disaster communication and information sharing within CILs, between White, G. W., Fox, M. H., Rooney, C., & Cahill, A. (2007). Assessing the impact of Hurricane Katrina on persons with disabilities. Lawrence, KS: The University of Kansas, The Research and Training Center on Independent Living.

25. NIDRR Report CILs and consumers, and between local emergency management agencies; and • pre- and post-disaster coordination between CILs and other disability agencies, local and regional emergency management organizations, and community supports. White, G. W., Fox, M. H., Rooney, C., & Cahill, A. (2007). Assessing the impact of Hurricane Katrina on persons with disabilities. Lawrence, KS: The University of Kansas, The Research and Training Center on Independent Living.

26. Walking the Walk Short Discussion

27. Demanders

28. Bo Mitchell 911 Consulting President Police Commissioner (Ret.) CPP, CBCP, CHCM, CHSP, CHS-V, CSHM, CFC, CIPS, CSSM, CSC, CAS, TFCT3, CERT, CMC, CHEP, AEM

29. Expert Consultant • Landmark Legal Cases • Expected Settlements: $1 Billion Each • “Failure to Plan” • “Failure to Train”

30. Western CT U. Sprague S. D. 12 Other Campuses GE HQ Health Net Cablevision ExxonMobil Goodrich 911 Consulting Clients

31. Issues Suppliers Aware of Demanders’ Capabilities? Demanders Aware of Suppliers’ Capabilities? Expectations: Suppliers & Demanders re: Each Other? Effects on SNPs? Seamlessly Coordinated? OR Headed for a Train Wreck?

32. Demanders Higher Ed • 4,146 Campuses • 18 Million Stdnts

33. What Are the Risks to Campuses

34. RiskNeverSleeps

36. Risk Always Multiplies

38. Threats 17,000 Students Injured on Buses per Year (CDC: As Reported in Emergency Rooms) National Coalition for School Bus Safety

39. Threats 2,200 Fires Yrly in College Dorms NFPA

40. Threats19+ : Sports/Recreation • 1.6 million Injuries: All Kinds • 66,000 Hospitalized CDC

41. Threats19+ : Sports/Recreation • 73,000 TBIs • 10,500 Hospitalized CDC

42. Threats • 16% of college students report multiple bouts of depression; • 1% attempted suicide. ACHA National College Health Assessment

43. Threats Tot = 797,500 per Year! Only 42.5% are closed with a benign explanation DOJ

44. Readiness of Demanders

45. Campus Readiness:State of the Art

46. National Research • GAO 2007 • AHRQ 2009 • BJS (2004-05) • NASRO (2001-04) • NCEF (2008)

47. National Research • GAO 2007: F • AHRQ 2009: F • BJS (2004-05): C • NASRO (2001-04): F • NCEF (2008): D

48. All Nat’l Research: Most Campuses • Under Planned • Under Trained • Under Exercised • Under Drilled • Don’t Coord/Train w. Emergency Services

49. Coord w. Local ES? Non-Existent for: • Planning • Training • Exercises • Drills

50. NASRO • 92%: “soft targets” for terrorists • 74%: Inadequately prepared. • 51%: Em plans are not adequate. National School-Based law Enforcement Survey