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EMERGENCY PREPAREDNESS

EMERGENCY PREPAREDNESS. California Department of Public Health Department of Health Care Services July 15, 2019. Purpose of PHEP and HPP Funds.

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EMERGENCY PREPAREDNESS

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  1. EMERGENCY PREPAREDNESS California Department of Public Health Department of Health Care Services July 15, 2019

  2. Purpose of PHEP and HPP Funds • to strengthen and enhance the capabilities of state, local, and territorial public health and health care systems to respond effectively (mitigate the loss of life and reduce the threats to the community’s health and safety) . to strengthen and enhance the readiness of the public health and the health care delivery system to save lives during emergencies that exceed the day-to-day capacity and capability of the public health and medical emergency response systems.

  3. Funding information • Emergency Preparedness Funding source ~ • Centers for Disease Control and Prevention (CDC) PUBLIC HEALTH EMERGENCY PREPAREDNESS (PHEP) • Office of the Assistant Secretary for Preparedness and Response (ASPR), Hospital preparedness program (HPP) • One-time supplemental funding such as ebola, zika opioids, etc. • How the funding is allocated

  4. Amador and Tuolumne Counties Amador Tuolumne The Tribal Emergency Manager evaluated the LHD’s Statewide Medical and Health Exercise (SWMHE); 3 months later the HPP and HCC Coordinators evaluated a Tribal-wide active shooter tabletop exercise Tribal partners attend HCC meetings and Emergency Preparedness trainings, and participate in drills/exercises Tribal partners have shared their resources and support to coalition members during exercise and real events • Public Health and Tribal partners created the Preparedness Collaborative workgroup and meet quarterly • Tribal partners attended FEMA training for response to all-hazards threats in Tribal Communities • Tribal partners participate in HCC meetings and Emergency Preparedness drills and exercises • LHD provides information to Tribal partners regarding Point of Dispensing (POD) Sites 1

  5. Kings and Fresno Counties Kings Fresno Public Health participated in the April 2017 Central Valley Tribal Emergency Management Summit and several health fairs with Tribal partners Tribal partners attended the LHD’s Closed POD training and FEMA’s Emergency Preparedness training related to the new Centers for Medicare and Medicaid Services (CMS) rules • Public Health attended the National Tribal Emergency Preparedness Conference, the Central Valley Tribal Emergency Manger Conference, the Tribal Health and Wellness Fair, and the Tribal Networking Breakfast with the County Office of Emergency Services helping to strengthen the partnership • Public Health partnered with Tribal partners to present on emergency preparedness 1

  6. Santa Clara and Contra Costa Counties Santa Clara Contra Costa Public Health has a Mutual Assistance Agreement in place with their Tribal partner The agreement outlines the partnership and assistance the LHD and Tribal partner will provide one another during a region-wide health emergency • Public Health attended the Annual Indian Heritage Celebration, presented at the American Indian Alliance meeting, and the Indian Health Center (IHC) Health Fair • Tribal partners participate in planning meetings for the SWMHE and participated in the SWMHE table top exercise • Tribal partners participated in the Hazard Vulnerability Assessment meeting hosted by the HCC 1

  7. Emergency Preparedness & Response Program • CDPH & Department Of Health Care Services (DHCS) Have An Interagency Agreement Whereas DHCS Is Tasked With Providing Outreach, Education, And Technical Assistance To American Indian Health Clinics, Tribal Leaders, And Tribal Communities On All Hazard Emergency Preparedness Planning And Response. • The DHCS Emergency Preparedness & Response Program Provides On-site Technical Assistance And Training And Facilitates Communication Between Tribes And Clinics.

  8. DHCS Emergency Preparedness & Response Program Services • On-site Assistance • Emergency Operations Plan (EOP) - Technical assistance for emergency preparedness activities - Development & Review of Plans • After Action Report (AAR) – Development & Review • Table Top Exercise – Development & Review • Trainings – Communication Plans, Implementing Emergency Preparedness Requirements, Active Shooter, FEMA courses, Behavioral health and Psychological First Aid • CAHAN – Promote Membership All services are offered at no cost to the health programs or tribes.

  9. Emergency Preparedness & Response Program Contact Information Please contact Joshua Standing Horse with any questions, request for assistance or training suggestions. joshua.standinghorse@dhcs.ca.gov 916-713-8617

  10. California’s Response Structure 1

  11. Public health and medical systems • The Public Health and Medical System in California is made up of many organizations, both public and private • 61 Local Health Departments (LHDs) – Public Health • 58 Counties and 3 cities (Berkeley, Pasadena, and Long Beach) • 32 Local Emergency Medical Services Agencies (LEMSAs) - Medical

  12. Response Structure

  13. Standardized Emergency Management System

  14. Medical and Health Operational Area Coordination (MHOAC) Program • In order to accomplish public health, environmental health and medical functions (17 identified by statue), expectations of a mhoac program will include: • Operational area 24/7 point of contact for public health and medical information • Gathers information from response partners • Provides situation reports • Maintains a directory of health and medical resources in the operational area

  15. Regional Disaster Medical Health Coordination (RDMHC) Program • In order to support public health and medical response, the rdmhc program: • Coordinates the acquisition of requested mutual aid resources from the jurisdictions in the region. • Maintain a 24/7 point of contact • Coordinate with the mhoac programs within the region • Support activated medical and health branches at reocs (regional eocs) • Coordinate with cdph and emsa to support the reocs

  16. California Mutual Aid Regions

  17. MEDICAL AND HEALTH COORDINATION CENTER • The State-level emergency operations center (EOC shared by cdph, emsa and dhcs.) • The coordination center for state level public health and medical (ef-8) activities involving other agencies within chhs.

  18. Resource Requesting • Requests for any medical and health resources that cannot be obtained locally or through existing agreements follow a standardized resource ordering procedures as outlined in the Public Health and Medical Emergency Operations Manual (EOM)

  19. Recent Examples 1

  20. November 2019 camp fire • the morning of November 8, 2018, a fast moving fire in Feather River Canyon near the city of Pulga. Named after Camp Creek Road, its place of origin. • Local Emergency Proclamation • State proclamation • Presidential declaration • The Camp Fire was the deadliest and most destructive wildfire in California history. It is the sixth-deadliest U.S. wildfire overall.

  21. 85 confirmed fatalities • 18,804 structures destroyed • Multiple evacuation shelters Evacuated • Over 250,000 residents • Multiple healthcare facilities evacuated

  22. 2019 measles • Exponential increase in measles activities • Multiple confirmed clusters/outbreaks throughout the state • No coordinated response efforts

  23. Coordinated/Assisted with guidance on measles activities • Coordinating teleconference calls with local health departments • Coordinating teleconference calls with healthcare providers

  24. 2019 Ridgecrest earthquake • July 4, 2019, a magnitude 6.4 earthquake occurred near the city of ridgecrest. July 5, 2019, a magnitude 7.1 earthquake occurred near the same area • Multiple governor’s emergency proclamations issued • Aftershocks still occurring

  25. Multiple healthcare facilities impacted • Coordinated patient evacuation and repopulation • Regularly participate in teleconferences with stakeholders for overall situational awareness

  26. CDPH provided support to California local health jurisdictions in the following ways: • Tasked for various resources to include medical counter measures, N95 masks, blankets and cots for evacuation shelters • Monitored evacuations and repopulation efforts of healthcare facilities • Coordinate resource requests for Public Health Nurses, Registered Nurses, and Environmental Health Specialists • Deployed staff to support Local Assistance Centers (LAC) operations

  27. centralized coordination point • assisted in the coordination of response missions • determine prioritization among multiple emergency incidents and the allocation of resources • Surveillance • Information Management • Provided staffing as required • Situation Reporting to all stakeholders

  28. California department of public health ~ Emergency Preparedness office (EPO) • Main line – (916) 650-6416 • Assistant Deputy Director – Frances Viramontes-Maddox • Epo Program contact for tribal related phep/hpp activities Frances.Viramontes-Maddox@cdph.ca.gov (916) 650-6455

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