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Cross Disciplinary Collaboration Discussion

Cross Disciplinary Collaboration Discussion. ESF 8 Planning Standards & Annex. Updated 10-11-2012. ESF 8 Planning Standards. The local ESF 8 – Health & Medical annex to the CEOP provides information related to health & medical activities conducted in response to any incident. 

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Cross Disciplinary Collaboration Discussion

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  1. Cross Disciplinary Collaboration Discussion

  2. ESF 8 Planning Standards & Annex Updated 10-11-2012

  3. ESF 8 Planning Standards • The local ESF 8 – Health & Medical annex to the CEOP provides information related to health & medical activities conducted in response to any incident.  • This annex describes actions by county health & medical partners in support of incident response. • ESF 8 standards should be address in the ESF 8 Annex & can be found at http://www.kansastag.gov/KDEM.asp?PageID=187

  4. Is there a County Emergency Operation Plan ESF 8 Annex template? YES • A template has been made available online via the KDHE-BCHS Preparedness website http://www.kdheks.gov/cphp/operating_guides.htm • The template contains the same language that is in the Super System (pervious known as Bold) which is available to emergency managers. • The template follows the same format as the ESF 8 Planning Standard Document

  5. Explanation of Roles • Many disciplines and organizations play a role or roles in many if not all sections/capabilities • The process of planning with those partners together & engaged in a dialogue of • what assistance is needed, • who can provide assistance & when, • and how to help assure a coordination of all these efforts between one another

  6. Explanation of Roles • On-going communication/planning should be maintained • What help can be sought • by mutual aid • contracted • regional partners • How does that assistance help promote either agency and/or overall community response and recovery actions? • How does the health & medical sector coordinate itself with emergency management for requesting state assistance or provision of common operating picture information between county partners and the state.

  7. Explanation of Roles – Preparedness Stool Preparedness Capability Environmental Health Emergency Management Public Health Clinics and Offices Pharmacies Behavioral Health EMS Hospitals Providers Laboratories Law Enforcement 7

  8. What is in the ESF 8 Annex? The template includes the following sections: O. Identification of ESF 8 Members • Purpose & Scope (short & to the point) • Concept of Operations (bulk of plan) • Responsibilities (listed out by agency) • Financial Management (short & to the point) • References & Authorities (only needs county info) • Attachments (Add contacts, maps, other plans, & any forms as you see fit)

  9. Is the template flexible? YES • When using the ESF 8 Annex Template, it is important to note that all text can be changed to fit the local jurisdiction. This is a template & is not customized for each jurisdiction in Kansas. • The template should be completed at the county level but may reference access to regional resources/mutual aid across the plan. It is not the expectation that each county can solely sustain all of these capabilities/activities.

  10. How? Who receives the final version? Completing the Annex

  11. Super System & Emergency Management Important notice about Super System • If a local county is not using the KDEM Super System to develop the ESF 8 Annex, then this template needs to be filled out & submitted to the local emergency manager. The template should not be submitted to KDHE. • If a local county is using the KDEM Super System, then the designee to fill out the information within the Super System needs to get into contact with the local emergency manager to coordinate these efforts.

  12. What if our county is using a contactor to complete the county EOP through homeland security & emergency management? • It is highly recommended that the entire health & medical sector coordinates through the local ESF 8 Coordinator to ensure that correct & appropriate information is included in the plan.

  13. Schedule a meeting with emergency management & ESF 8 partners • Provide ESF 8 Annex template & standards to community partners • As a group, go through each of the six sections one by one • Add, delete & modify • Focus on concept of operations & responsibilities • Use a projector to make changes as a team. • Send the draft version to the partners • Schedule a 2nd meeting if needed • Work with emergency manager to store the completed version (Super System or providing to KDEM).

  14. Example: Concept of Operations

  15. “Identify the Team” ESF 8 Planning Team

  16. ESF 8 Planning Team Identify agencies within the following areas: • Coordinating Agency • Primary Agencies • Support Agencies • State Agencies • Federal Agencies

  17. Example- Johnson County

  18. Example- Franklin County

  19. Example- Butler County

  20. Example- State

  21. Example- Feds

  22. “Start Here” Section 1- Purpose & Scope

  23. Section 1- Purpose & Scope

  24. Section 1- Purpose & Scope

  25. Example- Cowley County Use template OR develop your own language

  26. “The Meat of the Annex” Section 2- Concept of OperationsBY SUBJECT AREA

  27. Operational Overview Section 2- Concept of Operations

  28. Example- Cowley County Briefly describe what ESF 8 and County EOC Response • The Cowley County Emergency Operations Center (EOC) will serve as the central location for interagency coordination and executive decision-making, including all activities associated with ESF #8. • The Cowley County Health Officer/Medical Officer or designee leads all local public health and medical response to public health emergencies and incidents covered by ESF #8. • The Public Health Officer/Medical Officer or designee through the Office of the City-Cowley County Health Department (CCHD), coordinates local ESF #8 preparedness, response, and recovery actions. These actions do not alter or impede the existing authorities of any department or agency supporting ESF #8 Identify ESF 8 Coordinating agency Great best practice to add this

  29. Example: Sherman County How do you coordinate with emergency management? • The Sherman County Public Health Department  is the primary agency for providing ESF #8 technical assistance, resources and support during response activities.  • Close coordination is maintained with local, state and federal officials to determine potential needs for support and the most expeditious means of acquiring that support. Various incident management systems will be used for collecting, processing, and disseminating information.  • The County Emergency Operations Center (EOC) will serve as the central location for interagency coordination and executive decision-making, including all activities associated with ESF #8.

  30. Example: Johnson County Briefly describe any local decon capabilities “The Biological Incident Appendix (BIA) to this annex establishes how public health response activities will be coordinated to meet the needs generated by disasters in Johnson County. As described in the BIA, the Johnson County Health Department is responsible for:  • the investigation of disease reports, establishing control measures, and notifying appropriate authorities to ensure preventative measures are carried out, • providing accurate information to the public and other authorities regarding public health, • maintaining records & cumulative data related to immunizations and communicable disease, • ensuring appropriate vaccine supply, source of drug and antidotes, and supply in collaboration with hospitals/pharmacies, KDHE and the Center for Disease Control and Prevention (CDC), • coordination of distribution and administration of these drugs, and • epidemiological monitoring and investigation, • maintaining an inventory of supplies and equipment that may be needed in the event of a public health emergency or incident. • the activation and management of Strategic National Stockpile assets, and mass prophylaxis and vaccination procedures.”

  31. Continuity of Operations Section 2- Concept of Operations

  32. Example: KDHE Template Include a simple statement about the pre-established COOP plans already in place. • Continuity of operations establishes policies and guidance to ensure the essential business functions of the healthcare system in the community are continued in the event that a manmade, natural or technological emergency disrupts or threatens to disrupt normal business operations. The community hospital and county health department have established a Continuity of Operations Plan (COOP). The county health department COOP is managed through an electronic application to ensure access to plan during an emergency.

  33. Medical Surge Section 2- Concept of Operations

  34. Example: Johnson County Include a simple statement about EMSystem & Other communication systems • “EMSystemis the region’s primary method of communicating hospital status and capabilities and coordinating patient routing during a multi-casualty incident (MCI). EMSystem, a web-based program providing real-time information on hospital emergency department status, patient capacity, and the availability of staffed beds and specialized treatment capabilities, is used in the metropolitan area to link all acute-care hospitals and most EMS agencies.” • “The Hospital Emergency Administrative Radio (HEAR) system is available to link hospitals and many area EMS agencies in the metropolitan area on a single channel radio system. The HEAR system serves as a backup to the EMSystem in the event of a mass casualty incident.”

  35. Example: Johnson County Briefly describe any local decon capabilities • “Decontamination of victims and fatalities will be addressed by Med-Act’s Hazardous Materials Medical Support Team and the Fire Branch function. Medical Branch EMS personnel will not be directly involved in this aspect of scene operations.” • “Victims will be tracked by: 1) Serialized Triage Tag number, 2) Transport Sector status boards, and 3) a database maintained by the Medical Communications Sector (MEDCOM), within the Medical Branch. The regional electronic patient tracking system may also be used in MCI events, as described in the Regional MCI Plan.” Briefly describe patient tracking process and/or system

  36. Example- Cowley County Keep it simple- Describe the hospitals’ role in medical surge There are two hospitals in Cowley County: South Central Regional Medical Center in Arkansas City and William Newton Hospital in Winfield who are responsible for tracking their own hospital status and capacity. Both hospitals have a role as an NDMS Receiving Hospital. Both hospitals have a memorandum of agreement with the South Central Kansas Regional Hospital Preparedness Group (SCKRHPG) to provide and receive resources.

  37. Section 2- Concept of Operations Medical Surge Additional Considerations • Additional transportation to health & medical facilities, coordinate with ESF 1 – Transportation • Mention MOUs, if applicable • Alternate Care Sites (ACS) – may provide additional treatment area(s) • Mention ACS plan, if applicable • Regional relationships offer potential access to mutual aid resources • Mention MOUs, if applicable

  38. Epidemiology and Surveillance Section 2- Concept of Operations

  39. Example- template Take the 3 requirements & make 3 bullets in the plan

  40. Fatalities management Section 2- Concept of Operations

  41. Example: Johnson County Think about coroner responsibilities • “The Johnson County Coroner, who also functions as medical examiner, is ultimately responsible for the overall coordination of activities related to mass fatality incidents; however, there are many other organizations that are involved in the resolution of such events” • “The Johnson County Coroner’s Office will be notified of any mass fatality incident through the Johnson County Emergency Communications Center. Initial information to be relayed to the Coroner’s Office includes: • Type of incident (aircraft crash, explosion, building collapse, etc.) • Location of the incident • Time of Occurrence • Status of the recovery of the survivors, if any (not yet begun, ongoing, completed) • The approximate number of dead • Known hazards to responders • If known, the location of the command post, identity of the Incident Commander and contact information”

  42. Example- Cowley County Think about coroner responsibilities

  43. Example- Cowley County cont. Outline resources to the best of your knowledge

  44. Example- Cowley County cont. It’s OKAY to not have locally but have access to!

  45. Pre- hospital care Section 2- Concept of Operations

  46. Example: Johnson County Straightforward • “Victims will be triaged on scene as directed by the Medical Officer or Triage Officer. When conducting initial triage at a Mass Casualty Incident (MCI), the START (Simple Triage And Rapid Treatment) system will be utilized. Patients should be divided into five categories, Immediate (Red), Delayed (Yellow), Minor (Green), Morgue (Black) and Involved (White).” • “JC Med-Act will activate their Emergency Medical Services Operations Center (EMSOC) to monitor, coordinate, and support EMS response activities as needed.”

  47. Example: Harvey County SIMPLE • Victims will be triaged on scene as directed by the Harvey County EMS. International Triage Codes will be used. Severity of injury classifications are as follows: • Casualty information will be routed through the Incident Commander, and through Harvey County EMS. Harvey County EMS and the Harvey County Health Department will coordinate with ESF #15 – External Communications on disseminating casualty information gathered from city/departmental EOCs. Information and statistics will be compiled from radio logs, facsimiles, databases and direct communications with EMS staff

  48. Example- Sherman County Easy • Victims will be triaged on scene as directed by the Medical Sector of Incident Command.  International Triage Codes will be used. • Severity of injury classifications are as follows:   • Seriously injured victims will be categorized: “Type Red” • Moderately injured victims will be categorized: “Type Yellow” • Minor injuries will be categorized: “Type Green” • Dead or mortally wounded are: “Type Black • Victims will be tracked by using the following:   • Serialized Triage • Tag number • Transport 

  49. Medical Countermeasure Dispensing Section 2- Concept of Operations

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