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www.kdheks.gov. Emergency Preparedness Plan for Primary Care Clinics. Cait Purinton-Day Contingency Planner cpurinton-day@kdheks.gov 785-296-5529. Eat It Like an Elephant . . . …One Bite At A Time. Establish priorities & set goals for developing the plan.
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www.kdheks.gov Our Vision - Healthy Kansans living in safe and sustainable environments
Emergency Preparedness Plan for Primary Care Clinics Cait Purinton-Day Contingency Planner cpurinton-day@kdheks.gov 785-296-5529 Our Vision - Healthy Kansans living in safe and sustainable environments
Eat It Like an Elephant . . . Our Vision - Healthy Kansans living in safe and sustainable environments
…One Bite At A Time • Establish priorities & set goals for developing the plan. • Set target dates for completing those goals. • Use KAMU matrix as a guide. Our Vision - Healthy Kansans living in safe and sustainable environments
Preparedness Cycle Our Vision - Healthy Kansans living in safe and sustainable environments
Purpose of Developing a Plan • Raise awareness among staff and within the community. • Increase capabilities of staff. • Continue service to clients in a disaster. • Assist in community response. Our Vision - Healthy Kansans living in safe and sustainable environments
Clinics with Existing Plans • Don’t reinvent the wheel. • Build upon existing plans. • Continue to incorporate/cooperate with hospital or health department. Our Vision - Healthy Kansans living in safe and sustainable environments
How to Use the Template • Yellow highlights = HRSA PIN 2007-15 and PIN 2007-16 recommendations • Red font = Insert clinic name • Text boxes = Section instructions. *Delete these text boxes when you are complete with that section. Our Vision - Healthy Kansans living in safe and sustainable environments
How to Use the Template • Template is not one-size-fits all. • Modify to fit clinic’s needs & capabilities. • Actions • Equipment • Clinic titles • Existing policies and procedures Our Vision - Healthy Kansans living in safe and sustainable environments
Incident Command System • Plan based on ICS • Recommendation of HRSA to use ICS • Basic outline of ICS in Annex A • ICS training will be needed. Our Vision - Healthy Kansans living in safe and sustainable environments
Part 1: Emergency Management Process • Overview of Principles of Emergency Management • Mitigation & Preparedness • Response • Recovery • Annexes Our Vision - Healthy Kansans living in safe and sustainable environments
Part 2: Emergency Management Plan • Introduction • Page 7 • Plan Goals & Objectives • Page 7 Our Vision - Healthy Kansans living in safe and sustainable environments
Part 2: Emergency Management Plan • Planning Assumptions • Page 8 • Relevant Requirements & Regulations • Page 8 Our Vision - Healthy Kansans living in safe and sustainable environments
2.5 Mitigation & Preparedness • Page 9 • Prepare for an event • Reduce adverse effects of an event • Build community relationships Our Vision - Healthy Kansans living in safe and sustainable environments
2.5.1 Community Collaboration • Pages 9-10 • Building community relationships • Attend LEPC meetings • Get to know CEM and LHD Our Vision - Healthy Kansans living in safe and sustainable environments
2.5.2 Plan Development & Maintenance • Pages 10-11 • Plan storage • Paper and electronic • Regular updates • Annually and as needed • Governing Board approval Our Vision - Healthy Kansans living in safe and sustainable environments
2.5.3 Hazard Vulnerability Assessment • Page 11 • Identify vulnerabilities • Analyze gaps • Online tool available through CPHP • http://www.kdheks.gov/cphp/grant_tool_kit.htm#hva Our Vision - Healthy Kansans living in safe and sustainable environments
2.5.4 Insurance Review • Pages 11-12 • Review to determine adequate coverage in a disaster. • List of potential questions to assist with review. Our Vision - Healthy Kansans living in safe and sustainable environments
2.5.5 Building Review • Pages 12-16 • Building Review • Maps • Floor plans • Evacuation routes • Share with fire and police Our Vision - Healthy Kansans living in safe and sustainable environments
2.5.5 Building Review • Technology & Utilities • Page 14 • Shutting down systems • Systems maintenance • Backup systems • Generators Our Vision - Healthy Kansans living in safe and sustainable environments
2.5.6 Continuity of Operations • How will the clinic continue to serve its clients during an event that disrupts normal operations? • Pages 16-18 • COOP is complex. • Info in the template is basic and will get the discussion started of COOP planning. Our Vision - Healthy Kansans living in safe and sustainable environments
2.5.6 COOP • Page 17 • Hours of operation • Functions • 12 hours to 30 days • Prioritize • Staff assigned to functions • Equipment and data to support functions Our Vision - Healthy Kansans living in safe and sustainable environments
2.5.7 Alternate Sites • Pages 18-19 • Alternate site is an element of COOP planning. • Memoranda of Understanding • 2 locations in case first option is unavailable. • Develop go-kits for staff. Our Vision - Healthy Kansans living in safe and sustainable environments
2.5.8 Mutual Aid Agreements • Pages 19-20 • Mutual Aid Agreement: Written agreement between agencies, organizations, and/or jurisdictions that they will assist one another on request by furnishing personnel, equipment, and/or expertise in a specified manner. (Kansas Response Plan) Our Vision - Healthy Kansans living in safe and sustainable environments
2.5.8 Mutual Aid Agreements • Put in place before an event. • Guidance on CDC web site. • http://www2a.cdc.gov/phlp/mutualaid/index.asp • List of considerations in template. • Chart to help track agreements. Our Vision - Healthy Kansans living in safe and sustainable environments
2.5.9 Volunteer Management • Page 21 • Involve volunteers in planning and exercises. • Volunteer Directory • Certifications or training • Help make best use of volunteers time and talent Our Vision - Healthy Kansans living in safe and sustainable environments
2.5.10 Records & Equip Mgmt • Pages 21-22 • Identify vital records • Identify protection methods • Records • Equipment Our Vision - Healthy Kansans living in safe and sustainable environments
2.5.11 Communications • Pages 23-25 • Two Parts • Equipment • Information Our Vision - Healthy Kansans living in safe and sustainable environments
2.5.11 Communications - Equipment • Existing capabilities • Back up or redundant capabilities • Testing • Diagnostic checks • Maintenance • Exercises Our Vision - Healthy Kansans living in safe and sustainable environments
2.5.11 Communications - Information • Staff • Governing Board • Volunteers • Vendors • Community Partners • Public • Clients / Patients Our Vision - Healthy Kansans living in safe and sustainable environments
2.5.11 Communications – Info • Contact lists • Calling trees • Warning/alert system Our Vision - Healthy Kansans living in safe and sustainable environments
2.5.11 Communications - Info • Media Relations • Releasing information • Briefing area Our Vision - Healthy Kansans living in safe and sustainable environments
2.5.12 Incident Command Post • Page 25 • Central location for clinic operations • Only used during prolonged or long-term events. • Equipment needs Our Vision - Healthy Kansans living in safe and sustainable environments
2.5.13 Community Disease Containment • Page 26 • Stop spread of disease • Crucial to work with LHD • LHD has Standard Operating Guides (SOG) • Existing clinic protocols Our Vision - Healthy Kansans living in safe and sustainable environments
2.5.14 Personal Protective Equipment • Pages 26-27 • PPE stockpile • Storage • Crash carts Our Vision - Healthy Kansans living in safe and sustainable environments
2.5.15 Medication Stockpiles • Pages 27-28 • Mass dispensing • Medical materiel and pharmaceuticals • “SNS” requesting • Crucial to work with LHD • LHD has SOG Our Vision - Healthy Kansans living in safe and sustainable environments
2.5.15 Medication Stockpile • Exhaust all resources • Clinic • Vendor • Chart for vendors Our Vision - Healthy Kansans living in safe and sustainable environments
2.5.16 Patient Surge • Page 28 • Similar to how LHD sets up POD • Patient flow • Triage • Paperwork Our Vision - Healthy Kansans living in safe and sustainable environments
Sections 2.5.17-2.5.20 • All-Hazards • Prepare for: • Evacuation (Section 2.5.17) • Shelter in Place (Section 2.5.18) • Flooding (Section 2.5.19) • Winter Weather (Section 2.5.20) • Use existing clinic protocols and procedures. Our Vision - Healthy Kansans living in safe and sustainable environments
2.5.12 Family Plan • Pages 32-33 • Encourage staff to prepare at home. • Families are priority. • Peace of mind at work. • Guidance online. • http://www.kdheks.gov/cphp/families.htm Our Vision - Healthy Kansans living in safe and sustainable environments
2.6 RESPONSE • Put mitigation plans into action. • Page 33 • 2.6.1 Command & Control • Using ICS to manage events • 2.6.2 Plan Activation Our Vision - Healthy Kansans living in safe and sustainable environments
2.6.3 Incident Tracking & Records Mgmt • Page 33 • ICS forms • Paper charting • Security Our Vision - Healthy Kansans living in safe and sustainable environments
2.6.4 Communications • Pages 34-35 • Equipment • Use of equipment identified under Mitigation & Preparedness • Information • Staff, volunteers, Governing Board, community partners, patients/clients, public • Media relations Our Vision - Healthy Kansans living in safe and sustainable environments
2.6.5 Volunteer Management • Page 36 • How volunteers will be used • When volunteers will be used • Check in • Just in Time Training Our Vision - Healthy Kansans living in safe and sustainable environments
2.6.6 Safety & Security • Pages 36-37 • Response to security threats • Use existing policies Our Vision - Healthy Kansans living in safe and sustainable environments
2.6.7 Utilities • Page 37 • Shut down procedures • Water supplies • Water storage and stockpiling recommendations Our Vision - Healthy Kansans living in safe and sustainable environments
2.6.8 Community Disease Containment • Pages 37-38 • Refer back to Mitigation & Preparedness section • KDHE Epidemiology Info • Isolation • Hazmat contamination Our Vision - Healthy Kansans living in safe and sustainable environments
2.6.9 Medication Stockpiles • Page 39 • Refer back to Mitigation & Preparedness section Our Vision - Healthy Kansans living in safe and sustainable environments
2.6.10 Patient Surge • Page 39 • Temporary reassignments • Triage • Patient flow Our Vision - Healthy Kansans living in safe and sustainable environments
2.6.11 Evacuation • Pages 39-41 • Fire • Flooding Our Vision - Healthy Kansans living in safe and sustainable environments