Healthcare Systems Analysis for Elders During Disasters Presented to the

1. Healthcare Systems Analysis for Elders During Disasters Presented to the Florida Emergency Preparedness Association Mid-Year Work Session July 18, 2012 Clearwater, Florida

2. Project Team Ray Runo, Project Director Senior Planning Consultant, Disaster Strategies & Ideas Group (DSI) LuMarie Polivka-West, Sr. Director of Policy Florida Health Care Association (FHCA) Robin Bleier, President - RB Health Partners Chair, FHCA Quality Foundation Emergency Preparedness Council April Henkel, Project Manager Florida Health Care Association (FHCA)

3. Project Planning Assumptions • Elders Defined (over 60) • Healthcare Systems (health & well-being) • Individuals are unique - common care & support services • Condition & needs will change over the term of the disaster (decompensation) • Care services & support will be limited, temporarily unavailable, or absent • Expect negative outcomes when continuum is disrupted or broken • Whole of Community - Resiliency • Augmentation or Replacement Strategies

4. Project Overview • Project Purpose: To identify and examine stakeholder roles and responsibilities, and the interdependent and independent functional relationships for providing care and support for elders during disasters. • Three Phases: • Phase 1- Analysis of Roles & Responsibilities • Phase 2 - Gap Analyses & Continuum of Care • Phase 3- Planning, Training, & Exercise

5. Project Overview – Phase 1 • Analysis of Roles & Responsibilities • Establish CORE Planning Team • Identify Stakeholder Communities, Representative Stakeholders & develop survey instrument • Conduct Stakeholder Workshops (5) • Collect data - Stakeholder Profile Survey

6. Project Overview – Phase 2 • Gap Analyses & Continuum of Care • Build on the knowledge learned in Phase I • Develop the Gap Analysis Methodology • Conduct Gap Analyses • Stakeholder Work Sessions (TBD) • Develop a Continuum of Healthcare for Elders During Disasters

7. Project Overview – Phase 3 • Phase 3 - Planning, Training, & Exercise • Integrate Stakeholder Communities into local/state systems & provide project tools to local communities • Provide planning resources & guidance • Conduct plan development workshops • Provide guidance, direction, & access to training • Conduct Tabletop Exercises

8. Stakeholder Profiles • Summarizes a stakeholder organization’s functions, services, supports & commodities/supplies provided to elders, as well as the stakeholder’s disaster-related roles & responsibilities • Documents the manner in which normal/routine functions, supports & commodities/supplies are provided during disaster conditions • Documents the specific disaster roles & responsibilities of individual stakeholders & stakeholder communities

9. Use of Stakeholder Profiles • By Individual Stakeholders: To help form planning partnerships and build relationships to ensure that the complex health and medical needs of elders in their community are met during disasters. • By the Project Team: • To serve as a baseline for developing the Continuum of Healthcare for Elders During Disasters • To complete gap analyses relative to roles & responsibilities, preparedness & response

10. Use of Stakeholder Profiles • By local community leaders and planners: To better understand the roles and responsibilities of the stakeholders providing care, support, services, and commodities/supplies to elders in their communities during disasters. • By local emergency managers: To help ensure that the continuum of healthcare services and supports for elders is maintained during disasters.

11. Continuum of Healthcare for Elders During Disasters • A Complex System of Care, Support, and Services for Elder Adults (Health & Well Being) • Normal/Routine Conditions • Disaster Conditions • Stakeholder Profiles – “Building Blocks” • The “Continuum” is structured utilizing the dependencies and interdependencies of local stakeholders

12. Continuum of Healthcare for Elders During Disasters • The Continuum will describe the roles and responsibilities of individual stakeholders that contribute to the health and well-being of Florida’s elder population during disasters. • The Continuum will reflect the functional roles and responsibilities, relationships, dependencies, and interdependencies that link the system together on behalf of elders during disasters.

13. Continuum of Healthcare A Complex System

14. Mr. Bleier – Independent Living?

15. Continuum of Healthcare Normal (Sunny) Day

16. Continuum of Healthcare Disaster (Rainy Day)

17. Continuum of Healthcare Areas of Increasing Vulnerability

18. Project Outcomes • Provide information on stakeholder roles & responsibilities • Describe stakeholder dependencies & interdependencies • Provide resources, best practices, definitions, acronyms, and planning tools to stakeholders • Integration of elder care system stakeholders into local & state emergency management systems • Provide a tool for developing a local continuum of care that supports elders during disasters (examples, directions)

19. We Need Your Input & Support • Help us to identify additional community stakeholders – who’s missing? • Encourage stakeholders in your communities to complete an online profile • Share your best practices for integrating elder care stakeholders into your preparedness & response systems

20. Thank Youfor your assistance and support! We’ll keep you updated on the status of the project. Questions / Comments robin@rbhealthpartners.com rayruno@gmail.com