1 / 28

Disaster Preparedness: Creating an All Hazards Long Term Care Plan

Disaster Preparedness: Creating an All Hazards Long Term Care Plan. Arleen Johnson , PhD, Director OVAR/Geriatric Education Center University of Kentucky College of Public Health. Session Objectives. Upon completion of this session, learners should be able to:

paki-garrett
Download Presentation

Disaster Preparedness: Creating an All Hazards Long Term Care Plan

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Disaster Preparedness: Creating an All Hazards Long Term Care Plan Arleen Johnson, PhD, Director OVAR/Geriatric Education Center University of Kentucky College of Public Health

  2. Session Objectives Upon completion of this session, learners should be able to: 1. Identify rural issues for emergency preparedness for aging 2. Describe why long term care residents are at high risk during emergencies. 3. Discuss the primary features of an all hazards long term care plan.

  3. Inspiration for LTC Emergency Plans

  4. Obj. 1: Disaster Preparedness - Rural Issues • Socioeconomic status • Educational status • Chronic diseases • Geographic Isolation • Public Transportation • Personal Vehicles • Telephones • Health care workers • Health care facilities • Technological infrastructure • Availability of services • Access to services

  5. Obj. 2:LTC Residents at High Risk • 70% age 75 or older • 68% cognitive impairment (13% severe/very severe) • Average 11 daily medications • 80% at least one chronic condition • 83% help with one Activity of Daily Living; 60% help with 5+ • 50% extensive help with 4 out of 5 bed mobility, transferring, dressing, eating, or toileting • 50% incontinence bladder and bowel; 38% severe • 3% have feeding tubes • 40-150 times greater risk of pneumonia • Higher risk of infectious illness • Reduced immune function • Reduced response to antibiotics • Assistance with mobility • Dialysis ( age 75+ fastest growing group) • Oxygen & other medical supplies • Wheelchairs, walkers, canes, assistive devices • Bariatric (= to or greater than 500 pounds)

  6. Obj. 3: Features of an All Hazards LTC Plan • Hazard Vulnerability Analysis • Community Planning • Memorandums of Understanding (MOU) • Communication • Direct Care Procedures for All Hazards • Shelter-in-Place • Evacuation • Continuity of Operations • Recovery • Training and Exercises

  7. Hazard Vulnerability Analysis Purpose is to identify usual events, natural events AND unique threats in order to anticipate and prepare to manage them. • Probability • Risk • Preparedness • See Hazard Vulnerability Analysis handout or http://www.mc.uky.edu/aging/gec.html

  8. Community Planning • Identify community partners • Host facility meeting • Share contact information • Discuss roles in an emergency • Review transportation plans • Identify locations of communication sources • Share emergency plans • Conduct exercises

  9. Memorandums of Understanding (MOU) • Long Term Care Facilities • Hospitals • Alternate Care Sites • Vendors • Aging Services Providers • Faith-Based Communities • Schools • Transportation Services • Funeral Homes/County Coroner

  10. Communication • Staff Personal Preparedness • Contact Numbers/Call Trees • Phones • Runner Messenger Service • Internet • Radio • Television • Newspapers and Fliers

  11. Case Study: Communicating in a Disaster It is 3:00 am and your region has just experienced a 7.7 magnitude earthquake. Your facility has sustained damage, may be experiencing flooding and your street is blocked with debris as sirens blare in neighboring areas. There is no community power source. There is no access to landline telephones, cell phones or the internet. All transportation is blocked by downed trees, power lines, flooding and/or damaged streets. Residents and staff may be injured or dead. • What communication issues must be addressed? • What communication response is needed?

  12. Case Study: Communicating in a Disaster Issues Response • Leadership responsibility • Staffing • Physical damage of facility • External environment • Life Safety Assessment • Internal communication • Report to County, Regional and/or State Emergency Operations Centers • Implement Communications Plan • Activate Facility Incident Command System • Assess/create report of physical damage of facility and external environment • Assess/create report of life safety (non- injured, injured, fatalities) • Activate internal plans for communication across departments • Locate satellite phones - route for travel, identify staff to deliver report

  13. Direct Care Procedures for All Hazards • Templates for All Hazards • Emergency Procedures • Emergency Job Tasks • Checklists • Facility Action Cards

  14. Shelter-in-Place • Decision Criteria • Incident Command System • Notifications/Call lists • Communication Plan • Supplies/Equipment • Monitor utilities • Monitor safety and security • Surge from community, hospitals, LTC

  15. Case Study: Communicating in a Disaster Issues Response • Leadership responsibility • Staffing • Physical damage of facility • External environment • Life Safety Assessment • Internal communication • Report to County, Regional and/or State Emergency Operations Centers • Implement Communications Plan • Activate Facility Incident Command System • Assess/create report of physical damage of facility and external environment • Assess/create report of life safety (non- injured, injured, fatalities) • Activate internal plans for communication across departments • Locate satellite phones - route for travel, identify staff to deliver report

  16. Evacuation • Decision Criteria • Incident Command System • Notifications • Activate call lists • Security and shut-down • Staffing • Emergency packets and “Go Bags” • Evacuation transportation plan • Return to facility plan

  17. Recommendations Create partnerships around surge within HPP Regions Enable close proximity of shelters to serve general population, LTC, alternate care, cognitively impaired, behaviorally impaired, pets Develop LTC specific operations guidance within a larger shelter to address LTC population needs (cognitive impairments, security, dietary) Address staffing issues (personal preparedness; housing staff families; deployment) Develop plans for return to facility

  18. Recommendations Provide for resident tracking Obtain further clarification of Center for Medicaid and Medicare Services guidelines (DHHS/OIG) Review state procedures for designation of Stafford and Public Health Act emergencies Clarify interpretation of DHHS 1135 Waivers as relates to long term care

  19. Recovery • Damage assessment • Authority to Re-Enter • Post-Evacuation Return of Residents • Reimbursement Costs/Documentation • Psychological First Aid • Recovery Analysis

  20. Continuity of Operations • Reduced staff plan • Staffing-up plan • Staff supervision • Essential functions • Assuring safety • Protecting equipment, records & assets • Minimizing disruption • Timekeeping • Continued Payroll • Invoice Payment • Cash on Hand • Accessing Records • Photo/paper trail Documentation for FEMA and Insurance

  21. Training and Exercises • Hospital Preparedness Coalition (HPC) funding for equipment & supplies. Available nationwide. May require: • Incident Command System Training and Certification • Healthcare Planning Coalitions/Long Term Care Committee Participation • Sharing of facility data • Other state-specific requirements

  22. Resources for Preparedness & Response KDPH TRAIN KY Training Modules https://ky.train.org/DesktopShell.aspx Helping Elders Prepare for Bioterrorism and Emergencies (Course ID 1006475) Disaster Preparedness: Developing Agency Emergency Plan (Course ID 1007090) CERT Community Emergency Response Team (Course ID 1005655) The Aging Network (Course ID 1006470) Medical Reserve Corps-An Introduction to Incident Command (Course ID 1014646) Pandemic Influenza (future TRAIN Course ID 1009188) Interim Link: http://cwte.louisville.edu/ovar/avianflu/index.html KY All Hazards Long Term Care Planning and Resources Manual and Emergency Training Materials http://www.mc.uky.edu/aging/gec.html FEMA NIMS Resource Center http://www.fema.gov/emergency/nims/ NIMS Training Courses – Fact Sheets http://www.fema.gov/emergency/nims/NIMSTrainingCourses.shtm#item1

  23. Resources for Preparedness & Response OVAR/GEC E-News Emergency Preparedness for Aging • Geriatric Education Resources • http://cwte.louisville.edu/ovar/emergency/fall2007.htm • Preparedness for Long Term Care • http://cwte.louisville.edu/ovar/emergency/winter2008.htm • Health Literacy for Emergency Preparedness/ Aging • http://cwte.louisville.edu/ovar/emergency/spring2008.htm • Pandemic Flu and Aging • http://cwte.louisville.edu/ovar/emergency/summer2008.htm • Long Term Care: • http://cwte.louisville.edu/ovar/emergency/winter2008.htm • http://cwte.louisville.edu/ovar/emergency/winter2009.htm • http://cwte.louisville.edu/ovar/emergency/summer2009.htm • http://cwte.louisville.edu/ovar/emergency/winter2011.htm

  24. For More Information….. Arleen Johnson, PhD OVAR/GEC at UK 658 South Limestone Lexington, KY 40506-0442 (859) 257-8314 arleen@uky.edu OVAR/GEC Website: http://www.mc.uky.edu/aging/gec.html Partial funding through USDHHS, HRSA contract number 1 UB4HP19051-01-00 and KCHFS/KDPH 2010- 2011 grant #201008191611 UK Emergency Preparedness for Aging Training Grant

More Related