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SFY13 Healthcare Preparedness Capabilities

SFY13 Healthcare Preparedness Capabilities. Texas Public Health & Healthcare Preparedness Challenges. More federal Disaster Declarations than any other state ( 1953-2012) Texas led all states over the 59-year period with 86 Disaster Declarations including: Severe Storms (40)

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SFY13 Healthcare Preparedness Capabilities

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  1. SFY13 Healthcare PreparednessCapabilities

  2. Texas Public Health & Healthcare Preparedness Challenges More federal Disaster Declarations than any other state (1953-2012) Texas led all states over the 59-year period with 86 Disaster Declarations including: • Severe Storms (40) • Hurricanes (14) • Floods(9) • Tornadoes (7) • Heavy Rain (6) • Tropical Storms (6) • Severe Freeze (2) • Major Wildfires (2)

  3. 2008 – 2012 DSHS Emergency Responses • West Nile Virus Outbreak • Bastrop Wildfires • Hurricane Alex • Hurricane Dolly • Hurricane Gustav • Hurricane Ike • Tropical Storm Edouard • H1N1 Pandemic Response • San Angelo: Yearning for Zion Ranch • TB/Mumps/Measles Outbreaks • Foodborne Outbreak Response: Peanuts, Tomatoes and Jalapeños • Mercury in Skin Cream • Monitored and responded to concerns: • BP Oil spill • Fukushima Daiichi radiation release in Japan

  4. Emergency Support Function 8, Public-Private Partnership ESF-8 Capacity

  5. Vision and Strategy Alignment Homeland Security Presidential Directives OPHPR Strategic Plan Pandemic and All-Hazards Preparedness Act (PAHPA) National Health Security Strategy (NHSS) National Preparedness GoalCore Capability List Public Health and Healthcare Preparedness Capability Development Project Public Health Ready Conceptualizing and Defining Public Health Emergency Preparedness Trust for America’s Health Ready or Not Health Preparedness Capability Prioritization Project * Note: Partner documents are not an exhaustive list, shown for representation purposes only

  6. Public Health and Healthcare Preparedness Capabilities Healthcare Emergency Management Public Health Public Health and Healthcare Preparedness Capabilities 10 Essential Services of Public Health • National Preparedness • Core Capabilities

  7. Public Health and Healthcare Preparedness Capabilities • Consistent with national preparedness strategies • Capabilities-based planning and implementation • Provides national guidance with a “whole of community” and “all of nation” approach • Serve as the foundation for the 2012 HPP-PHEP cooperative agreements

  8. Intersects: “The Critical Three”

  9. Public Health Preparedness Capabilities Overview

  10. PLAN EVALUATE IMPROVE ORGANIZE EQUIP EXERCISE TRAIN SFY13 HPP Capabilities focus on Community Preparedness and Planning • Organize and Equip: • Perform resource assessments • Perform gap analysis • Deconflict resources • Train: • Provide healthcare responders with the knowledge, skills, and abilities to complete the mission • Based on the unique needs of the healthcare organizations • Exercise: • Exercise the plan to see if it works • Evaluate and Improve: • Identify best practices, gaps, and corrective actions in the plan and apply these findings to improvement plans

  11. DISASTER CYCLE Healthcare Coalitions: Coordinate with other HCOs within their trauma service area (TSA) region to assist the community with their return to normal healthcare delivery operations Healthcare Coalitions: Address areas in critical infrastructure and key resource allocation planning that decreases the vulnerability of the healthcare delivery system Recovery Mitigation Response Healthcare Coalitions: Integrate with healthcare organizations (HCO’s), public health and emergency management to provide healthcare situational awareness in order to inform the decision making process for the allocation of resources Healthcare Coalitions: Prepare and plan by organizing, purchasing equipment, conduct training, exercising, evaluating/improving, in order to effectively mitigate, respond to and recover from a disaster Preparedness Disaster Healthcare Coalitions and Community Disaster Preparedness

  12. SFY13 Healthcare SystemPreparedness Capabilities 1. Healthcare System Preparedness 2. Healthcare System Recovery 3. Emergency Operations Coordination 5. Fatality Management 6. Information Sharing 10 Medical Surge 14. Responder Safety and Health 15. Volunteer Management

  13. Capability 1: Healthcare System Preparedness

  14. #1 Healthcare System Preparedness Capability Definition: • Healthcare system preparedness is the ability of a community’s healthcare system to prepare, respond, and recover from incidents that have a public health and medical impact in the short and long term. The healthcare system role in community preparedness involves coordination with emergency management, public health, mental/behavioral health providers, community and faith-based partners, state, local, and territorial governments to do the following: • Provide and sustain a tiered, scalable, and flexible approach to attain needed disaster response and recovery capabilities while not jeopardizing services to individuals in the community • Provide timely monitoring and management of resources • Coordinate the allocation of emergency medical care resources • Provide timely and relevant information on the status of the incident and healthcare system to key stakeholders • Healthcare system preparedness is achieved through a continuous cycle of planning, organizing and equipping, training, exercises, evaluations and corrective actions.

  15. Capability 1: Healthcare System Preparedness

  16. Capability 2: Healthcare System Recovery

  17. #2 Healthcare System Recovery Capability Definition: Healthcare system recovery involves the collaboration with Emergency Management and other community partners, (e.g., public health, business, and education) to develop efficient processes and advocate for the rebuilding of public health, medical, and mental/behavioral health systems to at least a level of functioning comparable to pre-incident levels and improved levels where possible. The focus is an effective and efficient return to normalcy or a new standard of normalcy for the provision of healthcare delivery to the community.

  18. Capability 3: Emergency Operations Coordination

  19. #3 Emergency Operations Coordination Capability Definition: Emergency operations coordination regarding healthcare is the ability for healthcare organizations to engage with incident management at the Emergency Operations Center or with on-scene incident management during an incident to coordinate information and resource allocation for affected healthcare organizations. This is done through multi-agency coordination representing healthcare organizations or by integrating this coordination into plans and protocols that guide incident management to make the appropriate decisions. Coordination ensures that the healthcare organizations, incident management, and the public have relevant and timely information about the status and needs of the healthcare delivery system in the community. This enables healthcare organizations to coordinate their response with that of the community response and according to the framework of the National Incident Management System (NIMS).

  20. Capability 2: Healthcare System Recovery Capability 3: Emergency Operations Coordination

  21. Capability 5: Fatality Management

  22. #5 Fatality Management Capability Definition: Fatality management is the ability to coordinate with organizations (e.g., law enforcement, healthcare, emergency management, and medical examiner/coroner) to ensure the proper recovery, handling, identification, transportation, tracking, storage, and disposal of human remains and personal effects; certify cause of death; and facilitate access to mental/behavioral health services for family members, responders, and survivors of an incident. Coordination also includes the proper and culturally sensitive storage of human remains during periods of increased deaths at healthcare organizations during an incident.

  23. Capability 5: Fatality Management

  24. Capability 6: Information Sharing

  25. #6 Information Sharing Capability Definition: Information sharing is the ability to conduct multijurisdictional, multidisciplinary exchange of public health and medical related information and situational awareness between the healthcare system and local, state, Federal, tribal, and territorial levels of government and the private sector. This includes the sharing of healthcare information through routine coordination with the Joint Information System for dissemination to the local, state, and Federal levels of government and the community in preparation for and response to events or incidents of public health and medical significance.

  26. Capability 6: Information Sharing

  27. Capability 10: Medical Surge

  28. #10 Medical Surge Capability Definition: Medical Surge is the ability to provide adequate medical evaluation and care during incidents that exceed the limits of the normal medical infrastructure within the community. This encompasses the ability of healthcare organizations to survive an all-hazards incident, and maintain or rapidly recover operations that were compromised.

  29. Capability 10: Medical Surge

  30. Capability 14: Responder Safety & Health

  31. #14 Responder Safety & Health Capability Definition: The responder safety and health capability describes the ability of healthcare organizations to protect the safety and health of healthcare workers from a variety of hazards during emergencies and disasters. This includes processes to equip, train, and provide other resources needed to ensure healthcare workers at the highest risk for adverse exposure, illness, and injury are adequately protected from all hazards during response and recovery operations.

  32. Capability 15: Volunteer Management

  33. #15 Volunteer Management Capability Definition: Volunteer management is the ability to coordinate the identification, recruitment, registration, credential verification, training, engagement, and retention of volunteers to support healthcare organizations with the medical preparedness and response to incidents and events.

  34. Capability 14: Responder Safety & Health Capability 15: Volunteer Management

  35. Joint Preparedness Capabilities

  36. Download Capability Documents ASPR’s Healthcare Preparedness Capabilities: National Guidance for Healthcare System Preparedness. http://www.phe.gov/Preparedness/planning/hpp/reports/Documents/capabilities.pdf. The public health preparedness capabilities http://www.cdc.gov/phpr/capabilities/DSLR_capabilities_July.pdf

  37. Questions? Bruce Clements, MPH, Director Community Preparedness Section Bruce.Clements@dshs.state.tx.us Ray Apodaca, Team Lead, Texas Hospital Preparedness Program Ray.Apodaca@dshs.state.tx.us

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