Continuing Care Assessment and Planning Workshop

1. Continuing Care Assessment and Planning Workshop December 10, 2015 and January 27, 2016

2. Agenda • Emergency Management Structure • Types of Emergency Plans • Planning Process • Hazard Assessment • Develop and Utilize • Emergency Operations Planning • Document Development • Implementing the Plan

3. Introductions • Name • Agency • Experience using or writing emergency plans • Interesting fact

4. Outcomes • Current Needs • Existing Questions • Known Concerns • Desired Resources

5. Current Process • Plans • Assessment Process • Plan Development • Validation

6. Emergency Management Cycle

8. Emergency Management Overview

11. Where do ICS responders operate? Staging Area Base Event Scene Incident Command Post

12. Additional Support Staging Area Base Event Scene EOC Incident Command Post

13. Neighboring County West County EOC Neighboring County East Neighboring State West Neighboring State East SEOC FEMA

14. Hospital 1 H2 H3 General Hospital Hospital System A Hospital System B Community Clinic Public Health ESF-1 Transportation Specialty Hospital ESF-8 Health and Medical EMS ESF-3 Public Works County EOC Coroner ESF-13 Law Enforcement ESF-4 Firefighting ESF-6 Mass Care

15. Plans

16. Types of Plans • Emergency Response Plan (ERP) • Emergency Operations Plan (EOP) • Continuity of Operations Plan (COOP) • a.k.a. Business Continuity Plan (BCP)

17. Interoperability Emergency Management and Emergency Response personnel interact and work well together.

18. Planning Process • Hazard Assessment • Plan Development • Education and Review • Revision • Education • Exercise • Revision

19. Hazard Assessment

20. Overview of HVA • Definitions and terminology • HVA • THIRA • Gap Analysis • Common utilization • Healthcare requirements • Hazard mitigation plans • Development of emergency plans • Budget justification

21. Utilization of HVA • Assess • Plan • Equip • Train and exercise • Request assets • Support response

22. HVA Components

23. Components • Event or Risk • Probability • Impact • Duration • Preparedness

24. Event/Risk • Identify and prioritize hazards • Review agency hazards • Historical and current data from multiple sources • Define scope and magnitude of risk • Differentiate risks that create different impacts • Examine factors that influence probability of events with no history

25. Impact • Personnel and clients • Facilities and resources • Building and supplies • Mission critical elements • Communications, expertise, utilities • Internal and external • Facility and community impact Human, business, property, infrastructure

26. Duration • Agreed upon scope of impact • Warning • Event time vs response time

27. Preparedness • Internal • External • Plans • Training • Equipment • Capability vs Capacity

28. Assessment Tool • Probability, risk, and mitigation assigned a value • Chance of occurrence and magnitude of impact • Mitigation activity scores are reversed • Scores derived from assessment of: • Personal knowledge • Experience and historical data • Subject matter experts • Group consensus

29. Placeholder for HVA tool

32. Utilization • Improvement planning • Mitigation strategies • Training and Exercise Plan (TEP) • Event analysis

33. Improvement Plan

34. Practical hva development

35. Tactics • Worksheet • Divide and conquer • Small portions • Root cause or justification • Gather information • Scenario based discussion • Questionnaire

36. Tactics • Committee • Competition • New faces • Recognition • Legitimize through use • After events

37. Emergency Planning

38. Big Picture • Objective • Leadership support • Concept • Time • Resources to implement • Champion • Lead and coordinate

39. Big Picture • Wheels are wheels – sort of • Small portions • Regular meetings • Test periodically

40. Plan Contents • Introduction and Authorities • Basic information about the facility • Key contacts and emergency management structure • Plan introduction • Legal and business authority for the plan • Lines of authority

41. Plan Contents • Hazard Analysis/Identification • Specific hazard descriptions • Site information such as staffing, beds, and patient type • Geographic hazards (flood plain, railroad, fixed facility hazmat)

42. Plan Contents • Concept of Operations • Incident Management (ICS and CC) • Notification and activation • Recording information • Communications Plan • Security and safety • Medical records management • Specific action (i.e. shelter-in-place, surge, evacuation, fatality management) • Patient management

43. Plan Contents • Recovery • Insurance • Repopulating facility • Licensing

44. Plan Contents • Appendix • Contacts • Maps • Support agreements (supply, alternate site) • Utilities • Annexes • Hazard Specific

45. Validation • Educate • Test • Revise • Educate • Test

46. Resources

47. Apply the concepts Scenario based discussion

48. Scenario

49. Scenario Analysis • It is Tuesday morning, the facility has a full schedule all week, all resident rooms are full, and some staff are out for vacation. • A storm producing severe lightning, strong winds, and what appears to have been a microburst impacted the community and your facility.

50. Scenario Analysis • Power to the facility is out. • There is building damage including a leak in the roof and some electrical systems not working due to what appears to have been a lightning strike to the building. • The children of two employees have called to report that their houses were damaged.