Washington State Medical Surge Healthcare Coalitions NW Tribal Emergency Mgt. Council – Tulalip

1. Washington State Medical Surge Healthcare Coalitions NW Tribal Emergency Mgt. Council – Tulalip June 7, 2007

2. ICS / NRP Tiered Response Source: Barbera and Macintyre, Medical Surge Capacity and Capability, August, 2004

3. Whatcom Okanogan Region 1 Pend Oreille Ferry Skagit San Juan Island Stevens Clallam Region 2 Region 7 Snohomish Region 6 Region 9 Kitsap Jefferson Chelan Douglas Mason Lincoln Spokane Grays Harbor King Grant Region 3 Kittitas Region 5 Adams Whitman Pierce Thurston Yakima Franklin Lewis Region 8 Pacific Garfield Wahkiakum Walla Walla Cowlitz Columbia Region 4 Asotin Benton Skamania Klickitat Clark Building on the Regional Model Population R1 – R2 – R3 – R4 – R5 - R6 – R7 – R8 – R9 - Estimated US Census Data, 2006

4. Building on the Regional Model • Licensed Hospitals (only 45% Acute Care, %35 are Critical Access) • Medicare Certified Ambulatory Surgical Centers • Licensed Home Care Agencies • Licensed Home Health Agencies • Licensed Hospice Agencies • Kidney Centers • Medicare Certified Rehabilitation Facilities • Rural Health Clinics • Tribal clinics and services • Licensed EMS Agencies • Physician Practices and clinics • Vendors (Wholesalers, etc..) • Other Source: WA DOH, American Hospital Directory (www.ahd.com), Rural Assistance Center & Understanding Surge Capacity Essential Elements; Barbisch & Koenig, 2006

5. Regional Coordination • Improves communication and planning between regional healthcare partners • Allows for coordination and management of scarce resources • Where appropriate, allows access to immediately available resources through agreements

6. Statewide Healthcare Coalition Purpose/Needs • Strengthen Medical Surge Capacity and Capability with the State (beginning with tiers 1 through 3) • Strengthen communication between health and medical • Provide a forum for developing processes for healthcare response to a catastrophic event • Evaluate, revise and develop MOUs/MAAs • Coordinate with jurisdictional level (Tier 3)

7. Regional Expectations FY06 • Identify coalition partners for region (Broaden healthcare collaborative partnerships) • Design model that is applicable to regional healthcare surge capacity work • Begin holding coalition meetings • Develop a charter • Select priority surge capacity issues

8. Regional MSCC Coalitions Should: • Include broad healthcare representation • Include jurisdictional representation (e.g., PH, EMS, HLS, DEM) • Include product focused sub-committees • Include executive/decision making level MAA Regional Control Hospital Medical Surge Capacity and Capability Coalition (Planning and Process Group) Ambulatory Care MAAs/MOUs Communications Emergency Credentialing Standards Executive/Decision Making Mass Dispensing Alternate Care Site Use

9. Benefits to Coalition Participation • Fewer and product-focused meetings • Create a systems approach to management of healthcare assets • Supports healthcare standards for emergency preparedness

10. Summary of FY06 Activities State • Meet with all regional leads (PH/EMS and Hospital Committee Chairs) • Develop tools and templates (tool kit) • Present, provide updates and attend coalition and steering committee meetings to provide technical support • Hold Statewide Coalition Workshop • Provide on-going technical support, tools and materials – monitor regional progress

11. Lone Man (Isna-la-wica) Teton Sioux ... I have seen that in any great undertaking it is not enough for a man to depend simply upon himself. QUESTIONS? Valerie Munn, Healthcare Coalition Coordinator (509-456-2726) Valerie.munn@doh.wa.gov Peggi Shapiro, Washington State Hospital Association (206) 216-2864 peggis@wsha.org