Emergency Response and Sheltering Preparedness Overview
VDH Readiness Academy
Planner Session
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The ability to coordinate with partner
agencies to address the public health,
medical, and mental/ behavioral health
needs of those impacted by an incident at
a congregate location. This capability
includes the coordination of ongoing
surveillance and assessment to ensure
that health needs continue to be met as
the incident evolves.
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General
•
Local sheltering is a responsibility of the local jurisdiction:
usually under ESF-6, headed by DSS.
•
Most LHD’s are involved in coordinating the staffing to
support the ESF8 component of shelter operations.
•
Most LHDs in Virginia have experience supporting local
sheltering operations
•
There has been excellent collaboration by LDHs with their
local partners in many jurisdictions
•
The efforts to create, build and maintain MRCs has and will
continue to benefit shelter support
•
First to report upon activation may be PH personnel
•
Not all PHNs have skill sets/competencies needed for
Special Medical Needs (SMN) section of shelters
Survey Results
–
100% report EH and Disease Surveillance/Investigation support
capability in shelters
–
Ninety four (94) percent report MRC support of shelter
operations
–
Seventy one(71) percent report assigning LHD nurses to
shelters for support
–
Sixty nine (69) percent report a screening/triage capability
–
Sixty three (63) percent report EMS support of shelter operations
–
Fifty four (54) percent report a medically fragile evacuee clinical
support capability
–
Fifty one (51) percent report CSB support of shelter operations
–
Forty nine (49) percent report a WIC counseling support
capability
–
Thirty seven (37) percent report basic first aid support capability
–
Twenty nine (29) percent report local hospital support of shelter
operations
LHD Tasks
•
Be prepared for self-sufficient operations landfall (L) to
L+72 hours
•
Strengthen (recruit and train) MRCs
•
Coordinate for private sector healthcare support
•
Engage Nurse Managers in all facets of this effort
•
PRE-EVENT: Coordinate with local Emergency
Management and other private and public sector
partners
–
Tension: Hospitalization vs. shelter for medically fragile
–
Staffing Expectations
•
DURING:
–
Intake
–
First Aid
–
Counseling
2017 National Security Health Preparedness Index
•
NHSPI is
a tool for identifying both strengths and gaps in the
protections needed to keep people safe and healthy in the
face of large scale public health threats. This fourth release
of the Index combines 139 measures from 59 sources.
•
Virginia’s overall index score for the 2017 NHSPI is 7.5, tied
for number two overall among states’ scores. The overall
national average is 6.8. Scores are based on a 10-point scale.
Index report concerns VDH, but also other state agencies:
DCLS/DGS, VDBHDS, VDACS, VDOE, VDEQ, VDSS, health
care facilities and EMS community, and local partners and
private sector.
Community Planning and Engagement
•
Gaps
–
State Public Health Accreditation
–
Percentage of 1) Emergency Management and
2) Emergency Medical Services Agencies
participating in Healthcare Coalitions
–
Percentage of population, 19 years or younger
residing within 50 miles of pediatric trauma center.
–
Proportion of Medical Reserve Corps (MRC)
members who are physicians.
–
Low Annual Adult Volunteer Rate
Virginia Zika Task Force
May 1, 2017
Commissioner VDH
Mosquito
Control Task
Group
Blood/Tissue
Safety Task
Group
Human
Surveillance Task
Group
Maternity
Health Task
Group
Communications
Task Group
Clinician Outreach
Task Group
Virginia Zika Task Force
Lead: American
Red Cross
Virginia Blood
Services
Lead: Virginia
Mosquito
Control
Association
Lead: VDH OEPI
Lead: VDH OEPI
DGS DCLS
VDH Office of
Family Health
Services
Others
DVS
DBHDS
VACO
DOE
SCHEV
VHHA
MSV
VML
Lead: VDH ORCE
Office of the Governor
VDH OEP
VDEM
Lt. Governor’s Office
Representative
DGS
Governor’s Office
Representative
VDACS
DCR
VDH OEPI
VDOF
VDGIF
LEGEND
:
BHDS
: Virginia Department of Behavioral Health and
Developmental Services
DCLS
: Division of Consolidated Laboratory Services
DCR
: Virginia Department of Conservation and Recreation
DGS
: Virginia Department of General Services
DOE
: Virginia Department of Education
DVS:
Virginia Department of Veterans Services
OEP
: Office of Emergency Preparedness
OEPI
: Office of Epidemiology
ORCE
: Office of Risk Communications and Education
SCHEV
: State Council of Higher Education for Virginia
VACO
: Virginia Association of Counties
VCU Health
: Virginia Commonwealth University Medical Center
VDEM
: Virginia Department of Emergency Management
VDH
: Virginia Department of Health
VDOF
: Virginia Department of Forestry
VDGIF
: Virginia Department of Games and Inland Fisheries
VHHA
: Virginia Hospital and Healthcare Association
VML
: Virginia Municipal League
State agency
Private Sector
Non-governmental organization
Input from all
Task Groups
Virginia Zika Task Force
May 1, 2017
Commissioner VDH
Mosquito
Control Task
Group
Blood/Tissue
Safety Task
Group
Human
Surveillance Task
Group
Maternity
Health Task
Group
Communications
Task Group
Clinician Outreach
Task Group
Virginia Zika Task Force
Lead: American
Red Cross
Virginia Blood
Services
Lead: Virginia
Mosquito
Control
Association
Lead: VDH OEPI
Lead: VDH OEPI
DGS DCLS
VDH Office of
Family Health
Services
Others
DVS
DBHDS
VACO
DOE
SCHEV
VHHA
MSV
VML
Lead: VDH ORCE
Office of the Governor
VDH OEP
VDEM
Lt. Governor’s Office
Representative
DGS
Governor’s Office
Representative
VDACS
DCR
VDH OEPI
VDOF
VDGIF
LEGEND
:
BHDS
: Virginia Department of Behavioral Health and
Developmental Services
DCLS
: Division of Consolidated Laboratory Services
DCR
: Virginia Department of Conservation and Recreation
DGS
: Virginia Department of General Services
DOE
: Virginia Department of Education
DVS:
Virginia Department of Veterans Services
OEP
: Office of Emergency Preparedness
OEPI
: Office of Epidemiology
ORCE
: Office of Risk Communications and Education
SCHEV
: State Council of Higher Education for Virginia
VACO
: Virginia Association of Counties
VCU Health
: Virginia Commonwealth University Medical Center
VDEM
: Virginia Department of Emergency Management
VDH
: Virginia Department of Health
VDOF
: Virginia Department of Forestry
VDGIF
: Virginia Department of Games and Inland Fisheries
VHHA
: Virginia Hospital and Healthcare Association
VML
: Virginia Municipal League
State agency
Private Sector
Non-governmental organization
Input from all
Task Groups
Exercises
o
Marble Challenge TTX 6/27 FSE, Oct 24-25
o
UASI TTX 6/8 (NCR SNS) at RSS, Sandston
o
Collecting data on LHD Mass Vacc Exercises in
Fall. Developing Report Card???
o
National Level Event (NLE) EXERCISE ARDENT
SENTRY / ATLANTIC FURY, 7-11 May 2018
o
Pt Mvt TTX, Jan-Feb/18
o
PanFluEx, TBD (Fall 18)
Pilot Programs
o
Operational Readiness Review
o
Mission Ready Packages
o
Private Sector Pharmacy Partners
PanFlu Planning
o
Reenergized Emphasis / Updated CDC Guidance
Priority Populations
Critical Infrastructure
Continuity of GOVERNMENT
Private / Public Partnerships
Feds will turn to us for vaccine
H1N1 ops will evolve
OEpi-Immunizations and OEP will be joined at the hip
Need to reenergize Immunization Registry
What are your expectations vis a vis report card?
Plans
o
Update StratPlan conforming to Grant
Applications and state requirements
.
Adding
NHSPI gaps findings
o
Publish updated VDH ERP
o
Complete review of ESF-8 portion of COVEOP
o
Prep for Hurricane Season (focus on Shelter VDH
staffing)
o
COOP delivered 4/1 to VDEM…internal input
posted to SHAREPOINT
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This information covers the readiness and coordination efforts required for mass care sheltering in public health emergencies. It includes details on local jurisdiction responsibilities, PHEP capabilities, related functions, survey results on support capabilities in shelters, and essential tasks for local health departments. Coordination with partner agencies, monitoring health needs, and engaging nurse managers are emphasized in this comprehensive overview.
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Presentation Transcript
VDH Readiness Academy Planner Session
PHEP Capability 7: Mass Care Sheltering The ability to coordinate with partner agencies to address the public health, medical, and mental/ behavioral health needs of those impacted by an incident at a congregate location. This capability includes the coordination of ongoing surveillance and assessment to ensure that health needs continue to be met as the incident evolves.
Related PHEP Functions Function 1: Determine public health role in mass care operations Function 2: Determine mass care needs of the impacted population Function 3: Coordinate public health, medical, and mental/behavioral health services Function 4: Monitor mass care population health
General Local sheltering is a responsibility of the local jurisdiction: usually under ESF-6, headed by DSS. Most LHD s are involved in coordinating the staffing to support the ESF8 component of shelter operations. Most LHDs in Virginia have experience supporting local sheltering operations There has been excellent collaboration by LDHs with their local partners in many jurisdictions The efforts to create, build and maintain MRCs has and will continue to benefit shelter support First to report upon activation may be PH personnel Not all PHNs have skill sets/competencies needed for Special Medical Needs (SMN) section of shelters
Survey Results 100% report EH and Disease Surveillance/Investigation support capability in shelters Ninety four (94) percent report MRC support of shelter operations Seventy one(71) percent report assigning LHD nurses to shelters for support Sixty nine (69) percent report a screening/triage capability Sixty three (63) percent report EMS support of shelter operations Fifty four (54) percent report a medically fragile evacuee clinical support capability Fifty one (51) percent report CSB support of shelter operations Forty nine (49) percent report a WIC counseling support capability Thirty seven (37) percent report basic first aid support capability Twenty nine (29) percent report local hospital support of shelter operations
LHD Tasks Be prepared for self-sufficient operations landfall (L) to L+72 hours Strengthen (recruit and train) MRCs Coordinate for private sector healthcare support Engage Nurse Managers in all facets of this effort PRE-EVENT: Coordinate with local Emergency Management and other private and public sector partners Tension: Hospitalization vs. shelter for medically fragile Staffing Expectations DURING: Intake First Aid Counseling
2017 National Security Health Preparedness Index NHSPI is a tool for identifying both strengths and gaps in the protections needed to keep people safe and healthy in the face of large scale public health threats. This fourth release of the Index combines 139 measures from 59 sources. Virginia s overall index score for the 2017 NHSPI is 7.5, tied for number two overall among states scores. The overall national average is 6.8. Scores are based on a 10-point scale. Index report concerns VDH, but also other state agencies: DCLS/DGS, VDBHDS, VDACS, VDOE, VDEQ, VDSS, health care facilities and EMS community, and local partners and private sector.
Community Planning and Engagement Gaps State Public Health Accreditation Percentage of 1) Emergency Management and 2) Emergency Medical Services Agencies participating in Healthcare Coalitions Percentage of population, 19 years or younger residing within 50 miles of pediatric trauma center. Proportion of Medical Reserve Corps (MRC) members who are physicians. Low Annual Adult Volunteer Rate
Governor Governor s Cabinet Ebola Unified Command Group Levine, VDH Stern, VDEM Flaherty, VSP Melton, Deputy, VDH Burdick, Deputy, VDEM Liaisons vJIC / ESF-15 VDH, VDEM, VDSS (2-1-1) Brewster, VDH Lead Caldwell, VDEM Deputy Geller, VSP Others as required Federal, Local, Private DMA MWAA DHS/USCG DHS/CBP Burket, Port of VA Others as required Legal Advisor Attorney General s Office Kurz, OAG, VDH Council Safety Officer Rice, DOLI Planning Operations Melton, VDH Lead Michael Nelson, VDEM Dep Ext Sp Finance / Admin Damico, DGS Lead Hill, VDEM Deputy DHRM Rep TBD DOA Rep TBD Logistics Eaton, VDEM Lead TBD, VDEM Deputy Mauskapf, VDH Chief Pletchs, VDEM Dep, Ext Spt Shelton, VDH, Dep, Int Tasking Situation Unit Daily VDH SITREP Bi-weekly UC SITREP Shelton, VDH TBD, VDEM Plans Support Staff, VDEM Public Health Branch Forlano, VDH Deputy Toney, DGS (DCLS) Multiple State Agency Logistics Personnel Law Enforcement Branch Daniels, VSP Lead Terry, VSP Deputy Resource Tracking Unit Shelton, VDH Garnowski, VDEM ESF-10 Branch Britt VDEM Lead Giese, DEQ Deputy Hood, VSP Berry, VDFP Hospital / EMS Readiness Owens, VDH Ashley, VDH Reece, VHHA 6 Regional Hosp Coord s Giese, DEQ Training & Exercise Branch Mongold, VDEM Lead Silverstein, VDH Deputy Estes, VDFP Hanley, VSP Future Plans TBD, VDEM Kelso, DMA Hospital / EMS Schitter, VDH Lead Owens, VDH Deputy Reece, Hospital Coalition Perkins, EMS Reg. Council Bryan Norwood, MWAA Intel Unit Vincent, VDEM Lambert, VSP Specialty Teams as req d Mortuary Affairs, Gormley Diefenthaler, DBHDS ESF-3 Med Waste, Giese, DEQ Regional Coordination King, VDEM Lead Cooling, Magner, Walker, McCabe (VDH) VSP Rep TBD
Virginia Zika Task Force May 1, 2017 Office of the Governor Commissioner VDH Virginia Zika Task Force Lt. Governor s Office Representative Governor s Office Representative VDH OEP VDEM Others Clinician Outreach Task Group Communications Task Group Human Surveillance Task Group Maternity Health Task Group Mosquito Control Task Group Blood/Tissue Safety Task Group DVS Lead: VDH ORCE Lead: VDH OEPI Lead: Virginia Mosquito Control Association Lead: American Red Cross Lead: VDH OEPI DBHDS Input from all Task Groups VDH Office of Family Health Services DGS DCLS Virginia Blood Services DOE LEGEND: BHDS: Virginia Department of Behavioral Health and Developmental Services DCLS: Division of Consolidated Laboratory Services DCR: Virginia Department of Conservation and Recreation DGS: Virginia Department of General Services DOE: Virginia Department of Education DVS: Virginia Department of Veterans Services OEP: Office of Emergency Preparedness OEPI: Office of Epidemiology ORCE: Office of Risk Communications and Education SCHEV: State Council of Higher Education for Virginia VACO: Virginia Association of Counties VCU Health: Virginia Commonwealth University Medical Center VDEM: Virginia Department of Emergency Management VDH: Virginia Department of Health VDOF: Virginia Department of Forestry VDGIF: Virginia Department of Games and Inland Fisheries VHHA: Virginia Hospital and Healthcare Association VML: Virginia Municipal League SCHEV VDH OEPI VDACS VHHA DGS VDGIF DCR VDOF MSV VACO State agency Private Sector VML Non-governmental organization
Virginia Zika Task Force May 1, 2017 Office of the Governor Commissioner VDH Virginia Zika Task Force Alison Ansher MD, MPH Lorrie Andrew-Spear, PIO Jeff Walker, Emergency Coordinator Lt. Governor s Office Representative Governor s Office Representative VDH OEP VDEM Wade Kartchner, MD, MPH Lorrie Andrew-Spear, PIO Michael Keatts, Emergency Coordinator Others Clinician Outreach Task Group Communications Task Group Human Surveillance Task Group Maternity Health Task Group Mosquito Control Task Group Blood/Tissue Safety Task Group Tom Franck, MD, MPH Matt Lipani, PIO James Moss, Emergency Coordinator DVS Lead: VDH ORCE Lead: VDH OEPI Lead: Virginia Mosquito Control Association Lead: American Red Cross Lead: VDH OEPI DBHDS Laura Kornegey, MD, MPH Bobby Parker, PIO Input from all Task Groups Becky McCabe, Emergency Coordinator VDH Office of Family Health Services DGS DCLS Virginia Blood Services DOE LEGEND: BHDS: Virginia Department of Behavioral Health and Developmental Services DCLS: Division of Consolidated Laboratory Services DCR: Virginia Department of Conservation and Recreation DGS: Virginia Department of General Services DOE: Virginia Department of Education DVS: Virginia Department of Veterans Services OEP: Office of Emergency Preparedness OEPI: Office of Epidemiology ORCE: Office of Risk Communications and Education SCHEV: State Council of Higher Education for Virginia VACO: Virginia Association of Counties VCU Health: Virginia Commonwealth University Medical Center VDEM: Virginia Department of Emergency Management VDH: Virginia Department of Health VDOF: Virginia Department of Forestry VDGIF: Virginia Department of Games and Inland Fisheries VHHA: Virginia Hospital and Healthcare Association VML: Virginia Municipal League SCHEV Sue Cantrell, MD Bobby Parker, PIO Becky McCabe, Emergency Coordinator VDH OEPI VDACS VHHA DGS VDGIF DCR VDOF MSV VACO State agency Kerry Gateley, MD, MPH Matt Lipani, PIO Michael Keatts, Emergency Coordinator Heidi Kulberg, MD Larry Hill, PIO Judy Cooling, Emergency Coordinator Private Sector VML Non-governmental organization
Exercises o Marble Challenge TTX 6/27 FSE, Oct 24-25 o UASI TTX 6/8 (NCR SNS) at RSS, Sandston o Collecting data on LHD Mass Vacc Exercises in Fall. Developing Report Card??? o National Level Event (NLE) EXERCISE ARDENT SENTRY / ATLANTIC FURY, 7-11 May 2018 o Pt Mvt TTX, Jan-Feb/18 o PanFluEx, TBD (Fall 18)
Pilot Programs oOperational Readiness Review oMission Ready Packages oPrivate Sector Pharmacy Partners
PanFlu Planning o Reenergized Emphasis / Updated CDC Guidance Priority Populations Critical Infrastructure Continuity of GOVERNMENT Private / Public Partnerships Feds will turn to us for vaccine H1N1 ops will evolve OEpi-Immunizations and OEP will be joined at the hip Need to reenergize Immunization Registry What are your expectations vis a vis report card?
Plans o Update StratPlan conforming to Grant Applications and state requirements. Adding NHSPI gaps findings o Publish updated VDH ERP o Complete review of ESF-8 portion of COVEOP o Prep for Hurricane Season (focus on Shelter VDH staffing) o COOP delivered 4/1 to VDEM internal input posted to SHAREPOINT
Questions? Dr. Hughes Melton, Chief Deputy Commissioner Public Health and Preparedness Hughes.melton@vdh.virginia.gov 804-864-7025 Kim Allan, Operations Director Kim.Allan@vdh.virginia.gov 804-864-7030 Suzi Silverstein, Director, Risk Communications and Education Suzi.Silverstein@vdh.virginia.gov 840-864-7538 Bob Mauskapf, Director Emergency Preparedness Bob.Mauskapf@vdh.virginia.gov 804-864-7035 Patrick Ashley, Hospital Emergency Coordinator Patrick .Ashley@vdh.virginia.gov 804-864-7033 Cindy Shelton, Assistant Director, Emergency Preparedness Cindy.Shelton@vdh.virginia.gov 804-864-7486 Jennifer Freeland VDH State Volunteer Coordinator Jennifer.freeland@vdh.virginia.gov 804-396-0543 General Info / Contact http://www.vdh.virginia.gov/OEP/
