Michigan Transportable Emergency Surge Assistance Plan Overview

Michigan Transportable Emergency Surge Assistance (MI-TESA) Plan is a state resource established for emergency preparedness, featuring a mobile field hospital with various facilities and equipment stored strategically in Michigan. The primary healthcare mission of MI-TESA is to augment existing healthcare capabilities in disaster areas by providing services to triage priority patients. Additionally, it supports emergency management missions by providing shelter components for field response and recovery operations. Activation of MI-TESA can be authorized to fulfill various emergency management and healthcare missions in declared disaster areas.

• Michigan
• Emergency Preparedness
• Healthcare Services
• Mobile Field Hospital
• Disaster Response

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1. Overview of the Michigan Transportable Emergency Surge Assistance Plan R. Drummer August 10, 2022

2. MI-TESA MEDICAL UNIT State resource - Michigan Department of Health and Human Services . Established utilizing federal emergency preparedness funding. All-weather mobile field hospital that can be configured as two separate and independent facilities. Stored in Region 2 South and Region 5. Big Rapids Deployment Exercise 2

3. MI-TESA MEDICAL UNIT 100-Bed Quick Specs 15 Interconnected Shelters 1 Separate Base of Operations Shelter 10,000 Sq. Ft. Enclosed Area 20,000 Sq. Ft. Footprint 5 Generators 16 HVAC 1 Aspen Water Purification System 16 Auxiliary CAMFIRE 125,000 BTU Diesel Heaters 3

4. MI-TESA MEDICAL UNIT 100-Bed Quick Specs 4 Hygiene Centers Each with sink, shower, toilet, hot H2O, 500-gallon fresh and gray water holding tanks Augmentation Equipment Communications Interoperability Trailer Portable Oxygen Generating System (POGS) Unit 2 John Deere Gator MedBed ATVs 1 Pharmacy Unit (Trailer) 1 Supply Trailer 1 TSRT Unit (Trailer & Rescue Unit) Storage 40-Bed (Blue and Green Wings) Self-Contained Unit is stored on a 53 Semi- Trailer. 60-Bed (Red, Yellow and Black Wings) are stored horizontally in R2S warehouse.

5. MISSIONS PRINCIPAL HEALTHCARE MISSION To temporarily augment existing, or re-establish disrupted, rudimentary healthcare capabilities in a disaster area. Designed, equipped and staffed (staff does not come with the MI-TESA) to provide healthcare services to triage priority 2 and 3 patients who can either be treated and released or admitted for less than 24 hours for stabilization. (admission/discharge rate is 23 hours per patient, so this is not a resource to expand facility surge for patients experiencing or expected to experience a length of stay.) BETP can authorize MI-TESA s default healthcare capability and scope to be broadened based on the availability of definitive care hospital facilities in the disaster area. 5

6. MISSIONS (continued) PRINCIPAL EMERGENCY MANAGEMENT MISSION To provide shelter components (shelter facilities with power, light and HVAC) to support field response and recovery operations in a declared Michigan P.A. 390 Disaster. Activation of MI-TESA may also be authorized by BETP to support a wide range of secondary emergency management and healthcare missions (e.g., fulfill an EMAC request, provide healthcare facilities at a National Special Security Event, Etc. 6

7. SUPPORT TEAMS R2S TESA Technical Support Team/Ambulance Strike Team (TST/AST) Transport/Unload/Unpack/Setup/Operate Physical Plant/Tear Down/ Repack/Reload/Transport TST members are R2S Staff, volunteers from hospitals, organized volunteer groups (CERT, RACES, Red Cross, Salvation Army, Michigan Volunteer Defense Force, NDMS/DMAT, etc.) and just plain old (JPO) volunteers. (NOTE: The MI-TESA is looking for more TST members, contact R2N, R2S, of R5 for more information) AST members are sponsored by Huron Valley Ambulance and Superior Ambulance. 7

8. Medical Staff Needs Medical Teams Will be Needed Including Registered nurses Nurse practitioners If deployed in R2N, hospitals might be asked to help run MI- TESA with support staff (think Joplin). R2N work plan asks us to plan for how we would staff the MI- TESA if the surge was in our region or if we were to help another region. Physicians and physician assistants Respiratory therapists Phlebotomists Pharmacists and pharmacy technicians Radiologists EMS/paramedics and basic Medical secretaries/unit clerks Case workers Social workers 8

9. Logistics 9

10. The Default Setup 10

11. 40-Bed Self Contained Unit 11

12. As Built (40-Bed Unit) 12

13. Summary State resource, supported by trained volunteers All-weather field hospital supports Medical Surge Scalable for need of Mass Casualty Incident 40 bed unit in Region 5 100 bed unit in Region 2 South Members in MI-Volunteer Registry. (Recent change: If member lives in R2N county, will be shown as a R2N MI- TESA volunteer) 13

14. QUESTIONS? 12/9/2024 14