HHS Region IV ESF8 Unified Planning Coalition (UPC)

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Edwina Rodgers
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1 HHS Region IV ESF8 Unified Planning Coalition (UPC) Alabama? Florida? Georgia? Kentucky? Mississippi? North Carolina? South Carolina? Tennessee Regional Coordination and Altered Standards of Care? Laying the Collaborative Foundation

2 Mission of the Region IV UPC Through collaborative all-hazards planning and the development of partnerships, the Region IV ESF8 Unified Planning Coalition will enhance the member states abilities to prepare for public health and medical response to incidents/events.

3 Region IV UPC Membership States Represented: Alabama Florida Georgia Kentucky Mississippi North Carolina South Carolina Tennessee Federal Agencies Represented: Health and Human Services Centers for Disease Control and Prevention Veterans Affairs Federal Emergency Management Agency Department of Defense Other Public, Private and Nongovernmental Partners

4 Interstate Workgroups Asset Typing Event/Status Assessments Volunteers & Credentialing Fatality Management Medical Logistics Exercise Coordination Pre-hospital & EMS Pandemic Influenza System Status Tools Burn Care Long Term Care Patient Movement Interoperable Communications (inactive)

5 Altered Standards of Care Discussed During Numerous Interstate Planning Meetings State Plans Shared by the Pan Flu Workgroup Membership of the Region IV Pre-hospital/EMS Workgroup were submitted to HHS to be a part of the Institute of Medicine Regional Meeting

6 FLORIDA ALTERED CARE STANDARDS STRATEGY Institute of Medicine Standards of Care Workshop Tuesday April 14, 2009 Orlando, Florida

7 Surge Response DISASTER STATISTICS Transported vs. Admitted 80% Self Transported 20% Admitted 20% EMS Transported 80% Admitted LEVEL LEVEL OF RESPONSE SCOPE Facility Multiple Facilities Community * Regional * State * Federal * In place surge coverage by hospitals Coordinated surge coverage by hospitals LEOC coordinated AMTS Involvement LEOC coordinated AMTS Involvement SEOC coordinated AMTS Involvement Support to State Multiple AMTSs * Emergency Management Involvement

8 Alternate Care Site Typing Matrix

9 Challenges Ventilator Supply and Process Education of Practitioners in ACS Roles of Hospitals, Local, State, Federal Entities Coordination between Hospitals Liability Coverage Speed of the Process Sense of Urgency

10 FOSTERING COOPERATIVE INPUT PANDEMIC INFLUENZA TECHNICAL ADVISORY GROUP CONSTITUENCY GROUP WORKSHOP MEETINGS STATEWIDE SOME of the Groups: Agency for Health Care Administration Florida Medical Association Florida Hospital Association Florida Osteopathic Medical Association Florida Nurses Association Florida Bioethics Network Emergency Physicians Group Respiratory Therapists Group Children s Medical Services Florida Pediatric Society Florida Committee on Trauma Florida Academy of Family Practice Medical Quality Assurance Hospice and Palliative Care State Disability Task Force Florida Risk Managers Florida Bar Florida Chapter of the American College of Physicians Advanced Practical Nurses Association of Professionals in Infection Control Pharmacy Association Florida Healthcare Association EMS Advisory Council Florida Thoracic Society Emergency Nurses Association Florida Trial Lawyers Association Florida Healthcare Alliance EMS for Children Advisory Committee Brain and Spinal Cord Advisory Committee Emergency Pathogens Group

11 FOSTERING COOPERATIVE INPUT Public Input meetings statewide EMS Advisory Council quarterly meetings Opportunities at other venues including Florida Catastrophic Hurricane Planning Initiative Key is daily involvement so when disaster strikes, altered standards are implemented routinely

12 FOSTERING COOPERATIVE INPUT Major key to ACS are hospital internal initiatives for decision making Bottom line on altered care standards: Support the practitioners because professional medical personnel will always seek to provide the best care possible, with whatever resources they have, under whatever circumstances they find themselves in.

13 No Cost to User Online Training

14 MUTUAL AID FLORIDA ASSISTS OTHERS AND OTHERS RECIPROCATE AHRQ MINNESOTA DEPARTMENT OF HEALTH UTAH COLORADO CALIFORNIA

15 FOCUS OF FLORIDA GUIDELINES 1) Provide the greatest good for the greatest number 2) Foster coordinated efforts between facilities and agencies 3) Ensure proper allocation of scarce resources 4) Reduce or eliminate healthcare worker liability 5) Provide a common ethical framework for patient care and resource allocation 6) Encourage actions that are operationally focused 7) Promote communication to the public during pandemics or other public health emergencies

16 FLORIDA ALTERED CARE STANDARDS STRATEGY QUESTIONS??? Institute of Medicine Standards of Care Workshop Tuesday April 14, 2009 Orlando, Florida

Template 6.2. Core Functions of EMS Systems and EMS Personnel in the Implementation of CSC Plans

Template 6.2. Core Functions of EMS Systems and EMS Personnel in the Implementation of CSC Plans Function 1. Assessment and Activation State State EMS office, in collaboration with the state public health