STATEWIDE HEALTH CARE MUTUAL AID EVACUATION & SUPPLY PLAN (MAP)

Transcription

1 STATEWIDE HEALTH CARE MUTUAL AID EVACUATION & SUPPLY PLAN (MAP) A service of the: Massachusetts Long-Term Care Mutual Aid Association Kevin L. Burke, North Hill Chairman Marie F. Titus, Berkshire Health System Treasurer Steven R. Ellsweig, Cadbury Commons - Secretary

2 MAP Statewide Task Force Kevin Burke Chairman, North Hill Elissa Sherman, MassAging Margaret Leoni, MECF Michael Banville, MassALFA Dana Ohannessian, DPH Paul DiNatale, DPH DHCQ Abdullah Rehayem, DPH OEMS Sandy Tocman, Executive Office of Elder Affairs Mike Philbin, MEMA Allen Phillips, MEMA Lt. Phil McGovern, Boston EMS, Mayors Office of Emergency Prep Valerie Gingras, Carleton-Willard Karen Jackson, Loomis Communities David Oriol, Oakdale Rehab Marie Titus, Berkshire Health System Nicole Breslin, Covenant Barbara Hopcroft, Hale House Kathy Lemay, Notre Dame LTC Stewart Goff, Mary Immaculate Linda Hunter, North Hill Helen Brown, Jewish Rehab N. Shore Ileen Sullivan, Atria Senior Living Steve Ellsweig, Cadbury Commons

3 Plan Operation is Within Region First. Additional Support will Come From Other Regions In Widespread Disaster.

4 Health Care Participants Nursing Homes Assisted Living Rest Homes Support Members Long Term Care Associations EMS / Fire / PD Town OEM / City OEM / LEPC / REPC Hospitals DPH / EOEA MEMA

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6 Recent Disasters - Impact 1998 Ice Storm Northern New England Isolation / Unavailability of Supplies / Influx of Staff, Families and Community / Power Surges Generator Fuel Consumption Analysis Food, Linen, Supplies Rationing Strategy Suppliers outside 90 miles 2003 SARS Toronto Quarantine / Isolation / Lockdown & Screening / Staff Shortages / Panic Incident Command System (FAILURE) 2006 Flooding NY & MA Infrastructure Failure / Emergency Agencies Overwhelmed / Evacuation

7 Facility Must Be Prepared Internally Internal Plans that include: Incident Command System (HICS/HEICS/ICS) Full Building Evacuation Plan Get the residents to the sidewalk Stop-over Sites Influx of Residents from Other Facilities All Other Disaster Responses

8 Incident Command 5 Major Functional Areas Incident Command Operations Planning Finance Logistics

9 Incident Command Staff Functions PUBLIC INFORMATION OFFICER LIASON OFFICER SAFETY OFFICER MEDICAL / TECHNICAL SPECIALISTS

10 Full Building Evacuation Methodology Prepare Residents within units / departments Move to a Holding area Assigned based on Care Levels Transport from the Holding area to receiving facilities

11 Key Components of the Plan Activation of FBE Plan Staff Awareness Activation of a Labor Pool Establishment of Internal Holding Areas Coordination of Transportation (internal & external) Resident Preparation on Units AL: Specifics for Alzheimer s Units Stairs/Elevators - Predetermined Determination of Receiving Sites Resident Tracking (internal/ext) Stop-Over Sites What are they?

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18 OVERVIEW Assist each other in the disaster for: Evacuation Isolation (in need of supplies, staff, equipment or other resources) Regional MAPs provide assistance to one another Memorandum of Understanding is binding

19 RESPONSIBILITIES OF MEMBERS Number and Type of Residents 10% minimum of total beds Type: What they are qualified to care for Meetings and Drills 2 Drills Annually Hurricane, Ice Storm, Blizzard, Single or Multiple Facility Evacuation, Influenza Pandemic Annual Dues Disaster Tag, Tracking Form and Active Medical Record/Chart or Current Service Plan/Med List must go

20 RESPONSIBILITIES OF MEMBERS DPH and Elder Affairs (EOEA) Comply with Stop-over Agreements: Responsibility of the site (sample MOA in Annex III) Like to like evacuation: Assisted Living to Assisted Living or higher Rest Home to Rest Home or SNF SNF to SNF or higher

21 EMS Answers From OEMS 1) An evacuation that does not involve the exposure of residents to harmful substances (i.e., smoke, fumes, and multiple injuries): the residents should be evacuated to a facility that would agree to receive them. This does not require a waiver. 2) Evacuation that does involve the exposure of residents to harmful substances either prior or during the evacuation: residents must be evacuated to the closest ED for medical clearance. 3) If at any time in situation #1, if the patient, the facility staff, or the EMS staff determines that a patient is presenting urgent need to go to an ED, the EMS staff must take the patient to an ED. For Situation #2: It is not necessary for a situation for which transport request came through the 911 system, to have ALL patients be taken to EDs. Presumably, either the facility staff or the responding fire department would already have determined the acuity of patient exposure, and the appropriate destination of the patients. There may be incidents where there is an unusual event in one part of a facility that would not necessarily expose the residents to any danger, but because of which a decision was made to evacuate all residents. Language Being Fine Tuned for EMS and Fire Service

22 ACTIONS: DISASTER-STRUCK FACILITY Communication with Local Emergency Agency (911) followed by *MEMA MEMA will communicate with DPH/Elder Affairs MEMA will activate HHAN and Medical Coordination Group MAP members Facility still must contact DPH/Elder Affairs directly early communication is imperative Fast Evacuation: Use Stop-over Site Other Evacuations: Communicate with Resident Accepting Facilities and/or Medical Coordination Group Individual Facility: May be able to coordinate with Scene Incident Commander and/or Corporate Office, if applicable Send staff, equipment, etc. if possible Track Residents Initiate Process

23 ACTIONS: RESIDENT-ACCEPTING Internal Plan Must have plan to receive an Influx of Residents Start new chart, noting this in the existing chart If using existing Active Resident Record/Chart, clearly indicate this If AL, use Current Service Plan and Med List, documenting accordingly Prep resident reception point and care areas Communicate with Disaster Struck Facility that the residents have been received Could be Stop-over Site, MCG or DPH / EOEA that is communicated with based on the scope of the disaster If inadequate supplies, utilize Mutual Aid Plan resources Beds, linens, food, etc.

24 REGION-WIDE DISASTER MEMA and Department of Public Health/Elder Affairs Coordination, if available (and HHAN Notification) Other Regional MAPs activated Other MAP Regional Coordinating Centers activated (Regional Steering Committee management at MCG/RCC) Stop-over Site utilization (may be another facilities stop-over site that is used) Medical Records and Medications with residents

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32 FACILITY PROFILE SHEET (what they can handle and transportation resources)

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34 COMMUNICATIONS Protocol (who you need to communicate with): 911 / non-emergency number (in a slow, escalating situation) Internal Mass Emergency Management Agency (MEMA) with Stop-over Site (if fast-out evacuation) Department of Public Health / Elder Affairs Resident Accepting Facility

35 COMUNICATIONS: continued Modes: Normal (phone, text messaging, cell, etc.) Health & Homeland Alert Network (HHAN) Information collected by the plan will be provided to DPH for addition to the HHAN (unless facility opts out) Government Emergency Telecommunications Service (GETS) Contact: Dana Ohannessian, MDPH Emergency Preparedness Bureau, Facility Website Ham Radio (agreement under discussion)

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37 RECORDS, MEDS & TRACKING Disaster Tag / Activate Resident Chart or Current Service Plan and Med List for AL Medications and Controlled Substances See Section 6 of Plan Meds for AL should be with Resident Wristband Name Code Status Resident/Medical Record and Equipment Tracking Sheet to follow Disaster Tag to follow Medication Transfer Form to follow

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42 TRANSPORTATION Numbers and Type of Vehicles How many residents need (must be prepared to provide this information in aggregate numbers): Ambulances Bus Wheelchair Vans EMS (Emergency Medical Service) EMS Transportation & Tracking Officer on-site If possible Other Facility Vehicles* Regional MAP or Joint Region MAP Facility Profile Sheet (Section 3)

43 STAFF Supervisory Disaster Struck Facility Team Deployment from Non-affected Facilities Request to local EOC, DPH/EOEA and MEMA for Medical Reserve Corp (MRC) and Community Emergency Response Teams (CERT) support

44 NEED SUPPLIES Coordination with the MAP Medical Coordination Group (MCG) 1) Standard Vendors first 2) Regional MAP Vendors second Continuous interaction with Local EOC for non-medical needs 3) Joint Region MAP Vendors Interaction with State EOC for non-medical and medical needs 4) State of Emergency Declaration Other facilities in your Regional MAP State of Emergency Declaration Other facilities in your Joint Region MAP

45 SUPPLIES Request verbally; followed by written Vendor MOU in Annex II Transport may be offered by Donor facility Pharmaceuticals see next page Summary of Equipment and Supplies Aggregate of all facilities Facility Specific Info Plan will include: Specifics that facilities will provide Medical Supply / Equipment Vendors General Supply Vendors (cleaning, waste removal, mattresses, linens) Pharmaceuticals Portable HVAC Generators and Fuel Food and Liquids

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48 Purpose of Plan Definition MEMORANDUM OF UNDERSTANDING General Principles of Understanding Care of Residents - Responsibility Financial and Legal Liability MassHealth / Medicare / Private Pay / Insurance / Group Adult Foster Care Mandatory Commitment