Hurricane Irma September 11, 2017

Transcription

1 State Levers for Protecting Health in Disasters Public Health Emergency Preparedness & Response in Florida Jennifer Johnson, MPH Florida Department of Health National Academy of State Health Policy October 24, 2017 Hurricane Irma September 11, 2017 First major hurricane to hit Florida since 2005 Made landfall twice as a Category 4 in the Florida Keys and as a Category 3 in Marco Island Extended hurricane force winds approx. 80 miles and tropical storm force winds approx. 400 miles More than 6.7 million homes and businesses lost electrical power Florida House of Representatives established Select Committee on Hurricane Response and Preparedness 2

2 Response Roles Emergency Support Functions 8 (ESF8) Health & Medical Core Functions of ESF8 Assessment and stabilization of the public health and medical system Support sheltering of persons with medical and functional needs, special needs sheltering Patient care and movement, health care facility evacuations Monitor, investigate and control threats to human health through epidemiological investigations and public health interventions Public health messaging Fatality management Disaster behavioral health services 4

3 Key Support for Hurricane Response Department of Health (Lead Agency) Agency for Health Care Administration Florida Hospital Association Florida Health Care Association Department of Elder Affairs State Fire Marshal Agency for Persons with Disabilities Department of Children & Families 1. Health care facility status 2. Patient placement 1. Hospital support and status 2. Patient evacuation coordination 1. Long-term care facility support and status 2. Patient evacuation coordination 1. Shelter discharge planning and placement 2. ALF Rule Making 1. EMS coordination 2. Patient evacuation 1. Status of group homes for developmenttally disabled 1. Behavioral health services 5 Department of Health Response Roles Multi-agency coordination of response activities among local, state and federal health and medical stakeholders Common operating picture - situational awareness Objective-based planning Resource deployments Facilitate requests for federal resources Public health messaging 6

4 Department of Health Response Roles Coordinate with Local Emergency Management Provide staffing through County Health Departments Manage relief staffing Ensure equipment and supplies and adequate patient care in shelters Provide statewide census reporting Coordinate with other state agencies to conduct discharge planning 7 Department of Health Response Roles Coordinate health care facility evacuations and support when facility plans fail or are overwhelmed Monitor health care facility status with Agency for Health Care Administration Provide transportation, personnel and equipment to evacuate facilities Coordinate patient placement in alternate facilities Provide life-safety resources to health care facilities 8

5 Department of Health Response Roles Disease surveillance and public health interventions Environmental health monitoring and interventions Monitor and publish boil water notices Provide sanitation services Conduct vector surveillance Provide guidance to local communities to mitigate negative health impacts 9 Resource Pools for State Assistance State Agency Resources Private Sector Resource Pools Federal Government Emergency Management Assistance Compact Contingency Contracts 10

6 Deployable Ambulance Strike Assessment Communications Disaster Behavioral Health Environmental Health Epidemiological Fatality Management Local ESF8 Support/Relief Medical Assistance Radiological Emergency Response Shelter Discharge Planning Special Needs Shelter 11 Deployable Material Resources Communications assets Field medical hospital Forward Operating Base Generators Medical supplies and equipment Oxygen Pharmaceuticals Portable Bathrooms Shelter beds/cots Sanitation supplies Vaccines Vehicles/trucks Ventilators 12

7 Preparedness Activities Building capability in the public health and health care community Administer Preparedness Funding Two statewide preparedness grants to build local capacity Administer $42 million in federal funds Fund 10 health care coalitions to build capacity for medical surge, continuity of care, and preparedness partnerships among local health care partners Support 67 county health departments to develop and maintain preparedness capacity Maintain statewide deployable teams, assets and capabilities 14

8 Special Needs Sheltering (SpNS) Coordinate recruitment of health care practitioners to SpNSs Coordinate with Division of Emergency Management to ensure appropriate designation and operations of SpNS Provide staff from multi-agency SpNS discharge planning teams 15 Jurisdictional Responsibilities All disasters are local

9 Resource Support During Disasters Facility Emergency Plans & Resources Health care facilities should implement individual emergency operations plans, activate resources/contracts, and utilize agreements with other facilities first. County Emergency Operations Center If the health care facility plans fail or are overwhelmed, County EOCs should be contacted to meet the need locally with the closest available resources. State Emergency Operations Center If the County EOC does not have or can not meet the local need, they request assistance through the State EOC. 17 Thank you! Questions? 18