RIDMAT/MRC s Annual Report

RIDMAT/MRC s Annual Report - 2016 JANUARY 2016 DECEMBER 2016 RI DISASTER MEDICAL ASSISTANCE TEAM/MEDICAL RESERVE CORPS RI DMAT, INC 50 Barnett Lane West Greenwich, RI 02817

Table of Contents... 0 Overview of the Rhode Island Disaster Medical Assistance Team s Medical Reserve Corps... 4 Unit Jurisdiction... 4 Mission... 4 Objective... 4 2016 Contracts and Partnerships... 4 RI Responds / ESAR - VHP Contract... 5 RI DMAT Field Hospital Contract... 5 Rhode Island Emergency Management Agency MOU... 5 Brown Emergency Medicine Residency Program... 5 Rhode Island College School of Nursing... 5 Governor s Overdose Prevention and Intervention Task Force... 5 Ongoing Projects:... 5 Volunteer Credentialing:... 5 Employee Credentialing Interface (ECI):... 6 Naloxone and Overdose Prevention Education (NOPE) Program:... 6 Tactical Medical Unit... 6 Organizational Structure... 6 Director:... 6 RI DMAT/MRC Coordinator:... 6 Operations:... 6 Logistics:... 6 Hospital Operations:... 6 Medical Director:... 6 Naloxone and Overdose Prevention Education Coordinator:... 7 2016 RI DMAT/MRC Membership... 7 Membership... 7 Eligibility and Active Membership Requirements... 7 RI MRC Online Application... 7 New Member Orientation Session... 7 Exclusion from the Office of the Inspector General s List of Excluded Individuals... 7

License Verification... 8 2016 DMAT/MRC Member and Professional Numbers... 8 2016 New Member Registrations... 8... 9 Total Registered Members of RIDMAT/MRC as of January 1, 2017... 9 2016 RIDMAT/MRC Activations:... 10 Providence College Meningitis Vaccination Clinics... 10 Exeter Search and Rescue... 10 2016 Training Program... 10 Field Hospital Operations Planned Events... 11 2016 Orientation Sessions... 12 New Member Orientation Session... 12 Orientation Sessions... 12 Classroom Training Opportunities:... 13 Naloxone and Overdose Prevention Education Cumulative Totals... 13 Logistics, Administration and Operations Management... 14 2016 Tactical Medical Unit Totals... 14 2016 Newly Acquired Equipment... 15

Overview of the Rhode Island Disaster Medical Assistance Team s Medical Reserve Corps The RIDMAT/MRC is a state-based 501 (c) 3 non-profit organization whose mission is to recruit, train, mobilize, manage and equip a volunteer response corps to enhance state and local capabilities. By working to reduce the vulnerability of Rhode Island and its communities to disaster risk through community public health activities, the promotion of personal preparedness and enhanced response capabilities, RIDMAT/MRC is active in preparing for and responding to the public health and emergency response needs of Rhode Island and its communities. RIDMAT/MRC provides training to its members in the form of field hospital events. The goal of these events is aimed at training medical health professional volunteers to prepare for and respond to public health and emergency response disasters by providing hospital-level care to participants and spectators. RIDMAT/MRC s participation at these events alleviates surge on local EMS services and area hospitals and additionally familiarizes the volunteer with the processes and equipment that are used in the instance of a public health emergency or disaster event. The RIDMAT/MRC program utilizes and manages the State of Rhode Island s Emergency System for the Advance Registration of Volunteer Health Professionals (ESAR-VHP), RI Responds, to register, contact and credential its volunteers. Licenses are credentialed per the standards dictated by the Department of Health and Human Services ESAR-VHP guidelines. RI DMAT/MRC aims to provide support to public health initiatives across the state to improve the health and wellness of Rhode Island, ultimately reducing the vulnerability of the population to disaster risk and improving our overall response efforts. Unit Jurisdiction The RI MRC is a state-based unit designed to serve all communities within Rhode Island including five counties- Bristol County, Kent County, Newport County, Providence County, and Washington County. The program and equipment is housed at RI DMAT, Inc. Headquarters located at 50 Barnett Lane West Greenwich, Rhode Island with an administrative office in Providence, Rhode Island. Mission The mission of the Rhode Island Disaster Medical Assistance Team s Medical Reserve Corps is to recruit, train, mobilize, manage and equip a volunteer response corps to enhance state and local capabilities. Objective To provide useful training opportunities that prepare a volunteer corps to safely and properly respond to the needs of its community. 2016 Contracts and Partnerships RI DMAT/MRC has provided a variety of medical support services in the past several years, and enjoys mutually advantageous relationships with the Rhode Island Department of Health, Rhode Island Emergency Management Agency, Rhode Island State Police, Rhode Island Army and Air National Guard, to name a few.

RI Responds / ESAR - VHP Contract The Rhode Island Department of Health renewed the contract with RI DMAT, Inc. s Medical Reserve Corps program to manage and maintain the State s Emergency System for the Advance Registration of Volunteer Health Professionals (ESAR-VHP) known as RI Responds. RI Responds is a web-based registration and management tool, created by RIDMAT, used to identify and pre-credential healthcare providers who are licensed in Rhode Island prior to a large-scale disaster or public health emergency. The RI MRC Unit Coordinator is responsible for the day-to-day management of the system and its functions and would direct the overall activation of the system in the event of an emergency. RI DMAT Field Hospital Contract RI DMAT, Inc. met the requirements of a contract with the Rhode Island Department of Health to maintain and provide training on an expanse of medical equipment known as the field hospital cache. The contract allows for the maintenance and purchase of durable medical equipment and consumable medical supplies to be used both during training events and in the instance of an activation. The contract also apportions for the maintenance and repair of equipment and fleet and for the storage and delivery of the Department of HEALTH s mobile ventilator cache. Rhode Island Emergency Management Agency MOU The Rhode Island Emergency Management Agency holds a Memorandum of Understanding with RI DMAT, Inc. whereas RI DMAT is qualified to provide emergency medical services and to mitigate medical problems resulting from a mass casualty or disaster event in the State. Brown Emergency Medicine Residency Program RIDMAT/MRC and the Emergency Medicine Residency program began a collaborative partnership in 2014. Each residency class participated in an MRC orientation and were offered the opportunity to register and participate in RIDMAT/MRC planned training events as a requirement of community service hours. This collaboration continued through 2016. Rhode Island College School of Nursing Students participating in the community health course at the nursing school participated in a brief overview of RDMAT/MRC followed by a table top exercise that focused on the Functional Assessment Service Team model and triage assessment tools. The classes were then trained on the Naloxone and Overdose Prevention Education program. This collaboration is slated to continue in 2017. Governor s Overdose Prevention and Intervention Task Force The RIDMAT/MRC Coordinator in her role as the Director of NOPE-RI, was appointed to the overdose task force as a representative of the Statewide Drug Overdose and Rescue Coalition in 2015. The aim of the task force is to work toward a data driven strategic plan to reduce the overdose death rate in the state by 1/3 in three years. Ongoing Projects: Volunteer Credentialing: The RIDMAT/MRC Coordinator is responsible for reviewing and assigning ESAR-VHP credential levels to all registered accounts in the RI Responds system. Requirements mandate that the credentialing process happen on a bi-annual basis.

Employee Credentialing Interface (ECI): RI Responds continues to work with HEALTH, the Hospital Association of Rhode Island (HARI) and Rhode Island Hospitals to establish an electronic process for hospitals to assign an employment verification distinction to RI Responds volunteer accounts. The ECI interface is currently in place and requests have been made with all Rhode Island hospitals to provide the information. The employment verification process allows for the assignment of an ESAR-VHP level 1 credential for Physicians, Physician Assistants, APRNs and Registered Nurses. Naloxone and Overdose Prevention Education (NOPE) Program: Initial funding was received in 2014 through the National Medical Reserve Corps Challenge Award to implement a program aimed at addressing the rampant overdose epidemic facing Rhode Island by using RIDMAT/MRC volunteers to provide training to organizations that are implementing a naloxone response program. The NOPE-RI continues to participate in the Governor s Overdose Prevention Taskforce and continues to provide training at no cost to organizations and has provided training to over 4000 individuals in overdose prevention, recognition and response. Tactical Medical Unit The Tactical Medical Unit (TMU) provides support to the Rhode Island State Police, Municipal Academy, Municipal Departments and the RI Airport Police by providing educational in-services, medical support during call outs and medical support during training activities. Organizational Structure Director: Initiated the formation of the MRC and is ultimately responsible for all aspects of the unit. Determines when the unit will be deployed and which activities warrant involvement by members. RI DMAT/MRC Coordinator: Manages day-to-day operations involved in the recruitment and credentialing of interested volunteers. Maintains regular contact with registered volunteers and organizes training programs and drills, organizes meetings, maintains contract and grant requirements, and participates in partner building and meeting national program requirements. Operations: Responsible for meeting the operational goal to provide useful training opportunities to prepare a volunteer corps, maintaining overall operability at Headquarters, building reliable partnerships to further involvement in preparedness and response Logistics: Ensures facility and support needs are met, including: supply and re-supply of medical and non-medical equipment and materials, headquarter support, communications, IT support, and food and water for staff/volunteers. Hospital Operations: Ensures that clinical staff are familiar with their responsibilities, training is in line with organizational goals and that patients are treated properly and safely during a response and/or training. Medical Director: Responsible for overall management of medical operations with support from the Operations, Logistics, and Hospital Operations.

Naloxone and Overdose Prevention Education Coordinator: The initial NOPE-RI award allowed for the hiring of a part-time educational coordinator responsible for the creation of curriculum and launch of the program. Funding for the position ended December 2014. Currently, this position is being filled by the RIDMAT/MRC Coordinator. 2016 RI DMAT/MRC Membership Membership Any person interested in joining RIDMAT/MRC is eligible to complete the online application. Registered MRC members become eligible for training programs and receive basic correspondence once the on-line application process has been complete. Members are not required to live or work in the state however, must understand that if a member is a licensed healthcare provider in a neighboring state and does not have a valid healthcare license in Rhode Island, that member will fill a non-clinical role to meet the credential requirement of the RI Responds system. In the event of a large public health emergency, RIDMAT/MRC members will be utilized commensurate with their training and skills. Though there are some tasks that members whose licenses have expired will be prohibited from performing, their expertise and training may be used in other areas. If an emergency is of sufficient magnitude, the governor may waive licensure requirements and authorize retired and out-of-state medical professionals to perform various procedures. In this case, members whose licenses are inactive may be granted additional capabilities to meet the urgent needs and address the unusual life threats that may be posed by a disaster. Eligibility and Active Membership Requirements RI MRC Online Application RI MRC volunteers register at www.riresponds.org and must include an active email address with last name and first name. New Member Orientation Session - Orientations are required for new members of RIDMAT/MRC to be covered and considered active. Orientations offer a tour of the facility, badge picture and t-shirt distribution as well as a review of the Medical Reserve Corps and its mission. The orientations last one hour and are offered at the RIDMAT/MRC headquarters at 50 Barnett Lane West Greenwich, RI 02817. Exclusion from the Office of the Inspector General s List of Excluded Individuals Office of the Inspector General has the authority to exclude individuals and entities from federally funded health care programs and maintains the List of Excluded Individuals and Entities(LEIE). The LEIE is updated monthly with all individuals and entities that have been excluded from participation in Federal health care programs and each registered volunteer is

credentialed against this list. If a volunteer is listed on the LEIE, their account is inactivated and they are notified. License Verification- All registered healthcare professional licenses are verified through the RI Responds system. The RI Responds system verifies credentials against the database maintained by HEALTH's Licensing Unit (License 2000) for up-to-date, in-state license information on all of its healthcare volunteers. Recruitment RIDMAT/MRC utilizes the RI Responds system to register, credential, contact, and activate health professional volunteers and non-clinical volunteers. Many new RIDMAT/MRC members come from the RI Department of HEALTH s on-line license renewal system where health professionals are queried on their interest in participating in a disaster or public health emergency. If the licensee indicates interest, they are linked to the RI Responds registration site - www.riresponds.org - upon completion of license renewal. Additional recruitment occurs at training events. 2016 DMAT/MRC Member and Professional Numbers 2016 New Member Registrations Team Profession Count RIMRC Allopathic Physician 6 RIMRC Certified Nursing Assistant 14 RIMRC EMT Student 12 RIMRC Health Technician (Basic) 18 RIMRC Health Technician (Intermediate) 9 RIMRC Health Technician (Paramedic) 3 RIMRC Licensed Marriage and Family Therapist 1 RIMRC Licensed Practical Nurse 4 RIMRC Limited Physician (Resident) 6 RIMRC Medical Student 6 RIMRC Mental Health Counselor 5 RIMRC Non-Clinical Volunteer 34 RIMRC Nursing Student 4 RIMRC Osteopathic Physician 1 RIMRC Pharmacist 3 RIMRC Pharmacist Limited (Pharmacy Intern) 1 RIMRC Pharmacy Technician 1 RIMRC Physician Assistant 1 RIMRC Psychologist 1 RIMRC Registered Nurse 30 Total 2016 Registrations 160

Total Registered Members of RIDMAT/MRC as of January 1, 2017 Team Profession Count RIMRC Allopathic Physician 67 RIMRC Certified Athletic Trainer 3 RIMRC Certified Nursing Assistant 46 RIMRC Chiropractic Physicians 4 RIMRC Clinical Laboratory Technologist 1 RIMRC Dentist 8 RIMRC EMT Student 22 RIMRC Health Technician (Basic) 140 RIMRC Health Technician (Intermediate) 148 RIMRC Health Technician (Paramedic) 62 RIMRC Licensed Clinical Social Worker 24 RIMRC Licensed Marriage and Family Therapist 3 RIMRC Licensed Practical Nurse 23 RIMRC Limited Physician (Resident) 12 RIMRC Massage Therapist 3 RIMRC Medical Records and Health Information Technician 1 RIMRC Medical Student 7 RIMRC Mental Health Counselor 8 RIMRC Non-Clinical Volunteer 220 RIMRC Nurse Practitioner 22 RIMRC Nursing Student 8 RIMRC Osteopathic Physician 11 RIMRC Pharmacist 68 RIMRC Pharmacist Limited (Pharmacy Intern) 20 RIMRC Pharmacy Student 4 RIMRC Pharmacy Technician 14 RIMRC Physician Assistant 21 RIMRC Psychologist 13 RIMRC Radiologic Technologist 12 RIMRC Registered Nurse 370 RIMRC Respiratory Therapist 9 Total 1374

2016 RIDMAT/MRC Activations: Providence College Meningitis Vaccination Clinics In 2015, DMAT/MRC activated its emergency response capabilities at the request of the RI Department of Health to execute a meningitis vaccination POD at Providence College in response to an outbreak of institutional meningococcal meningitis (serogroup B) at the school. RIDMAT/MRC provided POD support including vaccine storage and delivery, immunization supplies, vaccinators, acute treatment services, behavioral health specialists, medical control and general support staff. Because the meningococcal meningitis vaccine is a three-dose series, RIDMAT/MRC continued work with Providence College throughout the year and into 2016 to ensure that the school and its students could complete the vaccination series as recommended by the CDC and the manufacturer of the vaccine. Program # of Events # of Shifts Volunteer Hours Vaccinations Economic Impact Meningitis Clinics 2 44 171.17 714 $4,000.00 Incoming Freshman Clinics Dates Clinic Times Number of Volunteers Number of Vaccinators Volunteer Hours Number of Vaccinations Economic Value 3/20/16 1300-1800 26 12 105.87 514 $2,533.47 3/22/16 1500-2000 18 8 65.3 200 $1,532.63 Exeter Search and Rescue RIDMAT/MRC was requested by Exeter Emergency Management Agency to offer logistical and personnel support to a search and rescue mission for a missing hiker in December 2016. State Police, Exeter EMA and Environmental Police utilized the DMAT/MRC Mobile Command Center and DMAT/MRC volunteers provided pre and post screening for search and rescue volunteers. Program # of Events # of Shifts Volunteer Hours Interactions Economic Impact Search and Rescue 2 22 153 182 $3,500.00 Date Event #Volunteers # Hours 12/1/2016 Exeter Search and Rescue 12 102 12/2/2016 Exeter Search and Rescue 10 51 2016 Training Program RIDMAT/MRC provides both classroom training sessions and field hospital training opportunities to its volunteers. The objective of the training program is to train medical health professional and allied volunteers to prepare for and respond to public health emergencies and disasters. During planned field hospital events, RIDMAT/MRC volunteers provide hospital level care to participants and spectators at mass gathering events across the state. These field hospital training events allow for the familiarity of the staff, equipment and processes that could be utilized in the event of a disaster in Rhode Island.

RIDMAT/MRC s participation at these events also alleviates surge on local EMS services and area hospitals. Field Hospital Operations Planned Events Program # of Events # of Shifts Volunteer Hours Interactions Economic Impact Planned Events 24 519 5514 948 $127,000.00 Date Mission # Volunteers # Hours Interactions 4/24/2016 RISP 5K 15 46 2 6/4/2016 Mission of Mercy Saturday 8 600 375 6/5/2016 Mission of Mercy Sunday 8 597 328 6/4/2016 Air Show Set Up 22 310 0 6/10/2016 Airshow Friday 47 395 0 6/11/2016 Airshow Saturday 62 548 6 6/12/2016 Airshow Sunday 66 801 18 6/18/2016 Pride Day Festival & Parade 16 116 6 7/4/2016 Bristol 4 th of July Parade 33 193 28 7/22/2016 Newport Folk Festival 28 267 29 7/23/2016 Newport Folk Festival Saturday 35 285 38 7/24/2016 Newport Folk Festival Sunday 31 278 36 7/29/2016 Blessing of the Fleet Road Race 22 97 8 7/29/2016 Newport Jazz Festival Friday 17 171 18 7/30/2016 Newport Jazz Festival Saturday 21 232 20 7/31/2016 Newport Jazz Festival Sunday 23 218 29 9/10/2016 BoldRDash 7 35 0 9/10/2016 Parkinsons Walk 9 31 3 9/18/2016 CVS 5k 13 86 0 9/23/2016 Celebrate West Greenwich 6 24 0 9/24/2016 Celebrate West Greenwich 3 21 0 10/8/2016 Scituate Art Festival 11 77 2 10/9/2016 Scituate Art Festival 8 14 0 10/10/2016 Scituate Art Festival 8 72 2 519 5514 948

2016 Orientation Sessions New Member Orientation Session - Orientations are required for new members of RI MRC to be covered and considered active. Orientations offer a tour of the facility, badge picture and t-shirt distribution as well as a review of the Medical Reserve Corps and its mission. The orientations last one hour and are offered at the RIDMAT/MRC headquarters at 50 Barnett Lane West Greenwich, RI 02817 Program # of Events # of Volunteers Volunteer Hours Orientation Sessions 6 80 120 Orientation Sessions Date Session Location Number Attended 3/9/2016 RIDMAT/MRC New Member Orientation DMAT/MRC 14 4/19/2016 RIDMAT/MRC New Member Orientation DMAT/MRC 14 5/14/2016 RIDMAT/MRC New Member Orientation DMAT/MRC 14 6/1/2016 RIDMAT/MRC New Member Orientation DMAT/MRC 25 7/19/2016 RIDMAT/MRC New Member Orientation DMAT/MRC 10 8/23/2016 RIDMAT/MRC New Member Orientation DMAT/MRC 3 Total 80 Professions Represented at 2016 Orientations Non-Clinical Volunteer 19 Registered Nurse 16 Health Technician (Basic) 13 Health Technician (Intermediate) 6 Allopathic Physician 5 EMT Student 5 Certified Nursing Assistant 4 Licensed Practical Nurse 3 Pharmacist 2 Physician Assistant 1 Nursing Student 1 Osteopathic Physician 1 Limited Physician (Resident) 1 Medical Student 1 Mental Health Counselor 1 Health Technician (Paramedic) 1 Total 2 1 0 100 50 0 2.00 1.50 1.00 0.50 0.00 80 Oriented Members 2016 Orientees Average Events Atteneded 2016 Oriented Members Participation 0.92 49 32 16 Attended at least one event 1.06 Attended at least two events 1.47 Attended three or more events Average Participation by Orientation Year 1.69 2013 2014 2015 2016

Classroom Training Opportunities: Program # of Events # of Volunteers Volunteer Hours Classroom Training 5 67 122 Date Session Location Number Attended 1/25/2016 DOT Driver Training DMAT/MRC 18 3/29/2016 NOPE Train the Trainer DMAT/MRC 9 4/16/2016 Admin Patient Registration Training DMAT/MRC 10 5/14/2016 Admin Patient Registration Training DMAT/MRC 10 8/24/2016 Zika Presentation DMAT/MRC 20 Naloxone and Overdose Prevention Education Cumulative Totals Drug overdose is the leading cause of accidental death for adults in Rhode Island, claiming multiple lives each week. The Naloxone and Overdose Prevention Education Program s mission is to leverage the DMAT/MRC volunteer base to provide opioid overdose prevention education to organizations that plan to or have initiated a naloxone response program. Our programming includes overdose prevention, recognition, and response training, specifically targeted towards law enforcement and public safety professionals, primary care providers, behavioral healthcare providers, corrections, schools and others. In addition to our in-person education, we serve as a clearinghouse for naloxone and overdose prevention training resources in the state, as well as encouraging and supporting efforts to expand access to naloxone. Since its inception, NOPE-RI has trained over 4000 individuals on how to prevent, recognize and respond to opioid overdose. Program # of Events # of Shifts Volunteer Hours Total Trained Economic Impact NOPE - RI 42 71 213 1457 $4,900.00 2016 Medical Behavioral Health LEO/First Responders Corrections Schools/ Public Totals Q1 55 11 0 7 236 309 Q2 564 0 37 0 14 615 Q3 6 0 104 0 158 268 Q4 131 21 73 0 40 265 756 32 214 7 448 1457

Logistics, Administration and Operations Management Members of the RIDMAT/MRC leadership team volunteer their time to complete projects including, but not limited to, team administration, medical electronics maintenance, communications planning, vehicle maintenance and repair and warehouse and cache resupply. Most event planning, cache management and grant management are completed on a volunteer basis. Logistics, Operations, Communications and their administrative hours are tracked in the RI Responds T-Rex Mobile Time Tracker. Logistics days and events allow volunteers to offer time to help maintain the organization s readiness. Logs events are held twice a week at RI DMAT/MRC s Headquarters on Thursday evenings and Saturday mornings. Program # of Events # of Shifts Volunteer Hours Economic Impact Logistics 88 243 729 $17,000.00 Management 4 2080 $48,000.00 2016 Tactical Medical Unit Totals The TMU provides support to the State Police, RI Municipal Police Academy and Municipal Departments by offering educational in-services and medical support during training exercises, details and call outs. Program # of Events # of Shifts Volunteer Hours Economic Impact TMU 75 161 695 $16,000.00 Event Hours Shifts Academy 208 55 Training 231 39 State Police Stand By 68 13 Governor s Security 33 9 SWAT Callouts 78 20 HIDTA Callouts 4 2 LEO Medical Education 43 10 TMU Meetings 30 11 Totals 695 161

2016 Newly Acquired Equipment 59 Air Beam Portable Shelters 20 x32 26 Portable Heaters 140,000 BTU 27 Portable Combination HVAC Units 88,000BTU Heat / 5 Ton AC 1 Mobile Field Kitchen 1 Light Field Aid Station (LFAS 3) 5 Trailer Mounted Generator / Combination HVAC Units - ECU Large Capacity 3 Humvee Support Vehicles. Used to tow HVAC ECU s 1 Rough Terrain Forklift 6000lb Capacity 1 Mobile Command Post xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx Thank you for your continued support of the Rhode Island Disaster Medical Assistance Team s Medical Reserve Corps program. For any inquiries into this report, please contact the RIDMAT/MRC Program Coordinator, Erin McDonough, at emcdonough@ridmat.org