Kansas Guide to Forming a Medical Reserve Corps Unit

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Kansas Guide to Forming a Medical Reserve Corps Unit A desire to work to create safe, healthy, and prepared Kansas communities 1 Last Updated 28 February 2014

Attachment 5 Checklist... 13 Attachment 3 - Standardized Training Policy... 11 Attachment 4 Kansas MRC Contact List... 12 Attachment 1 - Kansas MRC Volunteer Application... 9 Attachment 2 - Kansas MRC Logo... 10 Web-site Resources... 7 System Resources:... 8 Resources... 7 People Resources... 7 Badging Volunteers... 5 MRC Registration Criteria... 6 Unit Activities... 5 Credentialing & Verification of Volunteers... 5 Kansas Medical Reserve Corps (KS MRC)... 3 Standardization... 4 Introduction to the Medical Reserve Corps (MRC)... 3 Office of the Civilian Volunteer Medical Reserve Corps (OCVMRC)... 3 Table of Contents... 2 Purpose... 3 2 Last Updated 28 February 2014

recommendations for basic necessities to develop and operate an MRC unit. To provide guidance on how to develop an MRC unit within any jurisdiction in the State of Kansas. Although there is no set standard on how to form an MRC unit, this document provides 3 Last Updated 28 February 2014

Each unit is sponsored by a housing agency. These housing agencies range from local governmental agencies to community-based organizations. For example, KS MRC units are housed in local emergency management agencies, hospitals, local health departments and non-profit associations. Standardization The KS MRC is working on creating standardization throughout the units. This does not mean that all KS MRC units will be the same. We still want to encourage diversity and variety among the units. Instead, the main goal of standardization is to create a basic definition of what a KS MRC volunteer is considered. So far, KS MRC has created a standardized Volunteer Application. This was created and agreed upon by KS MRC Unit Coordinators to ensure that all relevant information is included (See Attachment 1). Additionally, there is an approved KS MRC logo (.jpg format) that is available for all units use throughout Kansas (See Attachment 2). If you wish to create a county or unit-specific logo, the design will need to be approved through the federal MRC office. To do this, you will have to log into the national MRC website, www.medicalreservecorps.org, and click on the link that says Logo Request/New Use. KS MRC members developed a standardized training requirement. The focus is on a basic, primary level of training that each unit will strive to complete. This will ensure that all KS MRC volunteers have completed the same minimum level of training (See Attachment 3 for a copy of the policy). Once the basic level of training has been institutionalized, the Kansas MRC unit leaders will work towards developing more advanced training levels. The Kansas MRC program developed a Volunteer Incentive Program (VIP). The VIP provides volunteers incentive items for completing the requirements of the Kansas MRC Standardized Training Plan. The VIP utilizes TRAIN s Master Training Plan through the units MRC Business Account, which allows for monitoring a volunteer s progress. The training elements are ICS 100, IS 700, IS 22 or a family preparedness plan, Psychological First Aid (PFA), and an MRC Orientation. Each element is associated with a specific core competency. Associating the incentives with the training plan, which is associated with the core competencies, ensures that the volunteers are meeting the core competency standards. 4 Last Updated 28 February 2014

Unit Activities MRC volunteers contribute their time and efforts in a wide variety of situations, from natural disasters to health fairs. During the interim of responding to disasters/emergency, MRC volunteers serve as Public Health Ambassadors. Typically, they provide health education and support, as well as, encourage the community to embrace healthy lifestyles. One of the biggest struggles faced by MRC units is the challenge of keeping volunteers involved and active. If you are interested in utilizing your MRC unit for a particular activity, chances are a KS MRC unit has done it. There s no need to re-invent the wheel. Instead talk to another unit coordinator to get recommendations, advice, and help when beginning a new activity (See Attachment 4 for the contact list.) Credentialing & Verification of Volunteers The Kansas System for the Early Registration of Volunteers (K-SERV) is a comprehensive, online tool for volunteer management. K-SERV was originally created as a site that could enroll, verify, and credential health professionals interested in volunteering during an event. Since then, K-SERV has been expanded to register anyone interested in helping during an incident, not just those that are licensed healthcare professionals. K-SERV is able to credential up to 20 different health and medical professionals certifications and licenses. MRC Coordinators have the ability to become K-SERV Local Administrators. Local-level administrators may only view the information of the volunteers registered in their county or counties that the State Volunteer Coordinator has given access to. They have access to all their volunteers information and may perform all the functions of the K-SERV system. A K-SERV Local Administrator does not have the ability to credential a volunteer; that is completed by the State Volunteer Coordinator. The local administrator is able to create and edit groups, request volunteers through the use of Kansas Health Alert Network (KS-HAN), and track deployment of volunteers. Badging Volunteers The Kansas Division of Emergency Management (KDEM) had begun a statewide credentialing and resource tracking project that would incorporate badging volunteers. The Kansas MRC Unit Coordinators and the Kansas System for the Early Registration of Volunteers (K-SERV) Advisory Council had indicated strong preference for integrating with the current emergency management badging efforts and, in the interest of collaboration and partnership, it was decided that the K-SERV badging project would be highly incorporated with the KDEM credentialing and resource tracking project. For K-SERV volunteers who will not be issued a card prior to an incident, the following steps should be followed to provide an identification card once on scene: 5 Last Updated 28 February 2014

o Process for volunteer screening and verification of professional credentials o Identification of, and partnerships with, key local community/government stakeholders o Organizational structure (allows for management and utilization of volunteers) o Volunteer Management (recruitment, engagement, recognition and retention) the following elements: o Mission, goals and objectives of the unit should be done in coordination with the State registry/esar-vhp. MRC unit has plans in place for establishing, implementing and sustaining the unit, and considers MRC unit verifies the credentials of members with professional licenses/certifications (at a minimum, ensures that licenses are current and unencumbered). To the extent possible, this stakeholder groups and is integrated in the local public health, medical and emergency services infrastructure MRC unit has an identified leader. MRC unit establishes and maintains partnerships with key local community/government MRC unit is affiliated with an appropriate local sponsoring/housing organization (a public or private non-profit, community-based organization). efforts of individual MRC units. criteria serve as a baseline that allows the OSG/OCVMRC to monitor and evaluate initial and ongoing These MRC. an administer and implement successfully to necessary principles fundamental and basic In order to be approved for initial registration, and to continue that registration status, MRC units must continually meet the unit registration criteria outlined below. These registration criteria encompass the in a row will better prepare you for the registration process. quick reference for starting and developing a Kansas MRC unit (See Attachment 5). Having all your ducks a provides checklist This checklist. a use to recommended is it unit, MRC new your registering Before If and when K-SERV is activated, a generated list of available volunteers will be provided to the local emergency manager or requesting entity. The K-SERV volunteer will arrive on scene; he or she will provide identification (Driver s License, other photo identification). This will be verified with the list of accepted volunteers. A rapid tag will be generated for the K-SERV volunteer. If an MRC Unit Coordinator is on scene, it is encouraged for the coordinator to discuss with the volunteer about joining the MRC. This allows the K-SERV volunteer to be part of the organization. This will allow for the K-SERV volunteer to get a CRMCS card/badge for future deployments. MRC Unit Coordinators are encouraged to work alongside with the housing agency and emergency management to develop the processes of badging MRC volunteers. For more information on the statewide credentialing process, go to www.kansasresponder.com. 6 Last Updated 28 February 2014

MRC 101 a local MRC unit. As a prospective MRC unit leader, consider reviewing the following resources: information on the MRC, including information on developing and administering of wealth a provide can www.medicalreservecorps.gov, website, Corps Reserve Medical Volunteer Civilian the of Office 1. At the National and State levels there are resources that are designed to support current and potential leaders. These resources provide different tools to successfully develop and sustain MRC units. Web-site Resources Sonia.jordan@hhs.gov efarley@kdheks.gov 785-296-5201 816-426-2829 Farley Sonia Jordan Emily Coordinator Regional Coordinator State Additionally, feel free to contact the State MRC Coordinator or the MRC Region VII Coordinator. problems, and work on KS MRC projects. The meetings are beneficial and you are strongly encouraged to attend if able. Lunch is generally provided. good advice since they have been through the same process before. KS MRC Unit Coordinators meet on the second Thursday of evens months. This time is for the Unit Coordinators to air frustrations, solve There are many people in the MRC community who can provide assistance when starting a new unit. Try contacting one of the other Kansas Unit Coordinators (See Attachment 4). They will generally have People Resources o Integration into local and state plans for public health and emergency response o Training (utilizing NIMS requirements and the MRC Core Competencies) o Volunteer activation/utilization o Sustainability o Evaluation MRC unit participates in public health, preparedness and emergency response activities MRC unit is active in the MRC network (regionally and/or nationally), and considers the following elements: o Participates in state, regional and/or national MRC meetings o Shares information with other MRC units (listserv, promising practices, training resources, etc.) o Maintains/updates unit profile on the MRC website (including current contact information, volunteer numbers, recent activities, extended profile information, etc.) o Participates in annual MRC Technical Assistance Assessments o Interacts with MRC Regional Coordinator 7 Last Updated 28 February 2014

o (http://www.medicalreservecorps.gov/file/mrc_resources/mrc_101.ppt) Promising Practices Toolkit (http://www.medicalreservecorps.gov/promisingpracticestoolkit.asp) NIMS Compliance Guidance for MRC Units (http://www.medicalreservecorps.gov/nimsguidance) New Leader Transition Checklist (http://medicalreservecorps.gov/file/unit_leader_transition_doc.doc) Unit Leader Guide to the TA Assessment (http://www.medicalreservecorps.gov/file/mrc_resources/unit_leader_guide_to_the_ta_ass essment.pdf) How to Start an MRC (www.medicalreservecorps.gov/startmrc.as) 2. In addition, fairly detailed information on a variety of MRC topics are contained in a series of publications called the Technical Assistance Series, also available on the national MRC website. The Technical Assistance Series can be found at the following web address: http://www.medicalreservecorps.gov/taseries. 3. The National Association of City & County Health Officials (NACCHO) website, www.naccho.org, has many public health resources available for free. The system does require that you register on the site. Since NAACHO has a partnership with the MRC, there is an MRC-specific portion of the website available here: http://www.naccho.org/toolbox/. 4. A partner with the MRC is the Citizen Corps. The website, www.citizencorps.gov, makes available many resources that are beneficial for MRC leaders and volunteers. 5. State of Kansas MRC website, www.kansasmrc.org, provides an outlet of information sharing among current and prospective MRC units and volunteers. In addition, the web site provides educational resources for the public. System Resources: 1. Kansas System for the Early Registration of Volunteers (K-SERV): K-SERV is a secure registration system and database for volunteers willing to respond to public health emergencies or other disasters in Kansas or other areas across the country. It can be utilized as a volunteer management system at the local and state levels, therefore avoiding duplication of information at each level. Everyone is welcome to register in K-SERV. For more information, please visit www.kdheks.gov/it_systems/k-serve.htm 2. Kansas Train & MRC-Train: TRAIN is the premier learning resource for professionals who protect the public's health. Volunteers can quickly find and register for many courses listed on Train.org and participating TRAIN affiliate sites; track your learning with personal online transcripts; access valuable materials, course reviews, and discussions to improve your learning experience; and stay informed of the latest public health trainings for your area or expertise. www.ks.train.org or www.mrc.train.org. 8 Last Updated 28 February 2014

KANSAS MEDICAL RESERVE CORPS VOLUNTEER APPLICATION Personal Contact Information Full Name (Last, First Middle) PLEASE PRINT Alias (if applicable) Mailing Address City County Zip Code Home Phone Cell Phone E-mail Address (personal) Work Information Present Employer Occupation Work Phone Work Address Work Status Full Time Part time Retired Background Information: The following is required for a background check. Your information will be kept confidential. Date of Birth Place of Birth Sex Male Female Driver s License: (#, State, & Type) Race: White Black Hispanic American Indian/Alaskan Native Asian/Pacific Islander Have you ever been convicted of a felony? If yes, please explain: Yes No A misdemeanor? Yes No Professional Licensure Information: Note: It is not necessary to hold a Professional License to join the Medical Reserve Corps Name on License License Type (health or mental health license) License Number Do you have Prescriptive Authority?: Yes No Certifications & Foreign Language Please list any certifications or trainings and date of completion: 1. 2. 3. 4. 5. Please list any specialized skills with relevance to the Medical Reserve Corps: 1. 2. 3. Please list any foreign languages spoken/written: 1. 2. 3. 1 Return to: 1000 SW Jackson, Suite 330; Topeka, KS 66612-1365 Or as an e-mail attachment to preparedness@kdheks.gov (subject line: MRC application)

Emergency Contact Information In case of emergency, please contact: Relationship: Daytime Phone: Evening Phone Do you have any personal health issues that would impact your ability to volunteer? Yes No If yes, please list here: Personal References: Please list 3 personal/professional references Professional Personal 1. Name Relationship Phone Number Address Professional Personal Professional Personal 2. Name Relationship Phone Number Address 3. Name Relationship Phone Number Address Education Highest Level of Education: High School College Graduate School Other Name of Graduating School: Degree: Major: Year Graduated: Are you part of an emergency/disaster If yes, please explain: plan with any other organization? Yes No How did you learn about the Medical Reserve Corps? I hereby certify that all information on this application is accurate and correct and I hereby make application to the County Medical Reserve Corps. I understand that I am applying for a volunteer position and this is not an application for, nor a contract of, employment. I understand that this application does not automatically make me a credentialed volunteer and that further interviews and training will take place. I understand that every attempt will be made to reduce the risks to volunteers; however, some risks may be present during a public health emergency or disaster. I further understand and give written permission for the County Medical Reserve Corps to submit my name for criminal and driving background checks. Also, I realize that my professional licensure status will be verified. Signature of Applicant Date 2 Return to: 1000 SW Jackson, Suite 330; Topeka, KS 66612-1365 Or as an e-mail attachment to preparedness@kdheks.gov (subject line: MRC application)

Standardized Training Policy Introduction Each Kansas MRC unit is different and varies wildly in size, location, and activities. Each unit, however, has one thing in common: a desire to work to create safe, healthy, and prepared Kansas communities. The main goal of standardization is to create a basic definition of what a Kansas MRC volunteer is considered. Purpose The Kansas Medical Reserve Corps (MRC) unit coordinators in the State of Kansas have determined and agreed upon minimum volunteer training requirements. The focus is on a basic, primary level of training that each unit will strive to complete. This will ensure that all Kansas MRC volunteers have completed the same minimum level of training. Training All Kansas MRC volunteers are required to have basic training requirements. The minimum volunteer training requirements are consistent with the MRC Core Competencies. The minimum volunteer training requirements include all of the following: o ICS 100 o ICS 700 o IS 22 or a family preparedness plan o MRC Orientation Once the basic level of training has been institutionalized, the Kansas MRC unit coordinators will work towards developing more advanced training levels. 1 Last Updated 15 June 2010

Kansas MRC Contact List 1 Butler County 206 N. Griffith, Suite B El Dorado, KS 67042 Melissa Shaw mshaw@bucoks.com 316-321-4517 Doniphan County 201 S. Main Troy, KS 66087 Kay Smith dchd6@rainbowtel.net 785-985-3591 Douglas County 200 Maine Street Lawrence, KS 66044 Charlie Bryan cbryan@ldchealth.org 785-843-3060 Jefferson County 1212 Walnut Oskaloosa, KS 66066 Meghan Fowler mfowler@jfcountyks.com 785-863-2447 ext. 225 Nemaha County 1004 Main Street Sabetha, KS 66534 Brooke Kelly bdalinghaus@outlook.com 785-284-2152 KS Veterinary MRC Updated 2/28/2014 Marshall County 600 Broadway Marysville, KS 66508 Cheryl Skalla cherylskalla@yahoo.com 785-562-3485 North Central Region 239 N. Santa Fe Salina, KS 67401 Sue Cooper scooper@srhc.com 785-392-7551 OR Dick Godfrey Dickgodfrey49@hotmail.com 785-823-3128 Reno County 206 W 1st Hutchinson, KS 67501 Bill Guy bill.guy@renogov.org OR Todd Strain Todd.strain@renogov.org (620)694-2974 OR J.D. Gilbert Jonathan.gilbert@renogov.org Sedgwick County 1900 East Ninth Wichita, KS 67214 Barry Carroll bcarroll@sedgwick.gov 316-660-7344 Shawnee County 1615 SW 8th Avenue Topeka, KS 66606 Jennifer Zeller jennifer.zeller@snco.us 785-368-2736 Kansas City

(Statewide) 404 S. Edgemore, Suite 1 Wichita, KS 67218 Christen Skaer clskaer@aol.com 316-683-4641 Or Kelly Benton bentonkl@yahoo.com Northwest Kansas Regional MRC 2220 Canterbury Drive Hays, KS 67601 Tami Wood Tami.wood@haysmed.com 785-639-0594 Harvey County MRC 316 Oak St. Newton, KS 67114 Skip Cowan scowan@harveycounty.com 316-283-5667 Region VII Coordinator Sonia Jordan Sonia.jordan@hhs.gov 785-452-2890 (Johnson, Leavenworth, Miami, & Wyandotte) 600 Broadway, Suite 200 KC, MO 64105-1659 Sarah Helm shelm@marc.org 816-701-8242 Wildcat Region MRC 1212 W. Ash St Junction City, KS Dani Holliday dholliday@gcphd.org 785-762-5788 Riley County Point of Contact Jason Orr jorr@rileycountyks.gov Cowley County MRC 320 E 9 th Ave, Suite B Winfield, KS 67156 Jason Kazban jkazban@cowleycounty.org 620-221-1430 State Coordinator 1000 SW Jackson, Suite 330 Topeka, KS 66612-1365 Emily Farley efarley@kdheks.gov 785-296-5201 2 Updated 2/28/2014

Checklist for Starting and Developing a Kansas MRC Unit Determine the purpose and scope of your Medical Reserve Corps (MRC) unit a. Determine the area your MRC unit will serve b. Conduct a needs assessment c. Develop a mission statement d. Determine objectives e. Establish local partnerships f. Register your MRC unit on the MRC website at http://www.medicalreservecorps.gov/startmrc Determine the financial needs of your MRC unit and identify potential funding sources for your unit Determine organizational structure and unit composition a. Ensure your MRC unit s organizational structure supports and facilitates your MRC unit s mission b. Ensure your MRC unit composition is consistent with your unit s purpose(s), e.g., mental health specialists if your mission is grief counseling; physicians, nurses, and other clinicians if your purpose is supplementing medical surge capacity; etc. Develop procedures for volunteer recruitment and selection a. Determine positions to be filled and identify required specialties b. Develop recruiting and marketing materials c. Develop and implement recruiting events and activities d. Coordinate recruiting efforts with those of other area volunteer agencies, particularly those that utilize medical personnel (i.e., the American Red Cross) e. Develop application materials Develop policies and procedures for volunteer screening and selection a. Develop a screening process that includes: i. Application review ii. Interview iii. Reference check iv. Background check (if necessary) v. License verification (if necessary) vi. Documentation of the screening process b. Ensure consistent policies and procedures are followed throughout the volunteer screening and selection process Develop a volunteer training program a. Consider including basic (required) and advanced courses in the training program, such as (the basic NIMS course), as part of their training curriculum: i. Orientation to MRC unit ii. ICS-100, Basic ICS (required by OCVMRC and KS MRC) iii. IS-700, NIMS, An Introduction (required by OCVMRC and KS MRC) iv. IS-22, Personal and Family Preparedness (required by KS MRC) v. First Aid/CPR vi. Bloodborne Pathogens/Universal Precautions b. Determine other training courses that might be appropriate and beneficial for volunteers based on the MRC unit s roles and responsibilities and MRC volunteers specific job responsibilities c. Consider including MRC Core Competencies in training program d. Consider utilizing MRC-TRAIN and/or KS-TRAIN to deliver and track training courses

e. Consider developing plans and procedures for just-in-time training f. Include exercises in MRC unit training programs g. Maintain training records for all MRC unit members Develop policies and procedures for the use of MRC volunteers in an emergency a. Determine the MRC unit s capabilities to address the community s needs and challenges (as identified through a needs assessment and coordination with the MRC unit s response partners) b. Develop activation and deactivation procedures, and determine who (or which organizations) may request activation of the MRC unit c. Develop policies and procedures associated with out-of-area volunteer deployments d. Ensure policies and procedures associated with emergency operations are detailed in the MRC unit s handbook, manual, operations plan, etc. e. Ensure MRC volunteers have access to mental health counseling during and/or following emergency operations, if necessary Determine how your MRC unit can support the community s ongoing public health and medical needs (e.g., public education, health screenings, etc.) a. Consult local hospitals, public health agencies, other healthcare institutions and NGOs for ways in which your MRC unit can provide assistance to the community s ongoing public health and medical efforts b. Ensure MRC volunteers participation in these efforts is properly documented and recognized Develop policies and procedures for unit administration a. Establish a system for tracking and managing volunteers (e.g., the Kansas System for Early Registration of Volunteers [K-SERV] is an online tool for volunteer management) b. Develop ID cards for unit members and determine their use c. Establish policies and procedures for the administration of unit finances d. Develop an MRC unit handbook, manual, or plan e. Develop MRC leadership transition policies Develop and implement strategies for volunteer retention a. Provide leadership opportunities for volunteers b. Provide initial and continuing training opportunities for volunteers c. Ensure volunteers are provided a stake (buy-in) in the development of the MRC unit, through the development of policies and procedures; leadership roles and responsibilities; and listening to and acting on their thoughts, concerns, and questions d. Provide volunteers with unit positions and assignments (both emergency and nonemergency) consistent with their interests and skills e. Ensure volunteers are engaged between emergencies (i.e., in meetings, exercises, or special events) f. Establish a volunteer recognition and awards program Develop and implement an evaluation program a. Establish objectives and plans for their achievement, along with a timeline, and institute a review process to determine progress in these particular areas b. Track volunteer statistics to concretely demonstrate program accomplishments c. Communicate the results of your evaluation program to illustrate your MRC unit s effectiveness d. Update the MRC unit profile at least quarterly