Public Health Emergency Response: Partners in Action! Oklahoma State Department of Health
Role of Public Health During Times of Disaster Protect and promote health, prevent disease and injury Ensure effective coordination of all resources necessary to respond to the environmental, health and medical needs of the population 2
Emergency Operations Plan (EOP) Oklahoma Emergency Management Protocol for Disaster Response Operations Contains 15 Emergency Support Functions (ESF) ESF #8: Public Health and Medical Services State Coordinating Agency Oklahoma State Department of Health State Level: Local Level: Commissioner of Health County Health Department Administrator 3
Public Health Response All those components of the public health and medical system required to triage, treat, medicate and provide on-going care to the population affected Local, regional, or state level 4
Public Health and Medical System Partners Health departments Hospitals (public, private, federal, Tribal) EMS and non-emergent medical transport providers Community health centers Nursing homes Private practitioners and clinics Mental health agencies Specialty service providers Support service providers Other 5
System Challenges Largely consists of private practitioners and private institutions that function independently May be competitors Poor communication between agencies/disciplines Prone to uncoordinated response efforts Capacity of the providers can easily be exceeded medical surge 6
Surge Management Hospital Beds and Emergency Departments Field Treatment Facilities Physician Offices and Clinics Health Departments/Mass Medication Decontamination and Isolation Capacity Mental Health Services Laboratory Testing Pharmaceuticals Mass Fatalities Public Information Other 7
All Hazards Planning Terrorist Attacks Natural Disasters HAZMAT Events Disease Outbreaks 8
Regional Medical Planning Group (RMPG) Primary Health System Planning Coalition Led by Metropolitan/Regional Medical Response System Integrated Emergency Response Plan Development Based on Uniform Strategy Local/Regional Memorandum of Understanding Coordinated Response 9
Medical Reserve Corps Electronic System for Advanced Registration of Volunteer Health Professionals (ESAR-VHP) Coordinated Use of Volunteers at the Local, State and Federal Level Exercises Response 10
Command, Control and Management 11
ESF-8 Coordination Challenges Guidance and Leadership Health Dept. Hospitals & Treatment Centers EMS Other Partners 12
Managing Disasters National Incident Management System (NIMS) A standardized system for managing response to a disaster or emergency situation Establishes an Incident Command System (ICS) Command Operations Logistics Planning Finance/Administration Provides for nationally understood roles Establishes the Incident Action Plan (IAP) Allows for customization based on need Provides for system up/down communication and integration 13
Medical Emergency Response Center (MERC) Serves as the Medical System Emergency Operations Center (EOC) during times of emergency Staffed by MMRS or RMRS personnel with liaisons for hospitals and EMS Assists to coordinate medical system response activities including surge management, patient movement, asset distribution and communication. 14
2009/10 H1N1 Response Commissioner Dr. Terry Cline Incident Commander Scott Sproat State Health Officer Edd Rhoades Legal Officer Nick Slaymaker ESF-8 / LNO Officer Ed Kostiuk JIS Leslea Bennet-Webb T. Cathey C. Harvey P. Lindsey S. Grube Deputy IC for OPS Kristy Bradley Logistics Chief Kristi Herand Planning Chief Lynnette Jordan Finance Chief Ray Hankins Epi Operations Chief Laurence Burnsed Medical Ops Chief Diana Pistole IT Unit S. Tomlinson Situation Unit Timothy Cathey Procurement Unit Greg Morley Lab Group Gary McKee Surveillance Group Steve Grube Vaccine Control Branch Don Blose Vaccine Distribution Dorothy Cox Public Health Branch Tressa Madden THD Dave Cox Medical Branch Mike Abla MMRS/RMRS Group Michael Murphy Data & Reporting Branch Lauri Smithee Epi Surveillance Sys Jeannie Thompson Supply Unit Ron House Ground Support Unit Sterling Sutton Resources Unit T. Gibson-Agahnia Documentation Unit Sally Carter Time Unit Mack Harris Grants Kristi Herand Epi Investigations Unit Becky Coffman Provider Liaison Ken Cadaret OCCHD Phil Maytubby EMS Unit Shawn Rogers IT Systems & Apps Jeff Carlisle Communications Unit Samuel Cannella Staff Resources Donna Simpson Human Resources Donna Simpson Safety Monitoring Marrion Bolar CHDs Tina Johnson HAvBed Reporting Bill Henrion Electronic Lab Reporting Anthony Lee Situation Room Jamie Doepel OK MRC Liaison Debi Wagner Data Entry Unit Charlotte Stout RSS Ron House Vaccine Plan Cara Gluck WebEOC Samuel Cannella Tech. Specialists Patrice Greenawalt Indigent Care Unit Mike Brown Poison Control Center Lee McGoodwin HAN Kimberly Mitchell Demobilization Unit Shelly Ames Minority Health Unit Linda Thomas Phone Bank Unit Sue Mallonee EMResource Bill Henrion 15
Crisis Communication Response System Inter-agency communication Responder communication Partner communication Public Information Joint Information System (JIS) Press Releases News Conferences Interviews Phone Banks and Call Centers 16