Disaster Ready or Not? o Stan Szpytek, Fire and Life Safety, Inc. Entered Fire Service in 1977 as Cadet Firefighter o Hired as a Career Firefighter in 1983- Ranks Achieved: Paramedic Engineer Lieutenant Captain Fire Marshal / Emergency Manager Deputy Fire Chief o Honorably Retired in 2003 o Founder of Fire and Life Safety, Inc.- 2000 Stan Szpytek, AzHCA Consultant Life Safety / Disaster Planning o Gallagher Bassett RCCS- 2002 o Arizona Health Care Association Consultant- 2009 o CAHF Consultant- 2010 Mesa Transformer Fire Wallow Fire Outside of Flagstaff- 10/6/10 Plane CRASHES into School- 6/11/10 Eager, Arizona 1
June 25, 2011 Car Crashes into Nursing Home Flooding Let it Snow How Vulnerable? Impact on Operations 2
How Vulnerable? Are LTC Facilities in AZ Ready for Disaster? A program was born Bureau of Public Health Emergency Preparedness: 150 N. 18th Avenue, Suite 150 Phoenix, AZ 85007 (602) 364-3289 (602) 542-2722 Fax Major DR Program Elements... Identify Needs Provide Training Opportunities Provide Resources Develop / Facilitate Relationships IDENTIFY NEEDS Gap Analysis Survey 3
Identify Needs Focus HHS Hospital Preparedness Program (HPP) Grant Guidance Section 1.5: Level 1 Sub-Capabilities Interoperable Communications Tracking of Bed Availability Volunteers Fatality Management Medical Evacuation / Shelter-in-Place (SIP) Partnership / Coalition Development Survey Process Developed comprehensive survey based on grant guidance Thirty-eight (38) probes Utilized On-line Survey Monkey Robustly Promoted by AzHCA with BA Assistance Excellent Member Participation SURVEY FINDINGS COMMUNICATIONS Common Comm Two-way radios- 68.5% National Weather Service alert radio- 21.3 % Battery-powered am/fm radio- 60.7% 4
Limited Alternate Comm Satellite phone- 2.2% Access to ham radio operator- 1.1 % COLLABORATION WORKING WITH KEY PARTNERS Participation HAZARD VULNERABILITY Does your facility participate in any local, county or state disaster planning / emergency management initiatives? YES- 18% NO- 73% UNSURE 9% What s beyond the fence? Hazard Vulnerability Assessment YES- 24.7 NO- 58.4 UNSURE- 16.9 Medical Surge Facility Expansion Bed Tracking 5
Surge INCIDENT MANAGEMENT Bed Availability Tracking YES- 59.6 % NO- 40.4% Formalized Receiving Plan Yes- 58% NO- 42% Incident Command System FATALITY MANAGEMENT YES- 25.6% NO- 46.5% UNSURE 27.9% Handling the Deceased During Disaster Safe handling procedures established YES- 20.2% NO- 79.8% Temporary morgue identified YES- 19.3% NO- 80.7% IDENTIFY NEEDS Gap Analysis Survey- Follow-up Site Visits 6
9/24/14 Meet with Key Staff TRAINING Provide Training Opportunities NHICS Workshops- June 2012 Tucson (Pima County Health Department) Mesa (Southwest Ambulance H.Q.) 7
RESOURCES Provide Members with Resources RESOURCES Tools and Inserts DRA Website http://azhca.org/disaster-preparedness-home Home Events NHICS Useful Links Resources DRA Website 8
Resources CMS Checklist (click to open) Resource Document Title: Post-Incident Damage Assessment Checklist Description: This document provides a template to perform a Basic Damage Assessment following an adverse event like a fire, flood, severe weather, crime, act of violence or similar event where a facility has been damaged. It is recommended that this document is inserted into the facility's Emergency Operations Plan (disaster manual) upon completion. Download it here (or click the title above) Resources Resource Document Title: Fatality Management Guidance Description: This document provides guidance to facilities on the safe and proper handling of fatalities following an incident where people have died at the facility and traditional resources like the office of the medical examiner, funeral homes and mortuaries are not available to provide assistance due to the overall scope and severity of an adverse event. It is recommended that this document is inserted into the facility's Emergency Operations Plan (disaster manual) upon completion. Download it here (or click the title above) COLLABORATION Association Level Develop and Facilitate Relationships 9
Local Level Provider Level Next Steps COALITIONS Full Scale Drills (Community) 10
During Crisis or Disaster People will show up. During Crisis or Disaster Emergencies will happen whether the CHC is prepared or not People will come to your CHC Transport themselves to familiar sources of healthcare for help Hospitals may be overwhelmed During and after disaster- YOUR patients still need services Link to Community / HRP EMERGENCY PROCEDURES 11
9/24/14 Disaster Ready or Not? Stan Szpytek, AzHCA Consultant Life Safety / Disaster Planning stan@azhca.org 708.707.6363 12