Public Health Emergency Preparedness & Response

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Public Health Emergency Preparedness & Response Strategic Plan September 6, 2011 Erica Pan, MD, MPH

Strategic Planning Process Identify Grant Requirements (PHEPR Meeting) Conduct Interviews & Surveys Analyze Public Health Preparedness Capabilities (SWOC Meeting) Define PHEPR Team Role and Purpose Identify and Prioritize DPH Goals Steering Committee Draft Plan Review Develop 1 st Year Execution Plan

Vision, Purpose, and Values

Vision for the Department Emergency preparedness and response to protect the health of residents and visitors is central to the mission of the San Francisco Department of Public Health. With comprehensive emergency response plans, trainings, and regular exercises, DPH will foster a culture of preparedness that includes all staff and partners. DPH will respond to public health emergencies through effective organization, communication, recruitment, resource deployment, and innovative IT systems. DPH will partner with city agencies, healthcare providers, community organizations, businesses and the public to support a constant state of readiness, and to ensure they are well informed of the situation and response during emergencies.

Public Health Emergency Preparedness and Response (PHEPR) Section Purpose The Public Health Emergency Preparedness and Response Section serves the public, Department of Public Health, and partners by coordinating health emergency preparedness, response, and recovery efforts. We act as stewards through strategic planning, efficient allocation of resources, and leveraging of DPH and citywide capabilities. We promote a culture of preparedness to ensure that in an emergency disease and injury is prevented and accessible, timely, and equitable health and clinical services are available.

DPH Coordination Environmental Health Emergency Medical Services Agency Dept of Emergency Mngmt Communicable Disease Control & Prevention Public Health Emergency Preparedness & Response Management Information Systems LTCF Hospitals (SFGH, LHH) & Clinics Dept of Human Resources Community Programs

Prioritization of DPH Emergency Capabilities

Prioritization Goals Identify gaps Identify priority areas that should be addressed in the next 5 years Develop 5 year work goals for the department Develop a year one work plan for the department Appropriately allocate resources (people, time, money) Continue to move forward on various planning needs but emphasize key areas for accomplishment

Overall Prioritization of CDC Capabilities 1. Community Preparedness 2. Community Recovery 3. Emergency Operations Coordination 4. Emergency Public Information Warning 5. Fatality Management 6. Information sharing 7. Mass Care 8. Medical Countermeasure Dispensing 9. Medical Materiel Management and Distribution 10. Medical Surge 11. Non-pharmaceutical Interventions 12. Public Health Laboratory Testing 13. Public Health Surveillance and Epidemiological Health and Safety 14. Responder Health and Safety 15. Volunteer Management

5 Year Key Focus Areas

Long Range Goals Emergency Operations Coordination Within 5 years, establish a comprehensive and exercised all hazards DPH emergency operation plan that: Is complete with key protocols and guidance documents Includes a scalable organization chart Includes alerting & notification protocols Is supported by pre-event and just-in-time training for preidentified staff Is regularly utilized for scheduled events, small incidents, and exercises and is supported across the entire department Clarifies the medical-health roles and responsibilities between the EOC and DOCs

Long Range Goals Medical Surge Within 5 years, establish a comprehensive city-wide medical surge plan that: Is included in the city-wide emergency response plan. Has been developed with the participation of hospitals, health care facilities/providers, and other partners. Includes medical surge plans and protocols (e.g. alternate care sites, health care facility surge plans, and use of local, state and federal assets). Includes a patient distribution plan Is integrated with local, regional and state plans

Long Range Goals Emergency Public Information and Warning / Information Sharing Within 5 years, establish a flexible and exercised emergency communication plan that: Includes pre-identified recipients (public, partners, and responders) Utilizes redundant communication methods (e.g., CCSF Alert, website, 311, SF Alert) Includes protocols, templates, and pre-written materials that address the needs of diverse populations Includes roles, responsibilities, approval processes, and timeframe goals Is supported by training and is regularly utilized for scheduled events, exercises, and real emergencies

Long Range Goals Community Preparedness Within 5 years, establish a network of health service programs and facilities that: Share a common understanding of individual and community roles and responsibilities during emergencies Understands the content, timing, and dissemination of critical information to the community and SFDPH during an emergency

Long Range Goals Resource Management and Distribution Within 5 years, establish an emergency resource management and distribution system that: Includes an up-to-date and populated inventory tracking database Includes a maintenance plan with protocols for managing resources on a day-to-day basis and in an emergency Is supported by training and is regularly utilized for scheduled events, exercises, and real emergencies