RIDMAT/MRC s Annual Report

RIDMAT/MRC s Annual Report JANUARY 2015 DECEMBER 2015 RI DISASTER MEDICAL ASSISTANCE TEAM RI DMAT, INC 50 Barnett Lane West Greenwich, RI 02817

Table of Contents... 0 Overview of the Rhode Island Medical Reserve Corps... 4 Unit Jurisdiction... 4 Mission... 4 Objective... 4 2015 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 Statewide Drug Overdose Prevention and Rescue Coalition... 5 Governor s Overdose Prevention and Intervention Task Force... 6 Ongoing Projects:... 6 Volunteer Credentialing:... 6 Employee Credentialing Interface (ECI):... 6 Naloxone and Overdose Prevention Education (NOPE) Program:... 6 Tactical Medical Unit... 6 Organizational Structure... 6 Director:... 6 RI MRC Coordinator:... 6 Operations:... 6 Logistics:... 6 Hospital Operations:... 7 Medical Director:... 7 Naloxone and Overdose Prevention Education Coordinator:... 7 2015 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... 8 License Verification... 8 Recruitment... 8 2015 MRC Member Numbers... 8 2015 New Member Registrations... 8 Total Registered Members of RIDMAT/MRC... 9 2015 RIDMAT/MRC Activations:... 9 Providence College Meningitis Vaccination Clinics... 9 2015 Training Program... 10 Field Hospital Operations Planned Events... 11 Orientation Sessions... 11 New Member Orientation Session... 11 Classroom Training Opportunities:... 13 Naloxone and Overdose Prevention Education Cumulative Totals... 13 Logistics, Administration and Operations Management... 14 2015 Tactical Medical Unit Totals... 14

Overview of the Rhode Island Medical Reserve Corps The Rhode Island Disaster Medical Assistance Team s Medical Reserve Corps (RIDMAT/MRC) is an organization that identifies, trains, and organizes local healthcare volunteers able to assist in both large-scale state emergencies and/or smaller community based public health initiatives. With over 1600 registered volunteer health professionals and non-medical volunteers, the RIDMAT/MRC is an active participant in preparedness and response activities within the State of Rhode Island. Sponsored by the Rhode Island Disaster Medical Assistance Team (RI DMAT), the 501c3 organization provides training opportunities to its volunteers in the form of field hospital operations at mass gathering events across the State. 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. 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 according to 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 in order 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 Medical Reserve Corps is to draw medical professionals to volunteer service and train them to respond to the needs of the Rhode Island community, thus enhancing local emergency response efforts. The Rhode Island Medical Reserve Corps will provide reserve medical professionals at the local level to respond to community and state needs. Objective To provide useful training opportunities that prepare a volunteer corps to safely and properly respond to the needs of its community. 2015 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 2015. Rhode Island College School of Nursing RIDMAT/MRC and the Rhode Island College School of Nursing began a collaborative partnership in 2015. 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 2016. Statewide Drug Overdose Prevention and Rescue Coalition The RIDMAT/MRC Coordinator sits on the Statewide Drug Overdose Prevention and Rescue Coalition and co-chairs its First Responder workgroup as a representative of RIDMAT/MRC s Naloxone and Overdose Prevention Education program. The coalition works among partner agencies to combat the state s drug overdose epidemic through collaboration and partnerships.

Governor s Overdose Prevention and Intervention Task Force The RIDMAT/MRC Coordinator 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 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 Program was awarded a second Challenge Award from the National MRC in 2015 for the expansion of the training program to a blended skills check and online certification program. Tactical Medical Unit The Tactical Medical Unit (TMU) provides support to the State Police, Municipal Academy and Municipal Departments by providing educational in-services, medical support during call outs and medical support during training academies. 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 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 MRC Coordinator. 2015 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. Elligible accounts are also verifeid against Drug Enforcement Agency (DEA). Recruitment RIDMAT/MRC utilizes the RI Responds system to register, credential, contact, and activate health professional volunteers and non-clinical volunteers. The majority of new RI 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. 2015 MRC Member Numbers 2015 New Member Registrations Team Job Count RIMRC Allopathic Physician 4 RIMRC Certified Nursing Assistant 12 RIMRC EMT Student 2 RIMRC Health Technician (Basic) 28 RIMRC Health Technician (Intermediate) 8 RIMRC Health Technician (Paramedic) 3 RIMRC Licensed Clinical Social Worker 3 RIMRC Licensed Practical Nurse 2 RIMRC Limited Physician (Resident) 2 RIMRC Medical Student 2 RIMRC Mental Health Counselor 2 RIMRC Non-Clinical Volunteer 33 RIMRC Nursing Student 4 RIMRC Osteopathic Physician 1 RIMRC Pharmacist 4 RIMRC Pharmacy Technician 1

RIMRC Physician Assistant 3 RIMRC Radiologic Technologist 2 RIMRC Registered Nurse 54 RIMRC Respiratory Therapist 2 172 Total Registered Members of RIDMAT/MRC RIMRC Registered Nurse 539 RIMRC Non-Clinical Volunteer 330 RIMRC Health Technician (Basic) 201 RIMRC Health Technician (Intermediate) 152 RIMRC Pharmacist 74 RIMRC Allopathic Physician 67 RIMRC Certified Nursing Assistant 62 RIMRC Health Technician (Paramedic) 57 RIMRC Licensed Clinical Social Worker 30 RIMRC Licensed Practical Nurse 27 RIMRC Nurse Practitioner 25 RIMRC Physician Assistant 21 RIMRC EMT Student 16 RIMRC Pharmacy Technician 15 RIMRC Osteopathic Physician 14 RIMRC Medical Student 13 RIMRC Radiologic Technologist 12 RIMRC Psychologist 10 RIMRC Limited Physician (Resident) 7 RIMRC Nursing Student 6 RIMRC Dentist 5 RIMRC Respiratory Therapist 5 RIMRC Veterinarian 1 1689 2015 RIDMAT/MRC Activations: Providence College Meningitis Vaccination Clinics RIDMAT/MRC activated its emergency response capabilities on Friday February 6 th, 2015 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. 95 volunteers provided 3,060 vaccinations in nine hours within 36 hours of notification.

An after action survey of the volunteers showed that the event was well received and that 79% of those that participated in the survey (58 respondents) were extremely satisfied with the activation. Because the meningococcal meningitis vaccine is a three dose series, RIDMAT/MRC continued work with Providence College throughout the year to ensure that the school and its students were able to complete the vaccination series as recommended by the CDC and the manufacturer of the vaccine. Program # of Events # of Shifts Volunteer Hours Vaccinations Meningitis Clinics 6 272 1636 8512 Providence College Meningitis Vaccination Clinics Dates Clinic Times Number of Volunteers Number of Vaccinators Volunteer Hours Number of Vaccinations Economic Value 2/8/15 0900-1700 95 71 602.78 3060 $19,001.93 4/12/15 0900-1700 70 38 450.74 2249 $14,765.13 9/5/15 0900-1500 39 25 262.05 1579 $7,741.22 Incoming Freshman Clinics Dates Clinic Times Number of Volunteers Number of Volunteer Number of Economic Vaccinators Hours Vaccinations Value 8/30/15 0900-1500 34 20 169.43 747 $4,810.52 11/7/15 0900-1500 20 13 92.44 514 $2,336.94 11/11/15 1600-2000 14 10 58.38 363 $1,584.86 2015 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 Planned Events 24 485 3699 236 Date Planned Event Operations Type # of Volunteers Hours 5/9/2015 Volvo Ocean Race Medium Field Hospital 23 184 5/10/2015 Volvo Ocean Race Medium Field Hospital 17 130 5/15/2015 Volvo Ocean Race Medium Field Hospital 15 123 5/16/2015 Volvo Ocean Race Medium Field Hospital 18 132 5/17/2015 Volvo Ocean Race Medium Field Hospital 17 132 5/29/2015 Airshow Set Up Large Field Hospital 36 258 5/30/2015 Airshow Saturday Large Field Hospital 64 585 5/31/2015 Airshow Sunday Large Field Hospital 55 482 7/4/2015 Bristol 4th of July Medium Field Hospital 23 179 Parade 7/24/2015 Newport Folk Festival _ Medium Field Hospital 29 236 Friday 7/24/2015 Blessing of the Fleet Medium Field Hospital 16 113 Road Race 7/25/2015 Newport Folk Fest Medium Field Hospital 29 177 SATURDAY 7/26/2015 Newport Folk Festival_ Medium Field Hospital 25 183 Sunday 7/31/2015 Newport JAZZ Festival Medium Field Hospital 19 100 Friday 8/1/2015 Newport Jazz Fest _ Medium Field Hospital 22 140 Saturday 8/2/2015 Newport JAZZ Festival Medium Field Hospital 19 146 Sunday 8/15/2015 JeepFest Light Field Aid Station 2 12 9/13/2015 Parkinsons Walkathon Light Field Aid Station 2 12 9/20/2015 CVS 5k (support) LFAS and Personnel 13 93 Support 10/3/2015 BoldrDash (support) LFAS and Personnel 7 54 Support 10/4/2015 BoldrDash (support) LFAS and Personnel 1 7 and Support 10/10/2015 Scituate Arts Festival Light Field Aid Station 11 82 10/11/2015 Scituate Arts Festival Light Field Aid Station 9 57 10/12/2015 Scituate Arts Festival Light Field Aid Station 13 82 Total 485 3699 Orientation Sessions New Member Orientation Session - Orientations are required for new members of RI MRC in order 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 Date Session Location Number Attended 3/25/2015 RIDMAT/MRC New Member Orientation DMAT/MRC 13 4/21/2015 RIDMAT/MRC New Member Orientation DMAT/MRC 13 5/11/2015 RIDMAT/MRC New Member Orientation DMAT/MRC 12 6/16/2015 RIDMAT/MRC New Member Orientation DMAT/MRC 12 7/16/2015 RIDMAT/MRC EM Residency Orientation Claverick 6 7/16/2015 RIDMAT/MRC New Member Orientation DMAT/MRC 5 8/18/2015 RIDMAT/MRC New Member Orientation DMAT/MRC 11 9/1/2015 RIDMAT/MRC New Member Orientation DMAT/MRC 6 Total 78 Professions represented at 2015 Orientation Sessions Total Registered Nurse 20 Non-Clinical Volunteer 16 Health Technician (Basic) 12 Health Technician (Intermediate) 6 Limited Physician (Resident) 6 Nursing Student 4 Pharmacist 4 Health Technician (Paramedic) 4 Radiologic Technologist 3 Allopathic Physician 2 Certified Nursing Assistant 2 Certified Surgical Technologist 1 EMT Student 1 Licensed Practical Nurse 1 Medical Student 1 Mental Health Counselor 1 Pharmacy Technician 1 Physician Assistant 1 Psychologist 1 1.6 1.4 1.2 1 0.8 0.6 0.4 0.2 0 Average Number of Events Attended 2015 Orientees 2015 New Member MRC Participation Rate 37% 63% participation no participation # of Events Attended 2.00 1.00 0.00 Average Events attended since joining 2013 Orientees 2014 Orientees 2015 Orientees Year

Classroom Training Opportunities: Date Session Location Number Attended 9/26/2015 BLS for Healthcare Providers RIDMAT/MRC HQ 14 10/17/2015 ACLS Re-Certification Class RIDMAT/MRC HQ 9 Date Session Location Number Attended 10/7/2015 RIDMAT/MRC NOPE-RI Team Training RIDMAT/MRC 6 11/16/2015 RIDMAT/MRC NOPE-RI Team Training RIDMAT/MRC 10 Professions represented at NOPE-RI Team Training Sessions Total Registered Nurse 8 Health Technician (Basic) 3 Non-Clinical Volunteer 3 Pharmacist 1 Licensed Practical Nurse 1 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 2600 individuals on how to prevent, recognize and respond to opioid overdose. Program # of Events # of Shifts Volunteer Hours Total Trained NOPE - RI 25 51 110 998 2015 Medical Behavioral LEO Public Total Health Q1 15 0 197 53 265 Q2 0 0 0 40 40 Q3 77 25 24 153 279 Q4 259 22 77 56 414 Total 351 47 298 302 998

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. The majority of 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. In 2015, DMAT/MRC leadership and volunteers gave over 1600 hours to logistics. Management volunteered over 3200 hours to the operation of the organization. Program # of Events # of Shifts Volunteer Hours Interactions Logistics 100 312 1632 - Management 4 3224 - Management Total Logs Total December November October September August July June May April March February January Logistics and Managment Volunteer Time 0 500 1000 1500 2000 2500 3000 3500 2015 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 Interactions TMU 35 40 144 98

RISP in-service WMD RISP TMU RISP-Details SWAT Week Call-outs RIMPA 0 5 10 15 20 25 30 35 40 45 50 RISP in-service WMD RISP TMU RISP-Details SWAT Week Call-outs RIMPA 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