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Captain Kevin Sheehan, U.S. Public Health Service Regional Emergency Coordinator/Field Supervisor HHS Region IX

Regional Emergency Coordinator Program -Preparedness, Response and Recovery. Captain Kevin Sheehan, U.S. Public Health Service Regional Emergency Coordinator/Field Supervisor HHS Region IX. Responses: Haiti Earthquake American Samoa Tsunami President Obama Inauguration

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Captain Kevin Sheehan, U.S. Public Health Service Regional Emergency Coordinator/Field Supervisor HHS Region IX

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  1. Regional Emergency Coordinator Program -Preparedness, Response and Recovery Captain Kevin Sheehan, U.S. Public Health Service Regional Emergency Coordinator/Field Supervisor HHS Region IX

  2. Responses: Haiti Earthquake American Samoa Tsunami President Obama Inauguration Republican and Democratic National Conventions G-8 and G-20 Meetings North Dakota Floods Gulf Oil Spill Hurricane Katrina Hurricane Ike & Gustav Many other hurricanes http://www.phe.gov/Preparedness/news/Pages/anationprepared.aspx Preparedness Southern California Earthquake Plan New Madrid Earthquake Plan Improvised Nuclear Plan for Nevada Hurricane Plan for Hawaii Typhoon Plan for Guam Northern California Earthquake Plan Cascadia Subduction Zone Plan – Northern California Federal Medical Preparedness & Response for Disasters and Special Events

  3. HHS Dept Health & Human Services HEADQUARTERS ASPR Assistant Secretary for Preparedness & Response IGA Intergovernmental Affairs OPEO Office of Preparedness & Emergency Operations ASH Assistant Secretary For Health REGIONS RD Regional Directors REC Regional Emergency Coordinators HPP Hospital Preparedness Program staff RHA Regional Health Administrators MRC Medical Reserve Corps

  4. Today’s Agenda • Role of the Emergency Support Function 8 • Role of the Regional Emergency Coordinator Program • National Disaster Medical System (NDMS) Patient Movement • Federal Medical Service Access Teams and how they will interact with NDMS hospitals after a disaster • US Department of Health and Human Services role in Recovery

  5. National Response Framework Emergency Support Functions (ESF) • How the United States Government will respond • Coordination missions that are Federal responsibility • Selectively activated as needed • Provide staffing for incident management organizations

  6. Medical Care Medical Equipment & Supplies Patient Evacuation Behavioral Health Care Vector Control/Potable Water & Sanitation Mortuary Services Public Health Veterinary Care Emergency Support Function (ESF) # 8Department of Health & Human Services (HHS)

  7. The mission of the National Disaster Medical System to temporarily supplement Federal, Tribal, State and Local capabilities by funding, organizing, training, equipping, deploying and sustaining a specialized and focused range of public health and medical capabilities. About National Disaster Medical System (NDMS)

  8. locally sponsored and community based. ready to deploy within 12 hours of notification and then remain self-sufficient for 72 hours consists of approximately 35-50 individuals in each deployable unit ER docs, nurses, paramedics, coms, command & control deploy for 14 days Disaster Medical Assistance Teams (DMAT)

  9. Surgical Teams Haiti Mortuary Teams Haiti Buffalo Plane Crash US Public Health Service Officers Public Health Teams Mental Health Teams Environmental Health Medical Response

  10. Health and Human Service Partners for Medical Response

  11. Agenda continued, • Role of the Emergency Support Function 8 • Role of the Regional Emergency Coordinator Program • Health and Human Services in the Region • National Disaster Medical System (NDMS) Patient Movement • Federal Medical Service Access Teams and how they will interact with NDMS hospitals after a disaster • US Department of Health and Human Services role in Recovery

  12. Event Occurs Preparedness and Readiness Planning (Ready to Act) Response and Transition to Recovery Goal: Effective Field Operations Goal: Community Resiliency • Intergovernmental/Agency Coordination • and Integration • Manage Response Teams • Improve Response Times/Effectiveness • Logistics • After Action Lessons Learned • Risk Management • Mitigation • Prevention • Integration • Training and Exercises • ICS • NRF/NIMS/Health Security Information Analysis and Performance Measurement Regional Emergency Coordinators (RECs)HHS/ASPR REGIONAL OFFICE RESPONSIBILITIES

  13. Local Health Officials State Health Officers Tribes Community Volunteer Based Organizations Faith Based Organizations RHA Universities Private Industry FEMA DHS Local Elected Officials VA ASPR Regional Executive Leadership Network Congress State EMA DoD Governor’s Offices REC RD ESF #8 Response Assets Other Federal Agencies Public Affairs Public Health Preparedness Directors HHS/ASPR Region Spheres of Influence

  14. Federal ESF#8 Local State Destination Site DoD Air Transport Hospital / FMS Enters TRAC2ES Traditional EMR Encounter * Initial JPATS Entry/ EMR Encounter * Notional / Desired Entry of Pt Info Federal ESF#8 DoD Air Transport APOD APOE FCC DoD Mil Air NDMS Hand-Off to Final Destination Facility In-Transit Visability NoTRAC2ES JPATS/ EMR Patient Movement Schematic “The Continuum of Patient Movement” NGB – EMAC / Title 32 FEMA Ambulance Contract (Ambulances and Care Flight) DoD Mil Air NDMS Origination / Disaster Area Ground / Air Transport NDMS Patient Transport Begins APOE APOD FCC Exits TRAC2ES In-Transit Visability Origination / Disaster Area Destination Site Not Used Patient Reentry Transport Begins NGB – EMAC / Title 32 FEMA Ambulance Contract (Ambulances and Care Flight)

  15. Agenda • Role of the Emergency Support Function 8 • Role of the Regional Emergency Coordinator Program • Health and Human Services in the Region • National Disaster Medical System (NDMS) Patient Movement • Federal Medical Service Access Teams and how they will interact with NDMS hospitals after a disaster • US Department of Health and Human Services role in Recovery

  16. Service Access Teams Overview • Involves returning patients who were evacuated through Federal ESF#8 • Destination locations could include home, originating facilities, intermediate care facilities • HHS Service Access Teams (SATs) shall ensure proper services afforded medical evacuees • SAT will serve as patient advocates and provide medical and human services case management • Patients will be tracked through the system using Joint Patient Assessment Tracking System (JPATS)

  17. Service Access Team (SAT) • SAT will coordinate all aspects of patient return to ensure smooth transition from host State to final destination. Scope of services will include: • Work with FCCs, sending and receiving facilities, as well as State EOCs and health departments to identify/track patients • Ensure transportation, human services (language translation, food, lodging, etc) and arrangements for discharged patients and attendants • Coordinate return of patients and attendants to home state • Facilitate communication between attending physician and accepting physician in home state for those requiring follow-on care

  18. SAT Primary Functions # 1 - Coordination of Evacuee Return • Desired end state is return to home or appropriate placement • Medical evacuees are allowed to return when: • They are well enough to travel • The evacuated state has declared it is safe to return • There is an appropriate receiving facility

  19. SAT Primary Functions #2 – Medical Case Management • Coordinate services with facility discharge planners, receiving facilities, others as required • Communicates clearly to patients, families, providers, and staff of receiving facility • Arranges for medical transportation/ equipment

  20. SAT Primary Functions # 3 – Coordinate Evacuee Travel • SAT communicates with patient movement contractor or the ASPR Response travel Section to arrange transportation • Movement may be through a variety of modes: air, train, ground • Arrange transportation services for non-medical attendants and/or family members who accompanied patient

  21. SAT Primary Functions # 4 – Coordinate Human Services • HHS through the SAT will coordinate lodging and human services needs for all discharged patients until transportation to their final destination can be facilitated • Note: Family members that accompany patients or non-medical attendants will likely re-enter with patient and will require transportation that matches the patient

  22. Service Access Teams (SAT) #5 – Data Collection • SAT works with medical facilities, nursing homes, rehabilitative services units who are providing care to evacuees • SAT personnel will have access to the Joint Patient Tracking System (JPATS). Once operational, the SAT will be responsible for updating JPATS until patients are returned to their home state • Coordination with appropriate local and state agencies

  23. In Case of Death • If a patient dies during response operations- SAT will coordinate with local or State medical examiner’s office and patient’s family for disposition of remains

  24. JPATSConcept of Operations Joint Patient Assessment Tracking System (JPATS) Team Basics: • Deployed as 2-person strike teams • Deployment locations: • Aerial Port of Embarkation (APOE) • Aerial Port of Debarkation (APOD) / FCC • Deployed within 24 hours of notification • Will remain until host unit (i.e., FCC) able to use JPATS

  25. Agenda • Role of the Emergency Support Function 8 • Role of the Regional Emergency Coordinator Program • Health and Human Services in the Region • National Disaster Medical System (NDMS) Patient Movement • Federal Medical Service Access Teams and how they will interact with NDMS hospitals after a disaster • U.S. Department of Health and Human Services role in Recovery

  26. Health and Human Services during Recovery • HHS Roles during Recovery • Lead for Recovery in Region – Regional Health Administrator • Disaster Response Framework (in progress) • ~ National Response Framework • Recovery Support Functions (in progress) • ~ Emergency Support Functions

  27. Recovery Issues Restoration of Clinical Care Facilities (HHS/FEMA) Patient Discharge/Placement (HHS/ASPR) Patient Care for Uninsured (HHS/CMS) Long term population surveillance (HHS/CDC) Environmental Health (HHS/EPA) Restoration of Essential Social Services (HHS/ACF/AOA) Health and Human Services Recovery

  28. Laboratory Capacity (HHS/ASPR/CDC) Coordination of Social Services / Disaster Case Management (FEMA/HHS/ACF) Behavioral Health (HHS/SAMHSA) Long term responder, occupational health issues (HHS/CDC/NIOSH & DOL/OSHA) Fatality Management (HHS/ASPR) Health & Human Services Recovery

  29. Review • Role of the Emergency Support Function 8 • Role of the Regional Emergency Coordinator Program • Health and Human Services in the Region • National Disaster Medical System (NDMS) Patient Movement • Federal Medical Service Access Teams and how they will interact with NDMS hospitals after a disaster • U.S. Department of Health and Human Services role in Recovery

  30. Haiti Hospital Site • Gheskio University in Port-Au-Prince Haiti • Health and Human Services Surgical Team deployment • http://www.youtube.com/watch?v=OM6qhVTRjRE&feature=player_embedded

  31. Contact Info • Region IX Regional Emergency Coordinators • Kevin Sheehan

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