HA Response Plan for Major Incident

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HA Response Plan forMajor Incident

• (Final draft 20 May 2005)

Dr S H LIU Deputy Director (Professional Services)
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The formulation process

• Learn from the SARS outbreak in 2003
• A special Task Force to provide input
• Consult Clusters/Hospitals HO Subject Officers
• Seminar briefing and sharing
• Formal promulgation

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HA Response Plan for Major Incident

• Part 1 FRAMEWORK
• Part 2 OPERATION DETAILS
• HAHO
• Clusters
• Hospitals

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HA Response Plan

• A general framework for all types of major
  incidents
• 3-tier response
• 14 key components
• A system of Subject Officers
• Cluster/hospital
• HO

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HKSAR Emergency Response System (ERS)
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HA 3-tier response to major incidents

• Tier 1
• The incident might have significant impact on
  patient service
• The additional workload can be absorbed by the
  involved hospital(s) with infrastructure
  modifications additional resources

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HA 3-tier response to major incidents

• Tier 2
• Incident which is likely to grow in complexity
  and has the potential to involve several clusters
• The workload exceeds the buffer capacity of the
  local cluster and there is a need of
  inter-cluster coordination

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HA 3-tier response to major incidents

• Tier 3
• Major incident with prolonged or territory-wide
  implications, such as 
• An incident with major impacts on HA services
• There is a need for major central policy
  directions in HA
• Substantial cross cluster mobilisation of
  patients and staff required
• An Emergency Executive Committee (EEC) under the
  HA Board will automatically be called into action

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Section 3 of 2005/06 Hospital Annual Plan

• Standard 34
• Hospital has planned and prepared an organised
  and practiced response to major incidents and
  emergency situations which have significant
  impact on provision of normal hospital services
• An ongoing and a focused target

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Standard 34 The essentials

• (1) Minimum number of cluster hospital response
  plans be in place
• (2) 14 key components
• (3) Regular testing review of plans
• (4) Regular exercises/drills debriefing

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Cluster Response Plans

• CCEs responsibility
• 1. Civil Disaster
• 2. CBRN incidents
• 3. Major IT system failure
• 4. SARS / Infectious Diseases

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Hospital Response Plans

• HCEs responsibility
• Hospital Response Plans
• 1. Power interruption
• 2. Disruption of telecommunications (telephone,
  fax, paging, mobile phone, etc)
• 3. Interruption in water supply
• 4. Interruption in medical gas supply
• 5. Bomb threat
• 6. Fire hazards
• 7. Information Technology (IT)

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Role of non-acute hospitals GOPCs

• Non-acute hospitals
• To support the acute hospitals
• To receive more sub-acute or even acute patients
• GOPCs
• To receive minor casualties if AEDs filled to
  capacity
• To assist AEDs in treating non-traumatic patients
  in stable conditions

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Key components of a response plan

• notification network
• command structure
• communication means contact numbers
• collection dissemination of information
• operation of a Major Incident Control Centre
  (MICC)
• management of the incident
• decanting mobilisation of patients, service
  reorganisation
• evacuation of patients, staff visitors
• human resources
• ensuring adequate supplies of drugs, consumables
  equipment
• clinical management
• internal external communication
• recovery plan
• involvement of / reporting to governance

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HA Response Plan for Major Incident

• Part 1 FRAMEWORK
• Part 2 OPERATION DETAILS
• HAHO
• Clusters
• Hospitals

4 cluster plans per cluster 7 hospitals plans
per hospital be incorporated into Part 2 of the
HA Response Plan
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HA Specific Response Plans