Hurricane Response

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Hurricane Response RecoveryFloridas Assisted
Living Facilities

• George M. Tokesky
• Health Service Facilities Consultant
• State Special Needs Shelter Coordinator
• Office of Public Health Nursing
• Florida Department of Health
• [phone]
• George_Tokesky_at_doh.state.fl.us

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Floridas Demographics

• 67 Counties
• Total Population 17.9 Million
• 60 Population 22.1
• 435,263 Probable Alzheimers Cases
• 900,000 Vulnerable Floridians
• Evans et al. (JAMA, 1989)

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Floridas ALF Industry

• 2,333 Licensed Assisted Living Facilities
• 74,536 Total Assisted Living Beds
• Specialty Licenses
• Limited Mental Health
• Limited Nursing Services
• Extended Congregate Care
• As of March 1, 2006

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Floridas ALF Industry

• Department of Elder Affairs
• Rule Authority
• Training Technical Assistance
• ALE Medicaid Waiver Diversion Programs
• Agency for Health Care Administration
• Licensing
• Monitoring
• LTCOC, DCF Other
• ESF 8

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Emergency Management Plans

• Chapter 400.441, F.S.
• Chapter 58A-5.026, F.A.C.
• Comprehensive Emergency Management Plan
• October 1995
• Components
• Emergency Plan Approval
• Plan Implementation
• Facility Evacuations
• Host Facilities

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Factoid

• Florida is the most vulnerable state in the
  nation to hurricanes and has the highest
  predicted storm surges in the world, only to be
  exceeded by the nation of Bangladesh, which
  borders the Indian Ocean.
• National Hurricane Center

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2004 Hurricane Activity
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2005 Hurricane Activity
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Unprecedented Hurricane Activity 2004 - 2005

• Hurricane Charley Category 4
• Hurricane Frances Category 2
• Hurricane Ivan Category 3
• Hurricane Jeanne Category 3
• Hurricane Dennis Category 3
• Hurricane Katrina Category 1
• Hurricane Wilma Category 2

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2004 Hurricane Season

• 67 Declared Counties
• 1.25 Million FEMA Applications
• 8.5 Million w/o Power
• 9 Million Evacuated
• 360,000 in RC Shelters
• 42 Billion Damages

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2004 Hurricane Season

• 114 Hospitals
• 65 Nursing Homes
• 85 Assisted Living Facilities
• 29 Home Health Agencies

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2005 Hurricane Season

• 10.5 Billion Damages (Insured)
• 63 deaths
• 39,000 Applications for Temporary Housing
• 2 Billion in Agricultural Damage

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ALFs
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2004 Hurricane Activity
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2004 Hurricane Activity
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2004 Hurricane Activity
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2004 Hurricane Activity
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2004 Hurricane Activity
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2004 Hurricane Activity
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2004 Hurricane Activity
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Hurricane Impact Facility Evacuations

• Facility Evacuations
• Storm Track Movement
• Transportation
• Vendor Agreements
• Traffic
• Host Facility
• Staff
• Stress

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Hurricane Impact Power Outages

• Extended Power Outages
• Food Water
• O2 Dependent Residents
• Air Conditioning
• Laundry Services
• Generators
• Fuel
• Capacity

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Hurricane Impact Essential Services

• Home Health Services
• Medication Supplies
• Durable Medical Supplies
• Communications
• Other

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Hurricane Impact Sheltering Resource

• Special Needs Shelters
• Displaced Elders/Persons with Disabilities
• Assisted Living Facilities
• Adult Family Care Homes
• Group Homes
• Community

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Floridas Response

• Emergency Mutual Aide Compact
• Deployments
• ESF 8
• Agency for Health Care Administration
• Florida Assisted Living Affiliation
• Florida Health Care Association
• Other
• State SpNS Interagency Committee

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Floridas Response

• FloridaAffordableAssistedLiving.org
• Emergency Status System (ESS)
• Online Self-Reporting
• Evacuation Information
• Emergency Contact
• Power Status
• Structural Damage
• Census/Bed Availability

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Lessons Learned

• Disasters are unique to each community/facility
• Proper planning prevents delays and confusion
  regarding roles responsibilities, and
  ultimately, recovery
• Self-sufficiency is the key to an effective
  emergency management plan

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Lessons Applied

• Review EM plans for ALL hazards
• Establish backup vendor agreements
• Establish secondary evacuation plans
• Verify host facility agreements
• Increase food and water supplies
• Develop extended power outage plan
• Communicate with local EM officials

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2006 Hurricane Predictions

• Professor William Gray, Colorado State
• Revised December 6, 2005
• 17 Named Tropical Storms
• 9 Hurricanes
• 5 Major Hurricanes (Cat 3-5)
• Probability of a Major Hurricane Hitting a Gulf
  Coast State 47
• http//hurricane.atmos.colostate.edu/Forecasts/