Medical Disaster Emergency Preparedness Programs

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Plans Development Course Summary
At the end of this session participants will
understand their roles responsibilities, and be
able to complete comprehensive PRC FCC plans.
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Outline

• Summary of Roles Responsibilities
• Plan Formats and Components
• Review of FCC Self Assessment Survey
• Course Summary
• Questions and Answers

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References

• DoD-VA MOA (16 Nov 06)
• FCC Guide (7 Jul 06)
• VHA Handbook 0320.04 (26 Dec 07)
• DoD Directive 6010.22, NDMS (20 Aug 07)

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Directors Responsibilities
a. Appoints and/or identifies the FCC or PRC
Coordinator responsible for the day-to-day
operation and readiness   b. Establish and
maintain the support of area hospitals,
government agencies, volunteer organizations and
others within the immediate area.   c. Ensure
the development, exercise and evaluation of local
Patient Reception Area plans.
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Directors Responsibilities
d. Conduct a full-scale exercise at least once
every three years.   e. Ensure that FCC or PRC
staff, as well as applicable federal, state and
local government and private sector personnel
receive appropriate orientation or training in
operations.   f. Activate local PRA plans as
indicated in activation notifications.
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Directors Responsibilities
g. Ensure that bed availability reporting, as
well as reception, sorting, staging,
transportation and hospitalization of arriving
patients occurs efficiently.   h. Provide
administrative support for patient control and
proper patient accounting.
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Coordinators Principal Responsibilities

• Establish and maintain active participation and
  support of local hospitals, health associations,
  EMS, emergency management agencies, police and
  fire services.
• Ensure that representatives of NDMS member
  hospitals, as well as representatives of local
  emergency management agencies, EMS agencies,
  public safety, police and fire services are
  provided annual orientation to the PRA plan.

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Coordinators Principal Responsibilities
c. Ensure that FCC staff and other individuals
designated to augment the FCC staff annually
receive detailed education and training . d.
Ensure that a PRT is developed for each PRA. e.
Collect bed availability data from each
participating non-Federal hospital and report to
the DoDs GPMRC as directed.
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Coordinators Principal Responsibilities

• f. Ensure 24/7 communications are established
  with GPMRC for the receipt of regulating
  decisions, evacuation mission information and
  patient medical data.
• g. Ensure an accounting method is in place to
  account for patients regulated but not yet
  received, and for patients in the PRA.
• h. Coordinate fiscal information to support the
  processing of financial claims reimbursement.

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Plan Formats
DoD 1. Situation 2. Mission 3. Execution
4. Administration and Logistics 5. Command and
Control VA none prescribed
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Plan Components - Summary

• Concept of Operations
• PRA Activation
• Control Center Operations
• Bed Availability Reporting
• Medical Regulating Evacuations to the PRA
• Patient Reception Staging
• Transportation
• Patient Administration
• PMI
• Patient Discharge Return

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Plan Components

• Concept of Operations
• Define the PRA area
• List references
• Identify airfields
• Describe roles of principle agencies, teams, etc.
• List the POCs and their contact info
• PRA Activation
• Describe Departmental Service processes
• Describe PRA alert processes
• Describe process for notifying local agencies

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Plan Components

• Control Center Operations
• Describe staff responsibilities
• Describe communications, logs, reports, etc.
• Describe control of access to the center
• Bed Availability Reporting
• Define the terms (e.g., bed categories)
• Describe bed throughput reporting process

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Plan Components

• Medical Regulating Evacuations to the PRA
• Describe GPMRC
• Describe procedures for coordinating info
• Patient Reception Staging
• Describe the reception site
• Outline the procedures for accessing, securing
  and supporting the site
• Detail the operations of the PRT
• Describe configurations for extended, stand-by
  situations
• Diagram the patient flow

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Atlanta PRA
CC Triage

Deplane/Escort
Flight Line
Security
Triage
Mobile CMD Post
Shelter Staging
Medical Needs
Med Supplies
Animal Control
Green Team
MACC
Chairs/ Holding
Red Team
Mass Transpo Staging
Evacuee Documentation
Yellow Team
Hangar 746
Hangar 747
Transpo Coord
Transpo Coord
Food
Chapel
EMS Staging
Animal Control
Transportation Flow
Transpo CMD Post
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Houston PRA

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Birmingham PRA

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Plan Components

• Transportation
• Describe resources methods of accessing them
• Outline the procedures for tracking assets
• Map primary alternate routes
• Describe the role of local law enforcement
• Patient Administration
• Detail patient tracking systems
• Describe notification requirements
• Describe policies for disposition of records

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Plan Components

• PMI
• Describe general provisions objectives
• Identify pre-event storage sites inventories
• Identify DoD PMI Center POCs
• Patient Discharge Return
• Describe processes for managing DoD patient
  discharges and transfers
• Describe same for NDMS patients

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Plan Components

• Financial Claims Processing
• Describe processes for NDMS FCC operations cost
  reimbursements
• Describe NDMS patient treatment reimbursement
  processes
• Training Exercises
• Identify requirements for individual and teams
  training
• Identify PRA exercise requirements

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Plan Components

• Public Relations Media Information
• Identify local media
• Describe rules, limitations, processes for
  preparing releases
• Identify agencies and individual authorized to
  release info
• Communications
• Provide inventory of equipment
• Provide contact info and recall rosters

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FCC Self Assessment

• Command, Control Communications
• Have TRAC2ES accounts been established for
  sufficient numbers of staff?
• Patient Reception Distribution
• Detailed plans for mustering a PRT?
• Definitive Medical Care
• Are MOAs more than three years old?
• Training Exercises
• Last major exercise more than three years ago?

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Plans Development Course Summary
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Plans Development Course Summary
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Plans Development Course Summary
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Plans Development Course Summary
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PRC Plan Development
Medical Issues Related to AE
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Course Summary
VA-DoD Contingency System Overview Patient
Regulating TRAC2ES Air Operations
Orientation Patient Reception Team
Operations Logistics Patient Movement
Items Military Patient Management Issues PRC
Plans Development
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Course Summary
Questions?