Emergency Management Planning

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Emergency Management Planning

• The Status of Indian Health Service Healthcare
  Facilities in Billings Area Indian Health Service

Gary Carter, MPH, REHS, DAAS LCDR, USPHS Billings
Area Emergency Manager [phone]
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Memo, July 19, 2004 by Dr. Grim, IHS Director

• To Area Directors
• Performance Plans
• FY 05 IHS hospitals, clinics and treatment
  centers
• Ensures compliance with JCAHO, AAAHC
• Incorporates COOP and HEICS
• Also compliant with DHS/FEMA FPC 65

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Hospital Disaster and Emergency Preparedness

• Basic principles
• Command and control structure (Incident Command)
• Parallel existing standard operating procedure
  (SOP) whenever possible
• Flexibility All-hazards
• Protection of staff and patients
• Communication ready, redundant, interoperable
• Coordination with community-wide plans
• Training and Exercises

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IHS Facility Emergency Management Plan Components

• Introduction and Policy
• Response and Recovery Plan
• Hospital Emergency Incident Command System
  (HEICS)
• Hazard Vulnerability Analysis (HVA)
• Standard Operating Procedures (SOP)
• Continuation of Operations (COOP)

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Healthcare Emergency Incident Command
System(HEICS)

• HEICS is a command and control system for
  managing disasters that is based on the Incident
  Command System used in fire, police, and
  emergency medical service departments, but
  adapted for use in a healthcare setting.

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Hazard Vulnerability Analysis (HVA)

• An HVA identifies the events most likely to
  affect your organization and the probable impact
  if they do occur
• Based on identified hazards, the facility should
  assess how prepared they are to handle them
• Depending on the evaluated level of preparedness,
  the facility must take necessary steps to ensure
  they are prepared to meet the challenges
  presented by the hazards

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SOP Examples

• External Chemical Exposures i.e. tanker truck
  crash
• Natural Hazards i.e. tornado
• Public health disaster i.e. pandemic flu

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• COOP Planning

• To ensure continuation of operations (COOP)
  during any disruptive event or situation
• Facilitates the performance of department/agency/f
  acility essential functions during an emergency
  or situation that may disrupt normal operations

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Training and Exercises

• Identify weaknesses in plan
• Refine roles and responsibilities
• Assess adequacy of resources
• Improve coordination / communication both
  internally and externally

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Billings Area IHS Readiness

• As of September 30, 2005 all Billings Area IHS
  healthcare facilities had this plan in place.
• However,

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Its a Living Document

• Based on findings during exercises the plan will
  continually be updated
• And

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Public Health Disaster SOP

• Most facilities dont have it
• Cannot standardize
• Need to work closely with ALL other
  jurisdictions Tribes, State, Counties

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COOP

• Continuation of Operations

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HEICS

• Healthcare Emergency Incident Command System

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JCAHO

• Joint Commission for the Accreditation of
  Healthcare Organizations

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AAAHC

• Accrediting Association for Ambulatory Health Care

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SOP

• Standard Operating Procedure

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HVA

• Hazard Vulnerability Analysis

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DHS

• Department of Homeland Security

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FEMA

• Federal Emergency Management Agency

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FPC 65

• Federal Preparedness Circular 65

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IHS

• Indian Health Service