King County Healthcare System Emergency Response Planning

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King County Healthcare System Emergency Response
Planning
Allison Schletzbaum, MSOD King County Regional
Medical Resource Center Project Manager
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Healthcare in King County

• There is no healthcare system
• 23 hospitals 18 w/EDs
• 30 Community Health Clinics
• Unknown number of clinics and private doctors
• 2 tribal clinics
• 1100 long term residential care facilities
• 7000 individuals utilizing home care and home
  health services

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Role of Public Health

• Lead for Emergency Support Function 8 (ESF-8)
  Health and Medical Support
• Neutral party in a competitive healthcare market
• Local health officer has authority based on the
  Washington Administrative Code

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Coordinating Countywide Health System Response
Strengths

• Emergency management system in place for King
  County agencies and larger cities
• Public Health, hospitals, first responders, EM
  partners have been preparing together for years
• Strong health care assets including Emergency
  Medical System, Hospital Control, Public Health
  response

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Coordinating Countywide Health System Response
Weaknesses

• Planning has traditionally been hospital-centric,
  not health care system-oriented
• Need for a Unified Command approach to manage the
  health and medical response
• Health care system response capabilities appear
  inadequate for large-scale or catastrophic
  disasters
• Limited capacity in the healthcare system, not
  set up for surge in demand

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King County Healthcare Coalition

• The King County Healthcare Coalition is a network
  of healthcare organizations and providers that
  are committed to coordinating their emergency
  preparedness and response activities
• The purpose of the Coalition is to develop and
  maintain a comprehensive system that assures
  coordination, effective communications, and
  optimal use of available health resources in
  response to emergencies and disaster for all
  hazards

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Proposed Unified Command Structure ESF-8
Local Health Officer
Healthcare Coalition Executive Council
EMS Medical
Director
Medical Examiner
Unified Command
Medical Advisors
Joint Information Center
Legal Advisors
Public Health EOC Liaison
Operations Section Chief
Planning Section Chief
Logistics Section Chief
Admin Section Chief
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Health Sector Engagement

• Hospitals
• Medical Groups
• Safety Net Providers
• Home Health
• Long Term Care
• Mental Health
• Specialty Providers
• Pediatrics

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Coalition Preparedness Structure
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Regional Medical Resource Center

• Supports the objectives of the Public Health EOC,
  the Coalition Executive Council, and Unified
  Command
• Provides situational awareness for the healthcare
  system
• Anticipates needs, monitors available resources
  and coordinates deployment where needed during
  emergencies

• Acquiring Image Trend Incident Management
  Software with ASPR funds to support RMRC

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Current Regional Planning Priorities

• Alternate Care Facilities
• Triggers
• Track patients and staff
• Puget Sound Call Center Coordination
• Distribute standardized guidelines
• Integrate medial and business call centers
• Health Sector Operational Planning
• Communication Protocols
• Public and Private Sector Coordination

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Regional Challenges

• Situation Awareness
• Healthcare Providers
• Vulnerable Populations
• Critical Infrastructure
• Identifying, tracking, and distributing medical
  resources
• Communications and coordination
• Tracking disaster expenditures

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Questions? Contact Us

• Allison Schletzbaum, MSOD
• RMRC Project Manager
• aschletz_at_u.washington.edu
• [phone]
• Cynthia Dold, MPP, MPH
• Healthcare Coalition Program Manager
• cynthia.dold_at_metrokc.gov
• [phone]