Emergency Preparedness A to Z

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Emergency Preparedness A to Z

• Bonnie Holz
• MDH

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Emergency Preparedness A to Z

• The EP Alphabet A to D
• All-Hazards Planning
• Incident Management
• EXercises
• An Example
• The EP Alphabet D to Z

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The EP Alphabet

• A is for Acronyms!
• B is for Behavioral Health
• C is for CBRNE Disasters (Chemical, Biological,
  Radiological, Nuclear, Explosive )
• D is for Disastersnatural events

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All Hazards Planning

• Besides Natural Disasters
• CBRNE situations,
• We also plan for
• Manmade Disasters
• Emerging Infectious Diseases

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Natural Disasters the big four
Winter Weather
Fire
Wind Tornados
Floods
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Terrorism

• 9/11/2001
• Anthrax Attacks
• Suicide Bombings

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Biological, Radiological,Nuclear, Chemical
Attacks
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Manmade Disasters
Structural Failures
Transportation Accidents
Contamination Incidents
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Emerging Infectious Diseases

• West Nile Virus
• SARS
• Avian Influenza
• Pandemic Influenza

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Incident Management

• Response to all incidents will be coordinated
  through Incident Management
• For government, the National Incident Management
  system (NIMS) is used.
• For health care systems, the Hospital Incident
  Command System (HICS) is used.

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NIMS Organization CFLOP
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The Command Function
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COMMAND RESPONSIBILITIES

• Determine priorities, objectives, and strategic
  goals
• Develop organizational structure
• Manage incident resources
• Coordinate overall incident activities
  activities of outside agencies
• Ensure responder safety
• Authorize release of information to media

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The Command Staff
IncidentCommand
Information Officer
Safety Officer
Liaison Officer
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The Operations Section
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OPERATIONS

• Management of all tactical activities
• Direct and coordinate all tactical operations
• Assist the IC in developing strategic goals and
  tactical objectives for the incident
• Develop operational plans
• Request or release resources via the I.C.

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The Planning Section
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Planning Functions

• SITUATION STATUS
• Past -Current
• Predicted
• RESOURCES STATUS
• Current -Predicted

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Planning Responsibilities

• Information Management
• Planning for Operational Periods
• Assist the Incident Commander

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The Logistics Section
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LOGISTICS

• Responsible for providing facilities, services,
  and materials for the incident
• Acts as supply sergeant for incident
• Manages service support resources
• Tracks resources

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The Finance/Administration Section
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Finance Administration

• Takes care of all costs financial
  considerations
• Responsibilities
• Future payments
• Future budgeting
• Payment of personnel costs
• Cost Recovery

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How do we get to Preparedness?
Job 1 We make plans for response
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State, Regional, Local Plans Are drafted and
coordinated.
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How do we get prepared?

• Job 2 We exercise the plans
• Individual Training
• System Improvement
• Regulatory Requirements
• Testing of Functions (the actions / operations
  needed in emergency response or recovery)

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Exercise Programs

• Progressive Exercising over time we get more
  complex

crawl
walk
run
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Exercise Programs

• Progressive Exercisingwe also follow
  progressions from content seminars to more
  detailed and complex pretending.

• Orientations
• Drills
• Tabletop Exercises
• Functional Exercises
• Full-Scale Drills

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Comprehensive Ex Program

• Orientation
• Seminar
• An overview to familiarize participants with
  roles, plans, procedures, or equipment
• The format may be a lecture, video, or
  discussion

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Comprehensive Ex Program

• Drill
• a coordinated, supervised exercise activity,
  normally used to test a specific function
• To help practice and perfect one small part of a
  response
• Examples lock down, employee call backs

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Comprehensive Ex Program

• Tabletop Exercise
• (Also known as TTX)
• A facilitated analysis of an emergency situation
  in an informal stress-free environment
• The group participates in the identification of
  problem areas

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Comprehensive Ex Program

• Functional Exercise
• A fully simulated interactive exercise that tests
  the capability of an organization to respond to a
  simulated event
• Is timed has deadlines
• May prove to be somewhat stressful

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Comprehensive Ex Program

• Full Scale Exercise
• Simulates a real event as closely as possible
• Includes mobilization
• Includes movement of people, equipment, supplies,
  patients, and resources

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Exercise Cycle

• Exercise Planning Design
• Exercise
• Exercise Evaluation Followup

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After the Exercise

• Failure is Success!
• Finding out what doesnt work is the point!

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After the Exercise

• The GAPS are determined
• And participants deciding how to fill those GAPS!
• more training,
• better equipment,
• improved communications
• etc.

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After the Exercise
A.A.R. !

• Every participant needs to do an After Action
  Report!

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After Action Reporting

• All exercise participants will decide how things
  worked for their own organization.
• Participants will also determine how things went
  for all organizationsthe Big Picture.

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An Example Pandemic Influenza
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Planning for Pandemic Influenza!
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Planning for public education
With schools, media, public health, emergency
managers, volunteers.
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Plan for Hospital overflows
with hospitals, emergency managers, public
health
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Plan for education about wild bird management
with the Department of Natural Resources,
emergency managers, public health
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Plan for the management of poultry egg
production the safety of poultry workers
with the Department of Agriculture, industry,
emergency managers, public health
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Provide Specific Planning Recommendations

• For Communities..
• For Businesses Agencies..
• Schools
• For Families Individuals

With the Red Cross, Volunteer organizations, and
other community partners
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Provide Specific Planning Recommendationsfor
Continuity of Operations
With the Department of Health, cities, unions,
and professional organizations

• For Utilities
• For other critical infrastructures

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Plan for Behavioral Health Assistance

• Psychological First Aid
• Community
• Services

With county tribal social services, providers,
hospitals clinics
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Plan for limited Isolation Quarantine

• Providing Essential Services
• Food
• Drugs
• Phone
• Thermometers

With public health, emergency management,
public safety
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Planning for overall management of the response

• With Emergency Management, public safety,
  government officials, medical systems, public
  health, etc.

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After plans are made, well exercise evaluate
the plans

• And the cycle will continue, with continuous
  improvements!

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Back to The EP Alphabet

• E is for Emergency Medical Services
• Emergency Management
• F is for FEMA (Federal Emergency Management
  Agency)

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The EP Alphabet

• G is for Go-Kits
• H is for Hospital Incident Command system
• I is for Isolation

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The EP Alphabet

• J is for JPIC (Joint Public Information
  Committee)
• K is for Keep-On-Keepin-ON
• L is for Local Public Health

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The EP Alphabet

• M is for MAC Multi-Agency Coordination
• N is for NIMS
• O is for OEP (Office of Emergency Preparedness at
  MN Dept of Health)

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The EP Alphabet

• P is for Public Information
• Q is for Quarantine
• R is for Red Cross
• S is for Strategic National Stockpile

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The EP Alphabet

• T is for Tabletop Exercise
• U is for Unified Command
• V is for Volunteers (MNs program is the Medical
  Reserve Corps)
• W is for WAITT (Were All In This Together)

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The EP Alphabet

• X is for Cross-Training
• Y is for YOYO (Youre On Your Own)
• Z is for Zebras

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Questions? (besides this one)
bonnie.holz_at_health.state.mn.us