Emergency Preparedness Tiers

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Emergency Preparedness Tiers

• Ready to Respond Conference
• May 7, 2008
• Mickey Scullard, MPH, Office of Public Health
  Practice, MDH
• Lynn Theurer, Winona County Community Health
  Services

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Background

• SCHSAC MDH-LPH Preparedness Committee
• Created after Formula Funding work group
  discussion
• MDH and LHD Members
• Strategic Plan Blue Print
• 6 priorities

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Blue Print

• Roles and Responsibilities
• Emergency Preparedness Communications
• Public Education
• Preparedness Plans
• Training
• Integrated Exercise Plan

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Emergency Preparedness Communications

• Between and within MDH and LHDs
• Two-way communication
• Tools, templates and protocols
• Chapter 13 Training sharing

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Framework

• Agreement to use the MDH Incident Lifecycle Map
• Created a complementary LHD Incident Lifecycle Map

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LHD Incident Lifecycle Map
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Public Health Emergency Preparedness Tiers

• Charged with exploring tiers for public health
  work
• Dont discuss funding

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Tier Development

• Crosswalk
• Essential Local Activities
• Emergency Preparedness, Environmental Health,
  Infectious Diseases, and Infrastructure
• Grant duties
• DPC Common Activities Framework
• NACCHO
• Project Public Health Ready
• Advanced Practice Centers

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Tier Development

• Started with hospital trauma system
• Level 1 trauma center, etc.
• 3 vs 2
• Feedback from SCHSAC
• Confusion
• Stigma

Funding
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Local Regional Component
Local Health Departments
Planning, response, and recovery responsibilities
completed by working with other local health
departments, local partners, and regional
partners in region
Base Tier Responsibilities for jurisdictions
receiving base amount of funding
Some planning, response, and recovery
responsibilities completed by working with other
local health departments, local partners, and
regional partners in region in region

• To Be Named Tier
• Responsibilities
• May assist others if able
• Works with local partners

Planning, response, and recovery responsibilities
may or may not be completed by working with other
local health departments local partners, and
regional partners in region

• Comprehensive Tier
• Responsibilities requiring greater capacity or
  capability
• May be a county, multi-counties or a region
• Leads, develops, creates, manages
• Leadership role in regional efforts

Essential Local Activities
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Public Health Emergency Preparedness Tiers

• 3 tiers
• Essential Local Activities already established
  and adopted statewide
• Base responsibilities for LHDs receiving base
  funding
• Mid-Level additional responsibilities
• Comprehensive greater resources capabilities

Funding
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Pilot Tests

• 8 sites, one in each region
• Selected for differences
• The sites were
• Wright
• Dodge-Steele
• Countryside
• Brown-Nicollet
• Clay-Wilkin
• Lake of the Woods
• Anoka
• Cook-Carlton-Lake-St. Louis

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The Tiers Planning Preparedness
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Tiers Planning Preparedness
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Tiers Detection
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Tiers - Response
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Tiers - Recovery
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Tiers Long-term Recovery
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Potential Uses of Tiers

• Identify statewide level of readiness
• Identify priority work (local, regional, state)
• Development of grant duties
• Assist in identifying more specific MDH roles
  responsibilities in support of LHDs
• Paint a clearer picture of strengths and weakness
• Use to request funding from the MN legislature

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Next Steps

• Revision of tiers
• May 9 SCHSAC meeting
• Implementation

Funding
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Questions?