emergency preparedness: best practice - nedrix - northeast

2005 Annual ConferenceOctober 24-26 2005, Newport, RI

2006 Winter ConferenceFebruary 16th, 2006

Sheraton Braintree Hotel, Braintree, MA

Emergency Preparedness:Emergency Preparedness:Best PracticeBest PracticeStephen A. MorashStephen A. Morash

Emergency Planning and Response ManagerEmergency Planning and Response Manager




AgendaAgenda

PhilosophyPhilosophyRole and EnvironmentRole and EnvironmentBest Practices in Context of the NEIDLBest Practices in Context of the NEIDL




BUMC’s PhilosophyBUMC’s PhilosophyReduce the risk of an incident that could Reduce the risk of an incident that could cause an impact to life and property cause an impact to life and property through mitigation effortsthrough mitigation effortsPrepare for any and all events that might Prepare for any and all events that might happenhappenRespond appropriately and quickly with Respond appropriately and quickly with BUMC and public safety resourcesBUMC and public safety resources




Emergency Planning & ResponseEmergency Planning & Response

Basically, Emergency Management Director Basically, Emergency Management Director for for –– Boston University Charles River CampusBoston University Charles River Campus–– Boston University Medical CenterBoston University Medical Center–– National Emerging Infectious Disease National Emerging Infectious Disease

LaboratoryLaboratory




Emergency PlanningEmergency Planning

BUBU–– OEHSOEHS

BMCBMC–– Disaster CoordinatorDisaster Coordinator–– OEHSOEHS

Manager of Emergency Planning and Response




Charles River CampusCharles River CampusFourthFourth--largest independent largest independent university in the US. university in the US. Approximately 26,000 Approximately 26,000 students and 5,000 students and 5,000 employees;employees;Approximately 600 Approximately 600 maintenance and custodial maintenance and custodial staff;staff;There are approximately There are approximately 10,000 students in residence.10,000 students in residence.




Charles River CampusCharles River CampusApproximately 348 Approximately 348 buildings;buildings;260+ residences;260+ residences;Approximately 9 million Approximately 9 million SF of assignable space of SF of assignable space of which approximately 1.4 which approximately 1.4 million SF is laboratory million SF is laboratory space.space.




Boston University Medical CenterBoston University Medical Center

Boston Medical CenterBoston Medical CenterBoston University Boston University –– School of MedicineSchool of Medicine–– School of Public HealthSchool of Public Health–– Goldman School of Dental MedicineGoldman School of Dental Medicine–– Division of Graduate Medical SciencesDivision of Graduate Medical Sciences

Bio SquareBio SquareNational Emerging Infectious Disease LaboratoryNational Emerging Infectious Disease Laboratory




Boston University Medical CenterBoston University Medical Center8,000 employees8,000 employees3,000 students3,000 students854,000 patient visits/year854,000 patient visits/year39 buildings39 buildings4 million square feet4 million square feet2 parking garages w/1240 spaces2 parking garages w/1240 spaces8 parking lots w/1760 spaces8 parking lots w/1760 spaces




547547--bed academic medical center in the South Endbed academic medical center in the South EndLargest 24Largest 24--hour Level I Trauma Center in New hour Level I Trauma Center in New England England –– 125,000 ED visits/year125,000 ED visits/yearFull spectrum of pediatric and adult care services Full spectrum of pediatric and adult care services ––primary to family medicine to advanced specialty primary to family medicine to advanced specialty carecare




ResearchResearch

305 Labs at BUMC305 Labs at BUMC–– 3 BSL33 BSL3

200 + at BU CRC200 + at BU CRC




To Sum it All Up…To Sum it All Up…"If we knew what it was we were "If we knew what it was we were

doing, it would not be called doing, it would not be called research, would it?"research, would it?"

–– Albert EinsteinAlbert Einstein




National Emerging Infectious Disease LaboratoryNational Emerging Infectious Disease LaboratoryNational Emerging Infectious Disease Laboratory




NEIDL LocationNEIDL Location




Emergency PlansEmergency Plans

BUMCBUMC–– Emergency Response PlanEmergency Response Plan–– Integrated Contingency PlanIntegrated Contingency Plan–– Select Agent Response PlanSelect Agent Response Plan

BMCBMC–– Disaster PlanDisaster Plan




Best PracticesBest Practices

MitigationMitigationPreparednessPreparednessResponseResponseRecoveryRecovery




MitigationMitigation

Risk AssessmentRisk AssessmentHazard Vulnerability AssessmentHazard Vulnerability AssessmentSecuritySecurity




PreparednessPreparedness

Emergency Response PlanningEmergency Response PlanningCommunicationsCommunicationsCoordinationCoordinationEquipmentEquipmentTrainingTrainingExercise ProgramExercise Program




ICS TrainingICS Training

BMC staff are being trained in HEICS BMC staff are being trained in HEICS Version 4Version 4All Command Center Personnel are being All Command Center Personnel are being trained in NIMS trained in NIMS –– IS100 and IS700IS100 and IS700




Comprehensive Exercise ProgramComprehensive Exercise Program

CommunicationsCommunicationsCommand and ControlCommand and ControlSelect AgentSelect AgentHospital Disaster PlansHospital Disaster Plans




Public Emergency RespondersPublic Emergency Responders

Bio Safety Awareness TrainingBio Safety Awareness TrainingOperation IcarusOperation IcarusFuture ExercisesFuture ExercisesPlanning for NEIDLPlanning for NEIDL




Coordination w/Public Responders Coordination w/Public Responders

Boston Public Health CommissionBoston Emergency Management AgencyBoston Emergency Medical ServicesBoston Fire DepartmentBoston Police DepartmentMayor’s Office of Homeland Security




Coordination w/PublicCoordination w/Public

Corporate CommunicationsCorporate Communications–– Director of Community AffairsDirector of Community Affairs

Public AffairsPublic AffairsMgr, Emergency Planning & ResponseMgr, Emergency Planning & Response




ResponseResponse

Command CenterCommand CenterEmergency Response TeamsEmergency Response TeamsFirst Responder CoordinationFirst Responder Coordination




BOSTON UNIVERSITY MEDICAL CENTEREMERGENCY PLANNING AND RESPONSEBOSTON UNIVERSITY MEDICAL CENTEREMERGENCY PLANNING AND RESPONSE

Detailed policies and procedures in place that are regularly tested.

Active Emergency Response and Safety Committees

Largest 24 hour Level 1 Trauma Center in New England. 122,000 ED Visits last year

New $1 million Command & Control Center with 170,000 calls for assistance last year




BOSTON UNIVERSITY MEDICAL CENTEREMERGENCY PLANNING AND RESPONSEBOSTON UNIVERSITY MEDICAL CENTEREMERGENCY PLANNING AND RESPONSE

Existing utility infrastructure designed for redundancy.

Extensive communication, notification and coordination systems in place involving EMS, BFD, BPD, PHC, BEMA

Continued emergency planning with community input.




Emergency Response TeamsEmergency Response Teams

Principal Investigator Principal Investigator Biological Safety OfficerBiological Safety OfficerFacilities ManagerFacilities ManagerPublic Safety SupervisorPublic Safety SupervisorOccupational Health OfficerOccupational Health OfficerManager, Emergency Planning & ResponseManager, Emergency Planning & Response




RecoveryRecovery

COOPCOOPDisaster Declarations Disaster Declarations –– Boston, State, FederalBoston, State, Federal–– Contractors Contractors




In The End, It’s About AIn The End, It’s About A

emergency preparedness: best practice - nedrix - northeast

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