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TRANSCRIPT
MFHCC MeetingMarch 6, 2018
Presbyterian/St. Luke’s Medical Center
Denver, CO
WELCOME & INTRODUCTIONS
Lisa
Agenda• Arrive, sign in, grab lunch
• Welcome & Introductions – Lisa (10 mins)
• Review Previous Action Items – Lisa
• MFHCC Two Years in Review – Janelle & Lisa
• Agency Updates - All – Janelle (15 mins)
• Member Agency Spotlight: Denver Health Paramedic Division – James Robinson (15 mins)
• Trainings and Events – Janelle and Lisa (5 mins)
• Combined EMS Planning & Preparedness Meeting Update – Dave Mitchell, James Robinson (5 mins)
• North Central Region Healthcare Coalition (NCR HCC) – Michelle Deland (5 mins)
• Ancillary Healthcare Workgroup Update – Michelle Deland (5 mins)
• Medical Surge / Evacuation Discussion Around Lessons Learned – Michelle Deland, James Robinson,
Chris Mailliard, Janelle and Lisa (30 min)
• Review New Action Items – Janelle
REVIEW PREVIOUS ACTION ITEMSLisa
Review Previous Action ItemsIf you are interested in becoming a Closed POD, contact the appropriate
person for your jurisdiction: Christine Billings ([email protected])
for Jeffco & Gilpin; Cali Zimmerman ([email protected]) for
Denver; Megan Nies ([email protected]) for Broomfield; Donna Kline
([email protected]) for Clear Creek.
All On-going
Member Spotlight - email Janelle and Lisa if you would like to be featured on the website. Large increase in the number of people joining. Volunteer
to include yourself on the member spotlight webpage
All On-going
Contact Ginny Schwartzer ([email protected]) if interested in participating in a Disaster Book Club.
Next book is One Second After by William R. Forstchen. Meeting will be April 8th from 2-4 pm at Bacon Social House, 2434 W 44th Ave in Denver.
All
On-going
MCI Homework assignment (see past Minutes and PPT) All On-going
Stay updated about new CMS emergency preparedness rule webinars, workshops, and training on MFHCC website.
All On-going
Send “Non response response” process to Jefferson County agencies Janelle, Christine 3/31/18
Email Janelle and Lisa if you are interested in any of these: (1) Serving as a
minute taker for one month in 2018 or (2) You could host 60-70 people at
an MFHCC meeting during any month in 2018.
All On-going
A new method to collect MFHCC membership info will be sent out soon.
ALL MEMBERS must enter their information into it to remain on
Healthcare Coalition distribution lists.
All Members TBD
Arvada Fire will host a Safety Fair on Sept 29th and Shots for Tots will be
held on Sept 29th, Nov 3rd and Dec 1st. Contact Dave Mitchell
([email protected]) if you would like to participate.
Dave Mitchell September
Happy 2nd Anniversary of the MFHCC!
TWO YEARS IN REVIEW – THANK YOU!Number of Meetings: 22
March 2016
• Number of Members: 129
• Number of Member Agencies: 67
March 2018
• Number of Members: 281
• Number of Member Agencies: 153
Thank you to our Agency Spotlights!
▪ Eaton Senior Communities and Dispatch Health
▪ Colorado Coalition for the Homeless
▪ Mile-High RETAC and Foothills RETAC
▪ Jefferson Center for Mental Health (JCMH)
▪ Mental Health Center of Denver (MHCD)
▪ Metro Community Provider Network (MCPN)
▪ Clear Creek and Gilpin Counties Public Health and EMS
▪ Denver Dept. of Public Health and Environment
▪ All the Comfort of Home
▪ Colorado Human Services
▪ WestLake Care Community
▪ Denver Health Paramedic Division
AGENCY UPDATES
Janelle
Agency Updates
• Please mention brief updates you would like to share with the entire group
• Include your name and agency name
• High level reports applicable to various agencies
• Updates requiring in depth discussions may transition into workgroups
MEMBER AGENCY SPOTLIGHT –DENVER HEALTH PARAMEDIC DIVISION
James Robinson
PARAMEDIC DIVISIONJ A M E S R O B I N S O N , A S S I S T A N T C H I E F
DENVER HEALTH
SOME HISTORY
DENVER HEALTH AND HOSPITAL
AUTHORITY
PARAMEDIC DIVISION• 911 EMS for the City and County of
Denver, parts of Arapahoe County
• 911 EMS communications
• EMS operations at Denver
International Airport (DEN)
• Emergency Services Patrol
• EMS Training and Education
• Special Teams
• HIT
• Bike Team
• Wildland Team
• Medical Coordination
• Emergency Management
DENVER’S EMERGENCY MEDICAL RESPONSE SYSTEM
911 Call
BLS First Response
ALS Response
Patient Disposition
Common Medical Direction
DYNAMIC DISPERSAL
WHAT WE DO
18
19
20
Denver Health Paramedics
601 Broadway, 5th Floor
MC 0172
Denver, CO 80203
303-602-2566
Get in touch with us
UPCOMING TRAININGS AND EVENTS
Janelle and Lisa
Q3 Redundant Communications Drill-March 12th• Testing: E-mail, 800 MHz Radio & Conference Call
• Monday, March 12th, starting at 9:00 a.m.
• Drill participation documentation will be made available to all participants following the drill. There are three parts to the drill:
• E-mail: Everyone will receive an e-mail the morning of the drill and we will track any undeliverable e-mails.
• 800 MHz Radio: This portion of the drill will start promptly at 9:00am and should last less than 10 minutes. At the start of the drill, please tune your radio to the MAC 4 channel. Only those agencies that have 800 MHz radios need to participate in the radio drill. It will be immediately followed by a conference call (see below). We encourage you to test your radio in advance of the drill to ensure it is working and charged. Please direct any questions to your technology or facility management.
• Conference Call: All agencies are encouraged to participate in this portion of the drill. If you are notparticipating the Radio Drill but want to call in only for the Conference Call, please call-in at 9:10am. You may need to wait a couple of minutes for us to finish the radio portion of the drill, but one of our staff will be on the line shortly. Call info will be sent out ahead of the drill.
• RSVP via link to be included in Meeting Minutes.
Denver Healthcare Facility Emergency Planning Workshop
• Date: April 25th
• Time: 9 am – 1 pm
• Location: Denver Post Auditorium
• Forum to assist Denver healthcare facilities in developing emergency plans and address CMS requirements. The workshop will include a hazard briefing, provide planning templates and resources, and allow facilities to connect with local emergency management and public health officials.
MFHCC Website - Training and Exercise OpportunitiesVisit www.metrofoothillshcc.com
• CMS Emergency Preparedness Webinars or Exercises:
• Visit All Clear Emergency Management website for details
• Visit MoodyWorks32 Emergency Preparedness Consulting website for details.
• March 7 – Trauma Contamination by John Nicoletti
• March 7 – Legal Issues in Emergency Management
• March 8 – Health Sector Emergency Preparedness
• March 12 – Climate Change and Health Symposium
• March 13 – Emotional Intelligence for Law Enforcement: A Hidden Key for Survival
• March 22-23 – Medical Preparedness and Response to Bombing Incidents
• March 27 – ICS Interactive Training Opportunity
• April 4-7 – 55th Annual Denver Tuberculosis Course
• April 19 – Applied Outbreak Investigation Training – CO.Train course ID 1053407
• April 23-24 – Homeland Security Exercise and Evaluation Program (HSEEP)
• April 26 – Legal Issues in Emergency Management
• Aug. 25-26 – Denver Fire Advanced Extrication “Chop Shop” Course
• Aug. 29-31 – National EMS Safety Summit
COMBINED EMS PLANNING & PREPAREDNESS MEETING UPDATE
Dave Mitchell and James Robinson
NORTH CENTRAL REGION HEALTHCARE COALITION (NCR HCC) UPDATE
Michelle Deland
• Hospital Preparedness Program (HPP) Notice of Funding Opportunity (NOFO):• Budget Period 1 Supplemental NOFO has been released from Dept. of Health and Human
Services
• Available funds for Colorado = $3,099,248. This is a reduction of $20,144 from last year
• CDHPE-OEPR is currently working on the grant application process for the state
• CDPHE-OEPR is anticipating level funding for the HCCs
• Coalition Surge Test:• Notification to HCC members went out last week
• 2 week window: March 26 – April 9
• Focus is on hospitals, EMS, and supporting entities (emergency management, ESF 8/emergency operations center health and medical branches) for this year• Hospitals have the opportunity to complete a survey and provide input on their role as well
exercise dates – please complete ASAP
• We are looking for two additional evaluators for the exercise. If you are interested, please e-mail Michelle Deland at [email protected]
North Central Region Healthcare CoalitionMFHCC Update
North Central Region Healthcare CoalitionMFHCC Update
• NCR Training Opportunity: Introduction to Disasters in the Healthcare Environment
• 6 hour class hosted by University of Colorado Hospital, Children’s Hospital of Colorado, and North Suburban Medical
Center
• Objectives:
• Understand the National Incident Management System (NIMS) the Incident Command System (ICS), and applications to the hospital setting
• Explore emergency response coordination from the federal to the local level
• Describe the fundamentals of epidemiology and apply them to past, current and future threats
• Explore pathogens within the CDC bioterrorism categories and understand their health effects
• Describe ethical and legal implications of disaster care
• Understand levels of PPE and the application to highly infectious disease in the healthcare setting
• Registration: CO.TRAIN Course ID: 1075906
• Multiple dates, times, and locations available
• Member Action Items:• NCR HCC Roster• NCR HCC Preparedness Plan
• Next Governance Board Meeting: March 27th from 2:00pm – 4:00pm at Trailhead Institute: 1385 South Colorado Blvd, Suite A622, Denver, CO 80222
ANCILLARY HEALTHCARE WORKGROUP
Michelle Deland
Ancillary Healthcare WorkgroupAncillary Healthcare Workgroup Community Functional Exercise• Save the Date – May 7, 2018
• Tentative time: 9am-4pm
• Summit Event Center, Aurora CO
• Tentative objectives:
1. Understand basic emergency response principles
2. Gain knowledge of local agencies that can provide support during a response.
3. Participate in a community functional exercise to evaluate their plans and
procedures to identify strengths and areas for improvement for their facility plans as
well as the community at large
Ancillary Healthcare Workgroup
• North Central Region Health and Medical Cross Jurisdictional Workshop: Ancillary Healthcare Representative
• Love Communication?! Then stay for our workgroup!
• Workgroup Meets TODAY 1:45-2:45pm
• Today’s Topics:
• American Red Cross Presentation – Lynda Monsey
• Ancillary Healthcare Emergency Communications – Chris Mailliard
MEDICAL SURGE / EVACUATION DISCUSSION AROUND LESSONS LEARNED
Michelle Deland, James Robinson, Chris Mailliard, Janelle and Lisa
North Central
Region Healthcare
Coalition
CST: The Who, What, When, Where and Why?
• THE WHO:• Players will include members from the North Central Region Healthcare
Coalition
• More specifically, this year will focus on: hospitals, EMS, and supporting
entities (emergency operations centers and/or department operations
centers, ESF 8/health and medical branches, emergency
management)
• THE WHAT:• Low/no notice tabletop with functional elements designed to test a surge
on the coalition via the simulated evacuation of 20 percent of the region’s
staffed acute care beds
• THE WHEN:• About that…
• THE WHERE:• Hospitals designated as “evacuating facilities” or “receiving facilities”
within the NCR
• EMS
• EOCs/DOCs
CST: The Who, What, When, Where and Why?
• THE WHY:• “The CST is designed to identify strengths, gaps, and corrective
actions through the testing of a coalition’s ability to work in a coordinated fashion to find appropriate destinations for patients in a simulated evacuation.”
More broadly…
• This exercise provides the region with an opportunity to test the following capabilities during a low/no notice or rapidly unfolding event:
1. Communication2. Coordination3. Management, including prioritization, of resources
• This exercise is not designed to test or evaluate facility-level plans
• This is an annual deliverable per the Assistant Secretary for
Preparedness and Response (ASPR) and Colorado Department of
Public Health and Environment (CDPHE)
Evacuation of Kaiser Permanente Santa Rosa
• 1:30am – 2:00am: Kaiser stood up their Hospital Command Center
• 2:00am: Hospital staff learned that another nearby hospital had evacuated and that the fire had reached
the north end of their campus, burning trailer homes on the edge of the hospital’s property. Fire and EMS
crews were already staging near the hospital
• 3:30am: Decision was made to evacuate to a sister facility
• 3:40am: Staff began moving patients to the evacuation point within the hospital
• 6:30am: The last patient was out of the hospital
Evacuation of Kaiser Permanente Santa Rosa
• 122 patients were evacuated within three hours, including those in the emergency department
• The incident command team and some security staff stayed behind, as well as an emergency physician and nurse so that if a patient walked in they could get an initial assessment and be directed to other facilities
• Patients were transported via ambulance, buses, and private vehicles
• Lessons learned:
• The hospital had a plan and process for patient tracking, but time compression made that impossible. Someone suggested using a smartphone to take pictures of patient arm bands. This is now being incorporated into the hospital’s evacuation plan
• Staff didn’t have “go packs.” They were not prepared to get patients on city buses with nurses and the necessary supplies for administering care
• Nurses were sent with patients on the buses and medical control was managed via cell phone, but it would have been beneficial to have physicians on buses as well
• The hospital had the ability to print out 1-2 page disaster sheets, but nobody in the hospital that night knew how to print them out. Moving forward, the facility will have someone working on all shifts who knows how to operate that aspect of the EMR
• Communication – staff reported that they were not being communicated with in a timely manner. They did not necessarily know who was in the hospital at 3:00am as there was no list of staff
Evacuation of Kaiser Permanente Santa Rosa
Editor’s Notes: A true emergency evacuation of a healthcare facility is a daunting prospect:
• Making sure basic medications, patient care supplies, and key belongings are easy to organize and transport is important
• Evacuation equipment education and training are important, but so is the education of command and unit staff about when and how to evacuate versus shelter in place
• Facility-specific templates can often be used to predict EMS needs, saving precious resources
that would be dedicated to conducting a real-time assessment
• EMRs often contribute to challenges during evacuation events; printing “face sheets” for patients at the first sign of danger (e.g., a tornado warning, communication with first responders) can help the evacuation (and patient tracking and relocation) run more smoothly
• Using all transportation options available is key, as EMS resources may be committed to responding to the community
• Medical personnel must be prepared to accompany patients in non-traditional vehicles. Finally, patients will often continue to present to “closed” facilities and families will call seeking information when they hear about the evacuation – make sure your plans address continuity
of services as well as a process for reopening a closed campus
Medical Surge / Evacuation Discussion Around Lessons Learned
• James Robinson – Rose Medical Center Incident
• Chris Mailliard - Frasier Meadows Response to 2013 Floods
Medical Surge / Evacuation Discussion Around Lessons Learned - Open Discussion
What types of barriers do you anticipate in a rapid evacuation?
How does this differ from evacuations that have sufficient lead or
planning time?
Have you experienced or exercised this type of event? Have you
had to evacuate a facility quickly? If so, lessons learned?
What barriers do you anticipate when coordinating with other
partners?
Review New Action Items
Janelle
Thank you!
Networking and Ancillary Healthcare Workgroup