2014 Preparing for the Unexpected V Conference - Plans and Reality

Cross Border Emergency Preparedness “Is simple, Works and Saves Lives”

Objectives

• Cross Border EMS Activity Update• Cross Border Interfacility Transfer – EMS

Operational Plan Appendix C• Paddle Quinault/Bella Bella – MCI Planning &

Operations• Transport assets and capabilities within the

jurisdictions and public health regions

Hospital Evacuation

Cross Border EMS Activity Update

44,360• All Jurisdictions• Washington Cross Border Activity for 2013 and 2014 7,176 • British Columbia 145• Idaho 3,775• Oregon 2,900• Other: (Alberta, Yukon, 356

Northwest Territory Alaska,Montana)

• An arrangement between Alaska, British Columbia, Idaho, Oregon, Washington, and Yukon) with respect to the provision of mutual assistance

• Pacific Northwest Emergency Management Arrangement http://www.pnwbha.org/reports/PNEMA-annex-a-and-b.PDF

• Guidelines developed by the parties for sharing and protecting health information while respecting the individual state’s/province’s data sharing laws.

• Washington – British Columbia MOU to Share and Protect Health Information to Assure Prompt and Effective Identification of Infectious Disease and Other Public Health Threats

• An agreement between the federal and provincial governments and BC First Nations to develop a Health Partnership Accord that will capture the vision of the Parties for a better, more responsive and integrated health system for First Nations in British Columbia

• British Columbia Tripartite Framework Agreement on First Nations Health Governance

Authority

• Addresses CDC/PHP CAPABILITY 10: Medical Surge, Functions 2 & 3 http://www.pnwbha.org/wp-content/uploads/2012/09/Cross-Border-EMS-Resources-08-30-2012-PNEMA.pdf

• USCBP and CBSA Border Crossing Procedure/Checklist

• Functional exercise 2012, 2010 Olympic & Paralympics, Table Top Exercise 2/2010

Accomplishments

• Canada - United States Pan Border Public Health Preparedness Council (PBPHPC) http://www.pbphpc.org/

• http://www.pnwbha.org/wp-content/uploads/2012/05/Strategic-Plan-v5-051212.doc-Revision1.pdf

Accomplishments

• http://www.pnwbha.org/wp-content/uploads/2014/03/PNWBHA-Workshop-Overview-v21.pdf

• Communicate this information to your partners • Build and update your capabilities with your partners• Beyond the Border Initiative• Text: S.J.Res.44 [112th]

http://beta.congress.gov/bill/112th-congress/senate-joint-resolution/44/text

Next Steps

Paddle to Quinault 2013

Paddle Quinault– MCI Planning & Operationshttp://www.youtube.com/watch?v=d2v1njTMs9E

• County Planning for huge event – 10 times average population

• Building an EMS/EM response

• Results

Tribal and First Nations EMS, Bella Bella

Paddle to Bella Bella– MCI Planning & Operationshttp://www.sklallamfoundation.org/current-projects/tribal-journey-to-bella-bella-2014.html

http://vimeo.com/42146387#t=206 http://fnbc.info/event/tribal-journeys-bella-bella-2014

• County Planning for huge event – 10 times average population

• Building an EMS/EM response

• Results

Cross Border Interfacility Transfer – EMS Operational Plan Appendix C

http://www.pnwbha.org/wp-content/uploads/2010/04/WA-BC-EMS-Border-Crossing-Plan.pdf

• Grays Harbor EMS http://www.ghems.org/

– Initial Cross Border contact process– Patient transfer process - Appendix “C”– Results

• 2 year old saved S:\HSQA\CHS\Spokane\Terrorism\Cross Border\2014 Workshop\Air ambulance closes Peace Arch border crossing 8 2012.docx

• It is the Right Thing to do!

2 Year Old

Air ambulance closes Peace Arch border crossing

An air ambulance takes off from the shut-down Canadian side of the Peace Arch border crossing Saturday afternoon with a seriously ill child on board. — image credit: Photo supplied by Canada Border Services Agency

by Dan Ferguson - Peace Arch News posted Aug 19, 2012 at 3:00 PM— updated Aug 20, 2012 at 9:17 AM

A medical emergency involving a child led to an unusual shutdown of the Peace Arch border crossing Saturday afternoon to allow an air ambulance to land.

The B.C. Ambulance Service said a patient was transported by helicopter from the border crossing to B.C. Children's hospital in Vancouver at 3:20 p.m.

Faith St. John, spokesperson for the Canada Border Services Agency, said U.S. customs cooperated with their Canadian counterparts to get the child through the border crossing quickly around.

According to one report, a two-year-old had suffered serious injuries falling from a bunk bed in Birch Bay.

Transport assets and capabilities within the jurisdictions and public health regions

http://www.doh.wa.gov/ForPublicHealthandHealthcareProviders/EmergencyPreparedness/PatientTransport.aspx

• Statewide – Includes: British Columbia, Idaho, Oregon, and Tribes

• Public Health Regions

Understand potential transport capabilities

• One shoe does NOT always fit all (unique local needs and transport capabilities)

o School Bus, 2011 Quincy, WA. 2014 Plymouth, WA.o Transit Systemo Medicaid Transportation Brokerage Service Providers

2/2014 Clark Co o Casino Buso Home care buso Etc.

http://www.toledoblade.com/Police-Fire/2008/09/26/Bomb-threat-forces-evacuation-of-Swanton-nursing-home.html

Positive Effects

• Develop partner relationships

• Creates a transport capabilities matrix

• Creates a contacts list for planning

• Coordinates with response agencies

Accomplishments

• 2014 Plymouth, WA Liquid Natural Gas Explosion

• Available for 2012 Fires - potential evacuation

• In response to 2012 wild fires, alerted Medicaid transportation brokers to standby to provide transport out of area, if needed

• Exercised within Region 5 during Evergreen Quake

• Update, distribution, and maintenance of the matrices process

Next Steps

• Communicate this planning tool to all partners

• Prioritization of limited resources

• Build the processes into jurisdictional exercises

QUESTIONS?

• Lisa Hall lhall@quinault.org

• Rod Salem rod.salem@bcehs.ca

• Michael Smith mike.smith@doh.wa.gov