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PORT GAMBLE S’KLALLAM TRIBE

COMMUNITY EMERGENCY PREPAREDNESSSELF-ASSESSMENT PROJECT

October 30, 2017

Forum for 29 tribal governments and

2 urban Indian health programs

Providing Technical

Support and Advocacy

Working to improve the health status of

American Indian/Alaska Native

people

American Indian Health Commission

American Indian Health Commission for Washington State

AIHC• The American Indian Health Commission was created in 1994

by federally recognized tribes, Urban Indian health organizations, and other Indian organizations in Washington to provide a forum for addressing tribal-state health issues.

• The Commission works on behalf of the 29 federally-recognized Tribes and 2 Urban Indian Health Organizations in the state.

• Delegates are officially appointed by Tribal Councils to represent each individual Tribe, and Urban Indian Health Organization representatives serve as members-at-large. All decisions and activities are driven by the delegates.

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MISSIONTo improve the health of AI/AN people through tribal-state collaboration on health policies and programs that will help decrease disparities.

AIHC

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1. Provide an overview of the Community Emergency Preparedness Self-Assessment Project

2. Clarify roles

3. Plan for future meetings

Today’s Meeting

American Indian Health Commission for Washington State

GUIDING PRINCIPLES FOR THE PROJECT

Part 1

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8 American Indian Health Commission for Washington State CYCLE

EMERGENCY PREPAREDNESS

"I have seen that in any great undertaking it is not enough for a man to depend simply upon himself.”

- Lone Man (Isna-la-wica), Teton Sioux

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Every emergency and public healthincident is experienced first in a localjurisdiction and is responded to first bylocal, tribal, and state personnel.

– See Homeland Security and Emergency Management, Abbott and Hetzel, p. 5

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Even with their great authority, no federal,state, or tribal government has the capacityto respond to every community emergencythat may occur within its jurisdiction withoutassistance from other jurisdictions.

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PREPAREDNESS IN INDIAN COUNTRY

Part 2

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Context

• Families prepare with routine activities like canning foods, stocking firewood, and keeping contacts with relatives in other communities. It is part of everyday life

• Tribal communities have practiced emergency preparedness and response efforts from time immemorial

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Context• Not too long ago, public health emergencies

caused by the introduction of European diseases devastated many tribal nations

• Tribal governments demonstrate a paramount commitment to protecting and promoting the safety and well-being of their communities from all hazards

• Tribal governments are at the frontline of supporting other tribal communities and their non-tribal neighbors when disasters strike (e.g., Oso mudslide, Colville fires, etc.)

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Great Work - Limited Resources

• Tribes do great work with little to no resources

• More than half of all tribes in Washington receive less than $10,000 per year for emergency preparedness

• Few tribes have designated staff positions for emergency management

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Shoalwater Bay TribeYellow Brick Road Tsunami/Health Walk• Annual event• Engages Tribal and non-Tribal emergency response

agencies and Tribal community members in exercising evacuation in response to a Tsunami

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Shoalwater Bay TribeYellow Brick Road Tsunami/Health Walk• Has become an anticipated

community celebration that strengthens community resilience and knowledge

• Tribal community members of all ages now have a significant understanding of what to do when they hear the alert broadcast siren

• Responder agencies have a regular opportunity each year to review emergency response activities with other partners

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Colville TribesDrive-Thru Flu Vaccine Clinics

• Annual event• Tribal and non-

Tribal response agencies and Tribal community members have an annual opportunity to exercise a mass vaccination effort

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Colville Tribes

• Offers a convenient opportunity for community members to receive annual flu immunizations

• Community members of all ages now understand how to participate in a safe and efficient mass vaccination and/or medical countermeasure dispensing effort

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Makah NationAnnual Canoe Journey Hosting• Annual event• Tribal and

non-Tribal response agencies and Tribal community members stand up Incident Command System

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Makah Nation

• Training for hosting is based on Incident Command System and response procedures

• Annual test of communications and other equipment21

TOOLBOX BACKGROUND

Part 3

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Toolbox Background

• In 2014, AIHC hosted a series of 8 regional meetings with tribes.o 59 individuals from 24 tribes participated

• Tribal participants expressed the need for technical assistance to identify the gaps in their communities’ emergency preparedness capabilities; e.g.:o Planso Trainingo Tribal codes o Equipment

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Toolbox Background• In 2016, AIHC applied for and was

awarded DOH funds to create a custom-designed process for tribal communities to:o Assess community preparednesso Conduct asset mapping and gap analysiso Develop an action plan

• AIHC completed the “AIHC Tribal Community Emergency Preparedness Toolbox” in June 2016

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Researched Available Resources

• AIHC contacted representatives from FEMA, DOH and CDC to request information about any community preparedness assessment tools available.

• Additionally, AIHC conducted a comprehensive internet search for community preparedness assessment tools.

Approach

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Researched Available Resources

• Did not find tools designed for tribal communities

• Did not find any one tool to conduct comprehensive, all-hazards community preparedness assessment

• Tools found were specific to distinct areas of preparedness (e.g., legal, medical surge, COOP, etc.)

Findings

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Developed DRAFT Assessment and Planning Process

• AIHC developed a draft comprehensive all-hazards community preparedness self-assessment, drawing from:

o Emergency Management Standard, created by the Emergency Management Accreditation Program

o Vulnerability and Capacity Assessment Toolbox, by the International Federation of Red Cross and Red Crescent

o CDC tools, including: Community Assessment for Public Health Emergency Response (CASPER) and Community Assessment Tool for Public Health Emergencies (CAT)

• In addition to the self-assessment, AIHC compiled existing resources and tools

Approach

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Developed DRAFT Assessment and Planning Process (continued)

• AIHC sent a request for review and recommendations to the web-based draft, to:

o DOH EPR Staffo Northwest Center for Public Health Practiceo Washington State Public Health Associationo FEMA Staffo Indian Health Service (IHS) Staffo Northwest Tribal Emergency Management Council (NWTEMC)o CDC Staff

Approach

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Pilot Site Visits

• Two site visits with PGST

• Participants included:

Approach

o Administrationo Financeo Health Administrationo Planningo Public Safety

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Pilot Site Visits

• Key recommendationsFindings

o Provide more guidance and recommendations regarding what to prioritize – make it more directive

o Highlight the “easy to do things”o Make it a “live” document that incorporates ongoing feedback

from tribeso Offer to facilitate the process for tribes

• These recommendations were incorporated in the final Toolbox

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BRAINSTORMING –LITTLE BOSTON ASSETS AND GAPS

Part 4

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ROLES

Part 5

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• Every community member and every staff member has a role and obligation in preparedness and response

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Roles

• You are the experts on your community

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RolesWORKGROUP

• Brainstorm• Identify resources• Track down assets• Document findings• Learn• Make decisions• Inform Tribal Council• Inform other staff• Implement changes

FACILITATOR

• Facilitate meetings• Bring resources• Document work

NEXT STEPS

Part 6

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1. Schedule next 2 meetings

2. Read Section I and Section II of the Toolbox before next meeting

3. Track down what assets/policies/resources you already have in place

• Find where things are kept

• Document who is trained in what areas

4. Think of your role and your department’s role in preparedness and response

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Before Next Meeting

1. Documentation of community preparedness capabilities/assets: i) in place, ii) in progress, or iii) not started

2. Documentation of community capabilities/assets in place by: i) location, ii) how they are being documented, and iii) how they are being maintained

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Project Outcomes

3. Documentation of your community’s preparedness gaps and needs

4. A roadmap or action plan to address your gaps and needs

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Project Outcomes

Contact

Lou SchmitzLou.Schmitz.aihc@outlook.com

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Additional information on the AIHC website under:

– Public Health‾ Emergency Preparedness

–Community Preparedness Self-Assessment Project

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Questions?

American Indian Health Commission for Washington State