building coalitions and partnerships through healthcare ... files/building... · successful...

Building Coalitions and Partnerships through Healthcare Emergency Management

Bob Besley, CHEP

My First Day on the Job

Building Coalitions in 2017

A coalition is a pact or treaty among individuals or groups, during which they cooperate in joint action, each in their own self interest


Coalition warfare is as old as civilization itself. The ancient Greek city-states combined to defend Greece against the Persian Empire


Benjamin Franklin was one of the nations earliest volunteer firefighters and believed in helping others for a common cause

The more recent history of emergency management mutual aid can be traced back to a perceived threat of nuclear attack in 1949, when the Soviet Union exploded its first nuclear device and the North Koreans invaded South Korea. President Truman established the Federal Civil Defense Administration to safeguard American citizens. Source: NEMA


Since 2001 the focus has been to enhance community resilience and improve response capability.

Testing Local Coalitions

2005 Graniteville Disaster

http://www.aikencountysheriff.org


FIRST STEPS

Ensure mutual respect, understanding and trust among members

Include persons representing administration, front line staff and Supervisors

Establish clear roles for coalition members and staff to prevent confusion/conflict

Set specific rules about how to handle conflict/differences

Build skills, knowledge, and positive attitudes among members


FIRST STEPS Continued

Select partners with links to resources and represent broad sectors

Include diverse membership re: ethnicity, age, and citizens impacted

Promote benefits to involvement that are clear and outweigh the costs to members

Start with strong leadership


Successful community coalitions have been found to use a continuous quality improvement (CQI) process to guide their activities. They engage in four steps of the CQI process:

(1) Building Partnerships

(2) Develop Plans among agencies

(3) Testing Operations in the Communities- Exercises and Drills

(4) Measure and Monitor. Coalitions use After Action Reports and GAP Analysis


Several Emergency Management Standards reflect working with others, partnerships and plans to work with the community.


Communication (EM.02.02.01)

Resources and assets (EM.02.02.03)

Safety and security (EM.02.02.05)

Staff responsibilities (EM.02.02.07)

Utilities management (EM.02.02.09)

Patient clinical and support activities (EM.02.02.11)


EM.02.02.01 EP8 “The Emergency Operations Plan describes the following: How the hospital will communicate with other health care organizations in its contiguous geographic area regarding the essential elements of their respective command structures…..”


The Hospital and Community Hazard Vulnerability Analysis

Are they compared each year?

Are the results shared with your coalition partners?

Who had input into the analysis?

What Does Your Plan Include?

The Joint Commission requires us to plan and drill for an emergency in our own facility and within our community working with our community partners each year.

Who is on the Hospital Emergency Management

Committee?

Do You Need Coalition Support?

Emergency Operations

Plan

A comprehensive “All Hazards

Approach”

Preparing Your Coalition

Communications How can my facility communicate with the community providers?

Losing Telephone

Service

How will we communicate? Inside the hospital To Outside Partners Fire Department Police Department Public Works

The Power Company

Loss of the Internet

How will we use the electronic

medical record?

How will we pay our bills and

employee salaries?


Several Hospitals have provided permission to local Law Enforcement to contact them directly using common interoperability channels for timely information from Security Officers during an emergency

Communications in the Command Center

You get what you pay for

Work towards interoperability with police and fire

Does the hospital have a variety of channels to use?

Is there a communications plan?

Do the members of your healthcare coalition have the ability to talk to each other?

HAM RADIO OPERATORS

The National Healthcare Coalition Resource Center (NHCRC) was developed in 2013 based on feedback

following the Inaugural National Healthcare Coalition Preparedness Conference held in November, 2012.


The December 2016 National Conference Theme

“ENSURING READINESS, BUILDING RESILIENCE”

SAVE THE DATE

6th Annual National Healthcare Coalition Preparedness Conference in San Diego

November 29-30, 2017

Things We Should Plan For

Building the Healthcare Coalition within a single political jurisdiction. For example, healthcare organizations in a medium-sized city may decide to form a Coalition to support their needs during response.

Creating geographic subdivisions within a single jurisdiction due to the number of organizations and inherent complexities of the area. The number and types of potential Coalition members in a large metropolitan area may preclude the use of a single Healthcare Coalition.

Creating functional divisions within a jurisdiction. In a large, complex jurisdiction, Healthcare Coalitions may form along functional lines: one for hospitals, one for health centers and other outpatient treatment facilities, and so on

Including healthcare organizations from multiple jurisdictions to form a regional Healthcare Coalition. Some Coalitions may have boundaries that stretch across two or more local governments

Healthcare Coalition EOP

The EOP describes how the Healthcare Coalition response organization is structured and how it will respond during an emergency. The EOP is helpful in developing and conducting education, training, and exercises, as well as in evaluating the Healthcare Coalition’s performance in exercises or actual emergencies.

The EOP must be usable under emergency conditions to guide response actions, demobilization, recovery, and return to readiness. The components of an EOP designed for use during response are the specific “tools,” including call-down lists, operational checklists, mobilization and demobilization procedure checklists, reporting templates, and other standard operating procedures (SOPs).

Establish The EOP Writing Team

Personnel developing the EOP should include representatives from the various members of the Coalition. If the development team is large (i.e., greater than 5-7 individuals), it may be advisable to break down the EOP into its component parts, have sub-groups address these parts, with the work products then reviewed by the larger group.

Establish A Review Process

Each Coalition member should have the opportunity to review and comment on EOP products as they are developed. In addition, it may be helpful to get feedback from external reviewers – most notably all relevant Jurisdictional Agencies

Promote Buy In From Leadership

Executive leaders at each member organization, as well as key Jurisdictional Agencies, should be briefed whenever major elements of the EOP are completed. The briefings should highlight the advantages of participating in or supporting the Healthcare Coalition.

Incorporate NIMS

NIMS principles should be incorporated into the Coalition’s EOP so that personnel are training on and using a response plan that is specific to the Coalition rather than one containing generic ICS. The HVA provides the foundation for developing and refining the Coalition’s EOP (through the development of incident specific SOPs, etc.).

Functional Annex's

This section contains emergency response and recovery guidance that addresses sections of the Coalition’s response in greater detail than the Base Plan. Often, this section is written to address the five “functions” of ICS (i.e., Command, Operations, Planning, Logistics, and Finance/Administration). Functional annexes may not be necessary for a basic Coalition if the appropriate information is contained within the Base Plan. For Coalition EOPs that use functional annexes, the number and types will vary based on the complexity of the Coalition

(US HEALTH AND HUMAN SERVICES Information)

Loss of Community Support What will you do during the first 96 hours? Can you count on your Coalition?

Will your local stores support your facility?

Do you have an agreement or are they in your Coalition?

Storm Ready Facilities

Coalitions – Its not about the money! HPP Funds should not be the reason for participating in a healthcare coalition

QUESTIONS

Building Coalitions and Partnerships through Healthcare

Emergency Management

mailto:[email protected]

building coalitions and partnerships through healthcare ... files/building... · successful...

Documents