emergency management cshe los angeles chapter 2013 annual
TRANSCRIPT
Emergency Management
CSHE Los Angeles Chapter
2013 Annual
Introduction
• Christopher Riccardi, CHSP,CHEP, CHCM-SEC• Disaster Preparedness since 2005• 6 Joint Commission Surveys
– Two hospitals
• 13 CDPH Surveys• Best Practice Designation• Los Angeles County Disaster Healthcare Coalition Representative
– Small Hospitals
• Hospital Association of Southern California– HDMT Trainer– Safety and Security Committee member
• California Hospital Association– 2013 Disaster Preparedness Conference Planning Committee– 2013 Disaster Prep Conf Presenter
Basics
• EM Became Separate Chapter from EC in 2010
• 12 Standards• 122 Elements of Performance (EPs)• 16 Require Documentation• 3 Direct Impact Potential• LD, MS, IC and HR Chapter Cross-Over• 8 EPs Related to Utility Management Plan
Planning
4 Phases of EM
•Engineering Controls
•Activities designed to reduce the risk of and potential damage due to an emergency.
Mitigation
•Activities that organize and mobilize essential resources.
•HVA, EOP, 96 Hour Assessment
Preparedness
•Activities the hospital undertakes to respond to disruptive events
Response
•Activities the hospital undertakes to return the facility to complete business operations.
Recovery
Preparedness Continuum
Identify Risks/Hazards
Develop Strategies
Test Plan through
Disaster Exercises
Modify Plans
6 Critical Elements
• Communications• Resources and Assets• Safety and Security• Staff Roles/Responsibilities• Utilities• Patient and Clinical Support Activities
Elements of Performance (EPs)• Emergency Operations Plan
– Dynamic Document• Communications• Response Procedures
– Utilities Failure Matrix• Electrical• H20 (Consumption/Equipment/Sanitation)• Fuel• Med Gases• Essentials
– Elevators, HVAC, Sterilization• Emergency Resources
– Resources/Capabilities At A Glance
Future Focus
• Requirements for EM Oversight– Heavy Focus on Leadership
• Joint Commission Perspectives 7/2013, Vol 33
• Effective January 1, 2014– “A” Standards (Performance MUST Be 100%)
• LD.04.01.05 • EM.03.01.01• EM.03.01.03• LD.04.01.01
2014 EM Requirements
Best Practice
• HVA– Kaiser Model
• Org.+ Community Stakeholders Prioritize
• Inventory of Resources/Assets– Updated Annually
• EOP– Reviewed Annually
• Communicate (in writing) to LIPs – Appointment and Reappointment Signature
• Bylaws (MS)– Must Include LIPs and SUVs
Tools
• Kaiser HVA Model• Functional Inventory with Expiration Dates• EOP• Emergency Resources At A Glance• Disaster Volunteer Toolkit (PIH, Henry Mayo,
PLCM)• Communications to LIPs (PLCM)• Bylaws (PLCM et al)
Emergency Resources
Emergency Resource Inventory
Resource/ Utility
Inventory (On-Site) Capabilities Rationing Suggestions
WATER
20,000 Gal Dom. Hot Water 5,000 Gal within piping system 8,000 Gal in Reverse Osmosis 33000 Total Gallons on site Note: 30,000 gallons available in sprinkler system for extreme measures
3134 Staff 1000 Volunteers 298 Med Staff 558 (279 beds x2) 4990 Total x 1 gal/day/person = 6.6 days (158 hrs)
-Limit Patient Bathing (Sponge bath vs Shower -Use of Hand Sanitizer for Hand Washing -No Flush Order for staff (Bag Waste w/ scoop of kitty litter for absorption
Medical Gases (Piped)
Medical Air Medical Gas (Vacuum) Ventilation Medical Suction
On Emerg Power On Emerg Power On Emerg Power On Emerg Power
See Generator Capabilities
Below
FUEL (Diesel)
10,000 North Tower 1,200 West/Research 30,000 South Tower =41,200 Gallons Diesel
77.86 hrs Full Power 16.8 hrs Full Power 105.7 hrs Full Power
-POM To Ration -Load Shedding Possible to Maximize Efficiency/Prolong Fuel Supply
Generator Capabilities (In Hours)
FULL Load/hrs ¾ ½ ¼
G1 233.6 317 454 757.6 G2 233.6 317 454 757.6 G3 233.6 317 454 757.6 G4 16.8 23 33 55.6 G5 211.4 289.9 415 701 G6 211.4 289.9 415 701
-Adjust Usage per Capabilities Chart
FUEL (Gasoline)
NOTE: No Gasoline Storage On Site!
Must use supply in vehicles In parking lot
_Gasoline Generators located in ______
-Utilize Siphon (also located in trailer) to obtain gasoline from vehicles on site
Liquid Oxygen
250 inches (main) 150 inches (reserve) Daily Usage=3-5 Inches
50 days (1200 hrs) 30 days (720 hrs)
Utilize Liquid O2 to replenish E and H Cylinders as needed
HVA Assessment ToolHAZARD AND VULNERABILITY ASSESSMENT TOOL
NATURALLY OCCURRING EVENTS
SEVERITY = (MAGNITUDE - MITIGATION)
EVENTPROBABILITY
HUMAN IMPACT
PROPERTY IMPACT
BUSINESS IMPACT
PREPARED-NESS
INTERNAL RESPONSE
EXTERNAL RESPONSE
RISK
Likelihood this will occur
Possibility of death or injury
Physical losses and damages
Interruption of services
PreplanningTime,
effectiveness, resources
Community/ Mutual Aid staff
and suppliesRelative threat*
SCORE
0 = N/A 1 = Low 2 = Moderate 3 = High
0 = N/A 1 = Low 2 = Moderate 3 = High
0 = N/A 1 = Low 2 = Moderate 3 = High
0 = N/A 1 = Low 2 = Moderate 3 = High
0 = N/A 1 = High
2 = Moderate 3 = Low or none
0 = N/A 1 = High
2 = Moderate 3 = Low or none
0 = N/A 1 = High
2 = Moderate 3 = Low or none
0 - 100%
Hurricane 1 2 2 2 3 2 1 22%
Tornado 1 1 1 1 3 2 1 17%
Severe Thunderstorm 2 1 1 1 1 1 3 30%
Snow Fall /Blizzard 0 0 0 0 0 0 0 0%
Earthquake (3.0-4.2m) 3 1 1 1 1 1 1 33%
Earthquake (4.3-5.9m) 2 2 2 2 1 1 2 37%
Earthquake (>6.0m) 2 3 3 3 1 2 2 52%
Tidal Wave 1 0 0 0 0 0 0 0%
Temperature Extremes 2 2 1 1 2 2 3 41%
Drought 2 1 1 2 2 1 2 33%
Flood, External 1 1 2 2 2 1 2 19%
Wild Fire 1 1 1 1 3 3 3 22%
Landslide 0 0 0 0 0 0 0 0%
Dam Inundation 0 0 0 0 0 0 0 0%
Volcano 1 1 1 1 3 3 3 22%
Influenza Pandemic 3 2 1 3 1 1 1 50%
AVERAGE SCORE 1.38 1.13 1.06 1.25 1.44 1.25 1.50 19%
*Threat increases with percentage.
RISK = PROBABILITY * SEVERITY
0.19 0.46 0.42
Questions…
