EZ Techniques for Incorporating Disaster Preparedness into New Hire

Materials for FQHCs (30 Minute PPT)

Amelia MuccioDirector of Disaster Planning

NEW JERSEY PRIMARY CARE ASSOCIATION

Learning Objectives

• Overview of NJPCA

• Discuss barriers to EP buy in and preparedness

• Discuss techniques for incorporating EP into CHC new hire orientations

• Review successful models

• Identify next steps for facility leadership

.

Community Health Centers:“Your Community, Your Health, Our Commitment.”

• Number of Health Centers=20

• Number of sites=100

• Number of staff=1,600

• Number of persons served=425,000

• Over 1.3 million visits

NJPCA’s Programs• Disaster Advisory Committee (1 rep every FQHC)• Family disaster planning/preparedness • IS 100, IS 200, IS 700 and IS 800 • Personal Protective Equipment (PPE) lecture• Hazard Vulnerability Analysis • Pandemic Flu Plans• Fit-Testing for N-95 respirators • 14 elements of NIMS compliancy• HRSA PIN• Business continuity plan• COOP

Training Efforts (2005-2008)

Disaster Education by Year

0

500

1000

1500

2000

2500

3000

3500

Year

Nu

mb

er

Tra

ine

d

Year 2005

Year 2006

Year 2007

Year 2008

Total

IS Compliancy

Compliancy with IS 100, 200, 700, 800 and HVA (7/08)

80%

85%

90%

95%

100%

105%

Course/Item

Pe

rce

nt

Co

mp

lete

d

IS 100

IS 200

IS 700

IS 800

HVA

Emergency Preparedness…

Rationale for Disaster Program: Health Center Investment (Sell It)

• We are only as prepared as the lowest common denominator

• Disaster planning assists with:– Ability to rotate staff– Organizational agility– Plans, drills, and evaluations– Training and education– Staff protection and support– Communications and

reporting– Supplies and equipment– Obligation to community

• Educating staff is an investment!

Challenges Faced

• Overwhelming task

• Lack of clear guidance

• Time consuming

• Resource constraint

• No EP on staff

• Uneven knowledge

• Uninterested in subject

• Lacked buy-in

• Disproportionate vulnerability and needs

• High turnover rate in Centers

• Lost revenue (not seeing patients)

The Human Condition: “It Cannot Happen to Me!”

The Science of Disaster Preparedness & Survival

• Panic, fear and denial are inevitable in a disaster situation

• Brain will perform best in a stressful situation if you have already put it through a few rehearsals– I.E. fire drills– Brain works in pattern recognition (respond

quicker)

Overcoming Challenges

• Needs Assessment/Gap Analysis Data

• Flexibility• Catered to specific needs• On-Site training• Buy-In (Lunch & Learn)• Tailor-Fit programs• Reinforce compliance• Provide continuing

education credits• Ownership of program (train

the trainer)

How to Incorporate EP?

• Why New Hires?– First impressions

matter

– Sets the tone and capabilities for expectations

– Investment in employee

– Influence how they work

• EZ Approach—New hire orientation– Multiple formats

• PPT (live or moderated)

• DvD/video

• SME presentation

• local EP org or official

• PCA presentation

Focus on What You Can Control

• Focus on mitigation and preparedness

• CHC’s are planning for events (pandemic, hurricane, power outage, outbreak, terrorism) that require high levels of pre-disaster preparedness (prevention, and mitigation activities)

• Disaster is reasonably expected and preparedness initiatives have been undertaken

• Examples of low levels of pre-disaster preparedness, economic depression and long-term civil war

Review Documents with Staff

Review Plans—Demystify

• HVA (Hazard Vulnerability Analysis)• EOP (Emergency Operating Plan)• EMP (Emergency Management Program)• CEM (Comprehensive Emergency Plan)• SOP (Standard Operating Procedure)• IAP (Incident Action Plan)• Business Continuity (Continuity of Operations) • Corrective Action (Lessons Learned/Hindsight

Share Resources with Staff

• Family Preparedness Plan– Children

– Elderly/Disabled

– Pets

– Emergency Communication Plan

– Evacuation & Sheltering

• How to Construct a Go-Bag (supplies)

• FEMA• American Red Cross• Ready.Gov• 72hours.org• ASPCA• HSUS• AARP

Establish Personal Preparedness Plans

First Aid Kits

.

Crank NOAA Weather Radios

.

Potable Water

.

Go Bags

.

Inside Go Bags

.

Rations, Stove and Tent

.

Cat and Dog Go Kit

.

Purchase Materials

• NOAA Weather Radio $20• Go Bag $40• Pet Go Bag $40• First Aid Kit $10• N-95s $10• Pan Flu Kit $15• Total: $135• Nominal Investment—will pay dividends!

Walk the Walk—PCA Preparedness

• PCA staff member has:• IS 100, IS 200, IS 700 and IS 800 training• Crisis Communication training• Disaster Awareness training• Go Bag• NOAA Weather Radio• First Aid Kit• Pet Kit• **All trainings were lunch and learns

It’s a Process (Trial and Error)

Questions?

Amelia MuccioAmuccio@njpca.org

(609)689-9930 ext. 26

“If you jump out the window at the 42nd floor and you're still doing fine as you pass the 27th floor, that does not mean you don't have a serious problem.” - Charles Munger