healthcare systems analysis for elders during disasters presented to the florida emergency...
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Healthcare Systems Analysis for Elders During Disasters
Presented to theFlorida Emergency Preparedness Association
Mid-Year Work Session
July 18, 2012Clearwater, Florida
Project TeamRay Runo, Project DirectorSenior Planning Consultant, Disaster Strategies & Ideas Group (DSI)
LuMarie Polivka-West, Sr. Director of Policy Florida Health Care Association (FHCA)
Robin Bleier, President - RB Health PartnersChair, FHCA Quality Foundation Emergency Preparedness Council
April Henkel, Project ManagerFlorida Health Care Association (FHCA)
Project Planning Assumptions• Elders Defined (over 60)
• Healthcare Systems (health & well-being)
• Individuals are unique - common care & support services
• Condition & needs will change over the term of the disaster (decompensation)
• Care services & support will be limited, temporarily unavailable, or absent
• Expect negative outcomes when continuum is disrupted or broken
• Whole of Community - Resiliency• Augmentation or Replacement Strategies
Project Overview• Project Purpose:
To identify and examine stakeholder roles and responsibilities, and the interdependent and independent functional relationships for providing care and support for elders during disasters.
• Three Phases:• Phase 1 - Analysis of Roles &
Responsibilities• Phase 2 - Gap Analyses & Continuum
of Care• Phase 3 - Planning, Training, &
Exercise
Project Overview – Phase 1• Analysis of Roles &
ResponsibilitiesEstablish CORE Planning Team
Identify Stakeholder Communities, Representative Stakeholders & develop survey instrument
Conduct Stakeholder Workshops (5)
Collect data - Stakeholder Profile Survey
Project Overview – Phase 2
• Gap Analyses & Continuum of Care
Build on the knowledge learned in Phase I
Develop the Gap Analysis Methodology
Conduct Gap Analyses
Stakeholder Work Sessions (TBD)
Develop a Continuum of Healthcare for Elders During Disasters
Project Overview – Phase 3
• Phase 3 - Planning, Training, & Exercise
Integrate Stakeholder Communities into local/state systems & provide project tools to local communities
Provide planning resources & guidance
Conduct plan development workshops
Provide guidance, direction, & access to training
Conduct Tabletop Exercises
Stakeholder Profiles
• Summarizes a stakeholder organization’s functions, services, supports & commodities/supplies provided to elders, as well as the stakeholder’s disaster-related roles & responsibilities
• Documents the manner in which normal/routine functions, supports & commodities/supplies are provided during disaster conditions
• Documents the specific disaster roles & responsibilities of individual stakeholders & stakeholder communities
Use of Stakeholder ProfilesBy Individual Stakeholders:
To help form planning partnerships and build relationships to ensure that the complex health and medical needs of elders in their community are met during disasters.
By the Project Team: To serve as a baseline for developing the
Continuum of Healthcare for Elders During Disasters
To complete gap analyses relative to roles & responsibilities, preparedness & response
Use of Stakeholder Profiles
By local community leaders and planners:To better understand the roles and responsibilities of the stakeholders providing care, support, services, and commodities/supplies to elders in their communities during disasters.
By local emergency managers: To help ensure that the continuum of healthcare services and supports for elders is maintained during disasters.
Continuum of Healthcare for Elders During Disasters
• A Complex System of Care, Support, and Services for Elder Adults (Health & Well Being)◦ Normal/Routine Conditions◦ Disaster Conditions
• Stakeholder Profiles – “Building Blocks”• The “Continuum” is structured utilizing
the dependencies and interdependencies of local stakeholders
Continuum of Healthcare for Elders During Disasters
• The Continuum will describe the roles and responsibilities of individual stakeholders that contribute to the health and well-being of Florida’s elder population during disasters.
• The Continuum will reflect the functional roles and responsibilities, relationships, dependencies, and interdependencies that link the system together on behalf of elders during disasters.
Continuum of HealthcareA Complex System
Individual Elder
Independent
Living
Home Healthc
are Family Support Systems
Full-Time Care
Facility
Assisted Living
Congregate Community
Community Support Services
Medical Support Systems
Utilities
Food & Water
Social Support Services
Faith Based
Support
Transportation
Systems
Medications
Medical Equipment & Supplies
Mr. Bleier – Independent Living?
Continuum of HealthcareNormal (Sunny) Day
Elder Living Independentl
y…with
Complex
Co-Morbidi
ties
Family Support Systems
Community Support Systems
Support Services
Medical Support Systems
Transportation
SystemsFood and
Water
Social Support Services
Faith Based
Support
Utilities
Medications
Medical Equipment & Supplies
Continuum of HealthcareDisaster (Rainy Day)
Elder Living
Independentlywith
Complex
Co-Morbidi
ties
Family Support Systems Communit
y Support Services
Medical Support Systems
Transportation
Systems
Food & Water
Medications
Social Support Services
Faith Based
Support
Utilities
Continuum of HealthcareAreas of Increasing Vulnerability
Elder Continues to Decompensat
e
Family Support Systems Communit
y Support Services
Medical Support Systems
Transportation
Systems
Food & WaterMedic
ations
Social Support Services
Faith Based
Support
Utilities
Shelter Support
Project OutcomesProvide information on stakeholder roles &
responsibilitiesDescribe stakeholder dependencies &
interdependenciesProvide resources, best practices, definitions,
acronyms, and planning tools to stakeholdersIntegration of elder care system stakeholders
into local & state emergency management systems
Provide a tool for developing a local continuum of care that supports elders during disasters (examples, directions)
We Need Your Input & SupportHelp us to identify additional
community stakeholders – who’s missing?
Encourage stakeholders in your communities to complete an online profile
Share your best practices for integrating elder care stakeholders into your preparedness & response systems
Thank You
for your assistance and support!
We’ll keep you updated on the status of the project.
Questions / [email protected]