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ESF8: Medical Surge Planning and Coordination

ESF8: Medical Surge Planning and Coordination. Emergency medical surge planning in your County and the value of integrating medical and non-medical volunteers into your plan. AGENCY LOGO. Emergency Support Function #8- Health and Medical (ESF8).

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ESF8: Medical Surge Planning and Coordination

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  1. ESF8: Medical Surge Planning and Coordination Emergency medical surge planning in your County and the value of integrating medical and non-medical volunteers into your plan AGENCY LOGO

  2. Emergency Support Function #8- Health and Medical (ESF8) ESF8 is a system of health and medical agencies that are coordinated in an emergency based on a common set of established plans, tools and resources in order to meet specific outcomes that affect the health and medical care of those involved in the incident (casualties and responders.)

  3. ESF8 as a System • NIMS/ICS principles apply to incident response but not always to EOC management • Existing system of relationships become extended beyond agency/jurisdictional boundaries • Examples: Infection Control, Patient triage and tracking, Surge staffing for Alternate Care Facility • ESF8 System Models • Basic: agency-agency • Intermediate: multi-agency, limited number of ESFs • Complex: multi-agency, multi-jurisdictional, full EOC response

  4. ESF8 as Outcomes • Effective Patient Tracking • Effective coordination in response (resolves differences among agencies) • Efficient utilization of resources • Efficient and rapid response and request for support • Common operational model (local, state, federal) • Ensures agency response is competent based on agency/discipline standards • Strategic guidance and direction

  5. Emergency Response Complexity Analysis ICS Level Change Authority Change Emergency Operations Center Departmental Operations Center Departmental OperationsCenter Level of Response Daily Organizational Objectives Daily Organizational Objectives Time

  6. Where did ESF originate? • National Response Framework- assigned federal agencies to “Emergency Support Functions”: • Guidance: “Governments at all levels should use the NIMS resource management principles described below to enhance response capabilities.” • State Emergency Operations Plan (SEOP) • County Emergency Operations Plan (Contains ESF annexes) • Post 9-11 mandate to remove the “silos” that limit communication between organizations. • “Seat” in the EOC/MACG? • Ops vs. non-ops. Where will you fit in?

  7. National Response Framework (NRF) • Framework Document (Base Plan) • Support Annexes • Incident Annexes • Emergency Support Function (ESF) Annexes • Outline agency responsibilities for coordination, planning, support, resources, program implementation, and services during emergencies • ESF #11 - Agriculture and Natural Resources • ESF #12 - Energy • ESF #13 - Public Safety and Security • ESF #14 - Long-Term Recovery/Mitigation • ESF #15 - External Affairs • ESF #1 - Transportation • ESF #2 - Communications • ESF #3 - Public Works, Engineering • ESF #4 - Firefighting • ESF #5 - Emergency Management • ESF #6 - Mass Care, Housing • ESF #7 - Resource Support • ESF #8 - Public Health, Medical, Mortuary • ESF #9 - Urban Search and Rescue • ESF #10 - Oil and Hazardous Materials

  8. Colorado Emergency Support Functions

  9. ESF #8: Public Health, Medical, Mortuary • CDPHE can provide local jurisdictions the following types of support: • Health Surveillance • Biological Hazards Consultation • Pharmaceutical Supplies and Distribution • Assessment of Health/Medical Needs • Health/Medical Equipment and Supplies • Medical Care Personnel • Mortuary Services • Food and Drug Safety • Potable Water/Wastewater • Solid Waste Disposal • Radiological and Chemical Hazards Consultation • Vector Control • Environmental Impact Assistance • Public Health Information ESF 8: Public Health and Medical

  10. Level 1 Local, State, Federal Response Federal Declaration Level 2 State, Local Response State Declaration Public Safety Governor Level 3 Regional Response Environmental Protection Agency Public Health & Environment PersonnelandAdmin County Commissioners Department of Justice Level 4 Local Response City Council Local Affairs Governors’ Office Health & Human Services Fire Dept Police Dept Department of Defense Human Services Disaster Event Div of Emergency Mgmt Hospitals EMS Citizens Groups Military Affairs Emergency Manager Dept of Agriculture City Council Federal Emergency Management Agency Response Teams Interior Other Others Local HD Public Works Others Local Affairs Department of Energy General Services Natural Resources HigherEducation American Red Cross COVOAD volunteers Transportation Other Federal Agencies Regulatory Transportation

  11. Activation Must ESF8 be activated by emergency management?

  12. Medical Surge ESF8 Activation Thresholds Patient surge exceeds county Medical Resources exceed availability in county Patient surge exceeds hospital Medical Surge Hospital needs additional resources Consider activating Mesa County Hospital Coordination Center Consider activating Mesa County Multi-agency Coordination Group Consider Declaration of Emergency

  13. ESF8 Planning Committee Mission Statement: • “The County Emergency Support Function 8 Planning Committee (ESF8 Committee) is a multi-disciplinary, coordinating group representing ESF8 agencies and organizations. The Committee addresses critical healthcare needs in our Community. The ESF8 Committee develops strategies and solutions which synchronize the use of diverse healthcare resources during emergencies or disasters affecting County.

  14. County Health Department TIER III Primary Care & Medical Offices Medical Supply Caches/Warehouse County Healthcare Coordination System (HCS)/ESF8 Medical Reserve Corps VA Hospital Human & Environmental Health County Emergency Operations Center (EOC) Hospital #1 Communications Center Hospital #2 Regional Liaisons CDEM/RETAC/Public Health Hospital #3 Hospital Coordination System or Hospital Designee State PH Liaison Emergency Medical Services EMS Agencies TIER IV TIER II TIER I ESF 8 On the Ground

  15. Basic Response Example: Agency to Agency • Hospital-EMS • Public Health- Hospital ICP

  16. Intermediate Response Example: Multi-Agency, Multi-Jurisdiction, Limited Number of ESFs • Alamosa, CO, Salmonella (ESFs 3, 5, 8, and 15) • Limited geographic area flooding/natural disaster. • Chemical hazmat spill response with casualties. • H1N1? Intermediate or severe? Where were we at?

  17. Complex Response Example: Multi-Agency, Full EOC Response • Catastrophic natural event (Snowstorm, outbreak, flooding) • Pitkin County, CO- Dirty bomb/mass casualty • Train derailment (i.e. Silverton-Durango, Amtrak)

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