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San Diego Firestorm 2007 Medical-Health Response Overview

San Diego Firestorm 2007 Medical-Health Response Overview. Jan C. Spencley Hospital Preparedness Coordinator Hospital Association of San Diego & Imperial Counties California Hospital Association. 12 Distinct Fires – 400,000 Acres. Firestorm 2007 Overview Major Fires (12 total).

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San Diego Firestorm 2007 Medical-Health Response Overview

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  1. San DiegoFirestorm 2007Medical-Health Response Overview Jan C. Spencley Hospital Preparedness Coordinator Hospital Association of San Diego & Imperial Counties California Hospital Association California Primary Care Association

  2. 12 Distinct Fires – 400,000 Acres

  3. Firestorm 2007 OverviewMajor Fires (12 total) • Source: County of San Diego: WebEOC, PreHospital MICN data, Medical Examiner Data Over 400,000 Acres burned – 15% of San Diego County California Primary Care Association

  4. Largest Evacuation in California History Approximately 515, 000 people evacuated California Primary Care Association

  5. Disaster Medical-Health Component Coordinated through Medical Operations Center (MOC) California Primary Care Association

  6. Over 2,200 medical patients evacuated • Three acute care hospitals (285+) • Multiple nursing facilities (1,900+) • Many facilities closed or pre-staged for evacuation • (4 hospitals – 26 clinics – multiple medical groups)

  7. 52 Shelters Mass Care & Shelter All requiring medical screening and care California Primary Care Association

  8. Medical Screening and Care at Shelters • Many shelters were initiated by American Red Cross (ARC), but many were also initiated by churches and local organizations/jurisdictions • County provided central coordination for deploying medical care resources to shelters • Hospitals and Clinics provided mobile medical assets and clinical teams to augment County staff at shelters and Local Assistance Centers (LAC) • Medical Reserve Corps provided staff to provide medical screening and care at shelters (48RN/15MD/1FNP/1RT) • Those arriving at shelters were screened and triaged to appropriate care facilities if necessary • SNF patients • Other nursing home patients (self-evacuations) • Evacuees California Primary Care Association

  9. Key Lessons Learned • Integrate LTC into planning and response • SNF/ICF • Convalescent/Assisted Living • Board & Care/Group Homes • Hospice – Special Needs Populations • Evacuation steps and issues (laundry list) • Continue to improve information systems • Expand information system use (EMAN, WebEOC) • Integrate systems (one portal) • Establish donation coordination - center(s) • Training on MOC roles - systems • Expanded training on Disaster System (ICS) California Primary Care Association

  10. Success FactorsMedical-Health • Collaboration • Integrated Planning • Military participation • Vertical and horizontal • Incident Command Structure • Unified for region (18 cities plus County) • Medical Operations Center (MOC) • Response partner ICS activation/use • Communication • Communication across jurisdictions • WebEOC • Provider representatives at MOC • Broad (Field to ICS to providers) California Primary Care Association

  11. 2007 Santiago Canyon Wildfire Mary Massey, Hospital Preparedness Coordinator California Primary Care Association

  12. STATISTICS • 28,400 Acres • 15 Structures • 1900 Firefighters at peak California Primary Care Association

  13. AREA COMMAND • Deployed 5 Fire Strike Teams to Malibu • Deployed 8 Ambulance Strike Teams to SD • Received patients and evacuated residents from San Diego (Including over 90 LTF patients) California Primary Care Association

  14. COMMUNICATION - Public • Hotline-Maps • OCFA Website • 211 on CMS/Amber Signs • OA Press Releases • Use media to your advantage • WiFi at shelters California Primary Care Association

  15. COMMUNICATION - Interagency • WebEOC • ReddiNet • RACES and HDSCS 24 Hour staffing • 800 mhz system • Interoperability California Primary Care Association

  16. EVACUATION • 1900 mandatory • 700 voluntary • Jail and Boys Camp • Schools • (Received from San Diego hospitals and Long Term Care Facilities) California Primary Care Association

  17. CARE AND SHELTER • Red Cross Shelters • State Beaches • Parking Lots • Supplies/Food • Services (Social Services, Behavioral Health, Fire, Community, Public Health, Animal Services) • Staffing (ARC, MRC) California Primary Care Association

  18. TRANSPORTATION • Ambulance • Buses • Road Closures • Toll Road • Interstate 5 California Primary Care Association

  19. ANIMALS • Sheltering • Fair Grounds • LA County Race Track • OC Animal Shelter • Plan Ahead California Primary Care Association

  20. HOSPITALS • Maintained an average of 700 available beds • Received requests from hospitals and long term care in San Diego California Primary Care Association

  21. LESSONS LEARNED • Real-time satellite pictures • Updated Maps • State OES Representation • Long-term Support Staffing • Donation Management • Volunteer Management • Obtain SD EOC website California Primary Care Association

  22. QUESTIONS California Primary Care Association

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