Hurricane Matthew Vulnerable Population

Transcription

1 Hurricane Matthew Vulnerable Population

2 2017 Disclosure of Relevant Financial Relationships 1 Name: Lee Oliver Period covered: January 1, 2017 through December 31, 2017 Role in CME activities: (Check all that apply) Speaker Course Director Planner Coordinator Committee member Participant It is the policy of the Piedmont Athens Regional CME Program to ensure balance, independence, objectivity, and scientific rigor. All persons involved in the selection, development, and presentation of content are required to disclose any real or apparent conflicts of interest. As a provider approved by the Accreditation Council for Continuing Medical Education (ACCME), Piedmont Athens Regional CME Program requires a written, signed disclosure of the existence of relevant financial relationships 1 with commercial interests 2 within the preceding 12 months from any individual in a position to control the content of a CME activity sponsored by Piedmont Athens Regional. For this purpose, we consider the relevant financial relationships of your spouse or partner that you are aware of to be yours. Individuals 3 who refuse to disclose relevant financial relationships will be disqualified from all aspects of associated CME activities. NOTE: Piedmont Athens Regional does NOT want to know how much you, a spouse, or family member received. I have the following financial relationships 1 to report: Name(s) of Company/Commercial Interest 2 Nature of Financial Relationship(s) 1 Additional disclosures please attach a separate sheet. I and/or family members 3 do not have any relevant financial relationships 1 with any commercial interests 2 that would constitute a conflict of interest 4. Signature: Lee P Oliver III Date: 9/1/2017 Relevant financial relationships are those relationships in which the individual benefits by receiving a salary, royalty, intellectual property rights, consulting fee, honoraria, ownership interest (e.g., stocks, stock options or other ownership interest, excluding diversified mutual funds), or other financial benefit. Financial benefits are usually associated with roles such as employment, management position, independent contractor (including contracted research), consulting, speaking and teaching, membership on advisory committees or review panels, board membership, and other activities from which remuneration is received, or expected. ACCME focuses on financial relationships with commercial interests in the 12-month period preceding the time that the individual is being asked to assume a role controlling content of the CME activity. ACCME has not set a minimal dollar amount for relationships to be significant. Inherent in any amount is the incentive to maintain or increase the value of the relationship. The ACCME defines relevant financial relationships as financial relationships in any amount occurring within the past 12 months that create a conflict of interest. ACCME considers relationships of the person involved in the CME activity to include financial relationships of a spouse/partner and immediate family members. 2 Commercial Interest: The ACCME defines a commercial interest as any proprietary entity producing, marketing, re-selling, or distributing health care goods or services, used on, or consumed by, patients, with the exemption of non-profit or government organizations and non-health care related companies. 3 Individuals are defined as persons (and their spouse/partner or immediate family members) who are in a position to control the content of the educational activity. Such individuals include, but are not limited to: activity directors, educational positions for CME activities, planning committee member, speakers, contributor, joint sponsor personnel. 5 Conflict of Interest: Circumstances create a conflict of interest when an individual has an opportunity to affect CME content about products or services of a commercial interest with which he/she has a financial relationship. Please complete, sign, and return to Piedmont Athens Regional CME Program 1199 Prince Avenue, Athens GA FAX (706) cme@athenshealth.org 11/2016

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5 VULNERABLE POPULATION COASTAL EVACUATION TRANSPORTATION OPERATIONS PLAN (PRE-LANDFALL) Current Plan Overview Contracting Process/Securing Transportation Assets

6 PLAN CONCEPT (Current Plan) Began as a FEMA funded coach evacuation concept plan restricted scope of work. Purpose was to provide supplemental transportation resources when a region has to be evacuated at the same time. Not intended to replace existing planning requirements. Transportation providers preferred a central clearing house in an emergency situation. This is what has been called Plan B

7 PLAN CONCEPT (Current Plan) The plan needed to address two different populations health care facilities (for profit/not for profit) & home bound (normally county public health/county EMA). Coach only a minor part of the need. Paratransit and ambulance became the greater need Blended Curbside. Required a scope of work change to continue. For Profit/not for profit facilities need to have their own Plan A

8 CURRENT PLAN (Current Plan) Covers two separate areas with two very different populations/processes but contained in the same plan. o o o Long Term Care Facilities (LTCF). County Staging Area (CSA). BUT not hospitals. Evacuation planning & transportation management accomplished in State Operations Center GEMA has agreements with transportation vendors Coach, Paratransit & Ambulance. Provides Just in Time transportation Does not pool vehicles Addresses only identified needs.

9 CURRENT PLAN (Current Plan) Intended to be executed a day prior to the general population evacuation (2 days prior). Any evacuation is called for at the local level (County EMA), never by the state. The plan is destination driven. Many moving parts, many players, minimum time. Evacuation data is maintained in WebEOC. o o LTCF GHA911, PH version, GEMA version CSA PH version, County version, GEMA version.

10 COUNTY STAGING AREA (Current Plan) Use of the plan is optional and by agreement. County responsible for home pick-up and delivery to a county staging area (local plans). Most coastal counties will utilize transportation provided by Coastal Regional Commission and contracted by GEMA (Joint State & Local effort). Triage conducted at CSA 911 system or public shelter. Movement from CSA to public shelter (Macon/Augusta) is the responsibility of the State and most likely use CRC assets. CSA is a facility record in WebEOC.

11 LONG TERM CARE FACILITIES (Current Plan) Must execute a contract between the County EMA and the State. Facility notifies the County EMA of intent to execute. County EMA pulls the trigger. Not free, there is a cost. Used to supplement current facility plans, can use all or part of the transportation covered in the plan. Delivery destination is the responsibility of the facility. Does not provide for any type of support assets transportation. Care/Logistics during transport is the responsibility of facility, plan provides vehicle & driver only.

12 TIME IS OF THE ESSENCE

13 WebEOC LTCF Board

14 Convert People to Vehicles (SOC Process)

15 STAGING AREA OPERATIONS

16 FACILITY CONTROL See Below

17 VEHICLE TRACKING

18 EMS Contracts Advantages to have a contract with GEMA: Reimbursement process Processes and approvals from management and elected leadership have already been processed Direct communication between GEMA and the EMS contractor Situational Awareness Submit the Contract Initiation Form to Lizbeth Ortiz / Peki Prince Lizbeth Ortiz will send the Contract by Contractor will review the contract and send a signed hard copy to GEMA Finance (Rick Ramson) Once received and GEMA signatures are secured a hard copy will be sent back to the contractor

19 During/After the Event Operational activities Contractor has to provide Type of vehicle Ambulance ID Crew members Contact information for service crew Times ( leaving base, arriving at pickup, arriving destination, arriving base, etc..) for each leg of the trip GEMA Finance will provide a spreadsheet. The information will be compared with the WebEOC.

20 (Current Plan) The Plan is a One Way Ticket We bring them Out, but do not take them Back.

21 Processes - (Facility) Facilities should: Contract with GEMA and participate in data gathering well before any storm develops Monitor their census counts (patient numbers, acuity and any special needs) Maintain agreements and contact with destination facilities Identify staff and equipment/supplies Decide on evacuation as early as possible Have a Plan A Have staff to load/track/care for patients

22 Transportation Management (What We Do) Convert patient numbers into how many transportation units and types will be required per destination We request those vehicle types and numbers from EMS/Coach/Para-transportation representatives in SOC Those representatives contact vendors and request transportation vehicles Once the vehicle has been secured-we task it (dispatch it ) on a pickup location and destination

23 OK. What REALLY Happened.that was NOT in the current plan No local Evacuations called.state called for it way after our timeline Hospitals WERE included Air Ambulances and Med-Evac buses were utilized WEBEOC user awareness (mostly on the requesting side) Re-Entry teams were developed/created Casualty Collection Points were developed/created Repatriation

24 Improvements/Lessons Learned Create additional data points to collect when requesting/cancelling/reassigning, releasing any asset Paper forms allowed several people to work on a case at the same time. We need to develop paper or electronic forms that will serve that purpose Additional staffing in the SOC would be very helpful. Develop a way to notify the original requestor that resources have been assigned and a possible ETA. Create an listserv for anyone working EMS or ESF8 at the SOC for information continuity Continue to educate/network with facilities and transportation agencies Continue to conduct exercises for all aspects of the plan

25 Sample Invoice form

26 How You Can Help! Encourage facilities to contract with GEMA Encourage EMS providers to sign up/contract WebEOC familiarity Plan Exercises are VITAL for any effort to succeed!

27 Key Points Destination driven process No resource staging area- resources are only requested when and for the facilities specific request TIME is against us- Early decisions, quick turnarounds, etc are very important! Process is typically not practiced by facilities Facilities have a large responsibility and have frequent turnover. Contra-flow is a game changer! Relationships now will help reduce confusion later

28 Questions Lee Oliver Vice President Operations MetroAtlanta Ambulance Service