Southwest Florida Healthcare Coalition Hazards Vulnerability Assessment 2018 1
Table of Contents Summary 3 EmPower Maps and Data 5 Social Vulnerability Index Maps 19 Suncoast Disaster Healthcare Coalition 24 Collier Healthcare Emergency Preparedness Coalition 27 Lee County Healthcare Coalition 28 Heartland Healthcare Coalition 29 2
Summary Hazards Vulnerability Assessment A healthcare system Hazards Vulnerability Assessment (HVA) is a systematic approach to identifying hazards or risks that are most likely to have an impact on the demand for health care services or the health care delivery system s ability to provide these services. The Southwest Florida Healthcare Coalition (SWFHCC) defines, identifies, and prioritizes risks, in collaboration with state and local health and emergency management officials and organizations, including the ESF-8 lead agency, by conducting assessments or using and modifying data from existing assessment for healthcare readiness purposes. These assessments help the Coalition to determine resource needs and gaps; identify individuals who may require additional assistance before, during, and after an emergency; and highlight applicable regulatory and compliance issues. The HVA informs the annual work plan in that the work plan includes items that will allow the Coalition to invest time and funds in strategic activities designed to narrow or close identified gaps. For example, the work plan calls for the identification and acquisition of items and plans necessary to close gaps identified in the risk assessment and to increase capabilities. The knowledge of the hazards most likely to impact the region is included in the decision making process for Coalition plans, funding decisions, and trainings and exercise offerings. The SWFHCC uses information regarding the identified gaps and risks to inform training and exercises and to prioritize preparedness strategies. The SWFHCC sponsors attendance at the Florida Healthcare Conference, National Healthcare Coalition Preparedness Conference; the Hospital Disaster Planning, Preparations and Response Symposium; the National Hurricane Conference; the Emergency Management Association of Georgia s Annual Summit; and the Governor s Hurricane Conference. The SWFHCC distributes information regarding a variety of trainings, including Healthcare Coalition Response Leadership through the Center for Domestic Preparedness and Incident Command System (ICS) courses from the Federal Emergency Preparedness Agency (FEMA). ICS courses are offered through the Coalition. The Coalition provided a Virtual Tabletop Exercise for an Active-Shooter scenario. In addition, the Coalition provides education on Centers for Medicare and Medicaid Services (CMS) requirements, Comprehensive Emergency Management Plan (CEMP) development, Emergency Power Plan requirements, and Hurricane Preparedness and resources for Continuity of Operations Plan (COOP) development. Furthermore, the Coalition provided an After- Action Report/Improvement Plan workshop after Hurricane Irma. The Coalition also provides infectious disease trainings and participated in an Infectious Disease Transport Exercise. The SWFHCC works with member agencies to provide Stop-the-Bleed trainings. Finally, the SWFHCC participates in the annual Coalition Surge Tool Exercise and will offer additional regional exercises. 3
The HVA is distributed to Healthcare Coalition members and local health and emergency management officials and organizations through both widespread email distribution and print distribution at coalition meetings. HVA-related meetings include the Lee County Healthcare Coalition meetings in December 2017 and February 2018; the Collier Healthcare Emergency Preparedness Coalition meetings in August 2017, February 2018 and May 2018; and the Heartland Healthcare Coalition meetings in September 2017, December 2017, March 2018, and May 2018. The HVA was also discussed at the Chairs Meetings in January 2018 and April 2018. Creating the HVA involved collaboration with local emergency management and healthcare coalition members. The methods involved in the development of the HVA includes identifying potential hazards, assessing the probability of these hazards occurring, identifying and estimating potential risks and losses, and assessing mitigation strategies. Resources include information from the January 2016 Sarasota County Unified Local Mitigation Strategy, the 2015 Charlotte County Local Mitigation Strategy, the 2017 Joint Unified Local Mitigation Strategy for Lee County, the 2015 Local Mitigation Strategy for Collier County, and input from Coalition membership through discussions and Survey Monkey data. 4
EmPower Maps and Data Sarasota County Geographic Area Beneficiaries Electricity-Dependent Beneficiaries 34223 7,743 319 34228 3,467 81 34229 3,037 70 34231 8,574 269 34232 7,345 297 34233 5,042 177 5
34234 4,408 180 34235 4,511 159 34236 6,197 160 34237 2,529 97 34238 8,455 203 34239 3,849 117 34240 2,775 70 34241 3,604 99 34242 2,833 66 34275 7,333 236 34285 8,803 369 34286 3,754 144 34287 8,957 361 34288 2,680 98 34289 848 16 34291 1,413 52 34292 7,658 260 34293 15,858 593 Source: https://empowermap.hhs.gov/ Retrieved 6/21/18 6
Charlotte County Geographic Area Beneficiaries Electricity-Dependent Beneficiaries 33921 721 17 33946 1,171 30 33947 4,279 153 33948 5,673 235 33950 11,446 391 33952 8,977 435 33953 2,544 87 7
33954 2,798 124 33955 3,854 146 33980 4,367 184 33981 3,964 151 33982 2,677 113 33983 5,050 210 34224 5,888 280 Source: https://empowermap.hhs.gov/ Retrieved 6/21/18 8
Lee County Geographic Area Beneficiaries Electricity-Dependent Beneficiaries 33901 4,475 177 33903 8,960 427 33904 9,406 326 33905 6,465 265 33907 4,672 181 33908 14,170 433 33909 4,361 166 9
33912 5,981 186 33913 6,264 137 33914 9,666 315 33916 3,076 150 33917 10,686 483 33919 9,274 311 33920 1,518 68 33922 1,404 41 33924 141 11 33928 8,650 212 33931 3,760 103 33936 5,721 320 33956 1,718 52 33957 2,813 57 33965 11 0 33966 2,307 63 33967 3,136 114 33971 2,369 121 10
33972 1,971 82 33973 899 35 33974 1,549 77 33976 1,096 43 33990 7,314 304 33991 4,630 181 33993 4,205 148 34134 6,777 146 34135 12,966 351 Source: https://empowermap.hhs.gov/ Retrieved 6/21/18 11
Collier County Geographic Area Beneficiaries Electricity-Dependent Beneficiaries 34102 4,184 95 34103 4,194 100 34104 6,205 177 34105 5,003 141 34108 6,529 164 34109 6,843 208 34110 8,240 224 12
34112 8,334 243 34113 5,870 174 34114 6,041 148 34116 3,008 110 34117 1,942 70 34119 8,576 199 34120 5,379 152 34137 23 11 34138 125 11 34139 162 11 34140 124 11 34142 2,822 76 34145 6,261 146 Source: https://empowermap.hhs.gov/ Retrieved 6/21/18 13
DeSoto County Geographic Area Beneficiaries Electricity-Dependent Beneficiaries 34266 5,070 319 34269 1,554 79 Source: https://empowermap.hhs.gov/ Retrieved 6/21/18 14
Glades County Geographic Area Beneficiaries Electricity-Dependent Beneficiaries 33471 1,278 80 33944 86 12 34974 5,686 347 Source: https://empowermap.hhs.gov/ Retrieved 6/21/2018 15
Hendry County Geographic Area Beneficiaries Electricity-Dependent Beneficiaries 33440 2,687 118 33930 109 11 33935 2,921 128 Source: https://empowermap.hhs.gov/ Retrieved 6/21/18 16
Highlands County Geographic Area Beneficiaries Electricity-Dependent Beneficiaries 33825 6,479 448 33852 7,000 540 33857 486 42 33870 6,661 581 33872 4,996 351 33875 3,126 213 33876 1,836 161 33960 207 13 Source: https://empowermap.hhs.gov/ Retrieved 6/21/18 17
Okeechobee County Geographic Area Beneficiaries Electricity-Dependent Beneficiaries 34972 2,916 198 Source: https://empowermap.hhs.gov/ Retrieved 6/21/18 18
Social Vulnerability Index Charlotte County Collier County 19
DeSoto County Glades County 20
Hendry County Highlands County 21
Lee County Okeechobee County 22
Sarasota County 23
Suncoast Disaster Healthcare Coalition Sarasota County Hazard Probability and Impacts by Jurisdiction Table 9 below offers a brief description identifying the hazard type, location, extent, and probability that affect the jurisdictions within Sarasota County. Refer to Tables 9A, 9B, and 9C for clarification of the data. A narrative description of each hazard follows Table 9C. Table 10 documents overall impacts on structures and infrastructure from each identified hazard. Jurisdiction boundary maps may be found in Appendix G of the January 2016 Sarasota County Unified Local Mitigation Strategy. Table 9: Identified Natural Hazards Hazard Type Jurisdiction (1) Extent (2) Probability (3) Avalanche None Unlikely None Coastal Erosion 2,3,4,7 Extensive Annual Coastal Storm All Extensive Annual Dam Failure All Low Low Drought All Low Annual Earthquake All Low Unlikely Expansive Soils All Unlikely None Levee Failure 1,4 Low Unlikely Flood All Catastrophic Annual Hailstorm All Low Annual Hurricane All Catastrophic Annual Land Subsidence All Low Medium Landslide None Unlikely None Seasonal Severe All Extensive Annual Weather Storm Tornado All Low Annual Tsunami 2,3,4,7 Unlikely None Volcano None Unlikely None Wildfire All Extensive Annual Windstorm All Extensive Annual Table 9A: Jurisdiction Jurisdiction Identification # City of North Port 1 City of Sarasota 2 City of Venice 3 Sarasota County Government 4 Sarasota County Schools 5 Sarasota Memorial Hospital 6 Town of Longboat Key 7 24
Table 9B: Extent of Impact Population Affected Extent No data available Unlikely 0-1,000 Low 1,001 5,000 Medium 5,001 10,000 High 10,001 25,000 Extensive 25,001 plus Catastrophic Table 9C: Probability of Impact Years Between Events Classification Annual Annual 1 5 High 6 10 Medium 11 20 Low 20 plus Unlikely No Occurrence on Record None Table 10: Impacts on Structures and Infrastructure from Identified Natural Hazards (January 2016 Sarasota County Unified Local Mitigation Strategy) 25
Charlotte County Table III.1-1. Hazard Vulnerability Overview addresses the top hazards to potentially affect Charlotte County. The hazards were separated by type: Natural or Technological. Each hazard s section includes two main components (as further described below): hazard identification and vulnerability analysis. The vulnerability analysis is usually further divided into three sections: history of hazard occurrence, probability of hazard occurrence, and an estimation of potential losses. Probability has three categories: high likely to (occur), Medium (may occur), Low (low occurrence). Annually means once every year. The following hazards were not included due to the little to no risk of the hazard: Nuclear Power Plant Incidents, Civil Disturbance, Mass Immigrations, Coastal Oil Spill, Epidemic, and Major Traffic Accidents. For further information on these hazards and their impact on Charlotte County refer to the Comprehensive Emergency Management Plan or Appendix II of the 2015 Charlotte County Local Mitigation Strategy. The impacts of lightning and hail are omitted since mitigation efforts for these impacts are the same as projects submitted for high wind events. (2015 Charlotte County Local Mitigation Strategy) 26
Collier Healthcare Emergency Preparedness Coalition An important step in the risk analysis process is to identify those hazards that are most likely to impact Collier County. While there is a long list of natural hazards that have the potential of occurring in Collier County, the majority of these hazards have a low probability of occurring. Thus, the hazards that have been identified for analysis by the 2015 Local Mitigation Strategy for Collier County because of their potential to impact the county are listed in the table below. The following hazards will not be analyzed due to their historically low probability of occurrence and/or impact: Winter Storms & Freezes, Drought & Heat Waves, Landslides & Sinkholes, Hazardous Material Accidents, Terrorist Attacks, Pandemic, Earthquakes and Tsunamis. Additionally, Collier County has one earthen dam known as the State Road 846 Living Trust. This is located in an agricultural area (cropland) with the closest address almost a mile away. There is no past reported dam breaches or failures in Collier County. Therefore there will be no further LMS analysis of dam/levee failures. Climate Change/Sea Level rise* Coastal/Canal Bank Erosion* Dam Failure* Flood: 100-/500-year* Flood: Stormwater & Localized* Hazards Addressed Hurricane and Tropical Storm (incl: Storm Surge)* Wildfire Severe Storms & Tornadoes * Detailed study/analyses found in the Collier County Floodplain Management Plan (http://bit.ly/1c0jubk) (2015 Local Mitigation Strategy for Collier County) 27
Lee County Healthcare Coalition The Lee County hazards are identified on the Lee County Emergency Management website. They are summarized in the table below. Additional information can be found in the 2017 Joint Unified Local Mitigation Strategy for Lee County and at http://www.leegov.com/publicsafety/emergencymanagement. (2017 Joint Unified Local Mitigation Strategy for Lee County) 28
Heartland Heathcare Coalition A healthcare system Hazards Vulnerability Assessment (HVA) is a systematic approach to identifying hazards or risks that are most likely to have an impact on the demand for health care services or the health care delivery system s ability to provide these services. The Heartland Healthcare Coalition defines, identifies, and prioritizes risks, in collaboration with the ESF-8 lead agency, by conducting assessments or using and modifying data from existing assessment for healthcare readiness purposes. These assessments help the Coalition to determine resource needs and gaps, identify individuals who may require additional assistance before, during, and after an emergency, and highlight applicable regulatory and compliance issues. The Coalition uses the information about these risks and needs to inform training and exercises and to prioritize preparedness strategies. The Heartland Healthcare Coalition gathered member input through meeting discussions and a Survey Monkey survey. The process included the involvement of members such as emergency management, emergency medical services, hospitals, public health, nursing homes, clinicians, and others. The plans were designed to align with county government plans and the ESF-8 structure whenever possible. The final HVAs was approved by member vote on May 30, 2018. Natural Hazards Greatest Risk Least Risk 1. Hurricane 2. Tornado 3. Severe Thunderstorm 4. Wildfire 5. Flood, External 6. Temperature Extremes 7. Epidemic 8. Drought 9. Dam Inundation 10. Tidal Wave 11. Earthquake 12. Landslide 13. Snow Fall 14. Ice Storm 15. Blizzard 16. Volcano 29
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Human Hazards Greatest Risk Least Risk 1. Mass Casualty Incident (Trauma) 2. Mass Casualty Incident (Medical/Infectious) 3. Civil Disturbance 4. Bomb Threat 5. Hostage Situation 6. Infant Abduction 7. Terrorism, Biological 8. Forensic Admission 9. Labor Action 10. VIP Situation 31
Hazardous Materials Risks Greatest Risk Least Risk 1. Small Casualty HazMat Incident 2. Chemical Exposure, External 3. Small-Medium Sized Internal Spill 4. Mass Casualty HazMat Incident 5. Large Internal Spill 6. Radiologic Exposure, Internal 7. Terrorism, Chemical 8. Radiologic Exposure, External 9. Terrorism, Radiologic 32