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An Introduction To Health & Medical Coordinating Coalitions MA Association of Public Health Nurses – May 1, 2014
An Introduction To Health & Medical Coordinating Coalitions
MA Association of Public Health Nurses – May 1, 2014
INTRODUCTION
• Enhancing health & medical capacity across the disaster management cycle
• Responding to changing federal requirements & local structure
• Based on extensive literature review & national research
• Discussions with key leaders
• Engagement with core health & medical disciplines
• Next steps
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HEALTHCARE COALITIONS – FEDERAL GUIDANCE
• Formal collaboration among healthcare organizations & public & private sector partners organized regionally to prepare for & respond to emergencies, MCI, or catastrophic events
• Regularly assists with mitigation, preparedness, response & recovery activities related to disasters, including planning, organizing, equipping, & training coalition members to respond in a disaster
• During a response, follows regionally developed plan to provide multi-agency coordination, advice on decisions made by incident management, information sharing, & resource coordination
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A COMPREHENSIVE, INTEGRATED REGIONAL APPROACH TO PREPAREDNESS & RESPONSE
• Healthcare Coalitions= Health & Medical Coordinating Coalitions
(HMCC)
• HMCC are entities that will coordinate health & medical planning,
response, recovery, & mitigation activities in each region
• 6 HMCC will be established in MA
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HMCC RESPOND TO CHANGING NATIONAL PRIORITIES, BUILD REGIONAL CAPACITY TO SUPPORT LOCAL NEEDS
Nationally
CDC & ASPR focus on preparedness planning, separate public health and healthcare preparedness programs
Grant alignment & funding of regional health & medical capacity to prepare for, respond to, recover from, & mitigate the impact of disasters
Locally
Absence of regional health & medical structure to coordinate information & resources during an emergency
More integrated model of health & medical preparedness & response across the Commonwealth
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HMCC: BUILDING ON GAINS MADE
• Preserve existing relationships & build on gains made by the work of existing coalitions
• Ensure that core disciplines are at the table
• Support effective cross-jurisdictional, multi-discipline planning for incidents involving multiple communities, too large in scale for a single jurisdiction, or that grow beyond local health & medical capabilities
• Address new, more specific federal expectations for alignment of public health & healthcare system preparedness & response capabilities & disaster management
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ACTIVE ENGAGEMENT
• Core Disciplines
• Community health centers & ambulatory care providers
• EMS
• Hospitals
• Public health
• Long-term care
• Emergency Management & Public Safety
• Other healthcare disciplines
• Dialysis centers, urgent care, pharmacies, home health agencies, etc
• Mental & behavioral health providers
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EXISTING REGIONAL HEALTH & MEDICAL EFFORTS
• Partnerships
• Central Mass: Regional Medical Coordination Committee
• Boston: Boston Healthcare Coalition
• Other Efforts
• Western Mass: Regional Medical Coordinating Group
• Cape and Islands: MACC
• Mass Senior Care: MassMAP
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HMCC ACTIVITIES ACROSS THE
DISASTER CYCLE
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WHAT WILL AN HMCC DO?
• Support regional health & medical planning, response, recovery, mitigation
• Develop & maintain capacity to support emergency response with identified staffing complemented with voluntary response elements (e.g., public health mutual aid, MRC)
• Support coordinated health & medical response with a regional point of contact for communication
• Coordinate information sharing for situational awareness & common operating picture
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COMMUNICATION FLOW DURING EVENT
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Regional Health & Medical
Coordinating Coalition (6)
Acute Care Facilities
Office of Preparedness & Emergency Management
Massachusetts Department of Public Health
Ambulatory Care Facilities
(Community Health Centers &
Medical Practices)
Local Public Health
Long-Term Care Private & Public EMS
Others (home health, dialysis)
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HMCC Will Provide
24-7 regional duty officer capacity
Coordination of regional plan development
Centralized communications
with region & MDPH/ESF-8 Desk
Coordination with local/individual
organization plans
Administrative & fiscal oversight
Support for regional grant deliverables
(PHEP/HPP)
OUR PROCESS
• Summer 2013
• Literature review
• Planning for stakeholder engagement process
• September- November 2013
• OPEM attended meetings for each coalition to provide information & take questions
• OPEM met with stakeholders from health & medical organizations, emergency management, Mass Municipal Association, Coalition for Local Public Health
• December 2013-June 2014
• Conducted facilitated multi-discipline meetings in Regions 1, 3, 4AB, & 5
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STAKEHOLDER ENGAGEMENT: SPRING 2014
Have held meetings to:
• Facilitate information gathering & sharing across & among 5 core health & medical disciplines within each HMCC region
• Help the Office of Preparedness and Emergency Management (OPEM) in the writing of the HMCC RFR and in planning for HMCCs.
• Gather information that can support multi-disciplinary planning efforts in BP3 for regional HMCC
The meetings are not for:
• Planning a regional HMCC or f conducting regional planning activities
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STAKEHOLDER ENGAGEMENT: SPRING 2014
• 5 facilitated meetings with core disciplines (Dec.*, Jan., Mar., May, June*)
• 5 key questions:
• What are the resources/capacities in the region that can be adapted &/or inform regional HMCC planning? (January)
• What are possible operating/program models for meeting required functions of a regional HMCC? (March)
• Who are partners (other than the 5 core disciplines, emergency management, & public safety) who should be involved/engaged in the regional HMCC? (March)
• What are the desirable attributes & capacities for an HMCC regional coordinating agency? (May)
• What are the pros/cons of possible governance models? (May)
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A BROADER AUDIENCE
• May 2014: HMCC Presentation at MEMA Conference
• Summer 2014:
• HMCC Request for Information
• HMCC Webinar
• HMCC RFR developed
• September 2014: HMCC Conference
• November 2014: RFR released
• March 2015: Initial HMCC funding released
• June 30, 2017: HMCC Operational
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Q&A
ADDITIONAL INFORMATION
www.bu.edu/sph-coalitions
Mary E. Clark Office of Preparedness & Emergency Management
