Emergency Management Planning

The Status of Indian Health Service Healthcare Facilities in

Billings Area Indian Health Service

Gary Carter, MPH, REHS, DAASLCDR, USPHSBillings Area Emergency Manager(406) 247-7090

Memo, July 19, 2004 byDr. Grim, IHS Director

To Area Directors Performance Plans

FY 05: IHS hospitals, clinics and treatment centers Ensures compliance with JCAHO, AAAHC Incorporates COOP and HEICS Also compliant with DHS/FEMA FPC 65

Hospital Disaster and Emergency Preparedness

Basic principles Command and control structure (Incident

Command) Parallel existing standard operating procedure

(SOP) whenever possible Flexibility: All-hazards Protection of staff and patients Communication: ready, redundant, interoperable Coordination with community-wide plans Training and Exercises

IHS Facility Emergency Management Plan Components

Introduction and Policy Response and Recovery Plan

Hospital Emergency Incident Command System

(HEICS) Hazard Vulnerability Analysis (HVA) Standard Operating Procedures (SOP) Continuation of Operations (COOP)

HEICS is a command and control system for managing disasters that is based on the Incident Command System used in fire, police, and emergency medical service departments, but adapted for use in a healthcare setting.

Healthcare Emergency Incident Command System

(HEICS)

Hazard Vulnerability Analysis (HVA)

An HVA identifies the events most likely to affect your organization and the probable impact if they do occur

Based on identified hazards, the facility should assess how prepared they are to handle them

Depending on the evaluated level of preparedness, the facility must take necessary steps to ensure they are prepared to meet the challenges presented by the hazards

SOP Examples

External Chemical Exposures: i.e. tanker truck crash

Natural Hazards: i.e. tornado Public health disaster: i.e. pandemic flu

COOP Planning

To ensure continuation of operations

(COOP) during any disruptive event or

situation

Facilitates the performance of

department/agency/facility essential

functions during an emergency or situation

that may disrupt normal operations

Training and Exercises

Identify weaknesses in plan Refine roles and responsibilities Assess adequacy of resources Improve coordination / communication

both internally and externally

Billings Area IHS Readiness

As of September 30, 2005 all Billings Area IHS healthcare facilities had this plan in place.

However,

…It’s a Living Document

Based on findings during exercises the plan will continually be updated

And…

Public Health Disaster SOP

Most facilities don’t have it Cannot standardize Need to work closely with ALL other

jurisdictions: Tribes, State, Counties

COOP

Continuation of Operations

HEICS

Healthcare Emergency Incident Command System

JCAHO

Joint Commission for the Accreditation of Healthcare

Organizations

AAAHC

Accrediting Association for Ambulatory Health Care

SOP

Standard Operating Procedure

HVA

Hazard Vulnerability Analysis

DHS

Department of Homeland Security

FEMA

Federal Emergency Management Agency

FPC 65

Federal Preparedness Circular 65

IHS

Indian Health Service