Emergency Readiness for Today’s

Changing Environment

Speaker: John Hick, M.D.

Friday, Jan. 12, 2018

3:20 – 4 p.m.

Northland Ballroom

John L. Hick, M.D.

John L. Hick is a faculty emergency physician at Hennepin County Medical Center

(HCMC) and a Professor of Emergency Medicine at the University of Minnesota Medical

School. He serves as the Associate Medical Director for Hennepin County Emergency

Medical Services and Medical Director for Emergency Preparedness at HCMC. He is

also Assistant Medical Director and Vice Chair of the Clinical Council for LifeLink III.

He served the Minnesota Department of Health as the Medical Director for the Office of

Emergency Preparedness from 2002-2014 and currently works part-time for US Health

and Human Services (HHS/ASPR) as an Advisor to the Director of the Office of

Emergency Management.

He is an expert on hospital preparedness and crisis medical care issues and has

published over fifty peer-reviewed papers dealing with hospital preparedness for

contaminated casualties, disaster standards of care, and surge capacity.

John also has a strong interest in rotor-wing and fixed wing medical care and worked in

1998 for the Royal Flying Doctors Service in rural Queensland, Australia performing

fixed-wing retrievals across a large area of outback Australia from the Mt. Isa base. He

returned to Australia for six months in 2012 to work as a retrieval physician for the New

South Wales helicopter service performing rescue and inter-facility responses.

In his spare time, he practices disaster mitigation, response, and recovery at home with

his two daughters ages 14 and 17.

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Confidential Information13.37 GENERAL NONPUBLIC DATA.

Subdivision 1.Definitions.

As used in this section, the following terms have the meanings given them.

(a)"Security information" means government data the disclosure of which the responsible authority determines would be likely to substantially jeopardize the security of information, possessions, individuals or property against theft, tampering, improper use, attempted escape, illegal disclosure, trespass, or physical injury.

SUPER BOWL PLANNING AND OPERATIONAL DOCUMENTS AND COMMUNICATIONS ARE LAW ENFORCEMENT SENSITIVE INFORMATION

(FOUO).

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MUCH MORE THAN A GAME...

• 10 Day Festival

• 1 Million+ Guests

• 5,000 Media

• 10,000 Volunteers

• Introduce the World to Bold North

NFL OFFICIAL EVENTS

NFL Opening Night

Radio Row

Super Bowl Experience

Taste of the NFL

NFL Honors

Charitable Events

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MINNESOTA SUPER BOWL: TRANSPORTATION COMMITTEE

• US Bank Stadium (Super Bowl Game – Sunday, Feb. 4)

• The Commons (Broadcast Studios – Sunday, Feb. 4)

• City Works (Host Committee House – Jan. 31 to Feb. 4)

• Renaissance Depot (Friday Night Party/Sponsor Party/Host Committee Tailgate – Feb. 2 to Feb. 4)

• Seven Steakhouse (NFL House – Jan. 31 to Feb. 4)

• Minneapolis Convention Center (Super Bowl Experience/NFL Shop/NFL Tailgate – Jan. 27 to Feb. 4)

• Hyatt Regency (NFL HQ Hotel – Jan. 27 to Feb. 4)

• Xcel Energy Center (Opening Night – Jan. 29)

• RiverCentre / Roy Wilkins Auditorium (Taste of NFL – Feb. 3)

• Winter Park & Gibson-Nagurski (Team Practice Facilities – Jan. 29 to Feb. 3)

• Northrup Auditorium (NFL Honors – Feb. 3)

• JW Marriott & Radisson Blu (Team Hotels – Jan. 29 to Feb. 5)

• Mall of America (Media Party, Media Center, Radio Row, Team Space – Jan. 29 to Feb. 4)

• The Armory (Concerts & Tailgate – Jan. 29 to Feb. 4)

• Nicollet Mall, IDS Crystal Court, Peavey Plaza, Macy’s (Super Bowl LIVE – Jan. 26 to Feb. 4)

TENTATIVE SUPER BOWL VENUES

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Statistics & Scope…

• What is the busiest day at MSP airport with more than 47k of commercial passenger traffic?

• Expect over 77k leaving on Monday 2/5• 70k will spend the night at the airport because they don’t want to

pay for another night in a hotel

• Holman Field will be the busiest in its history

• Largest Federal Support in US history

• Houston has over 5,000 Police Officers, Minneapolis has 800

• Over 1200 mutual aid Police Officers requested• Houston PD had 80 K9 officers in NFL Live, Mpls PD has 8

employed in total.

• Ice Castle and Winter Carnival in St. Paul

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Org Structure

Hospitals

Org Structure

• Added Detox Sub-committee

• Mark Lappe

• Dr. John Hick

• Chris Breitbach

• EMS

• Law Enforcement

• Detox facilities

• PH

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Risks

• Weather

• Traffic

• Terrorism• Single• Complex Coordinated Attack

• Structural collapse

• Biological• Flu• Bio attack• Food-related

• Protests / demonstrations

• Other – stampede, fire, aviation, etc.

Assets

• 32 hospitals in metro

• About 5000 operating beds

• Compact agreement

• Surge capacity plans

• Prior events – RNC 2008, Vikings, others

• MnTrac

• 800mhz radio system

• Regional Healthcare Resource Center (RHRC)• Operational element of Metro Healthcare Coalition / Metro

Hospital Compact• At the Minneapolis EOC

• EMS – supplemented local plus strike teams

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Detox Risk

• Population growth larger than we have ever experienced in the Twin Cities

• Bars open until 4am (Mpls, St. Paul, Bloomington)

• Confined space vs other cities

• 1800 Chicago down 40% beds

• Overflow of detox leading to ED Divert

• Weather

• ‘Clean streets’

• … and then there’s Club Nomadic…

Club Nomadic

https://nflonlocation.com/news_post/24k-magic-

club-nomadic/

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Hospitals

• Information sharing is key… but it needs to be accurate

• Hospital planning and response:

• ED leadership

• Infection Prevention

• Security

• Marketing/Communication (PIO)

• Senior leadership

• Private Physician groups

• Emergency Management

Hospitals

• Planning issues for facilities:• Increase in ED volumes (usual less than 10%)

• Increase in human trafficking / prostitution

• Traffic and accessibility to hospitals

• Detox

• VIPs

• Food-related

• Weather (cold, snow, ice)

• Flu

• Security – access, ‘soft target’

• Secondary target during attack

• HAZMAT / radiation / bio

• Proximity - Mall Of America, other major locations BUT many ‘unknown’ parties / locations within 100 miles of Minneapolis

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Hospitals

• Operations• RHRC operations

• MnTrac Coordination Center room

• Conference calls

• Threat information sharing

• Hazard information sharing

• Integration with EMS, traffic, city, others at MACC and EOC

• Monitoring for trends in infectious disease

• Incident operations – patient tracking, patient movement, resource request and coordination

• PIO / JIC integration

• Family Assistance Center

Discussion….Discussion….Discussion….Discussion….

Questions….Questions….Questions….Questions….

Comments…Comments…Comments…Comments…