2/19/2018

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Super Bowl 52 PanelBarret Lane, J.D.

Director, Office of Emergency Management

City of Minneapolis

Metro Compact & CoalitionPreparednessChris Breitbach

director, Emergency Management – Allina Health

vice president – Metro Hospital Compact & Metro Coalition

Org. Structure

Branch 4 –Emergency Preparedness & Response

Public Health (Hospitals)

• Co-lead by:• Cheryl Peterson-Koreber, MDH

• Mark Lappe, HCMC

Situational AwarenessCommunication Sharing• Size and scope

• Rumors vs Facts

• Proximity to venues drastically impact preparedness planning• Downtown Minneapolis

• St. Paul • Xcel, Winter Carnival, Crashed Ice (early on)

• Airport

• Mall of America

• Mystic Lake, Canterbury

• Where else??

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‘The Silent Summer’

Shhhhhhhh……

COOP briefing May 2017

• Detox Risk to hospitals• Requested a Detox Workgroup - Approved

• Began meeting in June 2017• Monthly through November then weekly

• Why?• Detox clients filled ED beds causing diverts on regular weekends

• Warm weather cities tactics not an option with MN weather/winter

• Estimated crowd volumes were extremely high over multiple days

Detox Workgroup

• Branch 4 Representative• Pam Blixt

• Hospitals• Mark Lappe, Chris Breitbach

• Law Enforcement• Rich Shelton

• Public Health• Nick Kelley, Cheryl Peterson-Kroeber

• Detox Facilities• 1800 Chicago, Missions, Cochran,

Ramsey Co

Objectives:

1. Distribute citizens requiring detox to the appropriate facilities for their needs.

2. Maintain Emergency Department beds for patients with medical needs.

3. Assist Public Safety and hospitals in identifying detox bed space when requested.

Outcomes

• Algorithm created to assist Law Enforcement & EMS

• Pre SB clients shifted to free up beds

• Fast track concept implemented (<23 hrs. vs 48-72 hrs. of care)

• Education to ED leaders across the metro

• Education to law enforcement across the metro

• Temporary licensure modifications to increase beds• Surge plans ready to operationalize if needed

• Funding set aside if needed by Hennepin County to support the plan

• Monitoring ED bed and Detox bed availability via Detox Helpdesk 24/7 Jan. 31 thru Feb. 5• Every 2-4 hour phone calls

Situational Awareness

• Daily Metro Region Hospital/Healthcare Situation Report (SITREP) • Bed capacity data

• Hospital diversion data

• Graphs detailing data based on SITREP questions

• Questions written in a heat map approach rather than raw numbers

SITREPs

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Communications & Command Centers

• Information sharing of SITREPS

• Coordination of resources

• Security threat awareness

• Having the right phone numbers

• Briefings that align to share the most up to date information

• MACC / EOC to

• Metro Region to

• Healthcare systems, EMS systems to

• Hospitals, clinics, etc.

• Department huddles

Thank you!Chris Breitbach

Preparedness Practicum

Super Bowl 52 Hotwash

Pam BlixtPreparedness Manager

February 21, 2018

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Planning and Operations:

A partnership between

state and local public

health

Health and Medical Planning Workgroup

Consequence Management

Food and Lodging

Hospital Surge and Detox

Surveillance

Co Chairs:

Pam Blixt, City of Minneapolis & Cheryl Petersen Kroeber, MDH

Regional work group

membership was provided

by over 70 amazing

federal, state and local

partners

SB 52: A Local and State Partnership

Emergency Operations Centers (EOC) open During the 10 days of events:

City of Minneapolis

Metro Health Care Coalition

Multi Agency Coordination Center (MACC)

Hennepin County Public Health DOC

City of Minneapolis Health Department DOC

EOCs open during the week-end of the game:

Homeland Security Emergency Management

EOCs with identified teams on standby:

Homeland Security Emergency Management

MDH Department Operations Center

Dakota County

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Local Public Health Operations City of Minneapolis Health Department

Staff EOC Health and MACC Desks for 10 days 0700-0200

Staff Department Operations Center to support field based Food

Inspectors for 10 days

Used newly developed Risk Based Tool for food inspections

Coordinated metro wide food inspections to monitor for food security

Double Duty: MHD Commissioner Gretchen Musicant, MLPHA Chair and

City Policy representative

Regional Local Public Health

Helping staff the Health MACC seats

Providing mutual aid to assist MHD with Food Inspections

Supporting or completing local jurisdictional Food Inspections

Monitoring local activity and events for issues

MDH Operations

Center for Emergency Preparedness and Response: CRI-SNS

other planning functions such as health and medical branch

actions, coalition support, exercises, ICS and response

functions during the event

Infectious Diseases Division: Enhanced Epi, BioWatch

Exercise, foodborne illness surveillance

Public Health Laboratory: enhanced Epi and BioWatch

testing, BioWatch Exercise

Environmental Health Division: Food Pools and Lodging,

Radiologic and Preparedness

Communications Office: planning functions and membership

in the JIC

Deep Thoughts and Trivia1. Massive amount of preparation to ensure nothing

happens—Success!

2. Federal Resources (1,000 staff attending) are

tremendous (Energy)

3. Well-being (food) for public safety is a issue to be

addressed and helps keep us at the table

Summary

Public health planned for and was ready to respond if needed but also ensured that potential issues were addressed to prevent incidents.

It takes a community and it takes resources for the state of MN to successfully host such large events but we can do this.

Without ongoing investments in public health preparedness, events like the Super Bowl, may not occur as safely as possible!

Pam.Blixt@MinneapolisMN.Gov

Questions…

The Multi Agency Command Center

Super Bowl LIIWendy Lynch

EMS Chief Core Planning Team – MPD Head of Planning – HEMS

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EMS Challenges • Logistics – Moving EMS Operations from Garage to Life Link III

• Traffic Congestion/Road Closures

• Access To/From HCMC – Communications to EMS Agencies

• Deployment – Response Times

• Staffing & Scheduling – Normal Operations & Events

• Major Incident Preparedness

• Keeping Staff Healthy, Warm, & Prepared

Operating at Life Link III

SB Live – Nicollet Mall 1/26-2/4 • ZIP LINE, SNOWMOBILE SHOW, PERFORMANCE AREA, SNOW HILL , ICE RINK

• PATIENT ACCESS & CROWDS – PLANNING & ADJUSTING RESOURCES

• STAFFING – COMMAND, PARAMEDIC, EMRS, INCIDENT DISPATCHERS

• SB LIVE/SBX EXPERIENCE COMMAND CENTER – STAFFED BY HEMS COMMAND

• 1ST AID BUS & GATORS

SUPER BOWL LIVE – 1ST AID BUS & AMBULANCE – PARTNERSHIP BETWEEN HEMS & MFD

SB Live – Patient Contacts • 76 Patients Seen

• 33 Patients Transported

• 1 Transported Code 3 – Unconscious

• 10 Falls (Ice Rink Had Bulk of Activity)

• 5 Medicals, 3 Seizures, 3 Short of Breath, 3 Diabetics, 3 ETOH, 1 Down

NFL Experience – Convention Center• Outer Perimeter – Credentials & Access

• Paramedic Coverage Inside the Experience

• MFD Station 6 – 2 Trucks for Transport

• Worked with Life Tech – 1st Aid Team

• SB Live/SBX Command at the Convention Center

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NFL Experience – Convention Center• 10 Patients Seen

• 6 Patients Transported

• Most Patients from 40 Yard Dash

• And Practicing How to Be A Football Player

Super Bowl Events • Hyatt Hotel – NFL Family Headquarters – Covered by HCMC Emergency

Physicians

• Nomadic Live – Armory

• Commissioner’s Party – Renaissance Depot

• Tailgate Party – Convention Center – SBX Experience

• NFL Honors – U of M Northrup Auditorium

• Practice Facilities – Eden Prairie/Winter Park & U of M Nagurski/Gibson

• Land O’Lakes – Farm Bowl – U of M Campus

Game Day • Credentialing

• Field, Stands, JOC, SOC, Loading Dock

• Logistics

• Staffing

• Traffic Congestion/Closures

• Protests

Command Centers • Multiple Agency Coordination Center (MACC) – 511 Building

• Who is at the MACC? – Gesme, Lynch, Bramer

• MCC – NFL Experience/SB Live –Johnson, LeVake, Klawitter

• City of MPLS – EOC – EOTF

• EMS MACC – MESB – MN AST – MN Ambulance Strike Teams

EMS MACC • Metropolitan Emergency Services Board

• 2 Ambulance Strike Teams Available

• Surge Capacity in Metro Area

• Deployed on Saturday February 3rd by North EMS

• Multi-Car Accident on I-694 and Increased Volumes in PSA

Communications • Communications Plan

• Talkgroup Availability

• UHF Systems

• MPFD Talkgroups – Spare, IDT, Event Portable Radios

• ICS-205’s For Each Event

• COMLS

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K2 & The Week of Super Bowl • LE & HEMS – Significant Increase in Drug Overdoses, Specifically Related to

Synthetic Marijuana Drug, K2

• Sunday, January 28th through Wednesday, February 7th, HEMS Received 88 Response Calls for K2 Overdoses

• 5 Cases Required Stays in the ICU – Additional Drugs Included Heroin or Fentanyl

• Call Times Between 10:00 to 19:00