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Health & Medical Coordinating Coalitions
Webinar JULY 23, 2014
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• What are Health & Medical Coordinating Coalitions
• Stakeholder engagement process
• Next steps — the procurement process
• Questions
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AGENDA
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HEALTH & MEDICAL COORDINATING COALITIONS (HMCC)
• HMCC -- a regional multi-agency coordination entity that supports ESF8 health &medical activities across all phases of disaster management cycle
• Regularly supports local & regional planning, response, recovery & mitigation activities related to disasters, including planning, organizing, equipping, & training coalition members to respond in a disaster
• During a response, provides health & medical multi-agency coordination, advice on decisions made by incident management, information sharing, & resource coordination
• 6 HMCC established by June 30, 2017, one in each existing MDPH Hospital Preparedness region
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ACTIVE ENGAGEMENT
• Core Disciplines in Facilitated Discussions
• Community health centers & ambulatory care organizations
• EMS (municipal & private)
• Hospitals
• Public health
• Long-term care
• Emergency Management & Public Safety
• Other healthcare disciplines
• Dialysis centers, urgent care, pharmacies, home health agencies, others
• Mental & behavioral health providers
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AN HMCC WILL
• Coordinate regional ESF8 planning, assuring alignment with existing plans
• Support local health & medical planning & preparedness
• Maintain 24/7/365 capacity to support emergency response
• Serve as central point to coordinate & share regional situational awareness to ensure common operating picture
• Provide multi-agency coordination for health & medical activities, support incident management, & coordinate resource requests as determined in regional plans
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• Support health & medical recovery operations within region
• Participate in risk assessment & mitigation activities
• Participate in cooperative training & exercising of plans
• Conduct after action reviews & develop improvement plans
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AND...
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• HMCC Plans will include: • HMCC Concept of Operations
• Multi-Agency Coordination Plan
• Emergency Public Information & Warning Plan
• HMCC Response Support information will include: • State & local contact information
• Inventory of MOUs
• Health & Medical Resources Inventory & Request Processes
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PLANNING AND SUPPORT
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EXAMPLES OF EXISTING REGIONAL EFFORTS
• Central: Regional Medical Coordination Committee
• Boston: Boston Healthcare Coalition
• Western: Regional Medical Coordinating Group
• Cape and Islands: Multi-Agency Coordination Center
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A MORE COORDINATED HEALTH & MEDICAL APPROACH
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HMCC Coordinating
Agency
Long-term Care
Acute Care Hospitals
Ambulatory Care (Community Health Centers
& Large Ambulatory Care Organizations)
Local Public Health
EMS (Municipal & Private)
Office of Preparedness & Emergency Management
MDPH
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COORDINATING WITH OTHER PARTNERS
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HMCC Coordinating
Agency Emergency Management
Office of Preparedness & Emergency Management
MDPH
Health & Medical (e.g., dialysis, mental & behavioral health,
pharmacy, home health)
Public Safety
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MITIGATION Address critical infrastructure needs & key resource allocation planning to decrease vulnerability of health & medical organizations
RESPONSE Support ESF-8 by providing situational awareness to ensure common operating picture & facilitate health & medical resource allocation
PREPAREDNESS Coordinate development of regional plans to align with local/organizational plans, support completion of local preparedness requirements
RECOVERY Assist health & medical organizations in the region to return to normal operations
HMCC will be active across all phases of the cycle to mitigate,
prepare for, respond to, & recover from emergencies
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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
Nationally
CDC & ASPR focus on preparedness planning, separate public health & healthcare preparedness programs
Grant alignment & funding of regional health & medical capacity to prepare for, respond to, recover from, & mitigate the impact of disasters
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HMCC BUILD REGIONAL CAPACITY TO SUPPORT LOCAL NEEDS, RESPOND TO CHANGING NATIONAL PRIORITIES
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STAKEHOLDER ENGAGEMENT PROCESS
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PROCESS TIMELINE
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September-October 2013
• OPEM met with each regional emergency preparedness & hospital coalition to provide information & take questions
• OPEM met with stakeholders from health & medical disciplines, emergency management, professional organizations
December 2013-June 2014
• Initial statewide meeting of core discipline representatives (December 2) • Facilitated multi-discipline meetings in all regions • HMCC presentation at 2014 Massachusetts Statewide Emergency Management Conference
June 30, 2014 • Statewide meeting of core discipline representatives
Summer 2014 • HMCC webinar (July 23) • Procurement process activities (see slide #19)
Fall/Winter 2014-15 • HMCC Workshop • Procurement process activities (see slide #19)
April 1, 2015 • HMCC funding begins
By June 30, 2015 • HMCC initial operations established • 24-7 regional point of contact established
By June 30, 2016 • Regional health & medical operations plans developed • Begin exercising HMCC operational plans
By June 30, 2017 • Each HMCC has exercised all operational plans & developed improvement plans
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WHAT WE’VE LEARNED
• General response positive - many believe that establishing regional HMCC is a move in the right direction
• Others remain concerned
• How will the work be accomplished & existing relationships maintained
• How will funding be distributed
• How to ensure equity in HMCC processes
• Don’t have all the answers now
• Active discussion &communication will continue
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NEXT STEPS — THE PROCUREMENT PROCESS
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PROCUREMENT TIMELINE Summer 2014 • Procurement process activities
Request for Information (RFI) issued June 30 – closes July 30 OPEM works with POS to draft Request for Responses (RFR)
Fall/Early Winter 2014-15 • RFR posted in October • Review panel convened • Selection process completed; contracts executed with HMCC entities
April 1, 2015 • HMCC initial funding begins
By June 30, 2015 • HMCC initial operations established • 24-7 regional point of contact process identified
By June 30, 2016 • Regional health & medical operations plans developed • Begin exercising HMCC operational plans
By June 30, 2017 • Continue update of regional plans • All HMCC operational plans have been exercised
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APPLICANT CHARACTERISTICS
• Presence in & knowledge of region, including broad stakeholders
• Understanding & experience with health & medical preparedness & response
• Demonstrated support from core disciplines in region
• Ability to hire & manage staff, contractors
• Ability to carry out fiduciary responsibilities
• Infrastructure capacity to support IT & communications needs
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THE RFR
• OPEM working with MDPH Purchase of Service office to prepare RFR
• Proposal Review committee
• Composition
• Avoidance of conflict of interest
• Timeframe
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QUESTIONS?
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ADDITIONAL INFORMATION
www.bu.edu/sph-coalitions