mark springer spokane regional health district partnership with red cross and public health
TRANSCRIPT
MARK SPRINGERSPOKANE REGIONAL HEALTH DISTRICT
Partnership with Red Cross and Public Health
Presentation Outline
Overview of SRHD and Eastern WA Red Cross
Co-Location AgreementRed Cross Shelter TrainingACF/Red Cross SOPsThe Medical Consultant ChallengeNext Steps…
SRHD - Overview
SRHD is the lead county in Region 9 Region 9 Health Care Coalition ACF assets
include: 2 ACF trailers with 30 cots and 10 E-Beds on each 1 ACF trailer with 40 E-Beds
Medical Reserve Corp assets include: 158 credentialed volunteers
22 health care workers 87 mental health workers 49 support staff
Two 30 person teams
Eastern WA Red Cross - Overview
7 chapters (Ellensburg, Kennewick, Okanogan, Spokane, Walla Walla, Wenatchee & Yakima) Serve 22 counties in Washington & Idaho
2012 snapshot of Red Cross activities 331 disaster responses 1062 disaster victims assisted 15 full time employees 1774 trained volunteers
Alternate Care Facility (ACF) Defined…
An ACF may be set up to provide basic medical care during a natural disaster or public health emergency when: Patients are displaced and cannot be
accommodated at a general population shelter due to the complexity of their medical needs; and
The number of displaced persons exceed the normal surge capacity of existing regional healthcare facilities.
Why Co-Location for SRHD?
Efficiencies can be realized in ACF planning when co-location is considered. Facilities – more and new facilities; updated facility surveys Staffing – large volunteer pool that is familiar with
sheltering Logistical Support – support for feeding and shelter wrap-
around services Experience – Red Cross shelter management staff have
experience with running shelters in disaster scenariosAllows families to stay in the same facility.Allows more opportunities for MRC and public
health staff to train, exercise and participate in disaster response.
SRHD/Red Cross Co-Location Agreement
Each party maintains its own identity as well responsibility for its own policies and financing.
Each party will participate in joint planning, training and exercising with respect to co-location.
SRHD may provide limited logistical support (trailers, vaccines, medications) as well as staff to support surge of clients with more complex medical needs.
Red Cross may provide facilities, shelter management, and non-medical logistical support for ACF activities.
Co-Location Agreement Limitations
Limited to Inland NW Chapter of Red Cross and SRHD with plans for Region 9 LHJs.
Activation based on community reaching a trigger based on number or percentage of clients who have more complex medical needs.
Limited number of shelter facilities that could serve a dual purpose.
Red Cross and MRC staff are not committed to other disasters outside of Spokane County.
Co-Location – Training Options
Standard Operation Procedures (SOPs)
What are they?What has been developed to date?
Client registration, triage and ACF admission Transfer clients from the ACF to the general shelter Working with families split between the ACF and the
general shelter Transfer of DME, medications and medical
consumables between the ACF and general shelter Closure of the general shelter prior to the ACF closure
Side Note – the Medical Consultant
This is a role to support the Local Health Officer (LHO) in a disaster where the LHO is not easily available for clinical consultation for providers and staff who are acting under his/her license. This role may: Act as a prescription authority for an ACF; Consult regarding patients in isolation/quarantine; Provide referrals for testing, imaging or specialty consults; Answer questions regarding clinical care for providers in an
ACF.This role should be pre-assigned in a community to
a hospital, group practice, or individual provider.
Medical Consultant – Questions?
How is liability shared?How are crisis standards of care addressed?How can technology assist with providing
information to the medical consultant?Should the consultant be a single individual
or be distributed role among a group of providers?
How does public health contract for this service?
How might this service be regionalized?
Next Steps in Spokane
Approval and expansion of co-location standard operating procedures. Client records Patient tracking Role of caregivers and client volunteers
Cross training of MRC volunteers Red Cross Shelter Training
Fall table top exercise with SRHD and Red Cross.
