Preparedness and Timelines for Integrated Hospital Disaster

Management Planning

Dr.P.Ravindran

Director (EMR), Dte GHS, MOHFW

Conference on Chemical (Industrial) Disaster Management

February 11-13, 2009, New Delhi

Integrated Hospital Disaster Planning

• Integrate hospital disaster planning with:– Pre Hospital Services/ EMS– Community Plans (District DM plans)– Other Hospitals (referrals etc)

• With-in hospital– With sub-plans of different Departments

Integrated Hospital Disaster Planning

• Hospital Emergency Response plan

• Hospital Emergency Preparedness Plan

• Hospital Disaster Mitigation Plan (Vulnerability assessment and Risk Management Plan)

Legal Framework

• Disaster Management Act-2005

• State DM Acts

National Policy, plans, guidelines

• Draft National Policy reflects the provisions under the Act.

• In consonance with the DM Act 2005, MOHFW, the nodal ministry is preparing the Health Sector Plan.

NDMA Guidelines

• NDMA guidelines on Mass Casualty Management provides for: – Integrated plan for hospital preparedness and

response. – Capacity development. – hospital buildings to be disaster resilient.– Specialized capabilities for trauma, burns and

NBC disasters.– Capacity development for preservation and

identification of dead bodies.

Situation Analysis

• Gujarat, has initiated actions for integrated hospital disaster management planning.

• PWD constructions- disaster resilient.• Hospitals, barring a few, have not assessed the

vulnerabilities. • Do not have preparedness and response plans.• Even if present , they are not tested and reviewed.• By and large, the culture has not imbibed into the

health care system.

Problem areas

• Incident Command System for Hospitals– Borrowed concept without looking into the

functional/ administrative realities.

• Not in a position as of now to implement as a managerial system

• Financial and decision making autonomy not available.

• Need large scale training and exercises to take in the culture of ICS

• Risk assessment and Risk management

Way ahead• Policy, plans and SOPs to be in place• All hospitals to have integrated hospital

preparedness and response plan • Large scale training of hospital managers on

management perspective : to include-

– Risk Assessment & Management– Operational Management– ICS

• Capacity Development for integrated model of pre hospital and hospital care.

• Hospital Disaster Plan and its testing to be made mandatory.

Timelines for Implementation

Phase Year ending

Action

Phase-I 2010 • Developing plans, guidelines and SOPs • Developing/ strengthening legal instruments to

support, preparedness, response and capacity development for MCM

Phase-II 2012 • Capacity development for prevention, preparedness, mitigation and response including hospital preparedness

Phase III 2015 • Testing, reviewing and further strengthening the above initiatives

• Establishing specialized capabilities for NBC disasters, trauma, containerized mobile hospital systems etc.

Thank you