united states department of health & human services office of the secretary for preparedness and...
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United States Department of
Health & Human ServicesOffice of the Secretary for Preparedness and Response (ASPR)
Washington State Hospital Association
34th Annual Rural Hospital Summer Workshop
Chelan, Washington
June 29, 2010
“Disaster Strikes: Understand What Happens Next”
Assistant Secretary for Preparedness and ResponseRick Buell, Regional Emergency Coordinator
Seattle, Washington(206) 615-3600
United States Department of
Health & Human ServicesOffice of the Secretary for Preparedness and Response (ASPR)
2010 Olympic Winter Games
Vancouver, BC
12-28 February 2010
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United States Department of
Health & Human ServicesOffice of the Secretary for Preparedness and Response (ASPR)
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Federal Health & Medical
Response
General Response Principles Recognize Washington’s existing scalable health and medical system
Recognize existing mutual aid agreements– Local– Regional Patient Care Procedures– Emergency Management Assistance Compact– Pacific NW Emergency Management Arrangement
Work through State Operations Centers– Major Disaster Declarations e.g., Stafford Act
Ensure proper health and medical resource is provided
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United States Department of
Health & Human ServicesOffice of the Secretary for Preparedness and Response (ASPR)
Capacity & Capability Analysis
Local and Regional Hospital Capacities
Area# of
HospitalsLicensed
BedsICU
Neonatal / Pediatric
Intensive Care Unit Capacity
Burn Victim Treatment Capacity
Surge Capacity
Whatcom Co. 1 253 241 0 0 40
Region 1 Health District2 (Skagit, Island, San Juan
and Snohomish Counties)8 5673 0 0 249
1 Included in total number of licensed beds
2 Not including Whatcom County numbers
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United States Department of
Health & Human ServicesOffice of the Secretary for Preparedness and Response (ASPR)
Resources
HHS deploys an Advanced Incident Response Coordination Team
Response Teams – Disaster Medical Assistance Teams (DMAT)– International Medical Surgical Teams (IMSuRT)– Burn Teams– Pediatric Teams– Crush Medicine Teams– US Public Health Service
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United States Department of
Health & Human ServicesOffice of the Secretary for Preparedness and Response (ASPR)
“Tools in the Kit”
Department of Veteran Affairs e.g., Disaster Emergency Medical Personnel, Mobile clinics
Activation of FEMA Ambulance Contract
Use of 1135a process– EMTALA waivers
– Facility licensure process waivers
Department of Defense e.g., Combat support hospitals, Aero-Med Evacuation
National Disaster Medical System Activation e.g., Federal Coordination Centers
Federal Medical Stations e.g., ER Decompression, Treatment and Triage
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United States Department of
Health & Human ServicesOffice of the Secretary for Preparedness and Response (ASPR)
HI
PRGUAM
Army FCC Navy FCC Air Force FCC VA FCC
WA
OR
CA
ID
MT
NV
AZ
UT
WY
ND
SD
MN
IA
NE
CO
KS
NM OKTX
MO
AR
WI
IL
IN
MI
OH
KY
TN
MS
LA
AL
GA
SC
NC
FL
VA
WV
MD
PA
NY
VT
NH
ME
USVI
AK
DE
NJ
MA
CTRI
NDMS Definitive Medical CareNDMS Definitive Medical CareFederal Coordinating Centers (FCCs)Federal Coordinating Centers (FCCs)
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United States Department of
Health & Human ServicesOffice of the Secretary for Preparedness and Response (ASPR)
Federal Medical Station
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United States Department of
Health & Human ServicesOffice of the Secretary for Preparedness and Response (ASPR)
The Spectrum of Care &
Federal Medical Resources
Basic First Aid OutpatientCare
HospitalInpatient Care
Nursing Home Care
Pre-hospital Care
ICU/TraumaCritical Care
Emergency Departments
Volunteers
National Disaster Medical Assistance Hospitals
Disaster Medical Assistance Teams
VA/Dept. of Defense
US Public Health Service
Medical Reserve Corps
Federal Medical Stations