Transcript PHEP 101 - Kansas Association of Local Health Departments

Public Health
Emergency
Preparedness 101
Our Mission: To protect and improve the health and environment of all Kansans.
Your Presenter
Michael McNulty
Director of Homeland Security Operations
Our Mission: To protect and improve the health and environment of all
Kansans.
Objectives
• Discuss the New Administrator &
Emergency Preparedness Coordinator
Manual
• Discuss the history of the Kansas Public
Health Emergency Preparedness Program
• Discuss the current and future Kansas
Public Health Emergency Preparedness
Program
Our Mission: To protect and improve the health and environment of all
Kansans.
Acronyms
•
•
•
•
•
•
•
•
PHEP
NIMS
ICS
CRA
COOP
SNS
SOG
POD
Public Health Emergency Preparedness
National Incident Management System
Incident Command System
Countermeasure Response Administration
Continuity of Operations
Strategic National Stockpile
Standard Operating Guide
Point of Dispensing
Our Mission: To protect and improve the health and environment of all
Kansans.
KDHE Preparedness Program
Carman Allen
Preparedness Director
Lisa Williams
Exercise Coordinator
Michael McNulty
Catherine Byrd
Director of Homeland
Security Operations
Grant Management
Coordinator
Steve Tierce
Vacant
Budget Manager
Planning & Outreach
Coordinator
Elisa Nehrbass
Training Coordinator
David Marshall
Operations Specialist
Vacant
Medical Countermeasures
Program Manager
Vacant
Compliance Coordinator
Our Mission: To protect and improve the health and environment of all
Kansans.
Carman Allen
•
•
•
•
•
Program Direction
Policy
Priority setting
Partnerships
Collaboration
Our Mission: To protect and improve the health and environment of all
Kansans.
Michael McNulty
• State ESF-8
Coordination
• Disaster Response
• State Planning and
Agency Coordination
• Pandemic Influenza
• Fred the
Preparedness Dog
Our Mission: To protect and improve the health and environment of all
Kansans.
Catherine Byrd
• HPP-PHEP Grant
Management
• State & Local Work Plans
• Performance Measures
• Risk Assessments
• Local Guidance
Documents
• Healthcare Coalition
administrative
management
Our Mission: To protect and improve the health and environment of all
Kansans.
David Marshall
• Jurisdictional Risk
Assessment
• Comprehensive
Resource Management
Credentialing System
(CRMCS)
• Patient Tracking
• Local Template &
Resource Development
• Local Technical
Assistance
Our Mission: To protect and improve the health and environment of all
Kansans.
Elisa Nehrbass
• Training
• Gap analysis &
training needs
• Coordinate training
opportunities
• KS-TRAIN technical
assistance
Our Mission: To protect and improve the health and environment of all
Kansans.
Lisa Williams
• Exercise Design
• Exercise Facilitation
• State & Local
Exercise Support
• Quarterly KS-HAN
Drills
• AAR/IP Review &
Approval
Our Mission: To protect and improve the health and environment of all
Kansans.
Steve Tierce
•
•
•
•
•
KS-HAN
K-SERV
Medical Reserve Corps
Planning Support
Local Technical
Assistance
• Tribal Liaison
• At-risk Population planner
Our Mission: To protect and improve the health and environment of all
Kansans.
Contact Us
[email protected] (785) 296-7100
Preparedness Program Director
Carman Allen
[email protected]
785-296-1210
Michael McNulty
[email protected]
785-291-3065
Grant Management Coordinator
Catherine Byrd
[email protected]
785-296-5529
Preparedness Budget Manager
Vacant
785-296-8115
Vacant
785-296-7428
Director of Homeland Security
Operations
Medical Countermeasure
Program Manager
Operations Specialist
David Marshall
[email protected]
785-296-5201
Exercise Coordinator
Lisa Williams
[email protected]
785-296-1984
Training Coordinator
Elisa Nehrbass
[email protected]
785-296-1882
Planning & Outreach Specialist
Steve Tierce
[email protected]
785-291-3713
Our Mission: To protect and improve the health and environment of all
Kansans.
PUBLIC HEALTH EMERGENCY
PREPAREDNESS GRANT
Our Mission: To protect and improve the health and environment of all
Kansans.
Back in the Day…
• 1999 – the first Bioterrorism (BT) funding
to Kansas
• 2002 – major influx of BT funding
• 2005 – Kansas program merger
• 2011 – Public Health Preparedness
Capabilities
• 2012 – Federal program “alignment”
Our Mission: To protect and improve the health and environment of all
Kansans.
PHEP Cooperative Agreement
•
•
•
•
•
KDHE is the awardee
KALHD Preparedness Team partners
50/50 state/local funding split
Local funding is base plus population
Up front payment of 25% remainder is
reimbursement based
• Affidavits of expenditures
Our Mission: To protect and improve the health and environment of all
Kansans.
Expenses
Allowable
• Salaries of employees
• Equipment/supplies
• Travel
• Personal protective
equipment
• Communications
equipment
• Training/Exercising
Unallowable
• Salaries of + $181,500
• Fund raising or lobbying
• Research
• Construction
• Clinical care
• ***Supplanting***
• Reimbursement of preaward costs
Our Mission: To protect and improve the health and environment of all
Kansans.
Local Application
• PHEP part of Aid-To-Local Universal
Contract
• Catalyst (www.catalystserver.com)
• Application, progress reporting, and
budgetary information
• Application period: January – March
• Preparedness participation – Yes or No
Our Mission: To protect and improve the health and environment of all
Kansans.
Capabilities
1.
2.
3.
4.
5.
6.
7.
8.
Community Preparedness
Community Recovery
Emergency Operations
Coordination
Emergency Public
Information & Warning
Fatality Management
Information Sharing
Mass Care
Medical Countermeasure
Dispensing
9.
10.
11.
12.
13.
14.
15.
Medical Materiel
Management & Distribution
Medical Surge
Non-Pharmaceutical
Interventions
Public Health Laboratory
Testing
Public Health Surveillance &
Epidemiology
Responder Safety & Health
Volunteer Management
Our Mission: To protect and improve the health and environment of all
Kansans.
Capabilities
1.
2.
3.
4.
5.
6.
7.
8.
Community Preparedness
Community Recovery
Emergency Operations
Coordination
Emergency Public
Information & Warning
Fatality Management
Information Sharing
Mass Care
Medical Countermeasure
Dispensing
9.
10.
11.
12.
13.
14.
15.
Medical Materiel
Management & Distribution
Medical Surge
Non-Pharmaceutical
Interventions
Public Health Laboratory
Testing
Public Health Surveillance &
Epidemiology
Responder Safety & Health
Volunteer Management
Our Mission: To protect and improve the health and environment of all
Kansans.
Five Year Strategy
Fiscal Year
2013-2014
2014-2015
2015-2016
2016-2017
State-Level
Capabilities
Work
6, 11, 12
5, 7, 14
1, 2, 3
8, 9, 10, 13
Local/Regional- 4, 10, 15
Level
Capabilities
6, 11, 12
5, 7, 14
1, 2, 3
Exercises
4, 10, 15, 8, 9,
13 (Vigilant
Guard 2014
6, 11, 12
5, 7, 14
1, 2, 3
Our Mission: To protect and improve the health and environment of all
Kansans.
Work Plans & Reporting
• Developed with local input and reviewed
by KALHD Preparedness Team
• Work plans and guidance documents
available on KDHE website
• Quarterly reporting for previous quarter:
Oct 15, Jan 15, Apr 15, July 15
• Spend money; returning money to the
federal government
Our Mission: To protect and improve the health and environment of all
Kansans.
Sub-Awardee Monitoring
• KDHE must monitor participating local
health departments, hospitals, etc.
• “Risk Assessment” – General Assessment,
Technical Assistance, Financial, and Work
Plan Deliverables
• Low scoring LHDs will enter Phase 1
• Phase 2 = 50% funding amount
• Phase 3 = no Preparedness $
Our Mission: To protect and improve the health and environment of all
Kansans.
TRAININGS
Our Mission: To protect and improve the health and environment of all
Kansans.
Kansas TRAIN
• On-line learning management system
• Register for classes and keep class
certificates
• User based, follows you from job to job
• All Preparedness funded trainings must
use TRAIN as registration tool
• https://ks.train.org
Our Mission: To protect and improve the health and environment of all
Kansans.
NIMS & ICS
• National Incident Management System
and the Incident Command System
• Six core courses: IS-700, ICS-100, ICS200, ICS-300, ICS-400, and IS-800
• Classes based on level of responsibility
– Not everyone needs them all
• Connects to most preparedness activities
Our Mission: To protect and improve the health and environment of all
Kansans.
SNS and Mass Dispensing
• Key public health preparedness function
• Receiving and dispensing medical
countermeasures to the entire population
• Target = 48 hours post decision
• Open PODs, Closed PODs, alternative
methods, etc
• Lots of CDC and other classes available
Our Mission: To protect and improve the health and environment of all
Kansans.
Packaging & Shipping
• US DOT requirement for shipping
laboratory specimens
• Fines for non-compliance
• Required even without Preparedness…
sustainability?
• KHEL currently produces courses
available on KS-TRAIN
Our Mission: To protect and improve the health and environment of all
Kansans.
COOP
•
•
•
•
•
•
•
Continuity of Operations
Loss of facility or loss of people
COOP functions
Alternate facilities
Staff contact lists
Records & Equipment
Stakeholders
Our Mission: To protect and improve the health and environment of all
Kansans.
Exercise Training
• Demonstration of capabilities and
capacities is required
Plan
• Exercise process
• After action reporting and
improvement
Exercise
planning/implementation
Our Mission: To protect and improve the health and environment of all
Kansans.
Train
MEETINGS
Our Mission: To protect and improve the health and environment of all
Kansans.
Local Emergency Planning
Committee
• Established under federal EPCRA
• Originally HAZMAT, now all-hazards
• One duty, update the county emergency
operations plan – assist county emergency
manager
• County plan is updated every 5 years
• Kansas Planning Standards
Our Mission: To protect and improve the health and environment of all
Kansans.
ESF 8 Planning Committee
• Meeting with health and medical partners
• Keeps the “plan” fresh, allows discussion
of preparedness activities
• Review response activities
• Discuss planning guidance or activities
• Improves coordination
Our Mission: To protect and improve the health and environment of all
Kansans.
Regional Public Health
• Opportunity to share happenings with your
neighboring peers
• Could be work sessions for work plan
items, if applicable
• Technical assistance venue
• Regional exercise opportunities
Our Mission: To protect and improve the health and environment of all
Kansans.
Healthcare Coalition
• A collaborative effort to increase medical
sector organizational planning actions
• Seven regions
• Health departments voice public health
concerns
• Health departments can go individually or
have a designee
Our Mission: To protect and improve the health and environment of all
Kansans.
Regional Homeland Security
Council
• Department of Homeland Security Grant
Program
• Local public health departments have a
seat per requirements
• Project based activities
• Coordination of local health and medical
activities and projects
Our Mission: To protect and improve the health and environment of all
Kansans.
Cities Readiness Initiative
Kansas City
• Johnson
• Leavenworth
• Linn
• Miami
• Wyandotte
Wichita
• Butler
• Harvey
• Kingman
• Sedgwick
• Sumner
Our Mission: To protect and improve the health and environment of all
Kansans.
STATE AND LOCAL
RELATIONSHIPS
Our Mission: To protect and improve the health and environment of all
Kansans.
Emergency Management
• By statute, state and county emergency
management organizations responsible for
disaster preparedness, response,
recovery, and mitigation
• Most request health departments to
coordinate health and medical concerns
• Typically referred to as Emergency
Support Function (ESF 8)
Our Mission: To protect and improve the health and environment of all
Kansans.
Health and Medical Partners
• Hospitals
• Emergency Medical
Services
• Long-term care
• Pharmacies
• Child care providers
• Physician offices
• Assisted living
facilities
•
•
•
•
Medical suppliers
Coroners
Funeral Directors
Emergency
Management
• Law Enforcement
• Schools
• Fire Department(s)
Our Mission: To protect and improve the health and environment of all
Kansans.
Planning v. Response
Planning
• KDHE provides guidance
and resources via PHEP
• Work plan and budget
information to KDHE
• KDHE provides technical
assistance
• KDHE coordinates with
KDEM on work plans
• LHD plans with partners
Response
• Work with local partners
on situation/status and
resource needs
• KDHE can provide
technical assistance
• Formal requests for
assistance to county
emergency management
Our Mission: To protect and improve the health and environment of all
Kansans.
Disaster Requesting Process
Disaster
Local health
department
exhausts
their own
resources and
mutual aid
agreements
Local health
department
requests
further
assistance
from county
emergency
management
County
emergency
management
exhausts
resources and
requests
assistance
from KDEM
Our Mission: To protect and improve the health and environment of all
Kansans.
KDEM
validates
requests and
assigns health
and medical
missions to
KDHE
STANDARD OPERATING
GUIDES, PLANS, ANNEXES
Our Mission: To protect and improve the health and environment of all
Kansans.
Plans
Remember – All plans,
annexes, and appendices
are open public
documents!
County Response
Plan
Emergency
Support Function
8 (ESF 8)
Mass Casualty
Appendix
Required by State Statute
Biological
Incident Annex
(BIA)
Pandemic
Influenza
Appendix
Mass Fatality
Appendix
Our Mission: To protect and improve the health and environment of all
Kansans.
Operating Documents
• Standard Operating Guide (SOG), Field
Operating Guide (FOG), Standard
Operating Procedure (SOP)
• Implementing processes for activities
outlined in plans
• Guides v. Procedures
– Possible legal implications depending on
adherence to process
Our Mission: To protect and improve the health and environment of all
Kansans.
Available Templates
• BIA
• Community Alternate
Care Site
• Community Disease
Containment SOG
• ESF 8 Annex
• County Mass Fatality
Management SOG
• Mass Care Health &
Medical Tool Box
• Mass Dispensing
SOG
• Local Public Health
COOP SOG
• Public Information &
Communications
SOG
Our Mission: To protect and improve the health and environment of all
Kansans.
PREPAREDNESS IT
APPLICATIONS
Our Mission: To protect and improve the health and environment of all
Kansans.
KS Health Alert Network
• KS-HAN is the primary method for KDHE
information sharing during emergencies
• Invitation only
• Contact options: email, text, phone, cell
phone
– This is based on sender’s preference
• [email protected]
Our Mission: To protect and improve the health and environment of all
Kansans.
KS System for the Early
Registration of Volunteers
• K-SERV is a database for volunteers to
respond to health emergencies
• Local and state level administrators
• Open to medical and non-medical people
• Primary source verification of credentials
• Required for medical credentials of
CRMCS
Our Mission: To protect and improve the health and environment of all
Kansans.
Comprehensive Resource
Management & Credentialing System
• CRMCS is a resource management and
situational awareness tool
• Produces the “disaster badges” for
accountability
• Medical credentials (all badges) must be
verified through K-SERV which is a
partner product
Our Mission: To protect and improve the health and environment of all
Kansans.
KS Countermeasure Response
Administration
• KS-CRA is an inventory management and
tracking application for medications and
prophylaxis
• Partnership between KDHE Preparedness
and Immunization Programs (WebIZ)
• Works in concert with CRMCS
• Used for medications and prophylaxis to
the individual
Our Mission: To protect and improve the health and environment of all
Kansans.
2016-2017 PREPAREDNESS
Our Mission: To protect and improve the health and environment of all
Kansans.
Local Public Health
• Attend healthcare coalition meetings
quarterly
– Provide input to HCCDA factors and
performance measures
• Exercise: fatality management, mass care,
and/or responder safety & health
• Have you done your 5 year functional
exercise?
Our Mission: To protect and improve the health and environment of all
Kansans.
Local Public Health cont.
•
•
•
•
Local ESF 8 or LEPC meetings
Revise county BIA by April 30, 2017
Update COOP SOG by February 15, 2017
Sustain: KS-HAN contacts & drills, 24/7
epi contact, ICS training, mutual aid
agreements, PPE fit testing, pack & ship,
inventory in CRMCS, update Mass
Dispensing SOG, PODs
Our Mission: To protect and improve the health and environment of all
Kansans.
FUTURE OF KDHE
PREPAREDNESS PROGRAM
Our Mission: To protect and improve the health and environment of all
Kansans.
Carnac says…
• July 1, 2016-June 30, 2017 is Budget
Period 5 of a five year project period
– HAVE TO complete ALL work
– HAVE TO report ALL spending and budgets
• Federal reauthorization
• Revised capabilities
Our Mission: To protect and improve the health and environment of all
Kansans.
Staffing
• Positions to fill:
– Preparedness Director
– MCM Program Manager
– Compliance Coordinator
– Budget Manager
• Do we need to “right size” staffing?
• Focus on core elements and program
requirements
Our Mission: To protect and improve the health and environment of all
Kansans.
New Project Period
• CDC has told us to start planning for a
new five year project period (2017-2022)
• Funding will likely continue to be budgeted
annually
• Greater accountability will be coming at all
levels
Our Mission: To protect and improve the health and environment of all
Kansans.
Revised Capabilities
• NIMS Refresh
– Clarifies that NIMS is more than ICS
– Center Management System guidance
• Revised Healthcare Preparedness
Capabilities
– Moving to four capabilities
• Coming Revised Public Health
Preparedness Capabilities
Our Mission: To protect and improve the health and environment of all
Kansans.
Questions
Michael McNulty
Director of Homeland Security Operations
KDHE Preparedness Program
[email protected]
Office: 785-291-3065
Our Mission: To protect and improve the health and environment of all
Kansans.
www.kdheks.gov
Our Mission: To protect and improve the health and environment of all Kansans.