Emergency Operations and Incident Management

1
Emergency Operations and Incident Management

• VHA National Emergency Management Conference
• Dallas, Texas
• April 2, 2009

2
Introductions Panel Members

• Mark Scogin
• VISN 17 Safety Manager, Arlington, TX
• William Smiley
• Emergency Mgmt Specialist, Jack C. Montgomery
  VAMC Muskogee, OK
• Pete Brewster
• Director, Education, Training and Exercises
• EMSHG

3
Overview

• Description
• This presentation will focus on development of
  the Emergency Operations Plan and implementation
  through the incident action planning process.
• Objectives
• Crosswalk the emergency operations planning
  process with The Joint Commission emergency
  management standards, VHA Emergency Management
  Guidebook guidance, and VHA Emergency Management
  Capabilities Assessment
• Relate emergency operations planning processes to
  real-world emergency response scenarios
• Discuss incident action planning processes and
  VAMC-VISN-VACO reporting procedures

4
Emergency Operations PlanningMark
ScoginWilliam Smiley
5
The Joint Commission

• Summary
• EM is now an accreditation manual chapter
• All Standards and Elements of Performance from
  2008 are incorporated into the 2009 Emergency
  Management Chapter
• No new Standards or Elements of Performance in
  2009
• This new chapter contains some standards that
  were in HR, EC and MS
• Survey Process is similar to 2008

6
Emergency Operations Plan

• Emergency Operations Plan (EOP) describes
  response procedures
• Written plan
• Capabilities to self-sustain for up to 96 hours
• EOP describes
• Recovery strategies
• Initiation and termination of response and
  recovery phases
• Defines authorities
• Alternative care sites
• Actual implementation is documented

7
Emergency Operations Plan

• Plan Structure

8
Emergency Operations Plan

• Six Critical Components (EM.03.01.03, EP 5)
• Communication EC.02.02.01
• Resources Assets EC.02.02.03
• Safety Security EC.02.02.05
• Staff responsibilities EC.02.02.07
• Utilities Management EC.02.02.09
• Patient, clinical support activities EC.02.02.1
  1

9
Emergency Operations Plan

• EM.02.02.01 Communication
• EP 14 establishes backup communication systems
  and technologies for communication activities
  identified in EPs 1 - 13
• EM.02.02.03 Resources Assets
• EP 3 obtain and replenish non-medical supplies
• EP 6 process to monitor quantities of its
  resources and assets during an emergency
• EM.02.02.05 Safety Security
• EPs 4 5 manage hazardous materials
• EPs 7, 8, 9 controls access and movement
• EM.02.02.07 Staff Roles Responsibilities
• EP 3 Define staff assignments
• EP 7 Provide training for staff assignments
• EP 8 The hospital communicates in writing with
  each of its licensed independent practitioners
  regarding his or her role(s) in emergency
  response and to whom he or she reports during an
  emergency.

10
Emergency Operations Plan

• EM.02.02.09 Utilities
• EP 2 electricity
• EP 3 water needed for consumption and essential
  care activities
• EP 4 water needed for equipment and sanitary
  purposes
• EP 5 fuel required for building operations or
  essential transport activities
• EP 6 medical gas/vacuum systems
• EP 7 Utility systems defined as essential, such
  as
• Vertical horizontal transport
• Heating cooling systems
• Steam for sterilization
• EP 8 Utility needs identified in the HVA
• EM.02.02.11 Patient Care Issues
• EP 3 Evacuation strategies
• EP 11 Evaluate advance preparedness based on HVA
• EM.03.01.01 Annual Evaluation
• EM.03.01.03 Exercise Emergency Management Plan
• EP 3 Escalating component for hospitals that
  offer emergency services or is a
  community-designated disaster receiving station

11
Emergency Operations Plan

• Phases of Emergency Management
• Mitigation
• Planning
• Response
• Recovery
• Communications with VACO

12
Emergency Operations Plan

• SITREP

• Facility Assessment Tool

13
Emergency Operations Plan

• Dept Specific HVA

• Communications Systems

14
Emergency Operations Plan

• Plan Triggers

• Critical Asset Lists

15
Emergency Operations Plan

• Mass Casualty/Surge

• Use of Tools

16
Emergency Operations Plan

• Emergency Operations Plans
• Make them simple. Pictures and diagrams help.
• Roll AAR items into the EOP.
• Roll items developed during events into the EOP.
• Community specific roles mirror national role and
  can only be developed with getting involved with
  helping and providing support during community
  level events. Begins with building partnerships
  with the County and City Emergency Managers.