Emergency Support Function ESF

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Emergency Support Function (ESF) 6How do
Mass Care, Housing, and Human Services Relate
to the Work of theNational Disaster Medical
System and ESF 8?

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History of the NDMS Transition

• KLL Recommendations
• 57 HHS should lead a unified and strengthened
  public health and medical command for Federal
  disaster response
• 57a HHS should develop a comprehensive plan to
  identify, deploy and track Federal public health
  and medical assets for use during a catastrophic
  event
• 57b HHS in coordination with OMB and DHS should
  draft proposed legislation for submission to
  Congress, to transfer NDMS from DHS to HHS

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NDMS Transfer

• Department of Homeland Security Appropriations
  Act, Public Law 109-295
• Pandemic and All Hazards Preparedness Act, Public
  Law 109-417

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ASPR
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ASPR Mission/Vision
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ASPR

• Mission
• Lead the nation in preventing, responding to, and
  reducing the adverse health effects of public
  health emergencies and disasters
• Vision
• A nation prepared to prevent, respond to, and
  reduce the adverse health effects of public
  health emergencies and disasters
• ASPR leads Federal public health and medical
  response to acts of terrorism or nature and other
  public health and medical emergencies
• ASPR is the principal advisor to the Secretary on
  Public Health and medical emergencies

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ESF 8 Mission Operating Environment

• Pre-Hospital Triage
• Federal Medical Stations, Facilities of
  Opportunity, NDMS facility
• Patient Evacuation
• Definitive Care Hospitals, Skilled Nursing
  Facilities, Other
• Mental Health
• Water
• Food
• Sanitation
• Civil engineering
• Surveillance
• Animals
• Burial

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Spectrum of Care/Federal Resources
Volunteers
NDMS Hospitals
DMATs
VA/DOD
US Public Health Service
Medical Reserve Corps
Federal Medical Stations
Basic First Aid
Outpatient Care
ICU/Trauma Critical Care
Emergency Departments
Hospital Inpatient Care
Nursing Home Care
Pre-hospital Care
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Pandemic and All-Hazards Preparedness Act (PAHPA)

• Emergency Medical Services operates at the
  intersection of health care, public health, and
  public safety and is therefore an integral part
  of the medical and public health infrastructure.
• -Pandemic and All-Hazards Preparedness Act,
  Public Law 109-417

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HHS support for ESF 6Public Health and Medical

• Provides HHS workers to augment personnel
  assigned to shelters
• Provides medical care and mental health services
  for impacted population either in or outside
  shelter locations
• Provides casualty information from the affected
  area in support of a DWI system
• Provides technical assistance for shelter
  operations related to food, vectors, water
  supply, and waste disposal
• Assists in the provision of medical supplies and
  services

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HHS support for ESF 6Human Services

• Provides inter-departmental policy and planning,
  as well as program coordination, management, and
  oversight to HHS staff responsible for the
  provision and coordination of human services
  during emergencies
• Provides direct assistance to State agencies that
  administer emergency human services programs
• Provides support within the disaster-affected
  areas through the deployment of pre-rostered
  assessment teams
• Provide SMEs and technical assistance on both
  disaster human services issues (i.e., special
  needs, at-risk populations, child care, etc.) and
  HHS programs that address human services needs
  and ways to access those programs

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Social dynamics and disasters

• The response to natural, technological, and
  willful hazards and disasters exists in a social
  context which is affected by social dynamics and
  demographics
• development in hazard prone areas or on
  environmentally sensitive lands
• areas of high density population affect
  evacuation and shelter needs
• diverse population groups with unique
  characteristics
• special needs populations
• disproportionate burden of physical,
  psychological, and economic impact on vulnerable
  populations
• panic and problematic behaviors
• quality and quantity of local support systems,
  disaster response planning, and infrastructure

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Human Services Disaster Research

• Collaboration with other disciplines on societal
  response to hazards and disasters
• Research on crisis related behaviors (individual
  and collective) leads to improvements in
• early warning systems
• risk communication
• evacuation systems
• community and regional emergency response
  disaster planning

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Public Health and Medical Preparedness and
Response

• Intervention efforts to prevent or reduce the
  potential for physical/psychological harm and
  social disruption include
• early warning systems
• risk communication
• evacuation systems
• community and regional emergency response
  disaster planning

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NDMS Preparedness and Response

• Linkage to NDMS Goals for Patient
  Evacuation/Definitive Care
• Develop system capability to meet the
  transportation needs of special needs
  populations
• Develop specific processes for patient triage,
  tracking, and evacuation utilizing the NDMS
  patient movement capability, with involvement of
  NGO and private emergency response and air
  medical services
• Expansion of Definitive Care through addition of
  NDMS participating hospitals and other options
  for the development of Surge Capacity

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NDMS Preparedness and Response

• Linkage to NDMS Goals for Training
• Insure readiness for new essential tasks and
  expanded mission assignments requiring new skill
  sets
• Coordinate and integrate individual and unit
  training, and maximize joint training with other
  state, local, and federal assets
• Insure appropriate training inclusive of an
  All-Hazards Plus approach that addresses
  specific regional issues, hazards, and resources

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Public Health and Medical Preparedness/PAHPA

• Effective utilization of any available public
  and private mobile assets and integration of
  other Federal assets.
• ..Improving surge capacity through acquisition
  and operation of mobile medical assets by the
  Secretary to be deployed, on a contingency basis,
  to a community event of a public health
  emergency and other strategies to improve such
  capacity