Department of State Health Services

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REMPSC - RMOC

• Department of State Health Services
• Health Services Region 8

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REMPSC

• REGIONAL
• EMERGENCY
• MEDICAL
• 
  PREPAREDNESS
• 
  STEERING
• 
  COMMITTEE
• SOUTH CENTRAL TEXAS REGION

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Terrorism - a Wicked Problem

• Lawrence J. Peters
• With a wicked problem, the more you know about
  the subject, the less certain you are about how
  to solve it.
• With wicked problems, the meetings, the consensus
  buildings, the relationship building, the
  perspective sharing are the work!

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Health Services Region 8
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NIMS - ICS
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Annex V, Terrorist Incident ResponseVer. 1.1
(8/00) Ch.V para G p.V-8

• As the Medical response to an incident involving
  biological agents must include the local medical
  community as a group, the local and state health
  departments and federal health agencies directing
  the response should undertake to coordinate the
  efforts of local medical providers to ensure that
  a consistent approach to health issues is taken.
  The local health department or state public
  health region field office, that are normally
  most familiar with community health providers,
  will typically take the lead in coordinating the
  local medical responseThey may request
  assistance from local professional organizations
  in providing information to all members of the
  medical community.

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REMPSC
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REMPSC Mission Statement

• The evolving role of REMPSC is to be the forum
  where the senior decision-makers of the regions
  health care stakeholder organizations coordinate
  the support of the medical planning needs of the
  region and act on the initiatives and needs of
  its workgroups.
• The relationships and systems solutions forged
  out of this activity carry over to the exercise
  and operational settings in the form of the RMOC.
  
• The REMPSC provides a forum for identification of
  individuals and agencies representing unique
  capabilities within the region.

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Primary Objectives

• Assure that overall coordination of workgroups
  actions is provided to optimize efficiency and
  effectiveness of existing Emergency Management
  Plans.
• Identify and assist removing barriers identified
  during each workgroups planning.
• Assure that consideration is given to the various
  scenarios and that sufficient drill down is
  accomplished.
• Coordinate exercise opportunities to support the
  work being done by workgroups.
• Assure that each workgroups recommendations,
  findings and discussions are formatted to be
  consistent and easily accessible.
• Relating to the essential coordination role of
  REMPSC, an Executive Workgroup exists, which is
  comprised of the senior decision-maker from each
  key stakeholder organization involved with REMPSC.

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District Disaster Chairperson
City/Co Emerg. Mgt. Coordinator
PUBLIC HEALTH AUTHORITIES
REMPSC
Strategic National Stockpile
Workforce
Public Health Surveillance
Radiologic Health
Emergency/Hospital Disaster Group
Mental Health
Exercise Coordination
Crisis Communication
Regional Medical Operations Center (RMOC)
Hospital Security
Infection Control
Patient Decontamination
Communications
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STEERING COMMITTEE

• Supreme Court
• Mutual Aid Society
• House of Lords
• Support Group
• Community Calendar
• Marriage Counselor

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STEERING COMMITTEE

• Sets Supraordinate Goals
• Overarching issues that transcend the scope of
  individual processes and projects of the
  constituent organizations which can only be
  accomplished through teamwork.
• Establishes priorities when multiple exist
• Determines resource allocation
• Mediates conflicts between process owners

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REMPSC Keys To Success

• Leverage the experience of trauma consortium to
  build a broad based preparedness and community
  response and resiliency.
• Establishment of a web of interdependent
  coordinated workgroups.
• Informal community leaders take active leadership
  roles.
• Participation of local/regional public health
  agencies.
• Funds made available to carry out plans and
  planning.
• Identify, coordinate, and advise on funding
  opportunities.
• Serve as a communication forum for successful
  preparation.

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Strategic Map
1 Vulnerable
4 Capacity Management
2 Demand Forecast
P H M

Assessment


7 Outcome Metrics

3 DemandManagement
5 ConditionManagement
6 Community Outreach
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Scientific Modeling and Analysis Process
Real World
Model World
MODELING
Quantitative Model
Qualitative Model

• Elements
• Processes
• Activities

• Variables
• Constants
• Randomness
• Constraints

Abstraction
Rationalism

• Assumptions
• Relationships
• Interactions

Development
Measurement
Current System
Data
Input

• Deduction
• Simulation (Indirect Exp)
• Optimization

Judgment
Trial and Error Experimentation
MODEL SOLUTION
Validation
Future System
Conclusions (hypotheses)
Resource Allocation Decisions
Interpretation
ANALYSES
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REMPSC / RMOC Recognition
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RMOC
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Regional Medical Operations Center (RMOC)

• Forum for Operational Medical issues, supports
  EOCs
• Fosters rapid communication and consensus
  development, idea sharing and consistency between
  and among health entities
• Allows needs and questions to be addressed
  quickly on behalf of EOCs
• Assures no surprises at DDC/SOC

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Regional Medical Operations Center

• Representatives from
• Hospital System Reps
• SA EMS, AMR (Bexar Co.)
• San Antonio Metropolitan Health District
• TX Dept of Health Region 8 (Representing Rural LH
  Units)
• Greater San Antonio Hospital Council
• Bexar County Medical Society
• NDMS
• Southwest Texas Regional Advisory Council for
  Trauma
• UT Health Science Center San Antonio
• DoD bases and facilities
• South Texas Blood and Tissue Center
• Poison Control Center

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Regional Medical Operations Center

• Probable Roles
• Anticipate and problem solve EOC Requests
• Coordinate patient distribution
• Problem solve Workforce/Equipment issues
• Evaluation of current capacity
• Contributes to development of medical portion of
  media releases
• Informs EOC of status changes and shortfalls in
  executing public health and healthcare response

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Web EOC Information Flow
SOC
RMOC
DDC
ICP
EOC
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• EMSystem
• MCI - S.A. Hospitals/MEDCOM/ STRAC
• HAN support-GSAHC/ Region 8 Hospitals, EMS, CHCs
• LHDs w/ regional subscription
• Syndromic Surveillance Package
• CDC HRSA

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