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National Disaster Medical System Partnership
Overview
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NDMS Structural Changes

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NDMS Structural Changes

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NDMS Structural Changes

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NDMS Structural Changes

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NDMS Structural Changes

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DHS in NDMS

• Roles of DHS
• Lead Agency for NDMS
• Chair Senior Policy Group Directorate Staff
• Activation of NDMS
• Responsibility for Medical Response Component
• Medical Response Operations
• Systems Development and Training
• Field Medical Response
• Strategic National Stockpile

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DHS in NDMS (contd)

• New Opportunities for NDMS
• Cross-fertilization of response teams
• NDMS
• USR (IST/MST)
• Better communications support (MERS)
• Focus primarily on medical response

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DHS in NDMS (contd)

• New Initiatives and Priorities for NDMS
• Medical Surge Capacity
• Field Hospital Initiative
• Expanded Staff Initiative
• Enhanced Medical Response Team Readiness
• Re-categorization of Teams
• Response Time Enhancement
• NRP/CIRA
• Assist in SNS 23 City Initiative

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DHS in NDMS (contd)

• New Initiatives and Priorities for NDMS (contd)
• NDMS Memorandum of Understanding Revision
• Changes to Patient Movement Components
• Evolution of Definitive Care Components

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DoD in NDMS

• Coordinate Patient Movement
• Coordinate Definitive Patient Care
• Initiate and Coordinate Regional Exercises

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DoD in NDMS

• 1. Coordinate Patient Movement
• DoD is lead for patient movement in
  collaboration with other federal agencies
• 911 Call for medical crews provides seamless
  continuity of care for patients in homeland
  incident during transport
• When requested, coordinates transportation
  medical assets to include
• AE Kits
• Patient Movement Items
• Civilian Reserve Air Fleet in Homeland Incident

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DoD in NDMS

• 1. Coordinate Patient Movement (Cont)
• Global Patient Movement Requirements Center
  (GPMRC) located at Scott AFB (St Louis)
• Performs Medical Regulating
• Coordinates the Lift-Bed plan
• Transportation Command Regulating and Command and
  Control Evacuation System (TRAC ES)
• Combines transportation, logistics, and clinical
  decision elements into seamless patient movement
  capable of assessing/prioritizing requirements,
  assigning proper resources distributing relevant
  data

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DoD in NDMS

• TRANSCOM Regulating and Command Control
  Evacuation System (TRAC ES) Benefits
• Seamless transition from peacetime to natural
  disaster, contingencies and wartime
• In-transit patient visibility
• Integrates modes of transportation for patient
  movement
• Advanced planning capabilities to develop
  precise plans and projections in resource
  constrained environments
• Effective use of existing transportation
  resources
• Promotion of Stakeholders
• Patient well-being
• Point-to-point delivery system
• Safe and efficient transportation
• Critical airlift returned to operational
  users
• Projects limitations and patient movement
  bottlenecks
• Situational awareness for networked participants

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DoD in NDMS

• Coordinate Definitive Patient Care
• Twenty Six (26) Federal Coordinating Center Areas
  of Responsibility in CONUS
• 10 Air Force FCCs 7 Army FCCs 9 Navy FCCs
• Bed Reporting
• DoD Sponsored 2003 FCC Survey (Self-Assessment)
• DoD Sponsored 2004 FCC Readiness Status Report
  (Operational Status)
• Medical Inter-Agency Coordination Group
  (MIACG)

Evans Army Medical Center
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DoD in NDMS

• 3. Initiate and Coordinate Regional Exercises
• Ft Lewis Area Exercise (Oct 2003)
• Lifesaver 2004 - Southeast Region of CONUS
  (Mid-May)
• Various Local DoD FCC Exercise/Training
• USNORTHCOM

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VA in NDMS

• Components of the NDMS
• Medical response to a disaster area in the form
  of teams, supplies, and equipment
• Patient movement from a disaster site to
  unaffected areas of the nation
• Definitive medical care at participating
  hospitals in unaffected areas

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VA in NDMS

• VA assists DoD in coordination
• Of the 67 FCCs, 43 VA FCCs manage 48 Patient
  Reception Areas
• Bed reports typically 19K 24 K available
  beds from VA FCCs

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VA in NDMS
FCC Coordinators
NDMS Directorate Representative
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VA in NDMS

• FCC Coordination Group chairmanship
• Lifesaver Exercise
• Training dollar to VA FCCs
• WMD NDMS Pharmacy caches
• MIACG

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VA in NDMS

• VA participation in Response
• Increased priority for active duty access for
  Operation Iraq Freedom
• Hurricane Isabel
• Northeast power outage
• Alert Level Orange during Christmas 03

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Veterans Health Administration 21 Veterans
Integrated Service Networks
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VA in NDMS
VA Teams

• Disaster Emergency Medical Personnel System
  (DEMPS)
• Emergency Medical Response Team (EMRT)
• Medical Emergency Radiological Response Team
  (MERRT)

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VA in NDMS
DEMPS(Disaster Emergency Medical Personnel
System)

• Nationwide registry
• Full-time VA employees
• Volunteers for deployments
• Currently being populated

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VA in NDMS
Medical Care Assets

• 162 hospitals
• gt 800 ambulatory care clinics
• 130 nursing homes
• 40 domiciliaries
• 73 home care programs
• 206 counseling centers

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VA in NDMS
Pharmaceutical Preparedness

• Pharmaceuticals are key component to national
  response capability for WMD
• VAs National Acquisition Center plays central
  role in preparedness
• Several Federal assets
• Strategic National Stockpile
• WMD/NDMS caches
• VAMC caches
• Vendor Managed Inventory (VMI)

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VA in NDMS
Deployments

• All major presidential declared disasters
• e.g. Hurricanes Andrew, Floyd, Northridge
  Earthquake, 9/11 Terrorist Attacks
• On-site support to high-threat events
• e.g. NATO 50, Olympics, Inauguration, Papal
  Visit, Super Bowl

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VA in NDMS
Radiological Emergencies

• EO 12657
• Federal Radiological Emergency Response Plan
  (FRERP) transitioning to NRP
• Nuclear power plants
• Accidents involving radiological injuries

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HHS in NDMS

• HHS has transitioned into a supporting role
  within NDMS, but remains the lead for Emergency
  Support Function 8. Specifically, HHS will
  provide
• Technical assistance through the Secretarys
  Command Center (SCC)
• Supplement NDMS deployments with Commissioned
  Officers as necessary and
• Provide emergency bed reporting of non-NDMS
  hospitals.

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Role of the ASPHEP

• Created by legislation (Bioterrorism Act) in Fall
  2002
• Directs and coordinates HHSs efforts to prevent,
  prepare for, respond to, and recover from, the
  public health and medical consequences of a
  disaster or emergency.
• Coordinates implementation of the Initial
  National Response Plan (I-NRP) and Emergency
  Support Function (ESF) 8.
• Coordinates Federal-level response planning for
  public health and medical consequences of
  terrorism events or natural events and disasters.

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HHS Secretarys Command Center

• 24 hour state-of-the- art information and
  operations center with specialized technologies
• Provides a single focal point for information
  sharing, command and control, communications, and
  information collection
• Facilitates coordination of HHS
• components and resources
• under emergency and
• non-emergency conditions.

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Ongoing Initiatives

• Surge Capacity Planning
• Hospital Tracking
• Strategic Planning
• Computer Based Modeling
• National Security Special Events
• Summer Olympics (Athens, Greece)
• G-8 Summit (Sea Island, GA)
• RNC DNC (New York City Boston)
• Exercises
• Top Officials (TOPOFF) III CPX Forward
  Challenge (May 2004)
• Determined Promise 2004

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Questions?