1 home health care: the invisible workforce with a major role in disaster preparedness barbara b....
TRANSCRIPT
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Home Health Care: The Invisible Workforce with a Major Role in Disaster Preparedness
Barbara B. Citarella RN, MS, CHS-III RBC Limited
Zachary Goldfarb, EMT-P, CHSP, CEM
Incident Management Solutions, Inc.
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Why is Home Health Care Important to All Hazards Planning?
Surge capacity Domino Theory of Healthcare ™ Underutilized personnel Extraordinary workforce
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Home Care’s Role in Previous Disasters
1918 flu pandemic September 11th
Hurricanes Katrina & Rita
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Home Care’s Role in Future Events
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Role of Home Care in Future Events
Primary player in response Containment- preventing transmission
and case identification Syndromic surveillance Community education Ventilator care/ hi tech
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Role of Home Care in Future Events
Surge capacity- admissions from not only the hospital but from the community
Think out of the box- cohorting Telehealth use Medication distribution Vaccinations
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What has home care done to date?
Grants Drills Conferences Resources
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What does home care need for effective planning?
Part of large scale planning De-regulation in emergency
situations Not to be invisible Avoid siloization Technology
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HOME CARE State funding for pandemic
preparedness Home care being written into pandemic
response plans in all 50 states Give home care a fair allocation of
resources to step to the plate
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Home CareEmergency Management Planning
NIMS / ICS compliance All-hazards approach Not “all or nothing” Driven by incident management
objectives Leadership by the Incident
Commander Frequent activation is free training!
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Assessment and Organization
Supplemental notifications Assessment of event and
organizational status Identification of incident objectives Development of the ICS organization The EOC Incident action planning Non-managerial staff actions
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Response Clinical oversight Patient priority services HIPAA policy during emergencies Just-in-time education Logistics Planning Safety and security Business continuity External integration
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Staffing Commitment and preplanning Notifications Reporting locations Off-duty personnel Augmentation /
mobilization Staff support Psychological support Dependent care
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Critical Communications 24x7 Contact and decision authority Call down lists Hot lines and web sites Alternate communications
technologies Default communications
failure plan Communications drills
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Patient Roster
Patient and caregiver contact information Patient triage priority level Patient transportation assistance level Geographical sort, e.g., zip code Patients on life support Other critical first responder information
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De-escalation andIncident Termination
Demobilization Termination of incident Stand-down
notifications Recovery and
resumption of normal activities
Critique, evaluation, and after-action review
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Community Integration Hospitals
Home care coordinators Intake and surge control
Public Health / bioevent scenarios Syndromic surveillance Mass immunization Congregate care
Home Care Mutual Aid Inter-program coordination
© 2007, Incident Management Solutions, Inc.
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Client Emergency Preparedness
Intake assessment / client-based HVA Emergency contacts Geographic alternate care provider Shelter and evacuation needs identified Patient and caregiver/family education Emergency Plan and preparedness
tools Critical event needs / strategies Go Kit and Stay (SIP) Kit
© 2007, Incident Management Solutions, Inc.
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Conclusion We can – and must – close the gap Information is power … inform and
empower staff, clients, and partners
Embrace opportunities to activate the ICS plan
Benchmark best practices,then improve them
Champions wanted … Leadership support is the key© 2007, Incident Management Solutions, Inc.
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Resources
RBC LimitedHealthcare and Management
Consultants www.rbclimited.com
Incident Management Solutions, Inc.Emergency Management Consultantswww.IMScommand.com