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Louisiana Hospital Emergency Preparedness and Response
August 2007
Louisiana Hospital Emergency Preparedness and Response Plan Designated Regional Coordinators
Emergency Operations Plan
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Table Of Contents
I. Introduction and Background
II. Louisiana Hospital Emergency Preparedness and Response A. Infrastructure
i. NIMS Compliance ii. Regional structures iii. State and federal Interface
B. Critical Initiatives i. Communication ii. Patient Movement Process iii. Medical Queue for Mass Evacuation iv. Emergency Codes v. Special Needs Sheltering
III. Individual Hospital Response
Appendices Appendix A – Map of Louisiana Planning Regions Appendix B – Designated Regional Coordinators Appendix C– Hospitals by Region and Type Appendix D – Louisiana Emergency Support Function 8 – Health
and Medical Incident Command Structure Appendix E– Emergency Patient Transfer Process Appendix F - NIMS Compliance (to be developed) Appendix G - Interim Patient Tracking System Appendix H- Emergency Support Function 8 Hospital Emergency
Preparedness and Response for Hurricanes Appendix I – Hospital CEO Checklist Appendix J - Medical Institutional Evacuation Plan
Louisiana Hospital Emergency Preparedness and Response I. Introduction and Background As in other parts of the nation, Louisiana is susceptible to disasters, both natural and man-made, that could exceed the resources of any individual hospital. A disaster could result from incidents generating an overwhelming number of patients, from a smaller number of patients whose specialized medical requirements exceed the resources of the impacted facility (e.g., hazmat injuries, pulmonary, trauma surgery, etc.), or from incidents such as building or plant problems resulting in the need for partial or complete hospital evacuation.
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Impact of 2005 Hurricane Season Hurricane Season 2005 was the most active and deadly in our nation’s history. Louisiana was hit by one tropical storm and four hurricanes: Cindy, Dennis, Katrina and Rita. All of Louisiana’s coastal areas were impacted. As the result of Hurricanes Katrina and Rita 58 hospitals were evacuated (19 remain closed to this date). That evacuation involved the transportation of more than 15,000 hospital patients, staff, and visitors. All state and local resources were impacted. Federal support via the National Disaster Medical System was required. More than 1200 individuals lost their lives as a result of the storms. With federal funding provided through the Health Resources Services Administration (HRSA) Hospital Bioterrorism Grant Program, Louisiana established an infrastructure to facilitate:
o Development of a plan of action in response to the identified needs o Upgrade the ability of hospitals and other healthcare entities to respond to
biological events, and o Development a multi-tiered systems in which local health care entities are
prepared to triage, treat, stabilize and refer multiple casualties to identified centers for care.
Individual hospitals developed inter-hospital plans to upgrade resources required to support an emergency response. II. Hospital Emergency Preparedness and Response A. Infrastructure
i. Adoption of National Incident Management System (NIMS) NIMS was developed as a comprehensive national approach to incident management, applicable at all jurisdictional levels and across functional disciplines, to further improve the effectiveness of emergency response providers and incident management organizations across a full spectrum of potential incidents and hazard scenarios. Louisiana has adopted NIMS at all government departments and agencies as well as in the private public partnership of health care providers networked through the Louisiana Hospital Emergency Preparedness and Response (LHEPR). Further, LHERP encourages NIMS adoption by associations, partners, and suppliers.
ii. Regional structures
To facilitate the multi-layered response, nine (9) planning regions for private and public hospitals were identified. These regions correspond with those used by Louisiana Department of Health and Hospitals Office of Public Health.
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Appendix A includes a map of the Louisiana Emergency Preparedness Response regions. All hospitals “belong” to a region and have participated in the development of regional plans. Hospitals have been asked to identify a point of contact, known as the Hospital Emergency Preparedness Coordinator. Leadership for Louisiana Hospital Emergency Preparedness and Response is provided thru hospital volunteers known as Designated Regional Coordinators (DRCs). The primary responsibilities for the DRCs are:
o To serve as the liaison for hospitals with other health-related entities (i.e. Office of Pubic Health, Bureau of Emergency Medical Services) and on behalf of hospitals with non-health related entities (i.e) Office of Emergency Preparedness.
o To support the patient transfer process during a declared state of emergency
o To facilitate the identification of a medical evacuation queue during a declared state of emergency.
o To facilitate the development and implementation of regional and Inter-hospital emergency preparedness plans for designated regions in the State of Louisiana.
o To lead the region’s process for development of, testing of, continuous improvement of and management of regional hospital response to emergency situation:
o To be the leader for the region during a statewide emergency in which hospitals are tasked to respond.
Appendix B provides a listing of FY 05-06 Designated Regional Coordinators. Louisiana’s hospitals provide various levels of care. A classification system of hospitals was identified based on capabilities was identified. Hospitals serve voluntarily as one of three levels: o Designated Regional Hospitals (DRH) hospitals are larger acute care facilities with
emergency room capabilities and many subspecialty services. They serve voluntarily and have agreed to provide additional capacity and resources in the initial emergency response of a mass casualty or event.
o Tier 1 Hospitals: Hospitals with emergency department capabilities 24/7. o Tier 2 Hospitals: Hospitals that do not provide emergency room capabilities and
are more single service in nature such as psychiatric, rehabilitation, and/or long term acute service.
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Appendix D provides a listing of Louisiana’s hospitals by region and level of service, and their Emergency Preparedness Coordinator. Most of Louisiana’s HRSA Hospital Bioterrorism Grant Program funds have been directed to hospitals. Louisiana has received HRSA grant funds to improve communications, surge capacity, isolation capabilities, coordination, planning, training, and purchase pharmaceuticals, personal protective equipment, decontamination equipment enhancing our emergency response capabilities.
iii. State and Federal Interface The Louisiana Department of Health and Hospitals, Office of Emergency Preparedness provides coordination on behalf of the State of Louisiana and all other state agencies, to the federal government through Emergency Support Function (ESF) 8 - Health and Medical Services, and the Louisiana Hospital Emergency Preparedness and Response. An Incident Command Structure for Emergency Support Function 8 – Health and Medical is included in Appendix E. NIMS Compliance will be addressed in Appendix F. B. Critical Initiatives Several critical initiatives have been developed by the Louisiana Hospital Emergency Preparedness and Response to support emergency preparedness: Initiatives include:
o Enhancing communication capabilities and interoperability for all hospitals; and o The development of a patient movement process to facilitate movement of
patients during a declared state of emergency. o Identification of a process to establish a medical queue during a mass
evacuation.
i. Communication EMSystem Louisiana hospitals implemented the emergency preparedness tool, EMSystem Resource Tracking. Hospitals participating in the EMSystem have been asked to report as needed: --- status of operations (open, limited, or closed) --- availability of beds by category (M/S, ICU, ped, psych, etc); and --- other resources that may be needed by hospitals in an emergency (blood products, fuel, pharmaceuticals, personnel, etc.)
This data warehousing includes inventories of available resources against which incoming data can be continuously compared, and that resources can be quickly assessed and distributed.
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Hospitals and other health care entities may receive an initial alert from the Governor’s Office of Homeland Security and Emergency Preparedness (GOHSEP) after identifying a potential threat through the use of blast fax and email. GOHSEP will coordinate the release of the alert with ESF 8 Incident Command. EMSystem also includes an alert and notification components allowing ESF 8 Incident Command structures to send request submission of specific information enabling coordination of activities during an event. EMSystem is compatible with Health and Human Services (HHS) Region VI enabling the federal government to oversee activities on the state level. Communication Systems The State identified communication systems for redundancy:
o Primary system- Internet email o Secondary system – Telephone and fax o Tertiary system– Two-way radios
All Tier 1 hospitals have at least one emergency two-way radio. A regional decision was as to the selection of a two way radio.
o Hospitals in Regions 2,3,4,5, and 9 – HEAR radio o Hospitals in Regions 1, 6,7,8 - 800 MHz radio
The Louisiana Department of Health and Hospitals Office of Emergency Preparedness, Designated Regional Coordinators and Designated Regional Hospitals are equipped with 800 MHz radios for statewide communications.
Ongoing Drills State-wide Radio Check: Every Monday at 0830 hours, a statewide radio check is completed. The radio checks are conducted with a rotating responsibility between the Designated Regional Coordinators at the state level. Regional Radio Checks: A radio check is conducted on a weekly basis among hospitals in Region 7 (Shreveport area), Region 6 (Alexandria area) and Region 1 (New Orleans). Region 8 hospitals (Monroe area) conduct a radio check daily. Region 2 (Baton Rouge) hospitals conduct a radio check every month. The radio checks are conducted with rotating responsibility of coordinators within each region. By the fall of 2006, each of the 9 regions will be conducting similar radio checks.
Communication remains a challenge even with the best of plans. During Hurricane Katrina most communications in Region 1 and all communications were lost in Region 9 due to many, many technical difficulties. Plans are underway to improve redundancy statewide.
ii. Patient Movement Process
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The hospital plans for evacuation are developed as worse case” scenario conditions. The litigious environment, the Homeland Security hearings’ criticisms, the weakened levees, fragile infrastructure, the weakened response capabilities, and overburdened staff add to the indirect factors that may facilitate hospital evacuations regardless of structural ability to shelter-in-place. From a strategic perspective, Louisiana continues to support the strategy that patients should not be moved on a “maybe” event (prior to a storm) as it is not in the best interest of the patient to move critical care patients. Our federal partners support the strategy of sheltering-in-place (SIP) provided it can be done so safely. Hospitals must evaluate hardening structures and increasing supply assets so that unnecessary movement of critical patients is minimized.
In the event patient movement is required, the Louisiana Hospital Emergency Preparedness and Response has facilitated the development of regional and statewide patient movement processes. The patient movement process is implemented only when the state has declared a state of emergency or as requested by the Louisiana Department of Health and Human Services. The HRSA Hospital Emergency Preparedness and Response system provides the backbone of the regional and statewide patient movement processes. There are three components to the patient movement: resource availability, patient transfer process (In-State and Out-of-State) and patient tracking. Resource Availability With respect to resource availability, the Designated Regional Coordinator (DRC) from each region serves to support the process by identifying available resources in his/her region. Briefly, hospitals are asked to contact and work through the Designated Regional Coordinators to identify and/or request hospital-based resources available in regions throughout the state. DRCs “match” patient care needs with available resources in the state and facilitate the arrangement of a hospital-to-hospital transfer. Hospitals report resources available on an as needed base, to Designated Regional Coordinators through a resource tracking tool, EMSystems. EMSystem allows Louisiana to maximize existing resources. Patient Transfer In- State Movement of Patients Patient transfer includes the movement of patients from one region to another during a declared state of emergency. Hospitals are encouraged to exhaust all local resources before requesting support through the statewide patient transfer process. The Administrator/Medical Director on call from the hospital that has patients that need to be transferred outside the region should contact their Designated Regional Coordinator. (See Appendix B for contact information for the HRSA DRCs. The transferring hospital
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should have the specific information available regarding patient needs for their DRC. The “transferring” DRC will contact an “accepting” DRC with a referral request. The “accepting” DRC will contact hospitals in their region to identify available resources. If resources are not available, the accepting DRC will contact the HRSA Coordinator to advise that another alternative region must be identified. An “accepting” hospital will contact the transferring hospital regarding transfer resources. Transfer will be arranged per procedures of the transferring and receiving hospitals. A copy of the Emergency Patient Transfer Process is included in Appendix E. Out-of-State Movement of Patients In the event institutional plans fail, state and federal assets will be required to assist with the evacuation of medical institutions. Given the limited resources at the local and state levels, federal support will be required to support a medical institution evacuation plan. Planning Assumptions:
• All hospitals are primarily responsible for their own disaster evacuation plans. It is anticipated that hospitals will remain in control of all aspects of their facility evacuation plans, and will use pre-identified resources for execution of their plan.
• It is also anticipated that unknown and uncontrollable variables may interrupt and/or limit the facility’s ability to execute evacuation plans and that they may request assistance. This plan identifies the timelines, decisions, and assets that state and federal coordinated assets bring to bear when this plan is executed.
Specific plans for the medical evacuation of patients in Regions 1, 3, 4, 5 and 9 have been established and are available in Appendix J Medical Institutional Evacuation Plans. Patient Tracking An interim patient tracking system has been established by the Louisiana Hospital Association (LHA) to facilitate the identification of patients moved during a declared state of emergency. LHA has established a website for data collection and a second site for patient query. The State of Louisiana will establish a more comprehensive patient tracking system in the future. Hospitals may contact the Louisiana Hospital Association via email at [email protected]. The LHA will store the patient tracking data in central repository accessible via the web at www.lhaonline.org. A copy of the LHA Patient Tracking System is included in Appendix G.
iii. Medical Queue for Mass Evacuation
Consistent with the State’s plan to support mass evacuation, Designated Regional Coordinators assist in establishing a “medical queue” in cooperation with the regional unified command staff.
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To facilitate evacuation, the Louisiana Department of Health and Hospitals and support agencies have identified a system of triggers and actions to assist. Triggers and supporting responses have been established based on “H-Hour” timeframes established by the Governor’s Office of Homeland Security and Emergency Preparedness. H-Hour has been defined as H-Hour 0 = 24 hours prior to tropical storm force winds making landfall See Appendix H for the Louisiana Hospital Emergency Preparedness and Response: H - Hour Response As hospitals request assistance to evacuate particular units or entire buildings, the regional unified command will work to identify the medical queue. This will list which hospitals evacuate in order of priority. Evaluations will include weather conditions, flooding, structural condition of the facility, condition of patients, etc, and will be communicated to those assisting with the transportation assets (DODT). The Designated Regional Coordinator is responsible for assuring that the process is completed and communicated to the ESF 8 incident command structure and impacted hospitals.
iv. Emergency Code Uniformity Emergency Code uniformity enables many individuals at multiple facilities to respond consistently to emergencies, which ultimately enhances safety for patients, visitors, and staff. Reasons for seeking uniformity include:
• With the current nursing and other healthcare professional’s shortage, many organizations share personnel. Having a consistent code system reduces the amount of information an employee must learn or re-lean and lessens the opportunity for confusion during emergent or disaster events.
• Communication among hospitals and other agencies in a specific geographic
region during an emergency can be enhanced when there is a common language (for instance, DASH, DASH II, MMRS, and other statewide agreements that involve different regions).
• Communication during statewide, regional, or local weapons of mass
destruction (WMD) events will also be enhanced.
• The myriad of different systems using numbers, alpha codes, and color codes creates confusion, increases the likelihood of miscommunication, and potential for serious outcome to patient care.
Code Recommendations: The following code designations for emergency identification in healthcare organizations are recommended:
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CODE BLUE - Medical Emergency – Cardiac/Respiratory Arrest CODE RED - Fire
CODE GREY - Severe Weather CODE BLACK - Bomb CODE PINK - Infant/Child Abduction CODE YELLOW - Disaster – Mass Casualty CODE ORANGE - Hazardous Materials CODE WHITE - Security Alert – Violence/Hostage Note that while the above main colors remain constant, there is flexibility built into the system for individual hospital needs. Emergency code colors not stated may be used by individual organizations to address specific facility or geographic concerns. The goal is to have a common set of base colors and for hospitals to customize them to meet their needs albeit a response to these events is very similar hospital to hospital.
v. Special Needs Sheltering There is a growing vulnerable population in Louisiana. The vulnerable population is defined as being medically dependent or those individuals with ongoing medical needs that require support, but not hospitalization. Louisiana provides three types of shelters: General shelters, special needs shelters and hospital-based shelters. These shelters provide a triage network of shelter care for vulnerable patients. Depending upon the acuity of the shelteree, potential shelterees can be triaged to a general shelter; special needs shelter, or hospital shelter. Many hospitals in Louisiana signed a Memorandum of Understanding (MOU) in 2004 to provide assistance for the state supported Special Needs Sheltering network. Hospitals may choose to provide:
o direct sheltering or send personnel and supplies to state or local shelters.
o operation of an In-Hospital Special Needs or General Shelter.
o provide medical care to patients referred from a shelter (shelter referred) or self referred (walk-in) patients.
It is important to note, that while hospitals signed the MOU to assist with sheltering, hospitals are not required to provide sheltering. Rather, given an incident each hospital should identify the best use of its existing resources be it inpatient acute services or for sheltering.
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A process to reimburse hospitals for sheltering expenses has been developed by the Department of Health and Hospitals and the Federal Emergency Management Agency (FEMA). The Louisiana Hospital Association has agreed to assist hospitals in submission of the appropriate documentation. Specific information related to FEMA reimbursement for sheltering expenses can be found at the Louisiana Hospital Association website: www.lhaonline.org. III. Maintenance of Individual Hospital’s Disaster Program This document addresses the relationships between and among hospitals and is intended to augment, not replace, each facility's disaster plan. This document does not replace but rather supplements the rules and procedures governing interaction with other organizations during a disaster (e.g., law enforcement agencies, the local emergency medical services, local public health department, fire departments, American Red Cross, etc). A checklist for the Hospital CEO has been identified and is attached as Appendix I.
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Appendix A
Louisiana Hospital Emergency Preparedness and Response Planning Regions
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Appendix B Designated Regional Coordinators
FY 06-07
DESIGNATED REGIONAL COORDINATORS REGION COORDINATOR FACILITY OFFICE E-MAIL
1 Norris Yarbrough Ochsner Foundation Hospital 504-842-3772
1 Cynthia Matherne Metropolitan Hospital Council 504-837-1171 [email protected]
1 Frank Folino Touro Infirmary 504-897-7990 [email protected]
2 Allyn Whaley-Martin Our Lady of the Lake RMC 225-765-8329 [email protected]
2 Ruth Turman Earl K. Long 225-358-1320 [email protected]
2 Connie DeLeo Baton Rouge General 225-387-7852 [email protected]
2 Wayne Edelen Earl K. Long 225-358-1108 [email protected]
3 Percy Mosely Terrebonne General Med Ctr 985-873-4271 [email protected]
4 Anjanette Hebert Lafayette General Med Ctr 337-289-7441 [email protected]
4 & 5 Liz Harmon HRSA Region 4 & 5 337-570-4230 [email protected]
5 Mark Severns Lake Charles Memorial Hosp. 337-436-6111 [email protected]
5 Lee Willeford CHRISTUS St. Patrick of L.C. 337-431-7859 [email protected]
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REGION COORDINATOR FACILITY OFFICE E-MAIL 6 Mary Tarver CHRISTUS St. Frances Cabrini 318-448-6861 [email protected]
7 Knox Andress LSUHSC-Shreveport 318- 813-3311 [email protected]
8 Mike Brame St. Francis Medical Center 318-327-4971 [email protected]
8 Sheila Mason Franklin Medical Center 318-435-9411 [email protected]
9 Keith Peek Slidell Memorial Hospital 985-649-8528 [email protected]; [email protected]
9 Karen Moise St Tammany Parish Hospital 985-898-4087 [email protected]
DHH Rosanne Prats DHH 225-342-3417 225-342-5168
LHA Asha Green LHA 225-928-0026 [email protected]
LHA Marcia Fries LHA 225-928-0026 [email protected]
LHA Tatsy Jeter LHA 225-928-0026 [email protected]
LHA Kendra Powell LHA 225-928-0026 [email protected]
LHA Coletta Barrett LHA 225-765-8851 [email protected]
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Appendix C Hospitals by Type and Region
(Updated 4/20/07)
REG
PARISH FACILITY TYPE LIC BED
S
HOSPITAL COORDINATOR
TITLE PHONE EMAIL
1 Jefferson Behavioral Hospital of Kenner (Located inside Kenner Regional)
Psych T-2 Gary Chaney HRSA Emer Prep Coord/Administrator
504-464-8540 [email protected]
1 Orleans Children's Hospital Acute w/ER
T-1 Lisa Miranda HRSA Emer Prep Coord/Plant Oper/Safety
504-896-9265 [email protected]
1 Orleans Community Care Hospital
Psych T-2 Paul B. Kavanaugh HRSA Emer Prep Coord/President/CEO
504-899-2500 [email protected]
1 Jefferson East Jefferson General Hospital
DRH T-1 Linda Daigle HRSA DRC/DRH Rep/Asst Admin
504-454-4000 [email protected]
1 Orleans Healthwest Rehabilitation Hospital
Rehab T-2 Paul McCann Rachel Kancewick
HRSA Emer Prep Coord/CEO HRSA Emer Prep Coord/Director of Therapy
504-433-5551 [email protected]; [email protected]
1 Orleans Kindred Hospital - New Orleans
LTAC T-2 David Boyd HRSA Emer Prep Coord/Dir Quality Mgmt
504-894-7649 [email protected]
1 Jefferson Louisiana Speciality Hospital (formerly Solara Hospital)
LTAC T-2 Stephanie T. Wells, CPA
HRSA Emer Prep Coord/Chief Executive Officer
504-349-2470 [email protected]
1 Orleans LSU-Medical Center of Louisiana DRH
Cathi Fontenot, Laurie Smith, Bob Sigilito
HRSA Emer Prep Coord
504-903-0283 [email protected]; [email protected]; [email protected]
1 Orleans Medical Center of Louisiana-University Laurie Smith HRSA Emer Prep Coor
504-903-3332 [email protected]
1 Orleans New Orleans Adolescent Hospital T-2 Shelby Price HRSA Emer Prep Coord/Administrator
504-896-4914 [email protected]
1 Orleans Ochsner Baptist Medical Center Eric Yancovich Wayne Hill
HRSA Emer Prep Coord/Chief
504-897-5998 [email protected]; [email protected]
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Executive Officer
1 Orleans Ochsner Medical Center
DRH DRH
Norris Yarbrough Melissa Mitchell
HRSA DRC/DRH Rep HRSA Emer Prep Coord
504-842-3772 [email protected]; [email protected]
1 Jefferson Ochsner Medical Center-Kenner
Acute w/ER
T-1 Eric Yancovich Robin Wallace
HRSA Emer Prep Coord/Director of Facilities HRSA Emer Prep Coord/Mgr of Plant Operations
504-831-3560 [email protected]; [email protected]
1 Jefferson Ochsner Medical Center-West Bank
Acute w/ER
T-1 Eric Yancovich Frank Urbeso
HRSA Emer Prep Coord/Director of Facilities
504-391-5161 [email protected]; [email protected]
1 Jefferson Omega Hospital Acute/LTD
T-2 10 Debbie Schenck Hospital Adminsitrator/Emergency Preparedness
504-832-4200 [email protected]
1 Orleans Psychiatric Pavilion New Orleans LLC
Psych T-2 24 Daniel Aguillard HRSA Emer Prep Coor/CEO
504-400-4631 [email protected]
1 Jefferson River Oaks Child and Adolescent Hospital
Psych (FWF)
T-2 Evelyn Notting HRSA Emer Prep Coord
504-734-1740 [email protected]
1 Jefferson River Oaks Hospital Psych T-2 Evelyn Notting HRSA Emer Prep Coord
504-734-1740 [email protected]
1 Jefferson Select Specialty Hospital
LTAC T-2 Robert Baker HRSA Emer Prep Coord/Safety Officer
504-780-3025 [email protected]
1 Orleans Specialty Hospital of New Orleans (reopened 9/18/06)
T-2 Irving Sawyers, Jr. HRSA Emer Prep Coord/CEO
504-210-3000 504-210-3006 fax
1 Orleans St. John's Rehabilation Hospital
Rehab (FWF)
T-2 Robert S. Rotolo HRSA Emer Prep Coord/Chief Executive Officer
225-767-7550 [email protected]
1 Orleans Touro Infirmary Acute w/ER
T-1 Frank Folino HRSA Emer Prep Coord
504-897-8780 [email protected]
1 Orleans Touro Rehabilitation Center
Rehab (FWF)
T-2 Frank Folino HRSA Emer Prep Coord
504-897-8780 [email protected]
1 Orleans Tulane University Hospital and Clinic
Acute w/ER
T-1 Natasha Wells HRSA Emer Prep Coord
504-988-3801 [email protected]
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1 Jefferson Tulane-Lakeside Hospital
Acute T-2 Anita Lindsey HRSA Emer Prep Coord
504-780-6500 [email protected]
1 Jefferson West Jefferson Medical Center
DRH DRH
Mitch Leckelt HRSA DRC/DRH Rep/Asst Admin
504-347-5511 [email protected]
2 EBR Baton Rouge General Medical Center - Bluebonnet
Acute w/ER
T-1 105 Connie Deleo HRSA DRC/Infection Control Coordinator
225-381-6153 [email protected]
2 EBR Baton Rouge General Medical Center - Mid City
DRH DRH
343 Cindy Munn HRSA Emer Prep Coord
225-381-6153 O 225-405-6575 C
2 EBR Behavioral Hospital of Baton Rouge
Psych T-2 24 Angie Maxwell HRSA Emer Prep Coord/Administrator
225-343-1994 [email protected]
2 EBR Benton Rehabilitation Hospital
Rehab T-2 13 Amanda Pace HRSA Emer Prep CoordAdministrator/Compliance Officer
225-336-1000 [email protected]
2 EBR Bethesda Rehabililtation Hospital
Rehab T-2 14 Dr. Theresa Speight
HRSA Emer Prep Coord
225-356-2200 [email protected]
2 EBR Cypress Psychiatric Hospital
Psych (FWF)
T-2 30 Kenneth O'Rourke HRSA Emer Prep Coord/Administrator
225-383-6134 [email protected]
2 East Feliciana
Eastern Louisiana Mental Health System
Psych T-2 337 Sylvia Brinson HRSA Emer Prep Coord/Safety
225-634-0678 [email protected]
2 East Feliciana
Feliciana Forensic Facility
Psych T-2 235 Teresa J. Palmer HRSA Emer Prep Coord/Safety Coord
225-634-0530 [email protected]
2 EBR Greater Baton Rouge Surgical Hospital
Acute T-2 10 Bradley Devillier HRSA Emer Prep Coord/Chief Executive Officer
225-358-4908 [email protected]
2 East Feliciana
Gulf States LTAC of Feliciana
LTAC T-2 16 Wayne Dodge HRSA Emer Prep Coord/Administrator
225-683-1600 [email protected]
2 EBR Healthsouth Rehabilitation Hospital of Baton Rouge
Rehab T-2 80 Murry R. Harmon HRSA Emer Prep Coord/Director Plant Operations/Safety
225-231-3100 [email protected]
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2 EBR Lane Memorial Hospital Acute w/ER
T-1 137 Michelle Stevens HRSA Emer Prep Coord/ER Director
225-658-4174 [email protected]
2 EBR LSU-Earl K. Long Medical Center
DRH DRH
161 Wayne Edelen, Jr. HRSA DRC/DRH Rep
228-358-1108 [email protected]
2 EBR Oceans Behavioral Hospital of Baton Rouge
T-2 18 Debbie Tullier HRSA Emer Prep Coord/Administrator
(225) 356-7030
2 EBR Ochsner Medical Center-Baton Rouge
Acute w/ER
T-1 201 Steven Miller HRSA Emer Prep Coord/Plant Operations Director
225-755-4488 [email protected]
2 EBR Our Lady of the Lake RMC
DRH DRH
719 Allyn Whaley-Martin, CPHRM
HRSA DRC/DRH Rep
225-765-8329 [email protected]
2 Pointe Coupee
Pointe Coupee General Hospital
Acute w/ER
T-1 25 Chad Olinde HRSA Emer Prep Coord/Dir Imaging/Safety HRSA Emer Prep Coord
225-683-5701 [email protected]
2 Ascension Prevost Memorial Hospital
Acute w/ER
T-1 25 Lizabeth Simoneaux
HRSA Emer Prep Coord/Administrator
225-474-2161 [email protected]
2 Ascension Promise Hospital @Ascension
LTAC T-2 54 Steve McQueen, RPh, CCS
HRSA Emer Prep Coord/Administrator Clinical Support Services
225-621-1335 225-572-3553
[email protected];[email protected]; [email protected]
2 EBR Promise Specialty Hospital of BR @ BR General
LTAC (FWF)
T-2 28 M. Bryan Day HRSA Emer Prep Coord/Chief Executive Officer
225-381-2686 [email protected]
2 EBR Promise Specialty Hospital of BR @ Oschner
LTAC (FWF)
T-2 29 M. Bryan Day HRSA Emer Prep Coord/Chief Executive Officer
225-381-2686 [email protected]
2 Iberville River West Medical Center
Acute w/ER
T-1 80 R.L. Downs HRSA Emer Prep Coord/Chief Executive Officer
225-687-8542 [email protected]
2 EBR SAGE Rehabilitation Institute
Rehab T-2 42 Jason Risley HRSA Emer Prep Coord/Chief Executive Officer
225-819-0703 [email protected]
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2 EBR South Baton Rouge Rehabilitation Hospital
T-2 12 Ralph McEldowney
HRSA Emer Prep Coord/Administrator
(225) 303-0572 [email protected]
2 Ascension St. Elizabeth Hospital Acute w/ER
T-1 95 Leslie Norman, PhD,RN,CPJRM
HRSA Emer Prep Coord/Assistant VP Quality & Risk Management
225-647-8540 [email protected]
2 EBR Surgical Specialty Centre
Acute T-2 14 Mike O'Deay HRSA Emer Prep Coord/Facility Manager
225-408-5742 [email protected]
2 EBR The Neuro Medical Center Rehab Hospital
Rehab T-2 27 Donna Johnson HRSA Emer Prep Coord/Chief Executive Officer
225-906-4830 [email protected]
2 EBR The NeuroMedical Center Hospital
Acute T-2 23 Donna Johnson HRSA Emer Prep Coord/Mat Manager
225-906-4830 [email protected]
2 East Feliciana
Villa Feliciana Medical Complex
Acute T-2 598 James Bradham HRSA Emer Prep Coord/Chief Executive Officer
225-634-4017 [email protected]
2 EBR Vista Surgical of Baton Rouge
Acute T-2 35 Sherry Mix HRSA Emer Prep Coord/Administrator
225-252-3027 [email protected]
2 EBR VitalSource Specialty Hospital
LTAC T-2 26 Candace Gautreaux HRSA Emer Prep Coord/Administrator
225-766-5001 [email protected]
2 West Feliciana
West Feliciana Parish Hospital
Acute w/ER
T-1 22 Mary Weller HRSA Emer Prep Coord/Safety & Infection Control
225-635-3811 [email protected]
2 EBR Woman's Hospital Acute T-1 225 Mike Meagher, CHCM, CHSP
HRSA Emer Prep Coord/Risk Mgr
225-924-8605 [email protected]
3 Assumption
Assumption Community Hospital
Acute w/ER
T-1 15 Mattie Rojas Danny Blake
HRSA Emer Prep Coord/Safety Officer & Dietary Director HRSA Coordinator/DON
225-247-3183 [email protected]; [email protected]
3 St. Mary Franklin Foundation Hospital
Acute w/ER
T-1 25 Charles Ibert HRSA Emer Prep Coord/Facility Mgr/Safety Dir
337-355-1261 [email protected]
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3 St. Mary Gulf States LTAC of Morgan City
LTAC (FWF)
T-2 15 Kimberly Dumas HRSA Emer Prep Coord/Director of Nursing
985-653-8447 [email protected]
3 LaFourche
Lady of the Sea General Hospital
Acute w/ER
T-1 35 Helene Melancon HRSA Emer Prep Coord/
985-632-8371 [email protected]
3 St. John LaPlace Rehabilitation Hospital
Rehab T-2 22 Linda Millburn HRSA Emer Prep Coord/Director of Nursing
985-653-8447 [email protected]
3 Terrebonne
LSU-Leonard J. Chabert Medical Center
Acute w/ER
T-1 147 Troy Ledet, MPA HRSA Emer Prep Coord/Dir Plant & Mat Mgmt
985-873-2247 [email protected]
3 St. Charles
Luling Rehabilitation Hospital, Inc.
Rehab T-2 16 Demetrix Tollider HRSA Emer Prep Coord
985-331-2281-213
3 LaFourche
Ochsner-St. Anne General Hospital
Acute w/ER
T-1 35 Kathy Hebert HRSA Emer Prep Coord/IC nurse and Safety Officer
985-537-8367 [email protected]
3 Terrebonne
Physicians Surgical Specialty Hospital
Acute T-2 10 Connie Martin HRSA Emer Prep Coord/Administrator
985-853-1390 [email protected]
3 St. John River Parishes Hospital Acute w/ER
T-1 106 Syl Pawol HRSA Emer Prep Coord/
985-653-1662 [email protected]; [email protected]
3 LaFourche
St. Anne Rehabilitation Hospital
LTAC T-2 10 Beth Boudreaux HRSA Emer Prep Coord/Nurse Liaison
985-537-7736 [email protected]
3 St. Charles
St. Charles Parish Hospital
Acute w/ER
T-1 56 Blake Boudreaux HRSA Emer Prep Coord/Dir Facilities Oper
985-785-4266 [email protected]; [email protected]
3 St. James St. James Behavioral Health Hospital Candy Lewis Administrator/HRSA Emer Prep Coord
225-869-3788 [email protected]
3 St. James St. James Parish Hospital
Acute w/ER
T-1 25 Kenneth Petit HRSA Emer Prep Coord/Dir Enviro Svcs
225-869-5512 [email protected]
3 St. Mary Teche Regional Medical Center
Acute w/ER
T-1 149 Margaret Lebouf HRSA Emer Prep Coord/Dir of Quality/Risk Management
985-380-4753 [email protected]
3 Terrebonne
Terrebonne General Medical Center
DRH DRH
313 Dean Marcel Percy Mosely
HRSA Emer Prep Coord
985- 873-4107 [email protected]; [email protected]
WORKING DRAFT 8/17/07
23
3 LaFourche
Thibodaux Regional Medical Center
Acute w/ER
T-1 149 Eric Degravelle HRSA Emer Prep Coord/Human Resources
985-493-4587 [email protected]
4 Vermillion
Abbeville General Hospital
Acute w/ER
T-1 60 Lonnie Monteaux HRSA Emer Prep Coord/Safety Dir
337-898-6566 [email protected]
4 Vermillion
Abrom Kaplan Memorial Hospital
Acute w/ER
T-1 35 Donna Gaspard HRSA Emer Prep Coord/Safety Officer
337-643-5218 [email protected]
4 Acadia Acadia - St. Landry Hospital
Acute w/ER
T-1 33 Bekhi Labbe HRSA Emer Prep Coord/DON
337-684-4227 [email protected]
4 Acadia Acadia Rehabilitation Hospital
Rehab (FWF)
T-2 11 Michelle Fontenot HRSA Emer Prep Coord/Director of Safety
337-785-2111 [email protected]
4 Lafayette Acadia Vermilion Hospital (formerlyVermilion Hospital for Psychiatric and Addictive Medicine)
Psych T-2 72 Bruce Waldo Luis Betance Robert Kahn
HRSA Emer Prep Coord/CEO HRSAEmerPrepCord/Adm HRSA Emer Prep Coord/Dir of Environment
337-234-5614 [email protected]; [email protected]; [email protected]
4 St. Landry Acadian Medical Center Acute w/ER
T-1 52 Tony Johnson HRSA Emer Prep Coord
337-580-7500 [email protected]
4 Acadia American Legion Hospital
Acute w/ER
T-1 178 Russell Meche HRSA Emer Prep Coord
337-788-6435 [email protected]
4 Lafayette Community Specialty Hospital
LTAC T-2 22 John E. Jumonville, III
HRSA Emer Prep Coord/Administrator
337-234-4031 [email protected]
4 Acadia Compass Behavioral Center of Crowley
Psych T-2 24 Marc Cullen HRSA Emer Prep 337-785-8003 [email protected]
4 Acadia Crowley Rehab Hospital, L.L.C
Rehab (FWF)
T-2 15 Gil Pinac HRSA Emer Prep Coord/Administrator
337-783-2859 [email protected]
4 Iberia Dauterive Hospital Acute w/ER
T-1 103 Candice Frioux HRSA Emer Prep Coord
337- 365-7311 [email protected]
4 St. Landry Doctors Hospital of Opelousas
Acute w/ER
T-1 171 Richard Michael HRSA Emer Prep Coord
337-943-1708 [email protected]
4 St. Landry Eunice Extended Care Hospital
LTAC T-2 18 Kevin Frank HRSA Emer Prep Coord
337-546-0024 [email protected]
4 Evangeline
Evangeline Extended Care Hospital-Mamou
LTAC (FWF)
T-2 12 Rita Simon, RN, BSN
HRSA Emer Prep Cood/Administrat
337-837-5250 [email protected]
WORKING DRAFT 8/17/07
24
or
4 Lafayette Heart Hospital of Lafayette
Acute/ER
T-1 32 Don Bujol HRSA Emer Prep Coord
337-521-1036 [email protected]
4 Iberia Iberia Extended Care Hospital
LTAC (FWF)
T-2 16 Kent Kramer HRSA Emer Prep Coord
337- 369-1100 [email protected]
4 Iberia Iberia Medical Center Acute w/ER
T-1 101 Trent Hebert HRSA Emer Prep Coord/Dir Plant Oper/Safety
337-364-0441 [email protected]
4 Iberia Iberia Rehabilitation Hospital
Rehab T-2 24 Parker Templeton HRSA Emer Prep Coord/Administrator
337-364-6923 [email protected]
4 Lafayette Lafayette General Medical Center
DRH DRH
296 Al Patin Anjanette Hebert
HRSA DRC/DRH Rep/Dir Sec HRSA Emer Prep Coord/DRC
337-289-7991 337-289-7441
[email protected]; [email protected]
4 Lafayette Lafayette General Surgical
Acute T-2 10 Susan Woollen HRSA Emer Prep Coord
337-289-8099 [email protected]
4 Lafayette Lafayette Physical Rehabilitation Hospital
T-2 32 Johnny Landreth CEO/HRSA Emer Prep Coord
337-314-1111 [email protected]
4 Lafayette Lafayette Surgical Specialty Hospital
Acute T-2 20 Selina Guidry HRSA Emer Prep Coord/Chief Quality Officer
337-769-4202 [email protected]
4 Lafayette Louisiana Extended Care Hospital of Lafayette
LTAC (FWF)
T-2 76 Cayle Guillory HRSA Emer Prep Coord
337-289-3171 [email protected]
4 Lafayette LSU-University Medical Center
Acute w/ER
T-1 146 Me J. Matte HRSA Emer Prep Coord
337-261-6786 [email protected]
4 Lafayette LSU-University Medical Center-Psych Unit James McFaul Regional Manager (337) 262-4100 [email protected]
4 St. Landry LTAC of Acadiana LTAC T-2 27 James H. Morgan HRSA Emer Prep Coord/Chief Executive Officer
337-839-2022 [email protected]
4 Lafayette Meadowbrook Specialty Hospital of Lafayette
LTAC T-2 70 Wilson Boudreaux HRSA Emer Prep Coord
337-232-1905 [email protected]
4 Lafayette Oceans Behavioral Hospital of Lafayette
Psych (FWF)
T-2 44 Nicholas Guillory HRSA Emer Prep Coord/Administrator
337-237-6444 [email protected]; [email protected]
WORKING DRAFT 8/17/07
25
4 St. Landry Opelousas General Hospital
Acute w/ER
T-1 180 John Armand HRSA Emer Prep/ER Clinical Director
337-594-3982 [email protected]
4 Lafayette Optima Specialty Hospital
Psych T-2 24 Patricia Hebert HRSA Emer Prep Coord/Administrator/CEO
337-991-0571 [email protected]
4 Lafayette Our Lady of Lourdes RMC
Acute w/ER
T-1 267 Paula Jenkins HRSA Emer Prep Coord/Risk Manager
337-289-2775 [email protected]
4 Lafayette Park Place Surgery Center
Acute T-2 10 Jason West HRSA Emer Prep Coord/Administrator/CEO
337-237-8119 [email protected]
4 Evangeline
Savoy Medical Center Acute w/ER
T-1 180 Vickie Stagg HRSA Emer Prep Coord
337-468-0179 [email protected]
4 Lafayette Southpark Community Hospital
Acute T-2 20 Rita Simon HRSA Emer Prep Coord/Chief Executive Officer
337-769-4080 [email protected]
4 Lafayette Southwest Medical Center
Acute w/ER
T-1 166 Sharif Omar HRSA Emer Prep Coord/
337-989-6767 [email protected]
4 Lafayette St. Landry Extended Care Hospital, LLC
LTAC (FWF)
T-2 41 Sheila Johnson HRSA Emer Prep Coord
337-233-1307 [email protected]
4 Lafayette St. Luke's Specialty Hospital of Sunset
Rehab T-2 21 Laura Hebert HRSA Emer Prep CoordAdministrator
337-769-0094 [email protected]
4 St. Martin St. Martin Hospital Acute w/ER
T-1 25 Becky Yongue Rena Mouisset
HRSA Emer Prep Coord
337-507-1232 [email protected]; [email protected]
4 Evangeline
Ville Platte Medical Center
Acute w/ER
T-1 95 Lori R. Petrie, CFO Gene Matthews
HRSA Emer Prep Coord/Safety
337-363-9412 [email protected]; [email protected]
4 Lafayette Women's and Children's Hospital
Acute w/ER
T-1 109 Gregory Davis HRSA Emer Prep Coord
337-521-9101 [email protected]
5 Allen Allen Parish Hospital Acute w/ER
T-1 49 Annette Belcher HRSA Emer Prep Coord
337-738-9453 [email protected]
5 Beauregard
Beauregard Memorial Hospital
Acute w/ER
T-1 60 Greg Neely HRSA Emer Prep Coord
337-462-7176 [email protected]
5 Calcasieu Calcasieu Oaks Geriatric Psych
Psych T-2 24 Donna Mead, RN HRSA Emer Prep Coord/CEO
337-439-8111 [email protected]
5 Calcasieu Christus St. Patrick Hospital of Lake Charles
DRH DRH
392 Lee Willeford Allen Abshire
HRSA DRC/DRH Rep/Dir HRSA Emer
337-431-7859 337-491-7112
WORKING DRAFT 8/17/07
26
Prep Coor
5 Calcasieu Cornerstone Hospital of Southwest Louisiana
LTAC (FWF)
T-2 30 William D. Jean HRSA Emer Prep/CEO
337-527-1102 [email protected]
5 Calcasieu DeQuincy Memorial Hospital
Acute w/ER
T-1 19 Gayland Barrow HRSA Emer Prep Coord/Serive & Support Director
337-786-1218 [email protected]
5 Calcasieu Dubuis Hospital of Lake Charles
LTAC (FWF)
T-2 24 Ronald Hand HRSA Emer Prep Coord/Administrator
337-491-7752 [email protected]
5 Calcasieu Extended Care of Southwest Louisiana
LTAC (FWF)
T-2 29 Mark D. Severns HRSA DRC/DRH Rep/Chief Executive Officer
337-436-6111 [email protected]
5 Jefferson Davis
Jennings American Legion Hospital
Acute w/ER
T-1 137 Ruth Carnes HRSA Emer Prep Coord/Dir Human Resources
337-616-7042 [email protected]
5 Jefferson Davis
Jennings Senior Care Hospital
Psych T-2 101 Connie Amy, RN HRSA Emer Prep Coord/Administrator
337-824-1558 [email protected]
5 Calcasieu Lake Charles Memorial Hospital
DRH DRH
324 Bill Wilkie HRSA Emer Prep Coord/
337-494-3176 [email protected]
5 Calcasieu Lake Charles Memorial Hospital - Gauthier Campus
Acute T-2 38 Butch Bennett HRSA Emer Prep Coord/CEO
337-480-7076 [email protected]
5 Calcasieu LSU-W O Moss Regional Medical Center
Acute w/ER
T-1 74 Margaret Doucet HRSA Emer Prep Coord/Training & Dev Specialist/Emerg Prep Coord
337-475-8370 [email protected]
5 Allen Oakdale Community Hospital
Acute w/ER
T-1 60 Phil Rider HRSA Emer Prep Coord/Dir Plant Oper
318-335-3700 [email protected]
5 Beauregard
Oceans Behavioral Hospital of Deridder
Psych T-2 20 Sheila Langston HRSA Emer Prep Coord/DON
337-460-9472 [email protected]
5 Calcasieu Rehab Hospital of Dequincy
Rehab (FWF)
T-2 33 Charlie Ball HRSA Coor/General Manager
337-786-6100 [email protected]
5 Jefferson Davis
Rehabilitation Hospital of Jennings
Rehab T-2 27 Michelle Fontenot HRSA Emer Prep Coord/Safety Officer
337-821-5353 [email protected]
WORKING DRAFT 8/17/07
27
5 Cameron South Cameron Memorial Hospital
Acute w/ER
T-1 49 Rita Simon, RN, BSN
HRSA Emer Prep Coord
337-439-8111 [email protected]
5 Calcasieu West Calcasieu Cameron Hospital
Acute w/ER
T-1 120 Rob Daughdril Deanne Smith
HRSA Emer Prep Coord
337-527-7034 337-527-4183
[email protected]; [email protected]
5 Jefferson Davis
WestEnd Hospital Psych T-2 20 Hank Goy HRSA Emer Prep Coord/
337-616-8122 [email protected]
5 Calcasieu Women and Children's Hospital, Lake Charles
Acute w/ER
T-1 84 Charlene Warren CNO/HRSA Emerg Prep Coord.
337-475-4136 [email protected]
6 Avoyelles Avoyelles Hospital Acute w/ER
T-1 55 Michael Johnson HRSA Emer Prep Coor/Director of Plant Operations
318-240-6180 [email protected]
6 Vernon Bayne Jones Army Community Hospital
Acute w/ER
T-1 62 Dennis O'Reilly HRSA Emer Prep Coord
337-531-3265 [email protected]
6 Avoyelles Bunkie General Hospital Acute w/ER
T-1 33 Terry Riche HRSA Emer Prep Coord
318-346-3316 [email protected]
6 Vernon Byrd Regional Hospital Acute w/ER
T-1 60 John Bennett HRSA Emer Prep Coord/Dir Facilities Mgmt
337-239-9041 [email protected]
6 Rapides Central Louisiana State Hospital
Psych T-2 196 Sam Mayeux HRSA Emer Prep Coord
318-484-6636 [email protected]
6 Rapides Christus St. Frances Cabrini Hospital
DRH DRH
246 Mary Tarver Charles Credo
HRSA DRC/DRH Rep/Sa & HRSA Emer Prep Coord
318-448-6861 318-448-6900
[email protected]; [email protected]
6 Rapides Crossroads Regional Hospital
Psych T-2 70 Jimmy Rowles HRSA Emer Prep Coord
318-445-5111 [email protected]
6 Rapides Dubuis Hospital of Alexandria
LTAC (FWF)
T-2 33 Michelle Hamilton HRSA Emer Prep Coord/Administrator
318-4484960 [email protected]
6 LaSalle Hardtner Medical Center Acute w/ER
T-1 35 Ray Atwell HRSA Emer Prep Coord
318-495-3131 [email protected]
6 Rapides Healthsouth Rehabilitation of Alexandria
Rehab T-2 47 Mark Vercher HRSA Emer Prep Coord/Safety Officer
318-449-1370 [email protected]
6 Rapides Healthsouth Riverside Hospital of Alexandria
LTAC T-2 28 Kemp Wright HRSA Emer Prep Coord/Chief Executive Officer
318-767-2900 [email protected]
WORKING DRAFT 8/17/07
28
6 Winn Healthsouth Specialty Hospital of Winnfield
LTAC T-2 20 Wendy Carpenter HRSA Emer Prep Coord
318-648-3526 [email protected]
6 LaSalle LaSalle General Hospital
Acute/ER
T-1 60 Brenda Smith HRSA Emer Prep Coord/Director of General Services
318-992-9200 [email protected]
6 Vernon Leesville Rehab Hospital, LLC
Rehab T-2 16 Elizabeth Bennett HRSA Emer Prep Coord
337-395-8118 [email protected]
6 Rapides LSU-Huey P. Long Medical Center
Acute w/ER
T-1 137 Kathey Nugent HRSA Emer Prep Coord
318-473-1459 [email protected]
6 Concordia Promise Specialty Hospital of Miss-Lou
LTAC T-2 40 Regetta Woods, RN Sharon Boothe
HRSA Emer Prep Coord/Clinical Case Manager
318-757-7575 [email protected]; [email protected]
6 Rapides Rapides Regional Medical Center
Acute w/ER
T-1 285 Charles E. Luttrull HRSA Emer Prep Coord/Safety Officer
318-473-3150 [email protected]
6 Concordia Riverland Medical Center
Acute w/ER
T-1 25 Billy Rucker HRSA Emer Prep Coord
318-757-9551 [email protected]
6 Vernon Tri Parish Rehabilitation Hospital, LLC
Rehab T-2 33 Connie Ball HRSA Emer Prep Coord/Chief Financial Officer
337-462-8880 [email protected]
6 Rapides VA -Dept. of Veteran's Affairs Medical Center
Acute w/ER
T-1 331 Gary Speyrer HRSA Emer Prep Coord
318-473-0010 [email protected]
6 Winn Winn Parish Medical Center
Acute w/ER
T-1 60 Tony Acosta, PA-C HRSA Emer Prep Coord
318-648-3012 [email protected]
6 Winn Woodlands Behavioral Center
Psych T-2 19 Barry Hines Link Martin
HRSA Emer Prep Coord/Administrator
318-628-5445 [email protected]
7 Caddo Behavioral Hospital of Shreveport
Psych (FWF)
T-2 12 Debbie Priebe HRSA Emer Prep Coord/Administrator
318-636-7500 [email protected]
7 Bienville Bienville Medical Center
Acute w/ER
T-2 21 Deborah Hilton, RN
HRSA Emer Prep Coord/Dir of Nursing
318-263-4700 [email protected]
7 Bossier Bossier Specialty Hospital
Acute T-2 12 Cynthia N. Laborde, BSN, RN
HRSA Emer Prep Coord/Administrator
318-549-4305 [email protected]
7 Caddo Brentwood Hospital Psych T-2 200 Doug Jones HRSA Emer Prep Coord
318-564-4921 [email protected]
7 Red River Christus Coushatta Health Care Center
Acute w/ER
T-1 25 Deborah Dalton, RN
HRSA Emer Prep Coord/Adminstrat
318-932-2205 [email protected]
WORKING DRAFT 8/17/07
29
or
7 Bossier Christus Schumbert Bossier
Acute T-2 141 Susan Malloy, RRT
HRSA Emer Prep Coord/CardioPulmonary
318-932-2205 [email protected]
7 Caddo Christus Schumpert Health System/St. Mary
Acute w/ER
T-1 474 Diane Jones HRSA Emer Prep Coord
318-681-4500 [email protected]
7 Caddo Christus Schumpert Highland
Acute w/ER
T-1 160 Audrey Henderson, RN
HRSA Emer Prep Coord/ED Mgr
318-681-5000 [email protected]
7 Webster Community Rehab Hospital of Coushatta
Rehab (FWF)
T-2 12 Denise Logan HRSA Emer Prep Coord
318-932-1770 [email protected]
7 Webster Community Specialty Hospital of North Louisiana
LTAC T-2 43 Mark Goff Administrator/HRSA Emer Prep Coord
318-377-5555 [email protected]; [email protected]
7 Bossier Cornerstone Hospital of Bossier City
LTAC T-2 102 John Sauls HRSA Emer Prep Coord/Dir Plant Eng
318-747-9500 [email protected]
7 DeSoto DeSoto Regional Health System
Acute w/ER
T-1 57 Sue Bridges HRSA Emer Prep Coord
318-872-4610 [email protected]
7 Caddo Doctors Hospital of Shreveport, Inc.
Acute w/ER
T-1 108 Jeffery Cazes HRSA Emer Prep Coord/Compliance Ofcr/EPC
318-678-4448 [email protected]
7 Caddo Dubuis Hospital of Shreveport
LTAC (FWF)
T-2 36 Patricia Moore, RRT
HRSA Emer Prep Coord/Respir Mgr
318-678-1006 [email protected]
7 Claiborne Homer Memorial Hospital
Acute w/ER
T-1 60 Debra B. Woodard, RN
HRSA Emer Prep Coord/
318-927-2024 [email protected]
7 Caddo LifeCare Hospital - Shreveport
LTAC (FWF)
T-2 130 Diane Cloinger, RN
HRSA Emer Prep Coord/IC
318-688-8504 [email protected]
7 Natchitoches
Louisiana Extended Care Hospital of Natchitoches
LTAC (FWF)
T-2 21 Kermit Simmons HRSA Emer Prep Coord
318-354-2044 [email protected]
7 Caddo LSU Health Sciences Center, Shreveport
DRH DRH
436 Donnell Chagnard HRSA Emer Prep Coord
318-675-5000 [email protected]
7 Webster Minden Medical Center Acute w/ER
T-1 159 Kristie Copeland, RN
HRSA Emer Prep Coord/IC
318-377-2321 [email protected]
7 Natchitoches
Natchitoches Regional Medical Center
Acute w/ER
T-1 75 Danita Olivier HRSA Emer Prep Coord/Safety Officer
318-214-4417 [email protected]
7 Caddo North Caddo Medical Center
Acute w/ER
T-1 25 Todd Cowan HRSA Emer Prep Coord/EMS
318-375-3235 [email protected]
WORKING DRAFT 8/17/07
30
7 Caddo Promise Specialty Hospital of Shreveport
LTAC T-2 146 Jim Ray HRSA Emer Prep Coord/Plant Ops Dir
318-934-0524 [email protected]
7 Bossier Red River Behavioral Center LLC
Psych T-2 20 Linda K. Ellis HRSA Emer Prep Coord/Administrator
318-549-2033 [email protected]
7 Sabine Sabine Medical Center Acute w/ER
T-1 48 Kenny R. Carter HRSA Emer Prep Coord/Safety Officer
318-256-5691 [email protected]
7 Caddo Shriners Hospitals for Children
Acute T-2 45 Shelly Horton HRSA Emer Prep Coord/Plant Ops Dir
318-226--3324 [email protected]
7 Webster Springhill Medical Center
Acute w/ER
T-1 60 Theresa Dugger, RN
HRSA Emer Prep Coord/IC
318-539-1000 [email protected]
7 Caddo St. Luke's Rehabilitation Hosp of Shreveport
Rehab T-2 60 Marc Pearce HRSA Emer Prep Coord/Administrator
318-631-2345 [email protected]
7 Caddo VA-Overton Brooks VA Medical Center
Acute T-1 112 Deborah Callahan HRSA Emer Prep Coord/Asst Eng Chief
318-221-8411 [email protected]
7 Bossier Willis - Knighton Bossier Health Center
Acute w/ER
T-1 114 Renata Snyder,RN HRSA Emer Prep Coord/Infection Control
318-212-7615 [email protected]
7 Caddo Willis-Knighton Medical Center
Acute w/ER
T-1 369 Debbie Lear HRSA Emer Prep Coord/Asst Safety Of
318-212-8967 [email protected]
7 Caddo Willis-Knighton Pierremont Health Center
Acute w/ER
T-1 184 Lisa Stamper HRSA Emer Prep Coord/Infection Control
318-212-3615 [email protected]
7 Caddo Willis-Knighton South & Center for Women's Health
Acute w/ER
T-1 153 Lorraine Hall HRSA Emer Prep Coord/Infection Control
318-212-5610 [email protected]
8 Lincoln Allegiance Health Center of Ruston, L.L.C. 14 Jeff Garland [email protected]
8 Morehouse
Bastrop Rehabilitation Hospital
Rehab (FWF)
T-2 15 Tena Hughes HRSA Emer Prep Coord/Safety Officer
318-556-1191 [email protected]
8 Caldwell Caldwell Memorial Hospital
Acute w/ER
T-1 47 Jane Fowler HRSA Emer Prep Coord/D.O.N.
318-649-6111 [email protected]
WORKING DRAFT 8/17/07
31
8 Caldwell Citizens Medical Center Acute w/ER
T-1 40 Roger Ballard, RN HRSA Emer Prep Coord/DON/Education
318-649-6106 [email protected]
8 Ouachita Cornerstone Hospital at West Monroe
LTAC T-2 49 Bobby Hayden HRSA Emer Prep Coord/Facilities
318-397-5678 [email protected]
8 East Carroll
East Carroll Parish Hospital
Acute w/ER
T-1 23 Tasha Freeman HRSA Emer Prep Coord
318-559-3761 [email protected]
8 Union Edgewood Hospital (DBA)
Psych T-2 32 Jennifer Qayyum HRSA Emer Prep Coord/Administrator
318-325-1145 [email protected]
8 Franklin Franklin Medical Center Acute w/ER
T-1 49 Sheila Mason, RN HRSA Emer Prep Coord/DON/Education
318-435-9411 [email protected]
8 Ouachita IASIS Glenwood Regional Medical Center
Acute w/ER
T-1 242 Teresa Dozier George Rachal
HRSA DRC/DRH Rep/InfecCon HRSA Emer Prep Coord/Bio Sup
318-329-4776 318-329-4821
[email protected]; [email protected]
8 Ouachita Golden Age Senior Care Hospital
Psych (FWF)
T-2 12 Dorothy Smith, RN HRSA Emer Prep Coord/DON/Education
318-651-0920 [email protected]
8 Lincoln Green Clinic Surgical Hospital
Acute T-2 12 James W. McClung, MBA
HRSA Emer Prep Coord/Chief Executive Officer
318-232-7700 [email protected]
8 Lincoln Health Paradigm Hospital
Psych T-2 15 Ronnie Cox HRSA Emer Prep Coord/Administrator
318-254-0142 [email protected]
8 Lincoln Healthsouth North LA Rehab. Hospital
LTAC T-2 90 Randy Goodwin HRSA Emer Prep Coord/ICP
318-251-3126 [email protected]
8 Jackson Jackson Parish Hospital Acute w/ER
T-1 25 Robby Roberts HRSA Emer Prep Coord/Facilities
318-395-4435 [email protected]
8 Union Liberty HealthCare Systems
Psych T-2 18 Toby Tubbs, RN HRSA Emer Prep Coord/Administrator
318-281-2448 [email protected]
8 Morehouse
Liberty HealthCare Systems
Psych T-2 60 William P. Gunther HRSA Emer Prep Coord
318-368-0110 [email protected]
8 Lincoln Lincoln General Hospital
Acute w/ER
T-1 159 Martin L. Best HRSA Emer Prep Coord/Asst VP/Dir Plant Oper/Emerg Prep
318-254-2494 [email protected]
WORKING DRAFT 8/17/07
32
8 Ouachita Louisiana Extended Care of West Monroe
LTAC (FWF)
T-2 18 Theresa Marsala, RN, MEd, FACHE
HRSA Emer Prep Coord/Administrator
318-329-4300 [email protected]
8 Ouachita LSU-E.A. Conway Medical Center
Acute w/ER
T-1 247 Corine Sutton, RN HRSA Emer Prep Coord/Ancil. Svcs
318-330-7596 [email protected]
8 Madison Madison Parish Hospital Acute w/ER
T-1 25 Ray Thorton HRSA Emer Prep Coord
318-574-2374 [email protected]
8 Ouachita Monroe Surgical Acute T-2 10 Steve Miller HRSA Emer Prep Coord/VP-Facilities
318-410-0002 [email protected]
8 Morehouse
Morehouse General Hospital
Acute w/ER
T-1 60 Dickey Hodge HRSA Emer Prep Coord/Facilities
318-283-3600 [email protected]
8 Ouachita Ouachita Surgical Hospital
Acute T-2 10 W. Benjamin Patterson
HRSA Emer Prep Coord/Administrator
318-322-1339 [email protected]
8 Ouachita P & S Surgical Center Acute T-2 10 Paul DeBona HRSA Emer Prep/Operating Room Manager/Safety Officer
318-998-8164 [email protected]
8 Ouachita Premier Rehabilitation Rehab T-2 20 Kathy Lingenfelter HRSA Emer Prep Coord/UR, IC/EH Nurse
318-812-1000 [email protected]
8 Richland Richardson Medical Center
Acute w/ER
T-1 46 Betty Hill, RN HRSA Emer Prep Coor/ICP
318-728-4181 [email protected]
8 Richland Richland Parish Hospital - Delhi
Acute w/ER
T-1 25 Alisha Murphrey, RN
HRSA Emer Prep Coord/DON
318-878-5171 [email protected]
8 Richland Richland Parish Rehabilitation Hospital
Rehab (FWF)
T-2 16 Mike Jones HRSA Emer Prep Coord/Administrator
318-728-4410 [email protected]
8 Ouachita St. Francis Medical Center
DRH DRH
345 Mike Brame Mike Nolan
HRSA DRC/DRH Rep HRSA Emer Prep Coord
318-327-4971 [email protected]; [email protected]
8 Ouachita St. Francis North Hospital
Acute w/ER
T-1 255 Stella Dannheim HRSA Emer Prep Coord/ED Manager
318-388-8139 [email protected]
8 Ouachita St. Francis Specialty LTAC (FWF)
T-2 50 Jo Dodd HRSA Emer Prep Coord/COO
318-327-4626 [email protected]
WORKING DRAFT 8/17/07
33
8 Ouachita St. Patrick's Psychiatric Hospital
Psych (FWF)
T-2 28 Cindy Rogers, FACHE
HRSA Emer Prep Coord
318-355-3480 [email protected]
8 Ouachita Sterlington Rehabilitation Hospital
Rehab T-2 36 Cathy Perot HRSA Emer Prep Coord/Administrator
318-665-9950 [email protected]
8 Union Tri - Ward General Hospital
Acute w/ER
T-2 15 Allen Tuten HRSA Emer Prep Coord/Administrator/CFO
318-285-5328 [email protected]
8 Union Union General Hospital Acute w/ER
T-1 25 Darra Jung HRSA Emer Prep Coord
318-368-8270 [email protected]
8 West Carroll
West Carroll Parish Hospital
Acute w/ER
T-1 33 David McSwain, RN
HRSA Emer Prep Coord/CAN
318-428-6180 [email protected]
9 St. Tammany
Doctors Hospital of Slidell
Acute T-2 10 Pinky Bradford, RN Holly Braue
HRSA Emer Prep Coor/Adm HRSA Emer Prep Coord
504-832-2115 [email protected]; [email protected]
9 St. Tammany
Fairway Medical Center Acute T-2 21 David Guzan, CASC Kory Krista
HRSA Emer Prep Coord/CEO HRSA Emer Prep Coord
985-766-7770 [email protected]; [email protected]
9 St. Tammany
Greenbrier Hospital Psych T-2 26 John M. Dean HRSA Emer Prep Coord/Administrator
985-893-2970 [email protected]
9 St. Tammany
Gulf States LTAC of Covington
LTAC T-2 58 Vicki Torres Herman Frank
HRSA Emer Prep Coord/Administrator
985-875-7525 [email protected]; [email protected]
9 Livingston
Gulf States LTAC of Denham Springs
LTAC T-2 59 Richard Daughdrill HRSA Emer Prep Coord/Administrator
225-665-2664 [email protected]
9 Tangipahoa
Gulf States LTAC of Hammond
LTAC (FWF)
T-2 40 Timothy Burke HRSA Emer Prep Coord/Administrator
985-543-3881 [email protected]
9 Washington
Gulf States LTAC of Washington/St. Tammany (Bogalusa Campus)
LTAC T-2 14 Gayla Pittman HRSA Emer Prep Coord
985-730-7040 [email protected]
9 St. Tammany
Gulf States LTAC of Washington/St. Tammany (Slidell Campus)
LTAC T-2 20 Tara Roberts, RN HRSA Emer Prep Coord/Administrator
985-326-0440 [email protected]
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9 Tangipahoa
Hood Memorial Hospital
Acute w/ER
T-1 25 Edward Dugar, RN Martha Payne, RN
HRSA Emer Prep Coord/Risk Mgnt
985-748-9485 [email protected]; [email protected]
9 St. Tammany
Lakeview Regional Medical Center
Acute w/ER
T-1 178 Sabrina Estrade Eric Evans Tina Coker
HRSA Emer Prep Coord/Asst Plant Ops
985-867-3800 [email protected]; [email protected]; [email protected];
9 St. Tammany
Louisiana Heart Hospital
Acute w/ER
T-1 58 Tania Loumiet, RN HRSA Emer Prep Coord/Inf Control
985-690-7904 985-966-8359C
9 Washington
LSU Bogalusa Medical Center (Inpatient Campus)
Acute w/ER
T-1 90 Beverly Sheridan HRSA Emer Prep Coord/Director of Education
985- 730-6775 [email protected]
9 Washington
LSU Bogalusa Medical Center (Outpatient Campus)
Psych T-2 18 Beverly Sheridan HRSA Emer Prep Coord/Director of Education
985- 730-6775 [email protected]
9 Tangipahoa
LSU-Lallie Kemp Regional Medical Center
Acute w/ER
T-1 22 Lisa Bruhl HRSA Emer Prep Cord/Dir Hum Res HRSA Emer Prep Cord/Comm Coor
985-878-1385 [email protected]
9 Washington
Magnolia Behavioral Healthcare, LLC
Psych T-2 30 George Holinga HRSA Emer Prep Coord/CEO
985-735-9104 [email protected]
9 Tangipahoa
North Oaks Medical Center
Acute w/ER
T-1 269 Sherry Collura HRSA Emer Prep Coord/Risk Mgr
985-230-6602 [email protected]
9 Tangipahoa
North Oaks Rehabilitation Hospital
Rehab (FWF)
T-2 27 Pam Smith HRSA Emer Prep Coord/Risk Mgr
985-230-6104 [email protected]
9 St. Tammany
Northshore Regional Medical Center
Acute w/ER
T-1 165 Travis Sisson HRSA Emer Prep Coord/CFO
985- 646-5261 [email protected]
9 St. Tammany
Regency Hospital of Covington
LTAC T-2 38 Mark Thompson HRSA Emer Prep Coord/Saftey Officer
985-867-3935 [email protected]
9 Washington
Riverside Medical Center
Acute w/ER
T-1 25 Brian Smith HRSA Emer Prep Coord/Facilities Director/Safety Officer
985-839-4431 [email protected]
9 St. Tamman
y
Slidell Memorial Hospital
DRH T-1 182 Keith Peek HRSA Emer Prep Coor/I.S. Tech/Special Respon Team
985-649-8528 (O) 985-960-1536 (C)
[email protected]; smhcommandcenter.org
9 St. Tammany
Southeast Louisiana Hospital
Psych T-2 446 Cindy Little HRSA Emer Prep Coord/Safety
985-626-6351 [email protected]
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9 Tangipahoa
Southeast Regional Medical Center
LTAC T-2 14 Monica Nix HRSA Emer Prep Coord/Administrator
225-978-3618 C
9 St. Tammany
Southern Surgical Hospital
Acute T-2 37 Ramirez James HRSA Emer Prep Coord/Administrator & CEO
985-641-0600 [email protected]
9 St. Helena St. Helena Parish Hospital
Acute w/ER
T-1 25 Denise Stewart Deanne Broussard
HRSA Emer Prep Coord HRSA Emer Prep Coord
225-222-6111 [email protected]; [email protected]
9 St. Tamman
y
St. Tammany Parish Hospital
DRH DRH
223 Karen Moise, RN, CI
HRSA DRH Rep/Inf Control Coord
985-898-4087 985-705-7552 C
9 Tangipahoa
United Medical Rehabilitation Hospital
Rehab T-2 20 John M. Day HRSA Emer Prep Coord/Administrator
504-242-4246 [email protected]
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Appendix D Louisiana Emergency Support Function 8
Incident Command Structure
Louisiana
Department of Health and Hospitals
INCIDENT COMMANDER
OPERATIONS HOSPITALS
Designated Regional Coordinator (DRC)
OPERATIONS
STATE OPERATED SPECIAL NEEDS
SHELTERS
Office of Public Health
OPERATIONS
EMERGENCY MEDICALTRANSPORTATION
Office of Public Health
Bureau of EMS
Emergency
Medical Transportation Services
State Operated
Special Needs Shelters
Hospitals
Emergency Preparedness Coordinator
REGIONAL MEDICAL COMMAND
STRUCTURE (DRC, EMS, OPH)
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Appendix E
Emergency Patient Transfer Process
The HRSA Hospital Emergency Preparedness Grant has facilitated the development of regional and statewide patient transfer processes. Consistent with the DHH Office of Public Health, the state has been divided into nine regions. The volunteer Designated Regional Coordinator (DRC) from each region has agreed to support the patient transfer process by identifying available resources in their region. Each region has a Designated Regional Coordinator (and backup) to assist. The process for patient transfer is as follows:
1) The Administrator/Medical Director on call from the hospital that has patients that need to be transferred outside the region should contact their Regional Designated Regional Coordinator. The transferring hospital should have the following information available for their DRC:
Patient Name: Preliminary Diagnosis Resources Needed: Physician Support Type of Bed Other special needs Hospital Information: Hospital Name:
Contact Person for transfer: Telephone Number:
Transfer approved by: Whether staff will accompany patient (s)
2) The “transferring” DRC should contact “accepting” DRC with a referral request. The transferring DRC will provide patient and hospital information. Please note the HRSA Coordinator on-call is available for back-up assistance.
3) The accepting DRC will contact hospitals in their region for available resources. The DRC will provide the potential accepting hospitals with limited patient and hospital information consistent with HIPAA guidelines until appropriate resources have been identified. If resources are not available, the accepting DRC will contact the HRSA Coordinator to advise that another alternative region must be identified.
4) The accepting hospital will contact the transferring hospital regarding transfer resources. Transfer will be arranged per procedures of the transferring and receiving hospitals.
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5) If transportation is needed, the DHH Office of Public Health EMS line should be accessed (225-763-5729) for assistance.
6) The accepting DRC will notify the transferring DRC of the proposed referral arrangements.
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Appendix F NIMS Compliance To be Develooped
Element 1: Adoption of National Incident Management System (NIMS) NIMS was developed as a comprehensive national approach to incident management, applicable at all jurisdictional levels and across functional disciplines, to further improve the effectiveness of emergency response providers and incident management organizations across a full spectrum of potential incidents and hazard scenarios. Louisiana has adopted NIMS at all government departments and agencies as well as in the private public partnership of health care providers networked through the Louisiana Hospital Emergency Preparedness and Response (LHEPR). Further, LHERP encourages NIMS adoption by associations, partners, and suppliers. Most incidents are managed locally. In other instances, incidents that begin with a single response discipline within a single jurisdiction may rapidly expand to multidiscipline, multijursidictional incidents requiring significant additional resources and operational support. The LHPR has implemented and institutionalized processes, systems, procedures and/or plans to ensure effective cross-jurisdicational coordination between multiple local incident command structures (ICS) organizations responding to an incident covering a large geographical area. Element 2: Incident command, whether at local, state, or federal levels, has the authority and flexibility to modify procedures and organizational structures as necessary to align with the operating characteristics of their specific jurisdiction or to accomplish the mission in the context of a particular hazard scenario. ICS incorporates measurable objectives. LHPEPR strongly encourages implementation and institutionalization processes, procedures, and/or plans that incorporate measurable objectives to ensure fulfillment of incident management goals. Objective setting will begin at the top of incident command structure and communicated throughout the organization. LHEPR plan will implement and institutionalize processes, procedures and/or plans to ensure that ICS uses common terminology for organizational functions, resource descriptions, and incident facilities.
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Appendix G Louisiana Hospital Association
PATIENT TRACKING PLAN
PURPOSE: In the event of a disaster, patients will be displaced from hospitals, nursing homes, and private homes. A mechanism is needed so that patients can be tracked when transported to and from hospitals, nursing homes and special needs shelters. In an event of such disaster, this patient-tracking plan will be implemented and executed. CONCEPT OF OPERATIONS: Once an evacuation is triggered, hospitals and nursing homes will provide a list of their patients being transferred and the identified data set in MS Excel format to the DRC databanks and Louisiana Hospital Association via email at [email protected]. The LHA will store the patient tracking data in central repository accessible via the web at www.lhaonline.org. The federal NDMS will update LHA on the list of evacuees (via the same e-mail address) being evacuated through the federal government patient evacuation pathway to an out of state Veterans Administration (VA) Federal Coordinating Center (FCC) identified by the Global Patient Movement Requirement Center (GPMRC).
The GPMRC minimum data set includes: A. Last Name, First Name, Middle Initial (three separate columns) B. Person ID Type (List = NATO, None, Other, SSN) C. Person ID (SSN) D. Last known address E. Birth date (mm/dd/yyyy) F. Insured (List = Yes, No) G. VSI (Very Serious Injury) H. Gender I. Race J. Transferring facility K. Receiving facility L. “Chief Complaint” (5 areas): Critical Care/ ICU, Med/Surge, Psych, Burn, Pediatric M. Emergency Contact Information
Hospitals and nursing homes that self-evacuate through a commercial pathway will notify the LHA of the receiving facility location of their patients. The NDMS will notify LHA with the receiving facility location of patients that are evacuated via the federal NDMS system. LHA will work with the receiving hospitals to continue to maintain current patient information via the identified mechanism. LHA will also work with the media to disseminate the web address for the use by the general public to recover information about family members that have been evacuated. For those hospitals that are self-evacuating it is necessary to complete a minimum data set to include A, C, D, E, H, I, J, K, L, M of the data set listed above.
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Appendix H
Louisiana Hospital Emergency Preparedness and Response H - Hour Response
Hospital Evacuation Plan Timeline for Hospital Evacuation
July 6, 2007
1) Definitions: ⇒ H-Hour: 0 = 24 hours prior to tropical storm force winds making landfall
For planning purposes H- hour has been chosen as the determining factor. H- Hour will be determined by Governor’s Office of Homeland Security and Emergency Preparedness, (GOSHEP)
2) Timeline for Evacuation ⇒ H-Hour 96 - H-Hour 73
State ESF 8 • Notify DRCs and other ESF(s) partners regarding possible need to initiate
Medical Institution Evacuation Plan. • Request identification of regional ICS contact information for all airheads to be
returned within 4 hours (~H-Hour 92.) and request that hospital network begin monitoring emails and other notification channels.
• State ESF 8 (HRSA staff) will : o request activation of EMSystem and 3 day call roster o communicate H-Hour timeline, conference call schedule, and schedule
radio roll call with DRCs o report to State EOC by H-Hour 76 o summarize and monitor EMSystem results
Hospital DRC
• Alert hospitals regarding potential need to activate emergency response plans: shelter in place and/or evacuation (partial or full). Hospitals should re-confirm evacuation and/or shelter in place resources, and evaluate census reduction activities.
• Request hospitals to complete update EMSystem by H-Hour 76. • Forward copies of Form 1 to hospitals. • Request hospitals to review evacuation plans and should private plans fail,
request federal assistance as soon as possible. • Alert airhead DRC/Designee hospital resource. • Prepare to report to command center and/or airhead. • Prepare 3 day call roster
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Hospitals • Notify hospital incident command of potential threat • Update EMSystem by H-HOUR 76 • Evaluate threat matrix for hospital • Verify evacuation and/or shelter in place resources
⇒ H- Hour 72
State ESF 8 • Conduct conference call to make decision regarding activation of MIEP. • Identify activation timeframe for MIEPs.
H- Hour 72 to H- Hour 61
Hospital DRC • Report to command center and/or airhead
• Update hospitals regarding plans to status of MIEP activation • Request to hospitals: o confirmation of evacuation and/or shelter in place resources as soon as
possible but no later than H-Hour 60 via the EMSystem. o implement census reduction strategies, o update EMSystem. • Forward patient evacuation requests to State ESF 8 as they arrive from
requesting hospitals. (email address or fax number). • Notify hospitals of patient evacuation status as manifest information becomes
available. Hospitals
• Notify the DRC re: proposed response: shelter in place or evacuate; and potential need for augmentation of evacuation plans as soon as possible, but no later than H-Hour 60 via the EMSystem.
• If hospitals request patient evacuation assistance, hospitals should complete Form 1 and forward to the DRC as soon as possible, but no later than H-Hour 60 to (email address or fax number).
• Should begin patient transfer preparation process. Regional Airhead
• Prepare airhead to receive evacuation resources and patients. o Communication links o Security o Public Affairs o Traffic flow o PPE o Support resources- computer, printer, copier
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State ESF 8 State ESF 8:
• Will forward federal evacuation requests to Global Patient Resource Management Center (GPRMC).
• Monitor progress of patient movement. • Monitor progress of storm.
Federal ESF 8 GPRMC will
• Determine availability of NDMS hospital resources. • Forward patient manifests to State ESF 8 and Hospital DRC.
DOD will
• Activate MIEP plans H-Hour 60
Hospitals Hospitals must confirm plans to shelter in place or evacuate (partial or full); and need for augmentation of evacuation plans or shelter in place assistance via EMSystem. DRCs & State ESF 8 DRCs and State ESF 8 will confirm federal requests for patient evacuation
H- Hour 60 to H- Hour 51
Hospitals • Hospitals requesting federal evacuation assistance should update Form 1 at
intervals identified by the process (i.e. every 2 hours) • Hospitals should
• continue patient transfer preparation process. Patients should be ready to begin transfer process no later than H Hour 51.
• Coordinate with DRC to move patients to airhead as requested. Hospital DRCs
DRCs will forward patient evacuation requests to GPMRC as they arrive from requesting hospitals • DRC will receive patient manifest as they become available from GPRMC. • DRC reviews patient manifest with Regional Airhead staff. • DRC works with EMS and hospitals to “pull” patients to airhead.
Regional Air Medical Command (AMC)
• Airhead ready to receive first patients by H-Hour 51.
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• Incident Commander works with EMS Coordinator and Hospital Coordinator to “pull” patients from hospitals via staged ambulances.
• Hospital and EMS DRCs work with Hospital Loading Officer to move patients to AMP.
• Monitor progress of storm. State ESF 8
• Monitor GPRMC patient manifest as they become available; forward to airhead/DRC.
• Monitor progress of patient movement. • Monitor progress of storm.
Federal ESF 8
• GPRMC will forward patient manifests to State ESF 8 and Hospital DRC as they become available.
⇒ H- Hour 51
• Patient movement to AMC begins.
H- Hour 51 - H Hour 24 Hospitals
• Hospitals requesting assistance should update Form 1 at intervals identified by the process (i.e. every 2 hours)
Hospitals should: • continue patient transfer preparation process. Patients should be ready to
begin transfer process no later than H Hour 51. • coordinate with DRC to move patients to AMC.
Hospital DRC
DRCs will: • forward patient evacuation requests to GPMRC as they arrive from requesting
hospitals • Reviews patient manifest with airhead staff. • Coordinates with EMS and hospitals to “pull” patients to airhead
Regional Air Medical Command (AMC)
• Incident Commander works with EMS Coordinator and Hospital Coordinator to “pull” patients from hospitals via staged ambulances.
• Hospital and EMS DRCs work with Hospital Loading Officer to move patients to AMC.
• Monitor progress of storm.
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State ESF 8 • Monitor patient manifest as they become available; forward to DRC/airhead. • Monitor progress of patient movement. • Monitor progress of storm.
Federal ESF 8
• GPRMC will forward patient manifests to State ESF 8 and Hospital DRC as they become available.
⇒ H- Hour 24
• AMC Incident Commander monitors continued evacuation operations, makes
determination as to timeframe to discontinue operations and communicates to State ESF 8.
• AMC monitors dispatch plans for completion within timeframe to discontinue operations.
H-Hour 24- H-Hour 0
⇒ H- Hour 18 State ESF 8 will conduct conference call with federal, state, and local partners to review status of evacuation progress
Hospital DRC
• Work with AMC to determine final patient evacuation transports; initiates plans for other patients to shelter in place.
• Communicates final plans for evacuation to hospitals. • Communicates Forms 2 and 3 for completion by hospitals in 4 hours ( H Hour 20) • Forward Completed Forms 2 and 3 to State ESF 8.
Hospitals • Finalize patient transport process. • Complete Forms 2 and 3 and forward to DRC
Regional AMC
• AMC will monitor dispatch plans for completion within timeframe to discontinue evacuation transports.
State ESF 8
• Monitor progress of patient movement. • Monitor progress of storm. • Prepare reports from Forms 1, 2 and 3. • Communicate Form 3 to ESF8 and other ESFs at GOHSEP.
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⇒ H- Hour 12
• Air evacuations discontinued.
Regional AMC • Incident Commander initiates plans to discontinue operations. • Incident Commander identifies final timeframe to evacuate AMP,
Hospital DRC
• Evacuates to shelter in place location
⇒ H- Hour 6
State ESF 8 will conduct conference call with federal, state, and local partners to review status of evacuation progress
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Appendix I Louisiana Hospital Association
Hospital CEO Checklist
2007 HURRICANE CEO CHECKLIST
Actions for Consideration in Preparation for a Hurricane
Review Hurricane Preparedness policies & procedures
Review Hurricane Security and Safety Plan for your hospital and make adjustments as required
o Ensure plans address safety issue with hospital designs, especially those with a lot of glass.
o Ensure an adequate inventory of supplies, including medications, blood and blood products, food, water, fuel, linens, and oxygen to sustain operations for up to 7 days is available. (Keep in mind that dialysis centers, rape crisis centers, and retail pharmacies will be closed, so those patients will seek treatment at hospitals).
Review transferring and evacuating procedures and protocols
o Review policies to back-up patient and employee records.
Ensure that process for admitting and discharging patients is identified.
o Review pre-admission checklist for patients admitted from other facilities or from home to ensure that all necessary information on the patient will be collected.
o Review protocols for patient flow, including coordination with physician and transportation services and offering of support services such as pharmaceuticals to patients that will be discharged
o Ensure that Chief of Medical Staff is involved in patient discharge process
Ensure that backup emergency generators work
o Ensure hospital water chillers and heating, ventilation and air conditioning systems are on emergency generator system.
o Ensure emergency backup power system support key ancillary areas, such as morgue and other buildings.
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o Ensure that emergency power plans are extended beyond 24 hours. Know how long the generator is expected to last.
o Ensure staff is trained to repair any problems that might arise with the generators.
o Verify your hospital has portable generators in case the main generators fail
Determine alternate communication methods for key staff in the event traditional communication systems are compromised
o Check the status of your hospital’s emergency two-way radio, such as your HEAR or 800 MHz radio; Ensure your understanding of how to operate the equipment and identify your role with that communication system
o Ensure hospital has a alternative form of communication that links to other hospitals, LHA, local Emergency Operations Center (EOC), Emergency Medical Services (EMS), and Fire/Rescue
Review Mutual Aid Agreements to reinforce commitment of support with other hospitals and State Office of Emergency Preparedness
Review or develop alternative plan for elevator access to ensure patient can be transported throughout the hospital in the event of power lost or damages to elevators.
Educate employees regarding current events & review plans regularly.
Ensure that all staffing and sheltering issues are addressed in your emergency plan
o Ensure relief teams for staffing are in place to ensure staff is well rested to prevent burnout.
o Ensure behavioral healthcare services are provided. Ensure stress levels and post-traumatic issues of staff members and their family members are addressed before, during, and after the event.
o Ensure childcare centers are open in the hospital for the staff and their children. Work with local childcare agencies to identify those that might be able to help during a disaster.
o Evaluate need for “cash on hand” to advance employees so that they can support their families and come to work.
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Review and ensure that your Hospital Emergency Incident Command System (HEICS or HICS) procedures are in place. Identify your role and the roles of your key staff members within that process.
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Appendix J
Medical Institution Evacuation Plan
Regions 1,3,4,5, and 9
(To Be Developed)