Using Public Health Missions to Prepare for Disaster Response

Texas State Guard – Medical Reserve Corps

LTC Frank Stead

• Public Health Authority

• Defines areas of State that are medically underserved

Medically Underserved Locations

Office of Assistant Secretary of Defense - Reserve Affairs

Civilian-Military Innovative Readiness Training Program

•National Defense Authorization Act of 1993

•Civilian Military Projects not otherwise met

•Provides the Services “hands-on” readiness training

•Provides direct and lasting benefit to communities

GOVERNOR

ADJUTANTGENERAL

TEXAS ARMYNATIONAL GUARD

TEXAS AIRNATIONAL GUARD

TEXAS STATE GUARD

------------------------------------------Texas Military Forces---------------------------------------

TEXAS MEDICALRESERVE CORPS

REGIONALBRIGADES

Texas Military ForcesOrganizational Chart

Commander(San Antonio)

AlamoMedical GroupCommander(UTHSCSA )

HoustonMedical Group

Commander(UTHSCH)

West Texas Medical GroupCommander

(TTHSC - Lubbock)

Statewide Command Staff(San Antonio &

Austin)

WMD CST AuxiliaryTeam

(Statewide)

DeputyCommander

(Dallas)

Fort WorthMedical Group

Commander(N TX HSC)

Central TexasMedical Group

Commander(A&M HSC)

Dallas Medical GroupCommander

(SW Med School)

Texas Medical RangersOrganizational Chart

Medical GroupOrganizational Chart

Group Commander

Trauma Stability Team(s)X 1 or 2

Healthcare Treatment and Counseling Teams

X 3 - 5

Alternate Treatment Site Teams

X 3 - 7

Group Command Staff

Personnel Operations & Training

Supply & Logistics Chaplain

WMD Civil Support Augmentation Team(s)

Medical Groups are regionally-based and some medical teams may be located in cities away from the Group headquarters. For example, Alamo Medical Group teams may be located in Laredo, Corpus Christi or Brownsville.

Operation Lone Star

• Joint Military and Civil Humanitarian Mission in its seventh year started in 1999

• Joint Military Task Force

• TXANG and TXSG - MRC

• Department of State Health Services

• Volunteer Organizations

DSHS Site Locations

Brownsville

Gallegos ElementaryBrownsville, Texas

. La Joya—

Chapa Elementary School, 3 1/2 Mile North Doffing Road,

La Joya, TX

Rio Grand City—

Ringgold Middle School,Fort Ringgold Campus,

Rio Grande City, TX

19-22JUL TUE-FRI

1 23 JUL

SAT

2 24 JUL

SUN

3 25 JUL MON

4 26 JUL

TUE

5 27 JUL WED

6 28 JUL

THU

7 29 JUL

FRI

ALL

TY-2005 AT: Week One

Deploy & Arrival of MB

Operational Days - Operation Lone Star

Advance Party 1st D

ay

RCV UNITS

In briefs & Final Set up

VIP DAY-RGUnivision Telethon

TY-2005 AT: Week Two

8 30 JUL

SAT

9 31 JUL

SUN

10 1 AUG MON

11 2 AUG TUE

12 3 AUG WED

13 4 AUG THU

14 5 AUG

FRI

15 6 AUG SAT

ALL

REDEPLOY

Endex

Recovery

MWR

HSRECOVERY

EOM

Operational Days - Operation Lone Star

MOSQ trngCDR’s time

OLS 1/2day

AAR

Task Organization

•Headquarters

Weslaco

•Ringgold Jr. High

Star County

•Chapa

Hidalgo County

•Gallegos Elementary

Cameron County

CIVILIAN ORGANZATIONS

• DSHS Region 11 Lead

• Three Counties Health Departments

• 15 Volunteer Organizations

__________________Incident

Commander

______________Admin/Finance

_____________Military

_____________Civilian

______________Plans

______________Military

______________Civilian

_____________Logistics

_____________Pharmacy

______________Supplies

_____________Operations

______________Communications

______________Security

_____________Safety

____________Public Information

Officer (PIO)

_____________Volunteers

______________Healthcare/Clinic

HSPD – 5 Implementation

HQ Organization

CommanderExecutive Officer

S3 Operations/Planning

S1Admin/Personnel

S4 Logistics

PAO NCOIC

DSHS Regional Administrator

NCOIC NCOIC NCOIC

•Staff NCO’s •Staff NCO’s

Site Organization

Site OIC Executive Officer

S3Operations/Planning

S1Admin/Personnel

S4Logistics

Site PAO Site NCOIC

DSHS Civilian Lead

NCOIC NCOIC NCOIC

Chief Medical Officer

Chief Nursing Officer Chief Dental Officer

Generic Site FlowLine up

Registration

Hearing, Speech, VisionTesting

ImmunizationClinic

Physicians Stations Dental Stations

Basic PhysicalHeight/Weight

Basic PhysicalDiabetic Check

Basic Physical BP/Temperature

Pharmacy

Check out

Cleaning X-ray

Procedures

Check out

Basic PhysicalImmunization Records

Check

Counseling

Morning Line Up

Registration

Colonel Joseph Gonzales, TXSG-MRC

Basic Physical

Major Leslie Melton-Kissel RN, TXSG-MRC

Check for Diabetes

Dental Assistant Students

Immunizations

Sargent David Van Curren, TXARNG

Counseling

DSHS Healthy Lifestyle Specialist

Visit with the Doctor

Lt. Colonel (Dr.) Samuel Morale, TXSG-MRC

Visit with the Dentist

Lt. Colonel (DDS) Robert Galvin, TXARNG

Pharmacy

SGT Johnny Mendoza, TXARNG

What has been accomplished

• 13,877 Individual Served in 2004-2005

• Services provided were estimated at a value of $1,724,322

OPERATION LONE STAR Texas State Guard

Medical Reserve corps

2004 – 28 participants

126 days served

2005 – 85 Participants

435 days served

2006 Daily MRC

Site Resources Needed

•Physicians/PA’s 8 Communications 2

•Nurses 12 Security 5

•Medics 18 Admin/Bilingual 10

•Dentists 2 HQ 13

•Dental Techs 4

•Pharmacy Techs 4 Total 84 positions

870 services days required

2006

Medical Reserve Corps