National Disaster Medical System Maryland Patient Reception Plan

Assumptions All Patients are Stable We Should Get a Patient List Patients Should Have Medical Records Patients Identified Through JPATS Maryland Will Not be Directly Affected We Cannot ASSUME!

Alert Levels Pre-Alert Stand-by Alert Activation

Pre Alert Maintain Plans Provide Education Exercises Redo the Plans

Stand-By Distant Disaster Maryland FCC May be Alerted FRED Alert – with Bed Count Review and Update Plans FYI

ALERT Formally Alerted by HHS ASPR FRED Alert Update Bed Count Update Reception Plan Possible Conference Calls Strike Teams / Transport Units

Activation FCC Receives a Mission Assignment – Number of Patients – Number of Aircraft FRED Alert final Bed Counts Coordination Calls Establish PRA Activate Strike Teams/ Mutual Aid units Destination Assignments

Pre Reception TRAC2ES –FCC State EMS and VA Medical Directors review Manifest Destinations Assignment made TRAC2ES Records forwarded Patients entered into PTS

PRA Operations Incident Action Plan Preplanned vs MCI Operation

IMS Structure

BWI Thurgood Marshall Airport

MidField Cargo

Reception Area Preplanned

Murphy Knocks Change in Patient Status – Hot Line Operations Family Members – DHR to Assist Pets – Department of Agriculture No Patient Information

Handle as if an MCI Revert to Md Triage Tags

Patient Movement and Communication Transportation Group - EMRC

Patient Tracking Joint Patient Assessment and Tracking System Maryland PTS Tracking Emergency Patients - Data Exchange Standard (EDXL-TEP)

Arrival at Hospitals ED vs Direct Patient Tracking JPATS/SAT Teams

Demobilization of PRA When do we Break Down? Units return to Home Base or Staging? Expenses & Reimbursement Equipment

Continued Care at Hospitals Coordinated between the Hospital and SAT Reimbursement to Hospitals from HHS

Repatriation SAT is to coordinate DHR may need to Assist

Post Incident Expenses and Reimbursement – FCC and MIEMSS to Coordinate PRA expenses – SATs Coordinates Hospital Reimbursement After Action Review – MIEMSS and MEMA Plan Updates – FCC and BRIMT

Questions? John Donohue Director EMS Interagency Planning and Response Maryland Institute for Emergency Medical Services Systems