Lyle Moore Resiliency Officer Office of Emergency Preparedness and Response

Agenda  Acronyms  Rule History  Goals  Regulation 2  Questions/Feedback

Acronyms & Definitions  AAR/IP: After Action Report/Improvement Plan  EMS: Emergency Medical Services  ESF8: Emergency Support Function 8  FQHC: Federally Qualified Health Centers  HPP: Hospital Preparedness Program  LPHA: Local Public Health Agency  OEM: Office of Emergency Management  PHEP: Public Health Emergency Preparedness  PHIA: Public Health Improvement Act  PIO: Public Information Officer  PPE: Personal Protective Equipment  RETAC: Regional Emergency Trauma Advisory Council  SNS: Strategic National Stockpile

Rule History  Created in 2001  State Board of Health Regulations Pertaining to Preparations for a Bioterrorist Event, Pandemic Influenza, or an Outbreak by a Novel and Highly Fatal Infectious Agent or Biological Toxin 6 CCR  6 Regulations 1-LPHA, 2-Hospitals, 3-Rural Clinics/FQHC’s, 4-RETAC/EMS, 5- CDPHE, 6-Compliance  Goal to build a base of preparedness  Language update in 2007

Implementation Plan GOALS Goal- To assist hospitals with compliance of BOH rule Goal- To integrate the rule with the Hospital Preparedness Program (HPP) and emergency preparedness efforts

Regulation 2. Preparations by General or Critical Access Hospitals for an Emergency Epidemic  Part 1 – Maintain a notification list  Part 2 – Emergency Operations Plan  Part 3 - Exercise

Part 1 – Notification List  Maintain an up-to-date notification list for providing information to partners Satellite clinics, acute care facilities or trauma centers operated by the hospital Physician offices and healthcare providers on staff Local Public Health Agency (LPHA) and Local Office of Emergency Management (OEM)  Review and update list annually  Exercise rule annually Emergency incident with activation of their Emergency Operation Plan (EOP) can be substituted for Exercise Colorado Notification System deliverable

Part 2 - Plans  Maintain facility Emergency Operations Plan (EOP)  EOP reviewed and updated At least every 3 years Submitted to CDPHE/OEPR Upon request, copy made available to: ○ OEM, LPHA(s), ESF8 entity, RETAC’s, healthcare coalition.

Part 2 – Plans continued  The EOP will address the following areas: Organization and assignment of employees Having sufficient supplies/personal protective equipment (PPE) ○ Training for assigned staff on use of PPE ○ Process to ensure provision of PPE ○ PPE shall be able to meet standard precautions

Part 2 – Plans continued Procurement, storage and distribution of at least a three- day supply of an antibiotic ○ Determined by CDPHE ○ Effective against category A bacterial agents ○ Used as prophylaxis for employees immediately responding ○ Another antibiotic for employees who may be unable to take the antibiotic of first choice Designated antibiotic letter Use unspent funding

Part 2 – Plans continued A process for recruiting and credentialing volunteers Creation of an operations center ○ Within the agency or part of the campus ○ Centralizing telephone, radio, and other electronic communications ○ Compiling morbidity and mortality data ○ Receiving and responding to executive orders from the Governor ○ Maintaining a log of operations, decisions and resources ○ Assessment and management of infection control in the facility ○ Coordination with LPHA and Coroner, assessment and management of the disposal of human corpses

Part 2 – Plans continued Security and traffic management Rapid transport of human diagnostic specimens Implementation of infection control measures Coordination and communication for patients with extreme life threatening conditions Triaging all persons, including faculty-staff-public Management of the SNS materials received Implementation of back-up communications system ○ 800 megahertz radios ○ Amateur radio emergency services

Part 2 – Plans continued EOP Submission and Assessment Plans assessed against BOH Rule Facilities address identified gaps from assessment Exercise EOP Submit AAR/IP to OEPR EOP Submission

Part 3 - Exercise  Exercise and test EOP ever 3 years  Emergency incidents where EOP is activated may be substituted  After Action Report/Improvement Plan (AAR/IP) submitted to CDPHE-OEPR within 60 days of occurrence. The functional exercises of will be used as compliance.

Regulation 6 - Compliance  Completion of BOH rule determines eligibility for protections  C.R.S.  Civil and criminal liability protections  Excludes willful misconduct/disregard

Conclusion  Acronyms  Rule History  Goals  Regulation 2 & 6  Questions/Feedback

Lyle Moore Resiliency Officer Office of Emergency Preparedness and Response (w) , (c) , Questions/Feedback?