Emerging Threats and Lessons Learned: Surviving in an era of Technology and Complexity Hawaii Director’s of Nursing Association January 30, 2015 Toby L. Clairmont, RN, CEM Director, Emergency Services Healthcare Association of Hawaii

Disclosure Title:Emerging Threats and Lessons Learned: Surviving in an era of Technology and Complexity Date:30 January 2015 Author:Toby L. Clairmont, RN, CEM C Koaha Place, Aiea, HI Security Classification:UNCLASSIFIED The information and views presented herein reflect the views and opinions of the presenter and may not constitute the views or policy of the United States Government or any other entity. Copyrighted images used under the provisions of the Copyright Act of 1976, 17 U.S.C §107 (fair use doctrine) and may not be further distributed without the consent of the copyright owner. The presenter does not endorse the products or services of any commercial entity.

Highlight societal trends and the impact they have on disaster response Outline key challenges facing emergency management in the near-term future Discuss meaningful preparedness and response strategies Objectives

Highlight societal trends and the impact they have on disaster response Outline key challenges facing emergency management in the near-term future Discuss meaningful preparedness and response strategies Objectives

1. Disasters will continue to occur WHAT WE KNOW

1. Disasters will continue to occur2. Often can predict location WHAT WE KNOW

1. Disasters will continue to occur2. Often can predict location3. Rarely can predict timing WHAT WE KNOW

1. Disasters will continue to occur2. Often can predict location3. Rarely can predict timing 4. Only the effects can be managed WHAT WE KNOW

1. Disasters will continue to occur2. Often can predict location3. Rarely can predict timing4. Only the effects can be managed5. Management requires planning WHAT WE KNOW

Climate Change

Terrorism

Human Factors

Emerging Infectious Disease

Violent Crime

Political Change

Complex Cascading Events

1. Individual empowerment MEGATRENDS

1. Individual empowerment2. Diffusion of power MEGATRENDS

1. Individual empowerment2. Diffusion of power3. Demographic shifts MEGATRENDS

1. Individual empowerment2. Diffusion of power3. Demographic shifts 4. Demand food, water & energy MEGATRENDS

Cyber-Terrorism

Highlight societal trends and the impact they have on disaster response Outline key challenges facing emergency management in the near- term future Discuss meaningful preparedness and response strategies Objectives

TIPPING POINT AHEAD?

Extreme weather events more frequent Dependence on technology Political stress Increased demand for scare resources such as water, food & energy WHAT’S AHEAD

Disasters can become catastrophes WHAT’S AHEAD

Highlight societal trends and the impact they have on disaster response Outline key challenges facing emergency management in the near-term future Discuss meaningful preparedness and response strategies Objectives

INCREASE COMMUNITY RESILIENCY

ADAPT to NON-LINEAR ENVIRONMENT

DEVELOP ‘LAST MILE’ WARNING SYSTEMS

UTILIZE MULTIPLE, REDUNDANT COMMUNICATION PATHWAYS

DECENTRALIZE ESSENTIAL SUPPLIES & EQUIPMENT

FLEXIBLE, COMMUNITY-BASED RESPONSE TEAMS

BUILD INDUSTRY COALITIONS

HAH COALITION MEMBERSHIP 130 organizations Hospitals including critical access, specialty and government organizations Nursing Homes, Assisted Living facilities and Type II ARCH’s Home Care and Hospice providers Community Health Centers Dialysis providers Air and Ground Ambulance providers Hawaii Disaster Medical Assistance Team (Kalawao Rescue) Clinical Laboratories and Blood Banks Durable Medical Equipment suppliers

FIVE CORE MISSIONS 1.COORDINATE Health Care Response Operations 2.DEPLOY emergency response teams 3.MOBILIZE health care delivery systems 4.PROVIDE specialty logistical support 5.SUPPORT planning and preparedness

MISSION 1.0 COORDINATE HEALTH CARE RESPONSE OPERATIONS

MISSION 2.0 DEPLOY EMERGENCY RESPONSE TEAMS

MISSION 3.0 MOBILIZE HEALTH CARE DELIVERY SYSTEMS

MISSION 4.0 SUPPORT SPECIALITY LOGISTICAL SUPPORT

MISSION 5.0 SUPPORT PLANNING and PREPAREDNESS I.Awareness education: Prepare for Disaster video and supervisor-facilitated discussion II.National Incident Management System (NIMS): Hospital Incident Command System (HICS) and FEMA- equivalent courses III.Professional Development Series: Pediatric trauma, burn management, psychological first-aid, hospital evacuation…

Disasters events are increasing in terms of cost, frequency & complexity Only the effects can be managed Some changes in the way we prepare and plan for disasters are needed Patience and tenacity are needed TAKE HOME

QUESTIONS?