2014 Preparing for the Unexpected V Conference - Plans and Reality Cross Border Emergency Preparedness “Is simple, Works and Saves Lives”

Objectives Cross Border EMS Activity Update Cross Border Interfacility Transfer – EMS Operational Plan Appendix C Paddle Quinault/Bella Bella – MCI Planning & Operations Transport assets and capabilities within the jurisdictions and public health regions

Hospital Evacuation

Cross Border EMS Activity Update 44,360 All Jurisdictions Washington Cross Border Activity for 2013 and ,176 British Columbia 145 Idaho 3,775 Oregon 2,900 Other: (Alberta, Yukon, 356 Northwest Territory Alaska, Montana)

An arrangement between Alaska, British Columbia, Idaho, Oregon, Washington, and Yukon) with respect to the provision of mutual assistance Pacific Northwest Emergency Management Arrangement Pacific Northwest Emergency Management Arrangement Guidelines developed by the parties for sharing and protecting health information while respecting the individual state’s/province’s data sharing laws. Washington – British Columbia MOU to Share and Protect Health Information to Assure Prompt and Effective Identification of Infectious Disease and Other Public Health Threats Washington – British Columbia MOU to Share and Protect Health Information to Assure Prompt and Effective Identification of Infectious Disease and Other Public Health Threats An agreement between the federal and provincial governments and BC First Nations to develop a Health Partnership Accord that will capture the vision of the Parties for a better, more responsive and integrated health system for First Nations in British Columbia British Columbia Tripartite Framework Agreement on First Nations Health Governance British Columbia Tripartite Framework Agreement on First Nations Health Governance Authority

Addresses CDC/PHP CAPABILITY 10: Medical Surge, Functions 2 & 3 content/uploads/2012/09/Cross-Border-EMS- Resources PNEMA.pdf content/uploads/2012/09/Cross-Border-EMS- Resources PNEMA.pdf USCBP and CBSA Border Crossing Procedure/Checklist Functional exercise 2012, 2010 Olympic & Paralympics, Table Top Exercise 2/2010 Accomplishments

Canada - United States Pan Border Public Health Preparedness Council (PBPHPC) content/uploads/2012/05/Strategic-Plan-v doc-Revision1.pdf content/uploads/2012/05/Strategic-Plan-v doc-Revision1.pdf Accomplishments

content/uploads/2014/03/PNWBHA-Workshop-Overview- v21.pdf content/uploads/2014/03/PNWBHA-Workshop-Overview- v21.pdf Communicate this information to your partners Build and update your capabilities with your partners Beyond the Border Initiative Text: S.J.Res.44 [112th] congress/senate-joint-resolution/44/texthttp://beta.congress.gov/bill/112th- congress/senate-joint-resolution/44/text Next Steps

Paddle to Quinault 2013

Paddle Quinault– MCI Planning & Operations County Planning for huge event – 10 times average population Building an EMS/EM response Results

Tribal and First Nations EMS, Bella Bella

Paddle to Bella Bella– MCI Planning & Operations County Planning for huge event – 10 times average population Building an EMS/EM response Results

Cross Border Interfacility Transfer – EMS Operational Plan Appendix C Crossing-Plan.pdf Crossing-Plan.pdf Grays Harbor EMS – Initial Cross Border contact process – Patient transfer process - Appendix “C” – Results 2 year old saved S:\HSQA\CHS\Spokane\Terrorism\Cross Border\2014 Workshop\Air ambulance closes Peace Arch border crossing docx S:\HSQA\CHS\Spokane\Terrorism\Cross Border\2014 Workshop\Air ambulance closes Peace Arch border crossing docx It is the Right Thing to do!

2 Year Old

Transport assets and capabilities within the jurisdictions and public health regions Preparedness/PatientTransport.aspx Preparedness/PatientTransport.aspx Statewide – Includes: British Columbia, Idaho, Oregon, and Tribes Public Health Regions

Understand potential transport capabilities One shoe does NOT always fit all (unique local needs and transport capabilities) o School Bus, 2011 Quincy, WA Plymouth, WA. o Transit System o Medicaid Transportation Brokerage Service Providers 2/2014 Clark Co o Casino Bus o Home care bus o Etc.

Swanton-nursing-home.html

Positive Effects Develop partner relationships Creates a transport capabilities matrix Creates a contacts list for planning Coordinates with response agencies

Accomplishments 2014 Plymouth, WA Liquid Natural Gas Explosion Available for 2012 Fires - potential evacuation In response to 2012 wild fires, alerted Medicaid transportation brokers to standby to provide transport out of area, if needed Exercised within Region 5 during Evergreen Quake Update, distribution, and maintenance of the matrices process

Next Steps Communicate this planning tool to all partners Prioritization of limited resources Build the processes into jurisdictional exercises

QUESTIONS? Lisa Hall Rod Salem Michael Smith