Preparedness and Timelines for Integrated Hospital Disaster Management Planning Dr.P.Ravindran Director (EMR), Dte GHS, MOHFW Conference on Chemical (Industrial) Disaster Management February 11-13, 2009, New Delhi

Integrated Hospital Disaster Planning Integrate hospital disaster planning with: Pre Hospital Services/ EMS Community Plans (District DM plans) Other Hospitals (referrals etc) With-in hospital With sub-plans of different Departments

Integrated Hospital Disaster Planning Hospital Emergency Response plan Hospital Emergency Preparedness Plan Hospital Disaster Mitigation Plan (Vulnerability assessment and Risk Management Plan)

Legal Framework Disaster Management Act-2005 State DM Acts

National Policy, plans, guidelines Draft National Policy reflects the provisions under the Act. In consonance with the DM Act 2005, MOHFW, the nodal ministry is preparing the Health Sector Plan.

NDMA Guidelines NDMA guidelines on Mass Casualty Management provides for: Integrated plan for hospital preparedness and response. Capacity development. hospital buildings to be disaster resilient. Specialized capabilities for trauma, burns and NBC disasters. Capacity development for preservation and identification of dead bodies.

Situation Analysis Gujarat, has initiated actions for integrated hospital disaster management planning. PWD constructions- disaster resilient. Hospitals, barring a few, have not assessed the vulnerabilities. Do not have preparedness and response plans. Even if present , they are not tested and reviewed. By and large, the culture has not imbibed into the health care system.

Problem areas Incident Command System for Hospitals Borrowed concept without looking into the functional/ administrative realities. Not in a position as of now to implement as a managerial system Financial and decision making autonomy not available. Need large scale training and exercises to take in the culture of ICS Risk assessment and Risk management

Way ahead Policy, plans and SOPs to be in place All hospitals to have integrated hospital preparedness and response plan Large scale training of hospital managers on management perspective : to include- Risk Assessment & Management Operational Management ICS Capacity Development for integrated model of pre hospital and hospital care. Hospital Disaster Plan and its testing to be made mandatory.

Timelines for Implementation Phase Year ending Action Phase-I 2010 Developing plans, guidelines and SOPs Developing/ strengthening legal instruments to support, preparedness, response and capacity development for MCM Phase-II 2012 Capacity development for prevention, preparedness, mitigation and response including hospital preparedness Phase III 2015 Testing, reviewing and further strengthening the above initiatives Establishing specialized capabilities for NBC disasters, trauma, containerized mobile hospital systems etc.

Thank you