1. National Disaster Medical System Maryland Patient Reception Plan

2. 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!

3. Alert Levels Pre-Alert Stand-by Alert Activation

4. Pre Alert Maintain Plans Provide Education Exercises Redo the Plans

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

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

7. 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

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

9. PRA Operations Incident Action Plan Preplanned vs MCI Operation

10. IMS Structure

11. BWI Thurgood Marshall Airport

12. MidField Cargo

13. Reception Area Preplanned

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

15. Handle as if an MCI Revert to Md Triage Tags

16. Patient Movement and Communication Transportation Group - EMRC

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

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

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

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

21. Repatriation SAT is to coordinate DHR may need to Assist

22. 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

23. Questions? John Donohue Director EMS Interagency Planning and Response Maryland Institute for Emergency Medical Services Systems jdonohue@miemss.org