1. 2014 Large Scale Hospital Evacuation Process State of Louisiana

2. Acronyms Software ARR = At Risk Registry TRAC2ES = TRANSCOM Regulating Command & Control Evacuation System TUCS = TRANSCOM Uploadable Contingency Spreadsheet Personnel and Sites DRC = Designated Regional Coordinator FCC = Federal Coordinating Center (patient reception center) TPMRC = Theater Patient Movement Requirements Center

3. Overall Process

4. First Step: Alert Messaging After the pivotal H-72 hour conference call activating the MIEP, the State ESF 8 will send out a notification to hospitals to begin uploading patients to the ARR. Region 5 DRC may send additional messages to area hospitals

5. Step 2: Hospitals Upload Patients Hospitals in the risk area can begin uploading and managing patient lists in the ARR before the H-72 call.

6. Hospital Responsibilities Discharge as many patients as possible May include pre-event transfer of certain patients (NICU, PICU, Psychiatric, etc.) using pre-existing agreements. Don’t wait! Upload patients in a timely manner Practice! Maintain the following fields: Ambulance type Patient location Other clinical information (respiratory status, diagnosis, medications, etc.)

7. Step 3: DRC Review Throughout the process, the Hospital DRCs are assisting hospitals Their primary role in this plan is to ensure that evacuating hospitals are providing the necessary data to allow TPMRC to create mission manifests This involves periodic review of the patient data being uploaded to the ARR

8. Steps 5: Verify and Indicate Destination Hospitals The hospital can select the destination hospital from the list by double-clicking on the row. You can also use the Bulk Edit function to make these changes for a number of patients If you are using an out-of-state hospital, contact ESF 8 so that we can put the hospital in the list

9. Steps 6-7: Requesting Transportation Assets If needed, the hospital can contact the DRC to request additional transportation assets. The DRC will work with the local EMS DRC, the State ESF 8, and the State Bureau of EMS Tactical Operations Center (BEMS TOC)

10. Steps 8: Patient Movement Hospitals can begin to track patient movement through the “Edit Patient Locations” view. Region 5 Hospitals would use primarily: “In Private Transit” once they leave the originating hospital “At Destination Hospital” once they arrive at their final location

11. Steps 9: Monitoring Patient Movement Using a variety of views and reports, all parties can monitor patient movement through the process.

12. Timeline

13. Questions and Discussion