1. State of the State Gloria Zunker, RD, MPA, Division of Emergency Preparedness and Response, Unit Manager zunkger1@michigan.gov

2. Governor Rick Snyder, 2015: New department to focus on people, promote River of Opportunity 2016: focused on Flint Water Crisis Nick Lyon, Director, MDHHS Jackie Scott, DVM, PhD, Director, Bureau of EMS, Trauma and Preparedness Linda Scott, RN, BSN, MA, Director, Division of Emergency Preparedness and Response

3. Public Health & Healthcare System Preparedness The ability to respond to all types of public health/medical incidents and build more resilient communities

4. HPP focuses on Healthcare System Hospital Preparedness Program (HPP) strives to develop a robust, integrated federal, state, and local disaster healthcare system that is prepared and ready to respond to any emergency incident

6. Capabilities Based Planning

9. Emergency Preparedness Regions 83 Counties 45 Local Health Dept. 12 Federally Recognized Tribes 191 Hospitals 440 LTC Facilities 800 Life Support Agencies >300 FQHC,MHC,RHC 205 Dialysis Facilities

10. BP 5 HPP Focus Prioritizing initiatives based on available funding At risk individuals with special medical needs Healthcare Coalition maintenance, including financial sustainability- 501 (c)(3) Healthcare System Recovery Responder Safety and Health

11. Medical Surge Planning Electronic Patient Tracking – EMTrack - Statewide algorithm Electronic Bed Tracking – EMResource/HAvBED eICS Module - Statewide Specialized Care Planning – Mass Casualty Burn Surge Plan University of MI SBCC www.michiganburn.org Pediatric Annex – establishment of Pediatric “Go Teams” – Pediatrics Champion at each Hospital – Alternate Care Sites

12. Medical Surge Capacity and Capability (MSCC) Handbook(s)

13. Michigan Emerging Disease Issues www.michigan.gov/ebola

14. Special Pathogen/Ebola Virus Disease Travel history/screening is critical Technical visits being conducted throughout state, focusing on infection prevention Develop Standard Operating Procedures and checklists for everything Contact Local Health early “No Notice” Emergency Room drills are to be done by September 30, 2016 Next Hospital Statewide Call August 18, 2016 Contacts: Kenneth Onye- onyek@michigan.govonyek@michigan.gov Betty Ann Eash- eashb@michigan.goveashb@michigan.gov

15. Zika Virus Emerging disease webpage www.michigan.gov/emergingdiseases www.michigan.gov/emergingdiseases Zika virus disease cases among travelers visiting or returning to the United States is increasing Zika Virus Testing Available at MDHHS updated 5/17/2016 http://www.michigan.gov/mdhhs/0,5885,7-339-71551_2945_5103-215861--,00.html

16. Dialysis Centers www.michigan.gov/ophp Click on Partner Resources Click on Home Health Care Disaster Planning Resources

19. Mass Fatality Continue to mitigate gaps identified during the full scale MI-MORT exercise conducted in April 2015 Conduct a training on the Mortuary Enhanced Remains Cooling (MERC) System on June 16, 2016 and schedule additional team trainings and educational opportunities DPMU DART

21. MI Volunteer Registry Total Volunteers Statewide - 8,839 General Volunteers, HCCs, LHDs, MI-TESA, MI-MORT, MI-SART, MRC & CCP, Michigan Cyber Civilian Corps Regional HCC Volunteers - 38 Individuals may indicate an affiliation with a HCC, which may include interest or involvement in a MMFT or other regional strike team. Region 2N MRC Volunteers - 28 Hospital support for bioterrorism, pandemic, man-made or natural disasters

22. Emergency Credential Level 1 Project Advantages for hospitals – Coordination of hospital plan with local/regional emergency plans – One way to meets regulatory emergency management requirements – Goal 50% of regional hospital participation – Region 2 North has 6 hospitals in this program.

23. Natural Disasters Technological Accidents Human-caused 23

24. Flint Water Response http://www.michigan.gov/snyder/0,4668,7-277-74857_74858---,00.html

25. Flint Water Response United Coordination Group (UCG) State Emergency Operations Center (SEOC) Community Health Emergency Coordination Center (CHECC) – Communications Volunteer Management – Logistics – Planning – Operations Nutrition Behavioral Health

27. Resources Healthcare Preparedness Capabilities http://www.phe.gov/preparedness/planning/hpp/reports/documents/capabilities.pdf http://www.phe.gov/preparedness/planning/hpp/reports/documents/capabilities.pdf Hospital Preparedness Program (HPP) Measure Manual: Implementation Guidance for the HPP Program Measures Healthcare coalition Developmental Assessment Factors: http://www.phe.gov/Preparedness/planning/evaluation/Documents/hpp-bp2-measuresguide-2013.pdf http://www.phe.gov/Preparedness/planning/evaluation/Documents/hpp-bp2-measuresguide-2013.pdf Medical Surge Capacity and Capability: The Healthcare Coalition in Emergency Response and Recovery http://www.phe.gov/Preparedness/planning/mscc/healthcarecoalition/Pages/default.aspx http://www.phe.gov/Preparedness/planning/mscc/healthcarecoalition/Pages/default.aspx Medical Surge Capacity and Capability: A Management System for Integrating Medical and Health Resources During Large-Scale Emergencies https://www.phe.gov/preparedness/support/mscc/pages/default.aspx https://www.phe.gov/preparedness/support/mscc/pages/default.aspx Developing the Health Care Coalition http://www.phe.gov/Preparedness/planning/mscc/healthcarecoalition/chapter5/Pages/developing.aspx http://www.phe.gov/Preparedness/planning/mscc/healthcarecoalition/chapter5/Pages/developing.aspx From Hospitals to Health Care Coalitions: Transforming the System http://www.phe.gov/Preparedness/planning/hpp/Documents/hpp-healthcare-coalitions.pdf http://www.phe.gov/Preparedness/planning/hpp/Documents/hpp-healthcare-coalitions.pdf 27

29. Volunteer Registration Web based Supports Public Health and Medical Emergencies Credential Verification Health Professional Licenses ABMS, AOA, DEA, OIG Michigan Criminal Background Checks Hospital Privileges or Employment Mission Deployment, Communication & Alerting Queries Documents Mission Tracking

30. Joint Commission EM Virginia Zimmerman, BS, MA MI Volunteer Registry and Medical Reserve Corps State Coordinator zimmermanv@michigan.govzimmermanv@michigan.gov, (517) 335-8150

31. Emergency Support Functions (ESF’s) Healthcare Coalitions are critical to: – ESF 6 – Mass Evacuation, Sheltering and Care Services – ESF 8 – Health and Medical 31