1. March 2017 Regional Care Collaborative
Emergency Management & Community Resilience: Introducing a Capacity Building Toolkit for Health Centers
March 2017 Regional Care Collaborative
Barrie starts as moderator of session

2. Agenda Emergency Management Initiative (EMI) overview
Introduce Emergency Management and Community Resilience Toolkit
Community Resilience Refresh
Discussion-Based Exercise
Toolkit development and layout
Alignment with organizational operations
Discussion and Next Steps

3. Barrie Black, Program Manager, Louisiana Public Health Institute
Emergency Management Initiative (EMI)
Barrie Black, Program Manager, Louisiana Public Health Institute
Barrie

4. Purpose of EMI
How can the Gulf Coast primary care system be optimally prepared for emergencies and coordinate to speed recovery in the aftermath of an event?
Build EM capacity of PCAs to best support member health centers- i.e. training, resources, advocacy, and partnerships
Build EM capacity of health centers to improve resilience of your business, patients, and community when needed most

5. EMI components Comprehensive Emergency Management assessments
Emergency Management toolkit for community health centers
Incorporating community resilience tools & practices
Alignment with clinical operations
Training and coaching: train-the-trainer model
Regional approach for future EM needs & efforts

6. EMI project partners Primary Care Development Corporation (PCDC)
RAND Corporation
State primary care associations
Alabama Primary Health Care Association
Florida Association of Community Health Centers
Louisiana Primary Care Association
Mississippi Primary Health Care Association
Louisiana Public Health Institute (LPHI)
Community health centers
Acknowledge Tiffany and Alex

7. Emergency Management and Community Resilience Toolkit
Kristin Stevens, Emergency Management Consultant
Primary Care Development Corporation
Elizabeth Thornton, Policy Analyst
RAND Corporation
Lori, Hinga, Nurse Consultant
Louisiana Public Health Institute
Barrie introduces Kristin, Elizabeth, and Lori
Passes it to Kristin

8. Overview of Toolkit Development
Purpose
Assessment phase
Approach
Community Resilience
Emergency Management
Alignment with health center operations
Toolkit Layout and Instructions

9. 2 EMI Assessments Conducted
Site Assessment
Developed tool- shared and adaptable for PCAs, CHCs, etc
Piloted with  4 PCAs and 13 CHCs across Gulf Coast region
Basic assessment of requirements/regulations- PCMH, CMS, HRSA, Meaningful Use
Identified opportunities for operational integration of EM
Developed matrix of recognized requirements with systems integration potential

10. Site Assessment Findings
We experience disasters and we feel prepared, but are we ready to act? According to assessment findings of pilot:
100% identified essential functions, but planning is not necessarily in place to support these functions
54% have written protocol for acquiring critical supplies during an Emergency
62% have formal agreements (85% reported historical or verbal agreements) with partners for assistance during an emergency
46% responded that they have participated in exercises with local/ state partners
Newly effective 2016 CMS requirements: More needed than a plan
Ex: CMS requires Hazard Vulnerability Analysis updated annually for each site. As of last year, 77% of pilot organizations conduct a HVA
100% of respondents value Emergency Management
Assessment was piloted by the PCAs and 13 Community Health Centers across the 4 states within the PCCP jurisdiction
Many wanted enhanced partnerships, communications, and knowledge of local resources. Community resilience is a key aspect integrated into the toolkit

11. Community resilience: What is it, and how does it apply to emergency management and health?
Turn it over to Elizabeth

12. Today’s presentation Brief overview of community resilience
What are key lessons and applications to emergency management and health
Kristin, turn it over

13. Why the focus on community resilience?

14. Community resilience is continually developing
The ongoing and developing capacity of the community to account for its vulnerabilities and develop capabilities that aid in:
Preventing, withstanding, and mitigating the stress of an incident
Recovering in a way that restores the community to a state of self-sufficiency and at least the same level of functioning after an incident
Using knowledge from a past response to strengthen the community's ability to withstand the next incident

15. Strengthening community resilience is critical in a changing world

16. Resilience vs. Preparedness
We pursued resilience thinking when traditional disaster response models were not enough

17. Community resilience acknowledges the intersection between individuals and organizations
EMS
Tribal Health
Schools
Animal Services
Law Enforcement
Corrections
Faith Based
NGOs
Labs
Social Services
City Planners
Transit
Fire
Civic Groups
Employers
Drug Treatment
Elected Officials
Mental Health
Health
center
Public Health Dept
Parks and Rec
Nursing Homes
Neighborhood
Orgs.
Home Health
ADAPTED FROM: NACCHO (MAPP website):

18. Community resilience requires building neighbor to neighbor reliance and organizational connection
RESILIENT COMMUNITIES
RESILIENT COMMUNITIES
There are strong relationships between organizations
Organizations are ready and prepared to respond and recover
There are enough volunteers to help in a disaster
People can rely on each other (neighbor to neighbor)
Individuals/families have the knowledge to prepare for and respond to disaster

19. Today’s presentation Brief overview of community resilience
What are key lessons and applications to emergency management and health

20. Health providers are key to resilience development
Communicate with and educate diverse and often vulnerable populations
Create opportunities for public engagement
Serve as key linkage point for coordination

21. Community Wellbeing Promotion Emergency Preparedness
Community resilience has represented the intersection of Community Wellbeing Promotion and Emergency Preparedness
Community Wellbeing Promotion
Community Resilience
Emergency Preparedness
Routine surveillance
Assessment of population, structural vulnerabilities and assets
Emergency risk assessment
Community education
Education about ongoing mitigation
Risk communication
Provision of direct services (e.g., immunizations, home visiting, social services)
Ongoing assurance of health and social service access; skill building (e.g., PFA, economic supports)
Provision of shelters, evacuation plans, mass prophylaxis
Policy support re: community impact on health and wellbeing
Policies that prepare for routine and emergency conditions
Policy support re: disaster response and recovery

22. RAND's community resilience resources

23. Community resilience in EMI Toolkit
Educational information
Training materials and discussion-based exercises
Resources for partnership development and sustainability

24. From Resilience Builder
Discussion-Based Exercise:
Community Resilience
From Resilience Builder

25. Toolkit Process PCAs and CHCs working together 6 sections
Section Layout
Activity
Tools/Templates
Outcomes
Additional Resources
Not all activities will be needed at all sites
Some sites may need to work out of sequence

26. Toolkit layout Introduction and Instructions
Section A: Emergency Management Fundamentals
Section B: Hazard Vulnerability Analysis/Risk Assessment
Section C: Notification and Communications
Section D: Essential Services and Business Continuity
Section E: Resource Management
Section F: Partnerships and Community Coordination
Activity Checklist

27. Discussion-Based Exercise:
5-minute Tabletop

28. Why align EM with current systems?
Turn it over to Lori Hinga
Resource utilization

29. Opportunities for Operational Alignment
Time  
Committees, meetings, training, planning  
Policy development/revision  
Work and patient flow  
Human  
Roles VS Job Description  
Financial     
New systems, staff, space etc.  

30. Questions?

31. What’s next? Coaching and training –talk with your PCA first
PARTNER tool- train the trainer model beginning with PCAs TODAY
Office hours for PCAs
Final Curriculum Coming Soon!
Continue to develop approach to support primary care EM needs at a regional level
Evaluation: great place to include feedback
Barrie will close out session

32. Thank you!
Please reach out with any questions about EMI! Barrie Black, LPHI: