1. Empower DaTA Rural Preparedness Summit June 7, 2017
Andrea Esp, MPH, CPH, CHES, KG7VXU
Public Health Emergency Response Coordinator
Washoe County Health District

4. Oxygen Concentrators and Ventilators
Oxygen services (Tanks)
Mobility Dependent (motorized wheelchairs/ scooters, electric beds)
Dialysis
Home Health
Other Durable Medical Equipment (Enteral Feeding, IV Fusion Pumps, Suction Pumps,)
State of Nevada – 31,129 Medicare electricity-dependent beneficiaries

7. Lessons Learned and Recommendations
Initial data cleaning was slower than anticipated
GIS staff with REOC was unable to geocode locations
Data was utilized after the fact since evacuations of effected areas were already conducted
Review and revise the data retrieval, cleaning and analysis process to ensure streamlined and efficient

8. Moving forward……
WCHD in collaboration with GIS developed a new process to clean the data
A new process of geocoding locations was implemented
Shared barriers and lessons learned with ASPR
WCHD requested the data a second time
Geocoding was successful
How do we use the data to help inform shelters?

9. Functional Assessment Service Team (FAST)
Rural Preparedness Summit
June 7, 2017

10. What FAST is
Trained staff with experience in Access and Functional Needs (AFN)
Assess immediate needs of individual shelter residents
Initiate resource requests
Work with shelter staff
Can be government or non-government employees

11. Why FAST?
FAST members help strengthen their community’s disaster resilience.
Reduces impact on medical support resources.
Allows people the ability to stay w/ friends & family in the same shelter.
Supports FEMA’s Functional Needs Support Services Guidance (FNSS) and Information Bulletin #361.
Identify and strengthen relationships w/ community organizations essential to emergency response.

12. Where is FAST Today! Since the program started in 2009:
9 States trained
32 Counties trained in California and Nevada
30 Training sessions occurred
19 with FAST programs
1047 People trained

13. Experience & Knowledge
FAST members posses knowledge in the following areas:
Cognitive & Developmental Disabilities Mental Disabilities
Vision Loss
Deaf and Hard of Hearing Alcohol & Substance Abuse
Aging
Physical Disabilities
Chronic Health Conditions (including chemical sensitivities)

14. FAST Qualifications Completion of FAST training
Demonstrated in-depth knowledge of people with access and functional needs (PAFN), people w/activity limitations, and the elderly.
Interpersonal skills needed to communicate effectively (oral/written/ASL)
Interact effectively with a variety of staff, volunteers, and members of the community
Preferably, two years of direct work experience and assessing the needs of PAFN

15. FAST Course Length: Approximately 16 hours over 2 consecutive days
Size: participants
Mix of government/NGOs
Instruction, small group discussion & exercises
Department of Homeland
Security (DHS) approved course
Training options: single
county/city, co-hosting, or mutually shared hosting

16. A successful FAST Program has…..
Commitment to recruiting the most qualified candidates
Commitment to designate an entity & staff person to coordinate, develop, and administer the FAST program Understanding that FAST is more than just training- it is a program
Stakeholder group to support the program and the work it provides
A good working relationship between the American Red Cross, County EM, and County entity w/lead responsibility for sheltering

17. FAST in Northern Nevada
FAST Training
November 15-16, 2016
13 participating agencies
FAST Leadership Training
June 22, 2017
Next Steps
Conduct additional trainings
Collaboration with Carson City Health and Human Services to expand FAST
Tabletop exercise facilitated by California
American Red Cross, Community Emergency Response Team (CERT), Northern Nevada Center for Independent Living, Desert Regional Center, Medical Reserve Corps, Nevada Disability Resources, Nevada Division of Public and Behavioral Health, Nevada Governor’s Council on Developmental Disabilities, Northern Nevada Adult Mental Health Services, Northern Nevada Center for Independent Living, Renown Rehabilitation Hospital, Renown Home Health, and Sierra Regional Center.

18. Questions

19. Contact Information
Andrea Esp, MPH, CPH, CHES, KG7VXU Public Health Emergency Response Coordinator Division of Epidemiology and Public Health Preparedness Washoe County Health District