1.  At 1 st difficult sell  Concept now catching on  Still local Responsibility  Major Event – Regional Shelters  Presently Region 5 Shelters – Bethel-Danbury- Middlebury/Southbury- Torrington- Waterbury Two other locations being developed

2.  Meeting the needs of a diverse population  Everyone at some time may have a functional need requiring additional assistance  Let’s look at one City’s solution….

3. ONE CITY’S APPROACH TO FUNCTIONAL NEEDS SHELTERING Charlotte Hungerford Hospital and The City of Torrington CT

4.  The shelter is a city shelter  The shelter is open under the authority of the Mayor and EMD.  CHH assumes the responsibility of the shelter  Efforts are coordinated through the City’s EOC  Once open, the shelter is staffed with an EMS provider.  Residents using the shelter, must be able to care for themselves or have a family member with them that can.

5.  Whenever possible, the equipment and supplies are delivered and set up 24 – 48 hours before the event. (Unified Pre-Planning meeting)  This isn’t always possible, as we learned from Storm Alfred.  Local medical equipment provider, Doyle’s Medical Supply assists with the delivery and set up of all equipment. Avoid Sheltering But Just In Case

6.  Hospital beds  Oxygen Concentrators  Oxygen Tanks  Disposable supplies  Toiletry items  Linen  Personal hygiene

7.  In some cases the social admissions or Emergency Department boarders will be taken to the shelter.  These are residents without power and have ended up in the emergency department.  They have no medical needs that require a hospital admission  Under special circumstances DPH OEMS permits EMS to transport resident to the local shelter with medical oversight.

8.  Coordinated by CHH ◦ EMS provider (Paramedic) ◦ Hospital employees  Coordinated with the City ◦ Local MRC ◦ Local Sheltering volunteers ◦ Regional CERT Sheltering Team

9.  Communications ◦ Phone ◦ Cell phones ◦ Two way radio is kept on site ◦ Email ◦ Text messaging

10.  CHH is responsible for the cleaning of all equipment and supplies  CHH takes care of the cleaning of the shelter area

11.  The rest rooms in the shelter are further away than at home  When out of the home environment residents do not function nearly as well and are not nearly as independent.  Store as many supplies and equipment on site

12.  Skilled Nursing Facilities  Assisted Living Communities  Home Health Agencies  Durable Medical Equipment Provider, Oxygen Companies.  Senior Centers  Meals on Wheels (nutritional programs)

13.  Support from the elected officials  Support from the community  To Coordinate local emergency preparedness efforts within the healthcare community  Participate in community planning  Be active in local schools  Participate in training with CERT teams, And MRC teams

14. New Fairfield

16.  Meals  Warmth  Showers  Charging electronics New Fairfield High School Senior Center

20.  11,666 meals  8 days  $2.72/meal 8am Breakfast – 10am Lunch 12pm – 2pm Dinner 5pm – 7pm  4,923 meals  4.5 days  $3.50/meal October 2011 October 2012

22. Halloween Trunk or Treat