1. Regional Advisory Committee (RAC) Second Site Visit August 13, 2010 Candler, NC

2. Introduction Purpose ESF-8 Why Are We Here? Objectives Regional Data Phases/Timeline Plan Template Stakeholders Resources Way Ahead Points of Contact

3. National Center for Emergency Medical Preparedness and Response (NCEMPR) Texas Engineering Extension Service (TEEX) National Emergency Response and Rescue Training Center (NERRTC)

4. To bring together regional healthcare resources, emergency medical resources, ancillary resources, health providers, and first response partners to assist in the development of the Regional Emergency Support Function Plan (ESF-8).

5. The National Response Framework is a guide that details how the nation conducts all-hazards response– from the smallest incident to the largest catastrophe. ESFs are: The primary operational level mechanism to provide assistance. Organized around functional capabilities (e.g., emergency management, transportation, search and rescue, etc.)

6. ESF #1 – Transportation ESF #2 – Communications ESF #3 – Public Works and Engineering ESF #4 – Firefighting ESF #5 – Emergency Management ESF #6 – Mass Care, Emergency Assistance, Housing, and Human Services ESF #7 – Logistics Management and Resource Support ESF #9 – Search and Rescue ESF#10 – Hazardous Materials Response ESF #11 – Agriculture and Natural Resources ESF #12 – Energy ESF #13 – Public Safety and Security ESF #14 – Long-Term Community Recovery ESF #15 – External Affairs ESF #8 – Public Health and Medical Services

7. ESF #8 provides for coordinated state assistance in response to a: Public health and medical disaster or emergency (e.g., pandemic flu outbreak, bioterrorism attack). Natural disaster (e.g. flood, hurricane, earthquake). Includes addressing public health and medical needs assessment, public health surveillance, medical care personnel deployment, medical equipment and supply distribution, patient evacuation and care, safety and security) medical care personnel deployment

8. To enhance the safety and security of the citizens of the regions and the state. To represent the breadth of healthcare organizations, including regional trauma centers, hospital organizations, clinics, etc. To develop region-specific plans. To work in conjunction with the RACs. To support the North Carolina Office of Emergency Medical Services.

9. To develop a plan that provides consistency across the state, yet allows the flexibility to meet region unique requirements. To create a plan that fully supports the mission of each region’s medical disaster response and recovery resources. To construct a plan that allows for simple maintenance and updating by RACs. To create an atmosphere of communication, cooperation & collaboration between partners/stake holders that supports a regional, integrated approach to planning and response.

10. Regional data is being collected to augment plans. Information is being collected from both the SMARTT system and the MHTD GIS system. Information not addressed in those or other NC state systems may be collected in an online survey. We will endeavor to avoid asking RACs to provide data that can be found elsewhere.

11. State Medical Asset Resource Tracking Tool (SMARTT) Web-based tool capable of monitoring hospital, EMS system and health center resources (bed availability, specialty service capability, disaster resources, etc.) Hospitals provide information on a daily basis, EMS and health centers on a weekly basis. Resources are quickly identified and made available for use in the event of a local, regional, or statewide disaster.

12. Multi-Hazard Threat Database (MHTD) A collection of web based mapping applications, data layers, and online forms from OEMS, the state and other agencies that enhance strategic planning, emergency response, incident command structure and resource management during any natural disaster, product recall, terrorist attack, disease outbreak or other all-hazard event.

13. Regional data is being collected to augment plans. Information is being collected from both the SMARTT system and the OEMS GIS system. We will not be asking RACs to provide data that can be found elsewhere.

14. Phase I: Develop Templates Phase II: First Site Visit Phase III: Plan Development Phase IV: Second Site Visit Phase V: Third Site Visit – Plan Review

15. July 7: Plan template distributed to the RACs. July 11: Meeting in Raleigh to review templates. July 15 – August 6: Planners/SME teams make first site visits to assigned regions. August 9 – September 17: Planner/SME teams draft regional plans (Aug 13 in progress review) September 20 – 30: Planner/SME teams return to regions for plan review. October 31: Final draft plans due to NC OEMS.

16. Base Plan Annexes:  Mass Casualty  Patient Evacuation and Movement  Special Medical Needs  Surge Capability/Capacity (External)  Mass Fatality Management  Critical Medical Infrastructure and Key Resources  Resource Restoration  Behavior Health Care  State Medical Response System (SMRS)  Special Event  Veterinary Medical Support  Mobile Disaster Hospital  Infectious Disease  Hurricane  Radiological/Nuclear Disasters  Nature Events (Severe Storm/Tornado/Flood)  Explosive Incidents

17. RAC Public Health Emergency Management Law Enforcement Hospitals/Trauma Centers/Community & Rural Health EMS/Ambulance Services Private Medical Elected Officials Long Term Care Facilities Volunteer Groups Veterinarians Others…

18. Collect available resources from key stakeholders to include: Plans (Response, MSN, COOP, COG) Memorandums of Understanding (MOUs) MAAs Contracts Resource Lists Standard Operating Procedures/Processes

19. RAC Input Coordination Visit(s) Access to References Ongoing Calls and Emails Working Groups in September Communication + Cooperation + Collaboration = Integrated Response

20. Planner: Tom Spencer (979)777-2832 cell; (979)458-8143 work Tom.spencer@teexmail.tamu.edu Subject Matter Expert: Gary Meaney (979)324-6797 cell; (979) 458-8129 work Gary.meaney@teexmail.tamu.edu