1. Harnett County Health Department Flooding Response

2. The Problem! April 29,2012 3” line to the RPZ Valve inside the building ruptured

3. The Aftermath The RPZ failure caused 3” – 4” of water throughout 80% of the First Floor. First floor is where all clinical operations are located. All of our clients medical records located on the first floor.

4. Hallways & Office Space

5. Drywall Damage

6. Records We Maintain over 185,000 Records. All Had to be Moved.

7. Health Department Water Main Break

8. Health Department Water Main Break

9. Health Department Water Main Break

10. Health Department Water Main Break

11. Health Department Water Main Break

12. Response Issues Contact made with Emergency Management immediately. Discussions started on Resource needs. What critical services had to be brought up first and time sensitive issues. How were we going to accomplish????

13. Response & Recovery Issues We wanted to keep as many services on site as possible. How could we accomplish this? Fixed Facilities: – Cost prohibitive to move all operations – Equipment relocation to these facilities – Public Notification of move and Multiple Facilities

14. Response & Recovery Issues Temporary Facilities: – Mobile Buildings Cost Prohibitive Time, contract to setup Permits Inspections

15. Response & Recovery Issues Western Shelters: – Low Cost – Setup fairly easy – Packaged Resource – Resources available through our CapRac/Betsy Johnson Hospital

16. Emergency Services SMAT III recall to augment the crew to erect our Mobile Health Department. Harnett SMAT III was utilized along with the Harnett County Emergency Management and Fire Marshal’s Office to complete the project. On going EM/FM support for daily operations throughout the event.

17. Emergency Services Inspection Issues Permit Issues EOP for the operation – Fire Safety – Weather Issues

18. CapRac Process Contact made with the CapRac Determine needs and match with Resources Resource needs were finalized Utilized Google Mapping for setup preplanning – Basic Footprint – Hazards and other issues

19. CapRac Process Initial Patient load underestimated. Advantage of Western Shelter Gateway Flexibility to continue adding shelters Added a Shelter from Betsy Johnson Hospital to handle increased patient services Flexibility with the Rehab/Medical Care trailer for multiple services

20. CapRac Issues Existing Strong partnerships amongst created a comfortable working environment Flexibility of the Rac Mission & Resources 2 Missions supported – Full Scale Exercise in Greenville – Harnett Co. Health Department. SMAT III resources assisting in the operational setup

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30. The Setup Team

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32. Lessons Learned Non Declared Event Issues: – Permits/Inspections for tents – Who had jurisdiction for this Safety Issues with setup – Weather Related Issues – Moving parts!!!! – Team Rehab and Safety

33. Lessons Learned Feeding of staff and SMAT III Insurance issues (Documentation) Hygiene issues in the tent Generator and power issues – Good to have a good Maintenance staff

34. Lessons Learned Strong relationships with your Health Director and your local RAC very critical State EM involvement early in the process is vital to assistance in resource requests

35. Contacts John RouseSteve Harrison jrouse@harnett.orgsharrison@wakemed.orgjrouse@harnett.orgsharrison@wakemed.org Gary Pope gpope@harnett.org