1. Using Public Health Missions to Prepare for Disaster Response Texas State Guard – Medical Reserve Corps LTC Frank Stead

2. Public Health Authority Defines areas of State that are medically underserved

3. Medically Underserved Locations

4. Office of Assistant Secretary of Defense - Reserve Affairs Civilian-Military Innovative Readiness Training Program National Defense Authorization Act of 1993 Civilian Military Projects not otherwise met Provides the Services “hands-on” readiness training Provides direct and lasting benefit to communities

5. GOVERNOR ADJUTANT GENERAL TEXAS ARMY NATIONAL GUARD TEXAS AIR NATIONAL GUARD TEXAS STATE GUARD ------------------------------------------Texas Military Forces--------------------------------------- TEXAS MEDICAL RESERVE CORPS REGIONAL BRIGADES Texas Military Forces Organizational Chart

6. Commander (San Antonio) Alamo Medical Group Commander (UTHSCSA ) Houston Medical Group Commander (UTHSCH) West Texas Medical Group Commander (TTHSC - Lubbock) WMD CST Auxiliary Team (Statewide) Statewide Command Staff (San Antonio & Austin) Deputy Commander (Dallas) Dallas Medical Group Commander (SW Med School) Fort Worth Medical Group Commander (N TX HSC) Central Texas Medical Group Commander (A&M HSC) Texas Medical Rangers Organizational Chart

7. Medical Group Organizational Chart Medical Groups are regionally-based and some medical teams may be located in cities away from the Group headquarters. For example, Alamo Medical Group teams may be located in Laredo, Corpus Christi or Brownsville.

8. Operation Lone Star Joint Military and Civil Humanitarian Mission in its seventh year started in 1999 Joint Military Task Force TXANG and TXSG - MRC Department of State Health Services Volunteer Organizations

9. DSHS Site Locations

10. Brownsville Gallegos Elementary Brownsville, Texas

11. . La Joya— Chapa Elementary School, 3 1/2 Mile North Doffing Road, La Joya, TX

12. Rio Grand City— Ringgold Middle School, Fort Ringgold Campus, Rio Grande City, TX

13. TY-2005 AT: Week One Deploy & Arrival of MB Operational Days - Operation Lone Star Advance Party 1st Day RCV UNITS In briefs & Final Set up VIP DAY-RG Univision Telethon

14. TY-2005 AT: Week Two REDEPLOY Endex Recovery MWR HS RECOVERY EOM Operational Days - Operation Lone Star MOSQ trng CDR’s time OLS 1/2day AAR

15. Task Organization

16. CIVILIAN ORGANZATIONS DSHS Region 11 Lead Three Counties Health Departments 15 Volunteer Organizations

17. __________________ Incident Commander ______________ Admin/Finance _____________ Military _____________ Civilian ______________ Plans ______________ Military ______________ Civilian _____________ Logistics _____________ Pharmacy ______________ Supplies _____________ Operations ______________ Communications ______________ Security _____________ Volunteers ______________ Healthcare/Clinic _____________ Safety ____________ Public Information Officer (PIO) HSPD – 5 Implementation

18. HQ Organization Commander Executive Officer S3 Operations/Planning NCOIC S1 Admin/Personnel NCOIC Staff NCO’s S4 Logistics NCOIC Staff NCO’s PAONCOIC DSHS Regional Administrator

19. Site Organization Site OIC Executive Officer S3 Operations/Planning NCOIC S1 Admin/Personnel NCOIC S4 Logistics NCOIC Site PAOSite NCOIC DSHS Civilian Lead Chief Medical Officer Chief Nursing OfficerChief Dental Officer

20. Generic Site Flow Line up Registration Hearing, Speech, Vision Testing Immunization Clinic Physicians Stations Pharmacy Check out Dental Stations Cleaning X-ray Procedures Check out Basic Physical Height/Weight Basic Physical Diabetic Check Counseling Basic Physical BP/Temperature Basic Physical Immunization Records Check

21. Morning Line Up

22. Registration Colonel Joseph Gonzales, TXSG-MRC

23. Basic Physical Major Leslie Melton-Kissel RN, TXSG-MRC

24. Check for Diabetes Dental Assistant Students

25. Immunizations Sargent David Van Curren, TXARNG

26. Counseling DSHS Healthy Lifestyle Specialist

27. Visit with the Doctor Lt. Colonel (Dr.) Samuel Morale, TXSG-MRC

28. Visit with the Dentist Lt. Colonel (DDS) Robert Galvin, TXARNG

29. Pharmacy SGT Johnny Mendoza, TXARNG

30. What has been accomplished 13,877 Individual Served in 2004-2005 Services provided were estimated at a value of $1,724,322

31. OPERATION LONE STAR Texas State Guard Medical Reserve corps 2004 – 28 participants 126 days served 2005 – 85 Participants 435 days served

32. 2006 Daily MRC Site Resources Needed Physicians/PA’s 8Communications 2 Nurses 12Security 5 Medics 18Admin/Bilingual 10 Dentists 2HQ13 Dental Techs 4 Pharmacy Techs 4Total 84 positions 870 services days required

33. 2006 Medical Reserve Corps