1. Sarah A. Williams Emergency Management Specialist MUFRTI Audrain County Emergency Management Agency

2. What is the reality of a disaster declaration in Missouri? Since 1993: 26 Federal Disaster Declarations -54 disaster related Governor’s Executive Orders in the same time period -March of 2006-September 2008 :14 Federal Declarations, and 5 SBA Declarations 6 separate declarations in Missouri in 2008: Including MO DR 1773 June 1-August 13 MO DR 1809 September 11-24 *110 of 114 Counties in Missouri received one or more Federal Declarations

3. Changes in Federal Guidelines Functional Needs Support Services (FNSS) replaces Special Needs (SN) September 2010, National "Getting Real" Conference. The three day forum, hosted by FEMA in Baltimore. Guidance for integration of FNSS in General Population Shelters: http://www.fema.gov/pdf/about/odic/fnss_guidance.pdf http://www.fema.gov/pdf/about/odic/fnss_guidance.pdf Office of Disability Integration and Coordination (ODIC) Integrating and coordinating emergency preparedness, response and recovery for disabilities and others with access and functional needs Before – During – After a disaster. (PDF 512KB, TXT 8KB)PDFTXT

4. 7pm CST, July 24, 2008

5. Audrain County Pilot Project Audrain Road 368 June, 2008 Audrain Road 368 July 25, 2008

6. Audrain County Pilot Project April 2009 Centers for Disease Control and Prevention (CDC) awarded Audrain County Emergency Management Agency a grant to pilot a FNSST for a rural population 1.Free, voluntary and confidential planning and response tool 2.Critical data by creating standardized terminology for resource identification creating a composite database with 'real' meaning 3.Only a person's condition, type of disability, territory they live in is released

7. Audrain County Pilot Project Objectives: 1.Provide County level Functional Needs Support Services planning tool (FNSST). 2.Eliminate need for additional paid EM staffing for data input and management through innovative use of existing agency data in the County. 3.Minimize/eliminate issues regarding privacy and MO Sunshine Law by providing means to sanitize the data for planning purposes (Limited Data Set). 4.Integrate software to provide a total special needs management solution.

8. Audrain County Pilot Project April 2009 Centers for Disease Control and Prevention (CDC) awarded Audrain County Emergency Management Agency a grant to pilot a FNSST for a rural population 1.Free, voluntary and confidential planning and response tool 2.Critical data by creating standardized terminology for resource identification creating a composite database with 'real' meaning 3.Only a person's condition, type of disability, territory they live in is released

9. Audrain County Pilot Project What we created: 1.County-wide FNSST with innovative capability to import data from local agencies handling segments of the functional needs population. 2.This was a modification of the system currently in use in the City of St Louis.

10. Audrain County Pilot Project 3. Disaster tested response system, Pathfinders Task Force Software, integrated to InDEP FNSST to optimize use of both systems.

11. Audrain County Pilot Project 4.Ability to real-time identify and track infrastructure breakdowns such as flooded or damaged roads and bridges and overlay the information on the same map as the FNSST. 5. Work orders can be initiated from the field utilizing the Pathfinders Task Force system.

12. Audrain County Pilot Project First time ability to overlay emergency plans of agencies within the county to identify critical resource requirements, such as ambulances or portable generators, which will exceed availability in the event of a disaster.

13. Audrain County Pilot Project Ability to real-time identify and track emergency response personnel utilizing Pathfinders Task Force cell phones.

14. Audrain County Pilot Project A comprehensive FNSST package that is affordable, sustainable and replicable, County to County, Statewide or Nationwide.

15. Audrain County Pilot Project Our results: A comprehensive, secure data base of current information that protects the privacy of both individuals and agencies in cooperation with the existing Missouri Sunshine Law. RSMo CHAPTER 610 Sections 610.010 to 610.200 http://ago.mo.gov/sunshinelaw/sunshinelaw.htm

16. Special Needs Client Registry Pre-filled shelter paperwork Building / Shelter Registry Special Needs registrant’s location mapping Building/Shelter mapping Detailed reports on type of client & status in emergency plan Color-coded icons change color as the status of the Special Needs registrant is revised Overlay Special Needs registrant locations and shelter locations on the same map! InDEP © information flow provides superior management power

17. Data Sources Import from local health care provider Web input by client or representative Direct input by volunteers in registration drives/events Audrain Co EM Home Health and Hospice Agency Volunteer Web

18. How it works: Pre-Disaster Planning: Sanitized data is exported automatically from care facilities serving special needs populations for planning purposes using their normal census data as already kept by health care providers. Audrain Co EM Home Health and Hospice Agency Audrain Handicap Services Central MO Community Action Sanitized Data Exports Response Plan - Resources - Communications - Supplies/Equipment - Transportation - Agencies - Etc.

19. Planning with Sanitized Data The sanitized data is mapped by approximate location to protect privacy. Each pin represents from 1 to many clients located in that area. This shows 121 total clients in this database. The mapped locations show the respective number of clients near that location.

20. Planning with Sanitized Data The sanitized data can be mapped by specific special need or ADL giving the emergency manager the ability to develop specific response plans. This shows there are 91 of the 121 clients who are in wheelchairs and their approximate location. This might be used to determine assisted transportation requirements.

21. Planning with Sanitized Data Here is a view of a sequence of reports from 1) total to 2) special need of Wheel Chair selected to 3) special need of Wheel Chair and mobility ADL selected. This is a very powerful planning tool using sanitized data.

22. The process….. Disaster Execution: Complete unsanitized data is released from agencies serving functional needs populations for emergency response. Audrain Co EM Central MO AAA Aud Co Workshop Aud Co Home Care Emergency Response Release full data set for emergency response

23. The process….. Disaster Execution: Data is ported to Pathfinders to jump start the relief effort. Emergency Response Audrain Co EM

24. The process… Disaster Execution: Pathfinders data is linked back to InDEP for real time FNSS client status. Audrain Co EM

25. Audrain Pilot project Benefits include: Preload data from database. Enhance command and control. Reduce disaster response times. Improve visibility of first responders/resources. Efficient use of resources. Accelerate decision making. Reduce medical emergencies. Integrated update of client status in database

26. After It’s Over Post Disaster: Privacy data is deleted from database and EM returns to planning mode with recurring sanitized imports to keep data current. Audrain Co EM Central MO AAA Aud Co Workshop Aud Co Home Care Return to Sanitized Data Emergency Response

27. We met our objectives! Staff Required –Data input and maintenance is minimized leaving workers/volunteers to assist in planning. Cost –Staff cost has been minimized by automating data input. Privacy/Sunshine Law –Agencies only release full data during emergency or with personal release signed by clients. –Individuals agree to release data through disclaimer. Software Integration –Integration jump starts relief/rescue effort and provides real time status. –Provides EOC with additional EM capabilities at minimal cost.

28. Issue Does registration in the FNSST guarantee emergency response to the individual? Submitting an application to participate in the FNSST does not guarantee that an individual will be included in the Registry. Even if an individual is included as a participant in the FNSST, there is no guarantee that the individual will receive immediate or preferential treatment in an emergency or disaster situation. Individually identifiable participant information in the FNSST is confidential and will not be shared with the general public. This information will be released to public health authorities, human services agencies, and other emergency response agencies on a need-to-know basis to provide the necessary services in the event of an emergency or disaster. Aggregated non-identifiable participant information will be used and disclosed to plan for the provision of emergency and disaster services.

29. Questions?

30. Thank you! Sarah A. Williams Emergency Management Specialist MUFRTI Audrain County Emergency Management Agency