1. Association of Bay Area Governments Infrastructure Interdepencies Workshop II Cheri Hummel Vice President, Disaster Preparedness

2. California Hospital Association CHA is one of the largest hospital trade associations in the nation serving more than 400 acute care hospitals and health systems and represent 98 percent of the licensed beds in California. 2

3. Regional Associations 3

4. CHA Hospital Preparedness Program Provides services and products to hospitals statewide regarding emergency preparedness via the following methods: Technical assistance, educational workshops (HICS etc.), exercise planning tools, dedicated website, meeting participation and advocacy Foster relationships and partnering among hospitals and health systems, community response partners and local, regional and state emergency planning partners. Annual Disaster Planning Conference (October 15-17, 2012) Website – www.calhospitalprepare.orgwww.calhospitalprepare.org 4

5. Regulations & Requirements Regulations (CCR Title 22 & 24) Centers for Medicare & Medicaid (Conditions of Participation) Accreditation Standards (TJC Emergency Management) Grant Requirements (HHS/ASPR/HPP) 5

6. Joint Commission Accreditation Requirement(s) 96-Hour Capability / Six Critical Areas Communications Resources and Assets Security and Safety Staff Utilities Patient Care Hospitals are not required to stockpile supplies to last for 96 hours of operation. 6

7. Interdependencies Information/situational awareness Utilities Supplies Access Transportation (Patient Movement, Evacuation) 7

8. Identified Gaps / Support Needed Fatality management Security resources Managing an influx of patients with limited staff, resources and capability (crisis care) Decontamination capability Hospital/healthcare representation in EOCs Individuals w/access and functional needs Exercises are key (multiple disciplines) 8

9. Current Planning Focus Emergency Food Planning Toolkit Best Practices for Emergency Water Planning Business Continuity and Continuity of Operations Planning 9

10. What is on the horizon? Grant Programs Alignment Decreased grant funding Capabilities-based planning Coalitions Healthcare Reform Impacts Health Systems Decreased # of beds / overall capacity Increase in outpatient services 10

11. Questions? 11

12. Thank You 12 Cheri Hummel Vice President, Disaster Preparedness California Hospital Association 1215 K Street, Suite 800 Sacramento, CA 94814 Direct: (916) 552-7681 Cell: (916) 716-5675 chummel@calhospital.org www.calhospitalprepare.org