1. Health & Medical Coordinating Coalitions Orientation to Regional Stakeholder Meetings December 2, 2013

2. Welcome

3. Schedule for the Day 10:00-12:00Emergency scenario HMCC Overview & Questions Facilitation Process Noon-1:00Working lunch - Table discussions 1:00-3:00Fact Sheets Lunch Question card Responses Regional breakouts 3:00 Session adjourns

4. Keys to a Successful Meeting Active & respectful participation by all Minimal distractions No side conversations No texting or emailing in the room Phones & pagers on vibrate Efficient transitions Proceeding as planned

5. Emergency Scenario

6. Health & Medical Coordinating Coalitions (HMCC) Overview & Questions

7. HMCC: Regional ESF8 Support Formal collaboration among health & medical stakeholders to prepare for, respond to, recover from, & mitigate impact of emergencies, MCI, or catastrophic events Support regional activities related to disasters, including planning, organizing, equipping & training coalition for disaster response 6 – one in each MDPH Hospital Region

8. HMCC Functions Active in all phases of disaster management cycle Specific Requirements Coordinate regional ESF8 planning Support local planning & preparedness Maintain 24/7 capacity to support response Provide multi-agency coordination, advice on incident management decisions, resource coordination Coordinate regional information sharing for situational awareness & common operating picture Support regional recovery operations Participate in regional risk assessment & mitigation activities Provide administrative & fiscal oversight for activities

9. HMCC Stakeholders Core Disciplines Community health centers & ambulatory care practices EMS – Public & Private Hospitals Public health Long-term care Healthcare Partners Dialysis centers, urgent care, pharmacies, home health agencies, others Mental & behavioral health providers Emergency Management & Public Safety

10. Outreach Meetings since September 2013 Local public health coalition meetings (15) Hospital coalition meetings (6) MEMA Local/State Advisory Committee Coalition for Local Public Health Western MA Homeland Security Advisory Council Massachusetts Medical Society Massachusetts Municipal Association Ongoing Scheduling MA Hospital Association MA Ambulance Association Fire Chiefs Association of Massachusetts, EMS Committee

11. Phased Implementation Milestones End of BP2 (June 30, 2014) Facilitation process completed November 2014 (mid BP3) HMCC RFR issued End of BP3 (June 30, 2015) HMCC operations established 24/7 regional point of contact established During BP4 (July 1, 2014 – June 30, 2016) Develop regional health & medical operational plans Begin exercising HMCC operational plans End of BP5 (June 30, 2017) 6 HMCC fully operational Complete exercising HMCC operational plans

12. Facilitation Process

13. Facilitated Meetings Regionally based Information gathering for regional groups Focus on specific questions Participant feedback Preparation for development of RFR

14. Discipline Representatives Roles & Responsibilities Represent perspectives of colleagues in your discipline & region Work collaboratively with group members in other disciplines Answer key questions to support regional HMCC planning Attend 4 facilitated meetings (Jan – June) Review materials & consult with colleagues between meetings

15. Key Questions Who are partners (other than 5 core disciplines) who should be involved/engaged in the regional HMCC? What are resources/capacities in the region that can be adapted &/or inform regional HMCC planning? What are the desirable attributes & capacities for the HMCC regional coordinating agency? What are possible operating/program models for meeting required functions of a regional HMCC? What are the pros/cons of possible governance models?

16. Facilitated Meeting Schedule January Working Group Meeting 1 Region 1 - 1/30/2014 at Pittsfield Senior Center Region 3 - 1/10/2014 at Tewksbury Public Library Region 4AB - 1/29/2014 at MA Medical Society, Waltham Region 5 - 1/15/2014 Cedarville Community Room, Plymouth Fire Station March Working Group Meeting 2 May Working Group Meeting 3 June Regional meetings Meeting 4

17. Working Lunch At your tables, discuss What needs to be clarified? What did you expect to hear that you did not? Record on table cards Stack for collection at end of lunch

18. Resources

19. Fact Sheets Goal Identify health & medical resources within regions Quantifiable information Ongoing updates Categories to be added Mutual aid agreements LEPC/REPC Specialty hospitals Suggestions

20. Responses to Lunch Question Cards All questions will be transcribed as written and posted with responses at www.bu.edu/sph-coalitions

21. Regional Break-out Sessions RegionFacilitatorLocation 1Hope KenefickRoom AB 3Harold CoxRoom C 4ABKathleen MacVarishFarmhouse 5Kerry DunnellSoutheast Link Identify additional resources you will need to answer the key questions

22. Thank you