1. Stronger Together… Regional Collaboration Between Emergency Management and Health Care Coalitions

2. Today’s presentation Regional overviews: EM/HLS and HCC Region 9/5/4 Diversity across the regions Disaster Medical Control Center (DMCC) Communications Regional preparedness (ACF, etc) Q&A How is this working (or not) in your region?

3. Region 9 Darrell RubyRegional Coordinator, WA State HLS Region 9/Spokane DEM Erika HenryRegional Health Care Systems Planner, SRHD Region 5 Kathy McVayHealth Coordinator, Pierce County Emergency Management Joseph WestonEmergency Management Planner, Madigan Healthcare System Cindy MironRegional Emergency Response Coordinator, Tacoma Pierce County Health Department Region 4 John WheelerEmergency Management Coordinator, Clark Regional Emergency Services Agency (CRESA) Nathan WeedRegional Emergency Response Coordinator, Clark County Public Health

4. Region 9 Overview 10 counties, 3 tribes, Canadian, ID & OR borders many regional planning groups (HCC, EMS, HLS, PH, FS, LE, etc) regional collaboration = enhanced resiliency rural partnerships capability vs capacity exercises training opportunities strategic plan crosswalks It’s all about the relationships……….

5. Region 5 Overview 1 county, 1 tribe, joint military base, Camp Murray (National Guard/WAEMD), national park, port EM EMAP accredited Federal Coordinating Center/National Disaster Medical System WATF-1: US&R Team DMCC: Madigan backup regional planning groups EMS: Region 10 coalition merge (Pierce and King Counties) – dual county – shared medical markets

6. Region 4 Overview Region 4 – Southwest Washington – Clark, Cowlitz, Skamania, and Wahkiakum counties – Cowlitz Tribe Portland Metro Region: – Regional Disaster Preparedness Organization – Region 1 Health Preparedness Organization – Cities Readiness Initiative Organization – HCC partners, R4 Homeland Security, Region 4 DEM, R4 Public Health Governing Council – history of responding as a single region

7. Diversity across the regions Regional Preparedness – Specialty Planning – Alternate Care Facilities (ACF) – Medical Cache – Hospital Evacuation

8. Diversity across the regions Communications – WATrac, Washington System for Tracking Resources, Alerting, and Communications, – HEAR (Hospital Emergency Alert Radio) – WHEERS (Washington Hospital and EMS Emergency Radio System) – amateur radio (HAM operators) – infrastructure – social media

9. Diversity across the regions Disaster Medical Control Center (DMCC) – command & control vs support & coordination – Regional Incident Management Team (IMT) – competing interests (profit and non-profit) – patient tracking – bed tracking – MCI

10. Q&A Time Diversity across the regions – Disaster Medical Control Center (DMCC) command & control vs support & coordination – Communications WATrac, HEAR, WHEERS, infrastructure – Regional Preparedness caches, ACF, plans, etc How is this working (or not) in your region?

11. Thank you for your time and participation!