1. Gulf Coast Emergency Preparedness for Primary Care: A New Initiative for Organizational and Community Resilience 2016 RCC Conference February 24 th -25 th, 2016

2. Community resilience: What is it, and how does it apply to emergency response and health? Anita Chandra RAND Corporation

3. Today’s presentation Brief overview of community resilience What are key lessons and applications to emergency response and health Action steps in resilience

4. Why the focus on community resilience?

5. Community Resilience is Continually Developing The ongoing and developing capacity of the community to account for its vulnerabilities and develop capabilities that aid in: 1) preventing, withstanding, and mitigating the stress of an incident 2) recovering in a way that restores the community to a state of self-sufficiency and at least the same level of functioning after an incident 3) using knowledge from a past response to strengthen the community's ability to withstand the next incident

6. Strengthening community resilience is critical in a changing world

7. We pursued resilience thinking when traditional disaster response models were not enough Resilience vs. Preparedness

8. Community resilience acknowledges the intersection between individuals and organizations EMS Tribal Health Schools Animal Services Law Enforcement Corrections Faith Based NGOs Labs Social Services City Planners Transit Fire Civic Groups Employers Drug Treatment Elected Officials Mental Health Health center Public Health Dept Parks and Rec Nursing Homes Neighborhood Orgs. Home Health ADAPTED FROM: NACCHO (MAPP website): http://www.naccho.org/topics/infrastructure/MAPP/index.cfm

9. Community resilience requires building neighbor to neighbor reliance and organizational connection Individuals/families have the knowledge to prepare for and respond to disaster There are enough volunteers to help in a disaster Organizations are ready and prepared to respond and recover There are strong relationships between organizations People can rely on each other (neighbor to neighbor) RESILIENT COMMUNITIES

10. Resilient communities drive residents towards a resilience mindset Community Resilience Mindset

11. Today’s presentation Brief overview of community resilience What are key lessons and applications to emergency response and health Action steps in resilience

12. Health providers are key to resilience development Communicate with and educate diverse and often vulnerable populations Create opportunities for public engagement Serve as key linkage point for coordination

13. Community resilience has represented the intersection of Community Wellbeing Promotion and Emergency Preparedness Community Wellbeing Promotion Community Resilience Emergency Preparedness Routine surveillanceAssessment of population, structural vulnerabilities and assets Emergency risk assessment Community educationEducation about ongoing mitigation Risk communication Provision of direct services (e.g., immunizations, home visiting, social services) Ongoing assurance of health and social service access; skill building (e.g., PFA, economic supports) Provision of shelters, evacuation plans, mass prophylaxis Policy support re: community impact on health and wellbeing Policies that prepare for routine and emergency conditions Policy support re: disaster response and recovery

14. Today’s presentation Brief overview of community resilience What are key lessons and applications to emergency response and health Action steps in resilience

15. What are key lessons to health?

16. Health works across levers of resilience From RAND, Chandra et al. 2011

17. What activities are you doing to address the physical, emotional, and social well-being of your clients, community members? Do you have educational programs that discuss how health and wellness make it easier to address life shocks and stresses? Wellness

18. What barriers do your clients meet in order to get health, social, and financial supports? Do volunteering or other community service activities help to remove those barriers? Where do gaps continue? Access

19. Do your educational programs talk about resilience to life shocks and stresses? Do educational activities in your communities discuss different types of risk and how to reduce effects? Education

20. In what ways are vulnerable populations part of community plans? Do you have ways of mapping where vulnerabilities in the community exist—both to acute emergencies and long-term challenges? Engagement

21. Do you live in places where neighbors help neighbors? How well are organizations connected and coordinated to share resources, without external support? Self Sufficiency

22. What information do you track on resilience capacities and capabilities? Training Resources Outcomes after disaster Can the data systems talk to each other? Quality

23. Do organizations that provide routine services synch up with those who do traditional disaster response? What emergency preparedness activities could you do all the time, or vice versa (finding dual and triple benefit…)? Efficiency

24. Emergency Management 101 Kristin Stevens PCDC

25. Emergency Management Fundamentals Four Phases of Emergency Management Preparedness Cycle Incident Command System Trends

26. Four Phases of Emergency Management Mitigation Preparedness Response Recovery

27. Preparedness Cycle

28. Incident Command System Incident Commander Operations Section Planning SectionLogistics SectionFinance Section Liaison OfficerSafety Officer Public Information Officer Medical/Technical Specialist

29. Emergency Management Requirements Local Requirements State Requirements OSHA HRSA NFPA CMS The Joint Commission

30. Trends Community – Resilience – Coalitions and Partnerships Organization – Business continuity – Higher stakes

31. Building Sustainable Primary Care Capacity Advancing Emergency Management Capacity of Primary Care in the Gulf Coast

32. Introductions: The Partnership  GRHOP – LPHI  Primary Care Development Corporation  RAND Corporation  LA Primary Care Association  MS Primary Health Care Association  AL Primary Health Care Association  FL Association of Community Health Centers

33. Major Activities  Collecting information in PCA membership surveys for EM and CR  Integrating EM and CR strategies and standards into clinical Quality Improvement or Risk Management efforts  Identifying clinical quality data metrics to capture EM and CR capacity  Desire to create a clinical competency and TA model for PCAs to use with entire membership  Developing proposals for collaborative efforts across regional network

34. Project Timeline Final Evaluation & Commencement June - November 2017 Coaching & Capacity Building Phase March 2016 – May 2017 Discovery Phase & Curriculum Building February 2016 – June 2016 PCA Engagement October 2015 and Beyond RCC EM Initiative Planning Kick-Off December 2014 - September 2015

35. Questions?