Healthcare Systems Analysis for Elders During Disasters Presented to the Florida Emergency...

Healthcare Systems Analysis for Elders During Disasters

Presented to theFlorida Emergency Preparedness Association

 Mid-Year Work Session

July 18, 2012Clearwater, Florida

Project TeamRay Runo, Project DirectorSenior Planning Consultant, Disaster Strategies & Ideas Group (DSI)

LuMarie Polivka-West, Sr. Director of Policy Florida Health Care Association (FHCA)

Robin Bleier, President - RB Health PartnersChair, FHCA Quality Foundation Emergency Preparedness Council

April Henkel, Project ManagerFlorida Health Care Association (FHCA)

Project Planning Assumptions• Elders Defined (over 60)

• Healthcare Systems (health & well-being)

• Individuals are unique - common care & support services

• Condition & needs will change over the term of the disaster (decompensation)

• Care services & support will be limited, temporarily unavailable, or absent

• Expect negative outcomes when continuum is disrupted or broken

• Whole of Community - Resiliency• Augmentation or Replacement Strategies

Project Overview• Project Purpose:

To identify and examine stakeholder roles and responsibilities, and the interdependent and independent functional relationships for providing care and support for elders during disasters.

• Three Phases:• Phase 1 - Analysis of Roles &

Responsibilities• Phase 2 - Gap Analyses & Continuum

of Care• Phase 3 - Planning, Training, &

Exercise

Project Overview – Phase 1• Analysis of Roles &

ResponsibilitiesEstablish CORE Planning Team

Identify Stakeholder Communities, Representative Stakeholders & develop survey instrument

Conduct Stakeholder Workshops (5)

Collect data - Stakeholder Profile Survey

Project Overview – Phase 2

• Gap Analyses & Continuum of Care

Build on the knowledge learned in Phase I

Develop the Gap Analysis Methodology

Conduct Gap Analyses

Stakeholder Work Sessions (TBD)

Develop a Continuum of Healthcare for Elders During Disasters

Project Overview – Phase 3

• Phase 3 - Planning, Training, & Exercise

Integrate Stakeholder Communities into local/state systems & provide project tools to local communities

Provide planning resources & guidance

Conduct plan development workshops

Provide guidance, direction, & access to training

Conduct Tabletop Exercises

Stakeholder Profiles

• Summarizes a stakeholder organization’s functions, services, supports & commodities/supplies provided to elders, as well as the stakeholder’s disaster-related roles & responsibilities

• Documents the manner in which normal/routine functions, supports & commodities/supplies are provided during disaster conditions

• Documents the specific disaster roles & responsibilities of individual stakeholders & stakeholder communities

Use of Stakeholder ProfilesBy Individual Stakeholders:

To help form planning partnerships and build relationships to ensure that the complex health and medical needs of elders in their community are met during disasters.

By the Project Team: To serve as a baseline for developing the

Continuum of Healthcare for Elders During Disasters

To complete gap analyses relative to roles & responsibilities, preparedness & response

Use of Stakeholder Profiles

By local community leaders and planners:To better understand the roles and responsibilities of the stakeholders providing care, support, services, and commodities/supplies to elders in their communities during disasters.

By local emergency managers: To help ensure that the continuum of healthcare services and supports for elders is maintained during disasters.

Continuum of Healthcare for Elders During Disasters

• A Complex System of Care, Support, and Services for Elder Adults (Health & Well Being)◦ Normal/Routine Conditions◦ Disaster Conditions

• Stakeholder Profiles – “Building Blocks”• The “Continuum” is structured utilizing

the dependencies and interdependencies of local stakeholders

Continuum of Healthcare for Elders During Disasters

• The Continuum will describe the roles and responsibilities of individual stakeholders that contribute to the health and well-being of Florida’s elder population during disasters.

• The Continuum will reflect the functional roles and responsibilities, relationships, dependencies, and interdependencies that link the system together on behalf of elders during disasters.

Continuum of HealthcareA Complex System

Individual Elder

Independent

Living

Home Healthc

are Family Support Systems

Full-Time Care

Facility

Assisted Living

Congregate Community

Community Support Services

Medical Support Systems

Utilities

Food & Water

Social Support Services

Faith Based

Support

Transportation

Systems

Medications

Medical Equipment & Supplies

Mr. Bleier – Independent Living?

Continuum of HealthcareNormal (Sunny) Day

Elder Living Independentl

y…with

Complex

Co-Morbidi

ties

Family Support Systems

Community Support Systems

Support Services

Medical Support Systems

Transportation

SystemsFood and

Water

Social Support Services

Faith Based

Support

Utilities

Medications

Medical Equipment & Supplies

Continuum of HealthcareDisaster (Rainy Day)

Elder Living

Independentlywith

Complex

Co-Morbidi

ties

Family Support Systems Communit

y Support Services

Medical Support Systems

Transportation

Systems

Food & Water

Medications

Social Support Services

Faith Based

Support

Utilities

Continuum of HealthcareAreas of Increasing Vulnerability

Elder Continues to Decompensat

e

Family Support Systems Communit

y Support Services

Medical Support Systems

Transportation

Systems

Food & WaterMedic

ations

Social Support Services

Faith Based

Support

Utilities

Shelter Support

Project OutcomesProvide information on stakeholder roles &

responsibilitiesDescribe stakeholder dependencies &

interdependenciesProvide resources, best practices, definitions,

acronyms, and planning tools to stakeholdersIntegration of elder care system stakeholders

into local & state emergency management systems

Provide a tool for developing a local continuum of care that supports elders during disasters (examples, directions)

We Need Your Input & SupportHelp us to identify additional

community stakeholders – who’s missing?

Encourage stakeholders in your communities to complete an online profile

Share your best practices for integrating elder care stakeholders into your preparedness & response systems

Thank You

for your assistance and support!

We’ll keep you updated on the status of the project.

Questions / Commentsrobin@rbhealthpartners.com

rayruno@gmail.com