PowerPoint Presentation

Bill Mangieri CBCP, CHEPRegion VI Field Project OfficerASPR/OEM/NHPPHealthcare COOP to RecoveryIn120 MinutesUnited States Department ofHealth & Human ServicesOffice of the Assistant Secretary for Preparedness and Response

ASPR: Resilient People. Healthy Communities. A Nation Prepared.1COOP to Recovery AgendaReview of Common TerminologyReview of Federal Guidance for COOP & RecoveryElements of a Viable Healthcare COOP Capability.Review of Healthcare Essential FunctionsOrders of Succession ExerciseDelegation of Authority ExerciseContinuity Facilities ExerciseContinuity Communications ExerciseEssential Records Management ExercisePre-Incident Disaster Recovery Stakeholder EngagementPost-Incident Disaster Recovery Roles & Responsibilities

Business Continuity vs. Continuity of Operations3Business Continuity- The ability of an organization to provide service and support for its customers and to maintain its viability before, during, and after a business continuity event.

Continuity of Operations- to ensure that Primary Essential Functions (PEFs) continue to be performed during a wide range of emergencies, including localized acts of nature, accidents and technological or attack-related emergencies.Healthcare Sector Disaster Recovery4Those capabilities necessary to assist healthcare sector partners affected by an incident to recover effectively, including, but not limited to:Restoration of health care service delivery.Health workforce availability.Rebuilding health care sector community/facility critical infrastructure.Reconnecting a disrupted healthcare supply chain.Restoration of full service availability of the medical/non-medical transportation system.Restoration of healthcare sector information technology and communications systems that support critical business functions.Restoration of healthcare sector administrative & financial systems.COOP & RecoveryFederal Guidance

5

Stakeholder Vetting and EngagementA wide ranging and diverse group of stakeholders were engaged in developing, revising, and aligning the eight (8) Healthcare Preparedness Capabilities. This group included subject matter experts from within HHS as well as other national professional organizations within healthcare and public health. The Federal agencies actively involved in the alignment process included the HHS Office of the Assistant Secretary for Preparedness and Response, CDCs Office of Public Health Preparedness and Response (OPHPR) and Division of State and Local Readiness (DSLR), DHS Federal Emergency Management Agency (FEMA) and Office of Health Affairs (OHA), and the U.S. Department of Transportations National Highway Traffic Safety Administration (NHTSA). In addition, ASPR and DSLR collaborated with national partners such as the American Hospital Association (AHA), Association of State and Territorial Healthcare Officials (ASTHO) and the National Association of County and City Health Officials (NACCHO) to engage the state and local healthcare and public health community. This dynamic and collaborative process began in 2011 when ASPR and CDC representatives and other subject matter experts began working closely together to develop aligned Healthcare Preparedness Capabilities, Functions, Tasks, and Resource Elements. ASPR and the CDC held weekly subject matter expert capability working groups to develop recommendations for the scope of the selected capabilities, capability functions, and resource elements for each capability. Their work was extensively vetted with many key stakeholders throughout the process.

5Health Care Service DeliveryPrimary Essential FunctionDefinitive Goal: The provision of health care continuity provided in all inpatient and outpatient environments. Emergency Care, Surgical, Dialysis, Lab, Imaging etc.

Implications if not conducted: This primary essential function cannot be deferred.

Primary Interdependencies: Health Workforce, Critical Infrastructure

Recovery Time: 4hrs-96hrs

Health WorkforceEssential FunctionDefinitive goal: The ability to deploy a credentialed health workforce to provide patient care to support health care service delivery in all environments.

Implications if not conducted: will have a direct effect on healthcare service delivery.

Primary Interdependencies: Critical InfrastructureNon-Medical Transportation

Recovery Time: 12hrs-96hrs

Critical InfrastructureEssential FunctionDefinitive Goal: Fully operational critical community/facility infrastructure including power, water, and sanitation etc., to support patient care environments.

Implications if not conducted: limited contingency support to health care service delivery.

Primary Interdependencies: Healthcare Workforce, Supply Chain, Non-Medical Transportation.

Recovery Time: 4hrs-96hrsHealthcare Supply ChainEssential FunctionDefinitive Goal: Full access to the healthcare supply chain including medical & non-medical supplies, pharmaceuticals, blood products, industrial fuels and medical gases, food etc.

Implications if not conducted: may need to activate contingency plans for conservation of medical and non-medical supplies.

Primary Interdependencies: Non-Medical Transportation, Healthcare Workforce, Critical Infrastructure.

Recovery Time: 36hrs-96hrs

Medical & Non-Medical TransportationDefinitive Goal: Fully functioning medical and non-medical transportation system that can meet the operational needs of the healthcare sector during the response and continuity phases of an event.

Implications if not conducted: Ability to provide patient movement to medical surge operations may effect health care service delivery.

Primary Interdependencies: Health Care Service Delivery, Critical Infrastructure, Supply Chain, Health & Non-Health Workforce.

Recovery Time: 4hrs-72hrsInformation Technology & CommunicationsDefinitive Goal: Fully functional information technology and communications infrastructure that supports high availability of the healthcare sectors data management and information sharing capability.

Implications if not conducted: healthcare IT support to patient care and incident management support will be effected by the disruption of this essential function.

Primary Interdependencies: Critical Infrastructure, Healthcare Workforce, Supply Chain.

Recovery Time: 4hrs-72hrsHealthcare Administrative & FinancialDefinitive Goal: Fully operational administrative and financial capability including maintaining & updating patient records, adapting to disaster recovery program requirements, safety & security, payroll continuity, supply chain financing, claims submission, losses covered by insurance and legal issues.

Implications if not conducted: disrupted administrative and financial essential function will effect patient care records management and may impair ability to transition into short-term and long-term recovery phases of an event without significant restoration challenges.

Primary Interdependencies: Critical Infrastructure, Information Technology & Communications, Supply Chain, Healthcare Workforce.

Recovery Time: 24hrs-96hrsOrders of Succession ExerciseWrite down key position titles and their associated successors in the event principal leadership cannot perform authorized duties.Key Position(Position Title)Successor 1Successor 2Successor 3LeadershipLeadershipLeadershipOperationsPlanning Logistics Finance/AdminDelegation of Authority ExerciseWrite down who has the legal authority to act on behalf of your organization for specific purposes and to carry out specific duties.AuthorityPosition Holding AuthorityPosition DelegatedAuthorityTriggering ConditionsClose FacilityWhen conditions make coming to or remaining in the facility unsafe.Represent Agency/Organization when engaging Govt. OfficialsWhen the pre-identified senior leadership is not available.Activate Agency/OrganizationMOUs/MAAsWhen the pre-identified senior leadership is not available.Continuity Facilities ExerciseIdentify Environments of Opportunity to conduct coalition business when normal host facility is unavailable to conduct operations.Continuity FacilityType of FacilityLocation of FacilityAccommodationsABC HospitalAlternate Site1234 Medical Center Drive, Niceville, USAHot Site, Identified meeting room with telephones internet access, ham radio access, satellite radio access, 2 desktop computers, laptop connectivity.County EOCAlternate Site7000 Disaster WayMy Town, Gotham CityWarm Site, Possible meeting room with telephones, internet access, shared ham radio capability, shared satellite phone capability, No desktop computers, laptop connectivity.Home TeleworkDevolution SiteHome of Record HCC LeadershipWarm Site, telephones, internet access, no ham radio, no satellite phone, desktop computers, laptop connectivityContinuity Communications ExerciseEssential Records Management ExerciseWrite down the top 3 types of coalition related essential records you would want access to at all times.Examples:Coalition member POC contact listCoalition member alternative communications contact informationCoalition member home phone numberDisaster equipment inventory listsCoalition member home addressesCoalition State Health Authority contactsCoalition member organizational leadership contactsCoalition member disaster training recordsCoalition member organizational vendor listsCoalition member MOUs/MAAs

Healthcare Disaster Recovery18Pre-Incident Disaster Recovery Stakeholder EngagementWrite down 3 coalition based examples of pre-incident disaster recovery stakeholder engagement activities. Think of how to effectively engage the following healthcare sector partnerships in healthcare system recovery planning:

Individual & Household Healthcare ConsumerHealthcare Supply Chain, Critical Infrastructure PartnersProfessional, Faith-Based, Disaster Recovery OrganizationsLocal GovernmentState GovernmentTribal GovernmentFederal Government

Post-Incident Disaster Recovery Roles & ResponsibilitiesDiscussion questions:In what ways can a healthcare coalition advocate for its member facilities to support health care service delivery restoration?In what ways can a healthcare coalition advocate for its members to receive priority critical infrastructure restoration and reconstruction?In what ways can a healthcare coalition advocate for its members when federal disaster recovery program requirements are modified?In what ways can a healthcare coalition advocate for its members to determine eligibility for federal and state disaster recovery assistance?Bill Mangieri CBCP,CHEPRegion VI Field Project OfficerNational Healthcare Preparedness ProgramOffice of Emergency ManagementAssistant Secretary for Preparedness & ResponseWilliam.Mangieri@hhs.govThank You!United States Department ofHealth & Human ServicesOffice of the Assistant Secretary for Preparedness and Response

ASPR: Resilient People. Healthy Communities. A Nation Prepared.