King County Healthcare Coalition

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King County Healthcare Coalition. Agenda. Public Health Perspective Emergency Management Public Health - Coalition Partnership Healthcare Coalition Roles & Responsibilities Membership & Governance. Public Health Perspective. Public Health Perspective. - PowerPoint PPT Presentation

Text of King County Healthcare Coalition

  • King County Healthcare Coalition

  • AgendaPublic Health PerspectiveEmergency ManagementPublic Health - Coalition Partnership Healthcare CoalitionRoles & ResponsibilitiesMembership & Governance

  • Public Health Perspective

  • Public Health PerspectiveThe Challenge - Catastrophic DisastersMajor earthquake or other natural disastersBioterrorist attackPandemic FluScenariosOverwhelm our normal capacity and capabilitiesRequire a coordinated community response

  • Public Health PerspectiveStrengthening our Health Care Emergency Response SystemAll HazardsInfrastructure CommandCommunicationsCoordination

  • Public Health Perspective

    King County Emergency Response System Chain of command - County ExecutiveIncident Command StructureCoordination through Emergency Operations Centers (EOCs)Communications through Joint Information Centers (JICs)

  • tier 6: Support to state and local

    tier 5: Management, coordination & mutual support

    tier 4: Management, coordination and support to jurisdictions

    tier 3: Jurisdiction incident management, medical IMS and emergency support

    tier 2: Information sharing, cooperative planning & mutual aid

    tier 1: Healthcare asset management

    Federal Response Interstate Regional CoordinationWashington State GovernorSecretary, Dept. of Health

    Public Health Emergency Operations Center Facilitate and support medical resource requestsProvide health situation reports to external partnersCoordinate Public Health Response: Environmental Health, Surveillance, EMS, Medical Examiner, Risk Communications, Local Health OfficerMake Policy DecisionsRegional Communications & Emergency Coordination Ctr. Assemble and coordinate county assets to support requests from ESF-8/Public HealthCoordinate Joint Information CenterKing County Executive Make Policy Decisions

    Individual Healthcare Organizations EOCs Manage care delivery and resourcesImplement operations changes as advised Provide resource needs and situational updates to resource centerCurrent Response Structure

  • Public Health PerspectiveCharacteristics of successful health care emergency response systemEffective partnershipsAcross jurisdictions - Federal, State, County, citiesPublic-privateClearly defined and understood authorities & accountabilities, roles & responsibilitiesAdequate resourcesFlexible plans

  • Public Health PerspectiveStrengthsCounty emergency management system is in placePublic Health, local hospitals, and emergency management partners have been engaged in planning and preparedness effortsStrong health care assets, 911 and emergency medical system, Hospital Control

  • Public Health PerspectiveWeaknessesResponse system may be inadequate for catastrophic disastersPlanning has been hospital-centric, not health care system-orientedLimited capacity in the healthcare system, not set up for surge in demandcapital intensiveprofessional staff shortages

  • Public Health PerspectiveObjectivesBuild emergency response capability across all sectors of the health care systemStrengthen coordination and communications among health care providersCreate more effective structures and processes that strengthen the public-private partnershipBetter prepare for catastrophic events

  • Public Health PerspectiveStrategiesSupport the creation of the Healthcare Coalition and a Regional Medical Resource Center to ensure more effective communications and coordination Engage broad array of health care organizations in emergency preparedness effortsLead community-wide planning for pandemic flu

  • tier 6: Support to state and local

    tier 5: Management, coordination & mutual support

    tier 4: Management, coordination and support to jurisdictions

    tier 3: Jurisdiction incident management, medical IMS and emergency support

    tier 2: Information sharing, cooperative planning & mutual aid

    tier 1: Healthcare asset management

    Federal Response Interstate Regional CoordinationWashington State ResponsePublic Health Emergency Operations Center Facilitate and support medical resource requestsProvide health situation reports to external partnersCoordinate Public Health Response: Environmental Health, Surveillance, EMS, Medical Examiner, Risk Communications, Local Health OfficerMake Policy DecisionsRegional Communications & Emergency Coordination Ctr. Assemble and coordinate county assets to support requests from ESF-8/Public HealthCoordinate Joint Information CenterKing County Executive Make Policy Decisions

    Regional Medical Resource CenterCoordinate and manage hospital based and non-hospital based resources and communicationsRepresent hospital and non-hospital based medical resource requests and situational updates to Public Health EOC Healthcare Coalition Executive Council Provide policy consultation to LHO Provide oversight of coordination and communications among Coalition members

    Individual Healthcare Organizations EOCs Manage care delivery and resourcesImplement operations changes as advised Provide resource needs and situational updates to resource centerCOALITIONTiered Response Structure

  • Healthcare Coalition Purpose

    The Healthcare Coalition is a network of health care organizations and providers in King County. The mission of the Coalition is to reduce the burden of illness, injury, and loss of life in the event of an emergency or disaster through coordinated emergency preparedness and response.

  • Coalitions Role in Emergency Preparedness and Response CommunicationsProviders, patients, employeesAcross health care organizations CoordinationResource sharingSystems approach to problem-solvingConsultationAdvisors to public officials

  • Coalition Responsibilities

    Expand the health systems emergency response capacity through information and resource sharingCoordinate the health systems emergency response through effective communicationsIntegrate the health systems response into the larger regional emergency responseAdvise public officials on health policy matters during emergencies

  • Coalition Membership

    Inclusive model - open to all health care organizations providing services in King CountyInitial membership acute care hospitals, large medical groups, selected associations30 invitations, 26 formal acceptancesAdditional membersadd organizations, encourage representative participation, e.g. local chapter of Washington Association of Homes & Services for the Aged

  • Current Membership RosterAuburnChildrensCommunity Health CouncilEvergreenEnumclawGroup HealthHarborviewHighlineKing County Medical SocietyNorthwestOverlakePacific Medical CentersPoly Clinic

    Public HealthPuget Sound Blood CenterRegional HospitalSCCA (Cancer Alliance)St. FrancisSwedishUW Medical CenterUW Physicians NetworkValley VA Puget SoundVirginia MasonWashington Poison CenterWSHA (Hospital Association)

  • Coalition Membership

    Benefits for MembersOpportunity to participate actively in county-wide emergency preparedness planningOpportunity to advise local public officials about policy matters in emergency planning and responseStrengthened ability to advocate for resources and regulatory changes to support effective emergency preparedness and responseAccess to timely informationAccess to an organized system for resource sharing

  • Coalition Membership

    Expectations of MembersShare information that is relevant for emergency planning and response, including information about available capacity and resourcesParticipate in coordinating and sharing resources through the Regional Medical Resource Center or other Coalition-sponsored mechanismsParticipate in Coalition-sponsored preparedness activities, including training and drills

  • Coalition Membership

    Expectations of MembersHave current emergency preparedness plansOperate under an Incident Command Structure during emergencies Have a designated person who is responsible for emergency preparedness and response efforts

    Financial contributions may be needed to support planning and/or Regional Medical Resource Center

  • Healthcare Coalition Executive Council

    The Executive Council is made up of Representatives from:

    Hospitals

    Public Health

    Home Health

    Mental Health

    Long-term Care

    Community Health Clinics

    Medical Groups

    Ambulatory CareWorkgroup

    Critical Care Workgroup

    Regional Medical Resource Center

    Region 6-Hospital Emergency Preparedness Committee

    Healthcare Coalition Members

    Healthcare Coalition

    Governance

  • Coalition GovernanceCurrent StructureExecutive Council - governs Coalition, provides oversight to Regional Medical Resource Center and work groups, reviews preparedness activities in health care sector, advises public officials on emergency health policy mattersCouncil members - executive-level representatives from Coalition member organizationsChairs - volunteersMeetings - 4 - 6 times a yearSteering Committee - initial organizing, members selected by Public Health Officer, meets as needed

  • Coalition GovernanceProposed Future StructureExecutive Council - no change in responsibilitiesCouncil members - executive-level representatives from sectors of health care system, e.g. hospitals, multi-specialty medical groups, single-specialty and solo practitioners, mental health, home health, long-term care, dentalChairs - elected by Executive Council membersSteering Committee - will not be neededCoalition will hold full membership meetings 2-3 times a year, or as needed

  • Priorities Coalition PrioritiesSurge Capacity PlanningAcute and critical careAmbulatory, home health, and mental health careAlternate fa