Mass Fatality Management Guide for Healthcare Entities
Slide 2
AGENDA Project Overview History Goal and Objectives Methodology
Guide Review Scope Organization Content Next Steps Implementation
3
Slide 3
Mass Fatality Management Guide for Healthcare Entities 4 2008
MFI GUIDE REVIEW The 2008 goal was to develop a guidance document
for hospitals to enhance the ability of Los Angeles County and its
healthcare partners to manage a surge in the number of decedents as
a result of pandemic flu outbreak Developed by EMS, Coroner and
DPH
Slide 4
Mass Fatality Management Guide for Healthcare Entities
2011-2013 GOAL AND OBJECTIVES Revise/Enhance Guide Brings in best
practices/lessons learned Expanded throughout 2012 Provides
specific, tangible, and quantifiable recommendations Tested during
Statewide exercise Provides an accompanying online toolkit Expanded
as part of vetting process Addresses the nexus between healthcare
entities, and other local agencies in the fatality management
planning process Tested during Statewide Medical and Health
Exercise Addresses the legal and regulatory issues 4
Slide 5
Mass Fatality Management Guide for Healthcare Entities
RELEVANCE TO OTHER MASS FATALITY RESOURCES The 2008 version was
consistently recognized as one of the best resources available on
mass fatality management at the time of its release. It is
regularly referenced in other jurisdictional mass fatality plans
The new version is a benchmark in mass fatality planning efforts
4
Slide 6
Mass Fatality Management Guide for Healthcare Entities
METHODOLOGY Identify Key Stakeholders Project Oversight Group
Interviewees/SME Reviewers Timeline: September 2011 to January 2013
6
Slide 7
Mass Fatality Management Guide for Healthcare Entities BASE
Acknowledgements Overview Background, Scope, Objectives Guide
Development Process How to Use Guide Plan Development Writing the
Plan Training, Exercise Special Considerations Activation Tiered
Escalation Levels Logistics, Staffing Notify Stakeholders JIT,
Initial Briefing Operation NOK Notification Decedent
Identification, Processing, Transfer, Tracking Demobilization
Slide 8
Mass Fatality Management Guide for Healthcare Entities
APPENDICES Community-wide Response Matrix Key contacts HIPAA
Security Internet Resources Refrigeration Truck Storage Mental and
Behavioral Health Resources Religious and Cultural Resources Fact
Sheets Glossary Acronyms 8 ONLINE RESOURCES Mass Fatality
Management Guide for Healthcare Entities Forms Triage Tag Training
Mass Fatality Management Plan Template Job Action Sheet Guide Slide
Presentation ONLINE RESOURCES Mass Fatality Management Guide for
Healthcare Entities Forms Triage Tag Training Mass Fatality
Management Plan Template Job Action Sheet Guide Slide
Presentation
Slide 9
Mass Fatality Management Guide for Healthcare Entities KEY
SECTION REVIEW Plan Activation Key Position Checklist
Physician-in-Charge Concept Witness Form Decedent Processing Death
Certificates & CA-EDRS Decedent Tracking Decedent Handling and
Storage Community-wide Response Matrix Refrigeration Truck Storage
Religion and Culture Fact Sheets
Slide 10
Mass Fatality Management Guide for Healthcare Entities PLAN
ACTIVATION Identify triggers for plan activation & escalation
Plan activation likely in concert with ICS activation Actions
organized via six step process Staffing Guidelines Organized by
facilities with/without morgues and escalation tier
Slide 11
Mass Fatality Management Guide for Healthcare Entities KEY
POSITION CHECKLIST Decedent Affairs Group Supervisor Based on HICS,
can (and should!) be tailored Developed as part of larger emergency
response approach Tasks in chronological order
Slide 12
Mass Fatality Management Guide for Healthcare Entities
PHYSICIAN-IN- CHARGE Certain physicians are designated to sign
death certificates NOT for Coroners cases Most MFIs involve Coroner
cases May pertain to widespread communicable disease events ADMIN
STAFF Gather as much information as possible regarding patient
Witness Form
Slide 13
Mass Fatality Management Guide for Healthcare Entities DECEDENT
PROCESSING Organized in two steps Step 1 Understand process Step 2
Identify ways to expedite Flow chart provided DEATH CERTIFICATES
AND CA-EDRS Organized in two steps Step 1 Understand & document
death certificate parameters Non-Coroners case process Coroners
case process Step 2 Identify ways to expedite See Fact Sheets Death
Certificates CA-EDRS County Public Administrator
Slide 14
Mass Fatality Management Guide for Healthcare Entities DECEDENT
TRACKING Organized in four steps Step 1 Understand tracking process
for your facility MCI Example Step 2 Document process Hospitals w/
ReddiNet MCI module Hospitals w/o ReddiNet MCI module Medical
Clinics SNFs Step 3 Identify ways to direct decedents to mortuaries
Step 4 Identify ways to accommodate NOK who cannot pay
Slide 15
Mass Fatality Management Guide for Healthcare Entities DECEDENT
HANDLING AND STORAGE Organized in four steps Step 1 Determine your
surge storage capacity See Surge Storage Capacity Assessment Step 2
Ensure decedent handling processes are in place Step 3 Expand surge
capacity Primary morgue Unused service areas External morgues
Temporary burial (ONLY when directed by Coroner) Step 4 Ensure
P&P
Slide 16
Mass Fatality Management Guide for Healthcare Entities
COMMUNITY-WIDE RESPONSE MATRIX High-level roles/responsibilities
matrix Healthcare partners, and local, State, Federal partners Tool
for healthcare entity partners to enhance understanding of their
role in a community-wide response
Slide 17
Mass Fatality Management Guide for Healthcare Entities
REFRIGERATION TRUCKS FOR STORAGE Capacity # of decedents that can
be stored by truck size NOT for transportation storage only
Increase capacity with shelving Procurement Can procure own Can
request via NIMS/SEMS Information to provide Reimbursement
Requesting facility to pay HPPs MAY qualify for reimbursement
Slide 18
Mass Fatality Management Guide for Healthcare Entities RELIGION
AND CULTURE Organized in two steps Step 1 Obtain and include
information regarding death practices Tailor for your population
Sample material included Step 2 Confer with cultural and religious
organizations in your area FACT SHEETS Death Certificates CA-EDRS
Health risks County Public Administrator Recommendations
Considerations Decomposition
Slide 19
Mass Fatality Management Guide for Healthcare Entities NEXT
STEPS Guide implementation See Plan Development Section Review
existing policy Review Guide Revise facility mass fatality plan
based on Guide 9
Slide 20
Mass Fatality Management Guide for Healthcare Entities