11
Canterbury Health System
Response to Earthquake
Vulnerable People
22
Vulnerable People?Vulnerable People?
September 5September 5thth Issues keeping residential services Issues keeping residential services
operatingoperating ARC filled upARC filled up Awareness that many people not able to Awareness that many people not able to
be adequately supported through general be adequately supported through general community responsecommunity response
VP team establishedVP team established33
Team SelectionTeam Selection
Critical to successCritical to success Clinicians and ManagersClinicians and Managers
Sound practitionersSound practitioners Ability to exercise judgementAbility to exercise judgement Established relationshipsEstablished relationships Knowledge of health systemKnowledge of health system
Partners – ACC, MOH, LifelinksPartners – ACC, MOH, Lifelinks
44
Focus of ActivityFocus of Activity
2 ARC facilities with significant damage – 2 ARC facilities with significant damage – approximately 200 residents affectedapproximately 200 residents affected
Supported residential providers (not all health)Supported residential providers (not all health) Welfare centre support – ‘at risk’ peopleWelfare centre support – ‘at risk’ people Single Point of Entry into ARCSingle Point of Entry into ARC Evacuation of residentsEvacuation of residents Establishment of new respite facilities – hospital Establishment of new respite facilities – hospital
and communityand community CommunicationCommunication
55
What did we do well?What did we do well?
Whole of system response Whole of system response Team membership selection - Use existing expertise and Team membership selection - Use existing expertise and
grow/augment them – SPOE; Social Work; DON; P&Fgrow/augment them – SPOE; Social Work; DON; P&F Contact with ARC and MH providersContact with ARC and MH providers Relationships across DHB and other sectors pivotalRelationships across DHB and other sectors pivotal Connection and relationships with Primary care supported Connection and relationships with Primary care supported
speed of solutions and consistency of messagespeed of solutions and consistency of message Made use of existing tools to aid communication eg Made use of existing tools to aid communication eg
Health pathways and developed new ones - eldernetHealth pathways and developed new ones - eldernet Sector DebriefSector Debrief
66
What could we have done What could we have done better?better?
Get out to ‘at-risk’ providers earlier Get out to ‘at-risk’ providers earlier Communication Communication
Single reference point for all enquiries to Single reference point for all enquiries to avoid inconsistent adviceavoid inconsistent advice
Phone not the best toolPhone not the best tool
Practical knowledge/preparedness of Practical knowledge/preparedness of organisations and individualsorganisations and individuals
77
February February
Massive scaleMassive scale Immediate priorities – Immediate priorities –
Evacuation of Aged Residential Care Evacuation of Aged Residential Care residentsresidents
Provision of central contact (phone) point for Provision of central contact (phone) point for community community
88
VP team established VP team established Clinicians deployed to facilities Clinicians deployed to facilities Evacuations commenced (500 people) – Evacuations commenced (500 people) –
locally coordinated initiallylocally coordinated initially SPOE controlled access to ARC SPOE controlled access to ARC
immediatelyimmediately Residential Care contact commencedResidential Care contact commenced Logistics support commencedLogistics support commenced VP helpdesk establishedVP helpdesk established
99
Evacuation challenges – id, meds, nok, Evacuation challenges – id, meds, nok, mobility aids, mode of transport…mobility aids, mode of transport… Transit LoungeTransit Lounge
Lens for acceptable standard of careLens for acceptable standard of care ACC, DSS, EducationACC, DSS, Education Contact point for logistics help - water, Contact point for logistics help - water,
portaloos etc portaloos etc Conduit into other emergency teamsConduit into other emergency teams Door knocking support backupDoor knocking support backup Supported organisations and individualsSupported organisations and individuals
1010
VP longest operational phaseVP longest operational phase
Chemical ToiletsChemical Toilets After shocksAfter shocks Travel assistanceTravel assistance Repatriation Repatriation Support for vulnerable facilitiesSupport for vulnerable facilities Door knockingDoor knocking
1111
What we did wellWhat we did well
Whole system response and Whole system response and interconnectioninterconnection
Team membership – right people right Team membership – right people right skillsskills
Local and strong understanding of systemLocal and strong understanding of system Urgent implementation of previous Urgent implementation of previous
planned strategies supporting response planned strategies supporting response
1212
Lessons LearnedLessons Learned
Everyone needs an emergency plan!!Everyone needs an emergency plan!! Standard responses may meet the needs of many Standard responses may meet the needs of many
but not everyonebut not everyone Importance of establishing systems and processes Importance of establishing systems and processes
in advance where possiblein advance where possible Communication +++ (txt is best)Communication +++ (txt is best) Disability and health systems and relationships Disability and health systems and relationships
different different Know what you donKnow what you don’’t know and know the people t know and know the people
that do that do
1313
ResourcesResources
www.eldernet.co.nzwww.eldernet.co.nz
www.cdhb.govt.nz/planning/ www.cdhb.govt.nz/planning/
Our Health System is based on trusted relationships.