Preparing for Terrorism Tools for Evaluating the Metropolitan Medical Response System Program (2002) / Chapter Skim
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4 Metropolitan Medical Response System Program Contracts
4 Metropolitan Medical Response System Program Contracts
Pages 66-74
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From page 66... ...
First, unlike many federal programs of assistance to state and local governments that provide funds by means of grants or cooperative agreements, OEP chose to use contracts as the mechanism for providing funds to participating MMRS program cities. The distinguishing characteristic of contracts is the level of detail provided in the "statement of work." Unlike grants, which often support desired processes and activities without specifying the expected product in any detail, contracts focus more closely on the products ("deliverables" in government jargon)
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From page 67... ...
These personnel, usually a subset of emergency personnel that is tailored to each city, receive training on military chemical and biological agents; specialized protective, detection, diagnostic, decontamination, communications, and medical equipment; antidotes, antibiotics, and other pharmaceuticals and medical supplies; and enhanced emergency medical transport and emergency department capabilities. The program seeks to enhance capabilities in other areas as well, including threat assessment, public affairs, epidemiological investigation, expedient hazard reduction, mass-casualty care, mental health support, victim identification, and mortuary services.
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From page 68... ...
, focused in large measure on augmenting existing hazardous material (hazmat) and emergency medical services in the event of an obvious multivictim attack involving a chemical weapon, has evolved into support for a wider-ranging system for responding to a variety of terrorism incidents.
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From page 69... ...
representation from major receiving hospitals, local and state emergency management, Local Emergency Planning Committees, National Guard, local and state public health departments (infectious disease representation) , mental health, the 911 system, poison control centers, Medical Examiner, local lab representation, police/FBI [Federal Bureau of Investigation]
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From page 70... ...
The MMRS should develop plans: for command and control, for notification and alert procedures, for management of public affairs, for provision of accurate and timely information, for centralized communication control, for control of transportation assets, for management/augmentation of medical personnel, for management of medical supplies and equipment, for emergency management of legal issues and credentialing, for emergency management of patient tracking/record keeping, for augmentation of epidemiological services and support, for laboratory support, for crowd control, protection of treatment facilities and personnel, for establishing a schedule for exercises, and for assigning responsibility for afteraction reports and addressing report findings. Mental health services should be designed for the care of emergency workers, victims and their families as well as others in the community who need special assistance in coping with the consequences of this type of event.
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From page 71... ...
is a component of your MMRS Plan, develop a component of the MMRS Plan for MMST capability that includes its mission statement, organization, membership, and concept of operations. Included in this operational plan shall be provisions for its activation, deployment, CBR agent identification, extraction of victims from the incident site, antidote administration, human decontamination, triage and primary care, and preparation of victims for transportation to definitive care facilities with sufficient supplies of appropriate antidotes to assure adequate treatment.
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From page 72... ...
Key components of this plan include plans for rapid expansion of existing healthcare system capacity, and plans for taking care of people in excess of either existing or expanded capacity.
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From page 73... ...
, paramedics, vehicle drivers, emergency department and other hospital personnel who will be providing care to victims of a WMD incident. In the event that the DOD Domestic Preparedness training has been provided to the city, the contractor should indicate how the training received, including FEMA/DOf training, will be integrated into meeting the initial training requirements as well as continuing education and other refresher training needs.
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From page 74... ...
are: a detailed list of equipment and pharmaceuticals acquisitions, continued monthly progress reports, and a final addendum to the primary MMRS plan certifying that the MMRS is operational. Carry out remaining actions that are required to assure that the MMRS is operational, including acquisition of pharmaceuticals and equipment as identified, planned and approved in deliverable #10.
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