Regional Disaster Response Coordination to Support Health Outcomes Information Sharing and Incident Management: Workshop in Brief (2014) / Chapter Skim
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Regional Disaster Response Coordination to Support Health Outcomes: Information Sharing and Incident Management - Workshop in Brief
Regional Disaster Response Coordination to Support Health Outcomes: Information Sharing and Incident Management - Workshop in Brief
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To explore these considerations, the Institute of Medicine's Forum on Medical and Public Health Preparedness for Catastrophic Events organized three regional workshops in 2014 to explore opportunities to strengthen the regional coordination required to ensure effective medical and public health response to a large-scale multijurisdictional disaster.1 The purpose of each regional workshop is to discuss potential mechanisms to strengthen coordination between multiple jurisdictions in various regions to ensure fair and equitable treatment of communities from all impacted areas. Each of the three workshops covers different topics that may strengthen regional disaster response.
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OEMC closely partners with local, regional, state, and federal partners to integrate operations. "OEMC's success stems from the integration of emergency management into its organizational structure," said Schenkel, "which mitigates many events and activities that would normally be considered emergencies down to routine." In addition to its partnerships with local public service departments, OEMC maintains a public–private partnership, the Facility Information Management System (FIMS)
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Gupta explained that this large operation was organized by an interagency task force that included representatives from the CDC, Environmental Protection Agency, Federal Emergency Management Agency (FEMA) , Department of Environmental Protection, National Institutes of Health, National Guard, West Virginia governor's office, the WV-American Water Company, city and county governments, local boards of education, hospital systems, law enforcement, and local health departments.
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Using Data to Augment Situational Awareness and Incident Management The mining and pulling of information up from the ground level can be very informative as decision makers try to correctly allocate resources and direct responders to varying needs. As preparedness funding across the country continues to decline and the lack of uniformity around data reporting and interoperability persists, a few participants outlined some opportunities in this area moving forward: • Dan Hanfling, Senior Advisor at Inova, suggested participation in an open source information move ment7 and possibly tying this to funding as a potential incentive.
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Boston's Medical Intelligence Center, currently a unique concept, was created in 2009 to coordinate all members of the medical community including state and local public health, EMS, and city and regional hospitals, and has since grown to include business associations and the private sector in the region. The Medical Intelligence Center is also linked to their law enforcement fusion center, called the Boston Regional Intelligence Center, which coordinates information flow across nine jurisdictions in the metropolitan area.
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Given the complexity of coordinating preparedness activities across multiple sectors and levels of jurisdiction, several participants discussed a few opportunities to enhance information management and communication across sectors related to disaster preparedness: • Involving the leadership of health care organizations remains an ongoing challenge, said Michael "Mac" McClendon, Director of the Office of Public Health Preparedness and Response with Harris County Public Health and Environmental Services in Houston, Texas. Many C-level executives may not be concerned about resources and planning for a disaster until it occurs to their facility or within their region.
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At that time, no integrated system existed to assist with the flow of information from a neighboring state, to hosting state, to local receiving jurisdiction, causing conflicting information to reach local personnel in Harris County. While not an ideal solution, Texas State Department of Public Safety sent spotter helicopters along the interstate to gather correct intelligence about what the county should plan for arriving.
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In any chaotic situation or disaster, accurate communication among so many stakeholders will be a challenge. However, as discussed throughout the meeting, and as Gupta, Hanfling, and Osborn noted, exchanging information and bringing partners together often throughout the response, identifying the right data to collect to improve situational awareness and encouraging inclusive regional health care coalitions are a few ways this challenge can start to be alleviated.
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Alson National Institute of Environmental served as review coordinator. American College of Emergency Health Sciences, Bethesda, MD Physicians, Winston-Salem, NC Matthew Minson SPONSORS: This workshop was partially supported by the American Kathryn Brinsfield Texas A&M University, College Station College of Emergency Physicians; American Hospital Association; Office of Health Affairs, Association of State and Territorial Health Officials; Centers for Department of Homeland Security, Erin Mullen Washington, DC Pharmaceutical Research and Disease Control and Prevention; Department of Defense; Department Manufacturers of America, of Defense, Uniformed Services University of the Health Sciences; Susan Cooper Washington, DC Department of Health and Human Services' National Institutes of Regional Medical Center, Memphis, TN John Osborn Health: National Institute of Allergy and Infectious Diseases, National Brooke Courtney Mayo Clinic, Rochester, MN Institute of Environmental Sciences, National Library of Medicine; Office of Counterterrorism and Emerging Threats, U.S.
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