Disaster Plan

Vila Health Disaster Recovery Plan

Jane Doe

Feb. 2021

NURS-FPX-4060

Practicing in the Community to Improve Population Health

Vila Health Disaster

Recovery Plan

• 1st 72-96 hours disasters are considered local (Veenema et. Al, 2016)

• Outside government assistance is not expected till after this time

• Cities to provide for their citizens with resources at hand

MAP-IT FRAMEWORK

Vila Health Disaster Recovery Plan

• Determinants of Health: personal, social, economic, and environmental factors that influence health status (Office of Disease Prevention and Health Promotion [ODPHP], n.d.a)

• Personal/cultural barriers: language barriers due to different ethnicities or due to physical handicap such as being deaf or mute.

• Might be hard to reach people with these barriers during a disaster, due to not having a way of communicating that they need help or are hurt

• Social barriers: Education levels

• Economic barriers: low-income citizens and citizens living in poverty

• Environmental Barriers: poor living conditions, un-proper shelter, un-safe shelter

Mobilize

• Mission & Vision: Disaster recovery plan that lessens health disparities and improves access to community services.

• Mobilize key individuals:

• Vila Health disaster relief team: 1 leader from the physicians, 1 leader from each nursing unit, and 1 leader from ancillary staff (respiratory, pharmacy, radiology, &EVS)

• A representative from local church, homeless shelter, police station, fire station, ambulance company, taxi company, community center, library, & school district office

• Mobilize other community members that would like to participate such as restaurant owners, members of community clubs, and any general citizen living within Valley City

Mobilize

• Americans with Disabilities Act (ADA) • Under Title II of the ADA, emergency programs, services,

activities, and facilities must be accessible to people with disabilities (Association of State and territorial Health Officials [ASTHO], n.d.a)

• Robert T. Stafford Disaster Relief and Emergency Assistance Act

• Gives the government legal authority to assist states during an emergency/disaster

• Provides technical, financial, logistical, and other needed services

• Called in once a state has used their emergency plan & require more assistance (ASTHO, n.d.c)

• Ready.gov • Tools to prepare for emergency/disaster

• Free preparedness materials

• Public Health Service Act • Provides grants/funding for emergency medical care

• Suspends/modifies certain legal requirements to obtain medical care (ASTHO, n.d.b)

Health & Governmental Policy Impacts on Disaster Recovery

Assess

Valley City Demographics

• Population of 8,295

• Average citizen age 43.6

• 17.1% <18, 14.8% 18-24, 21.1% 25-44, 24.9% 46-64, & 22% >65

• 93% White, 3% Latino, 2% African American, & 1% Native American

• Unknown amount of migrant workers

• 204 elderly citizens

• 147 citizens with disabilities (including hearing impaired)

• Elevated homeless rate (homeless shelter at max capacity)

Assess

Vulnerable and at-risk community members & the possible barriers that can impact safety, health, and disaster recovery efforts:

➢ Elderly with complex health issues

➢ Disabled

➢ Homeless

➢ Migrant Workers

✓ Social Barriers: no family support, disabilities that lead to difficult evacuation, comprehension issue, & loss of life saving machines and devices

✓ Cultural Barriers: language barrier/do not speak English which puts them at risk for not understanding what is going on and how to get help

✓ Economic Barriers: no transportation or means to get transportation to evacuate or get to a safe place or to receive medical help

Assess

• Hospital & First Responder Needs: • Determine appropriate staff and supplies

• Community Partnership Needs: • Determine what is needed from each

organization, business, or private persons and what they may have to offer during a time of disaster to be of help to the community

Plan &

Implement

Plan/Goals for Disaster Recovery

Implementation of Plans/Goals

• Vulnerable and at-risk citizens to be educated on disaster planning and recovery

• Disaster recovery education in written, visual, and oral form. Community workshops

• All vulnerable and at-risk citizens will be prioritized and safely evacuated from any harm or danger

• A city-wide registry used by volunteers to track, account for, & provide safety to

• Visual and audible alerts of disaster and where and how to get help

• Emergency alerts to go out over TV & phone to providing info on disaster & safety

• Provide means of transportation for those in need

• All public transit to be free & continuously running

• Make access to health care immediately available

• Pop-up clinics in pre-determined areas to provide free & needed health care

• Make access to basic needs such as food and personal care items immediately available

• Food banks that also provide basic personal care items available at pop-up clinics and community centers

• Provide shelters through-out the city • Make-shift shelters at community buildings, schools, and any other large buildings not destroyed by disaster

Plan &

Implement

Plan/Goal for Disaster Recovery

Implementation of Plan/Goals

• Proper education & training of disaster recovery to hospital staff, first responders, and community partners

• Written, oral, and visual education given along with disaster drill training every 6months for 2yrs, then 1x a year after that

Enhancing Interprofessional Collaboration to Overcome Communication Barriers

➢ Four C’s of Disaster Partnering (Martin, et al, 2016) ➢ Communication ➢ Cooperation ➢ Coordination ➢ Collaboration

➢ Community Focus Groups (Kreisberg, 2016) ➢ To involve the most vulnerable community

members ➢ Allow community members to voice their

needs to prepare for a disaster before and after

Plan & Implement

Plan/Goal for Disaster Recovery

Implementation of Plan/Goals

Appropriately & quickly triage patients that come into Vila Health and pop-up clinics

Five-stage triage process: (Koulieve, 2016) 1. Can the pt. walk, move, are

they conscious? 2. Are they breathing? If not

start lifesaving interventions. 3. Assess respiration rate 4. Assess perfusion 5. Assess mental status

Track

✓Are we evaluating our work?

✓Did we follow the plan?

✓What did we change?

✓Did we reach our goals?

✓Did we help to lessen health disparities and improve access to community services?

Social Justice & Cultural Sensitivity

• Protect and rescue most vulnerable

• Free services for all (no matter, race/ethnicity, income level, & citizen status) • Shelter

• Food

• Basic necessities

• Transportation

• Health care

• Available interpreters (Spanish, Sign Language, & Language spoken by Native American community members)

Open Discussion & Questions

References

• Association of State and Territorial Health Officials. (n.d.a). Public health and information sharing toolkit: Americans with Disabilities Act. https://www.astho.org/programs/preparedness/public-health-emergency-law/public-health-and-Information-sharing-toolkit/Americans-With-Disabilities-Act-Fact-Sheet

• Association of State and Territorial Health Officials. (n.d.b). Public health and information sharing toolkit: Public Health Service Act, section 319 public health emergencies. https://www.astho.org/Programs/Preparedness/Public-Health-Emergency-Law/Emergency-Authority-and-Immunity-Toolkit/Public-Health-Service-Act,-Section-319-Fact- Sheet/

• Association of State and Territorial Health Officials. (n.d.c). Public health and information sharing toolkit: Robert T. Stafford Disaster Relief and Emergency Assistance Act. https://www.astho.org/programs/preparedness/public-health-emergency-law/emergency-authority-and-immunity-toolkit/robert-t--stafford-disaster-relief-and- emergency-assistance-act-fact-sheet/

• Kouliev, T. (2016). Objective triage in the disaster setting: Will children and expecting mothers be treated like others? Open Access Emergency Medicine, 8, 77-86. doi:http://dx.doi.org.library.capella.edu/10.2147/OAEM.S96913

• Kreisberg, D., Thomas, D. S. K., Valley, M., Newell, S., Janes, E., & Little, C. (2016). Vulnerable populations in hospital and health care emergency preparedness planning: A comprehensive framework for inclusion. Prehospital and Disaster Medicine, 31(2), 211-219. doi:http://dx.doi.org.library.capella.edu/10.1017/S1049023X16000042

• Lichtveld M. (2018). Disasters Through the Lens of Disparities: Elevate Community Resilience as an Essential Public Health Service. American journal of public health, 108(1), 28–30. https://doi.org/10.2105/AJPH.2017.304193

• Martin, E., Nolte, I., & Vitolo, E. (2016). The four cs of disaster partnering: Communication, cooperation, coordination and collaboration. Disasters, 40(4), 621- 643. https://doi.org/10.1111/disa.12173

• Office of Disease Prevention and Health Promotion. (n.d.a). Healthy People 2020: Determinants of health. Department of Health and Human Services. https://www.healthypeople.gov/2020/about/foundation-health-measures/Determinants-of-health

• Office of Disease Prevention and Health Promotion. (n.d.b). Healthy People 2020: Program planning. Department of Health and Human Services. https://www.healthypeople.gov/2020/tools-and-resources/Program-Planning

• Ready.gov. (n.d). Free publications. https://www.ready.gov/publications

• Veenema, T. G. , Losinski, S. L. & Hilmi, L. M. (2016). Increasing Emergency Preparedness. AJN, American Journal of Nursing, 116(1), 4 9–53. doi:10.1097/01.NAJ.0000476169.28424.0b.