Title: Health Emergency Management at the Provincial Level the H1N1 Example MINISTRY OF HEALTH AND LONGTERM
1Health Emergency Management at the Provincial
Level the H1N1 ExampleMINISTRY OF HEALTH AND
LONG-TERM CARE
2009 aLPHA Conference
- Phil Graham
- Interim Director, Emergency Management Branch
- Ontario Ministry of Health Long-Term Care
2Outline
- 1. MOHLTC Preparedness and Response
- Health Emergency Management at the Provincial
Level - MOHLTC EOC and the Incident Management System
- MOHLTC Response to H1N1
- Sequence of events
- Main areas of activity
- Structures and processes
- 2. OAHPP Preparedness and Response
- Role of OAHPP in emergency situations
- OAHPP EOC and the Incident Management System
- OAHPP Response to H1N1
- Main areas of activity
- Structures and processes
3Health Emergency Management - Provincial
- MOHLTC responsibilities under the Emergency
Management and Civil Protection Act (EMCPA) - Human health, disease and epidemics (e.g. SARS,
influenza pandemics, H1N1) - Health services during an emergency (e.g. health
impacts resulting from evacuations due to
flooding, supply shortages such as medical
isotopes, etc) - Provincial emergency management system is built
on the notion that the local response in the
first response - Legislation
- Operational structures/ processes
- The role of monitoring and incident
notification
4Health Emergency Management - Provincial
- MOHLTC Emergency Management Branch created in
December 2003 as an outcome of SARS (Walker
Report, Campbell Report) - Role is to
- Coordinate the ministrys compliance with annual
statutory requirements - Lead/support health system emergency management
activities, - Coordinate the ministrys response to health
emergencies/incidents and emergencies/ incidents
with health impacts - Liaise with local, provincial and federal
emergency management organizations - Not just about pandemic planning
- Ontario Medical Isotope Disruption Plan
- Public Health Emergency Preparedness Advisory
Committee (PHEPAC) - Health response to evacuations of FN communities
- Etc
5MOHLTC EOC and the Incident Management System
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6MOHLTC Incident Management System
7MOHLTC Emergency Operations Centre
- Brings together parts of the ministry (and
sometimes health sector) to coordinate response
activities, either physically or virtually EMS,
LTCH, Acute Care, Community Care, Primary Care,
LHINs, Public Health, Communications, etc. - Strong liaison with Provincial Emergency
Operations Centre (PEOC) access to other
ministries, sectors - Physical co-location an essential component
- Enables disciplined planning cycles
- Allows for manageable span-of-control
- Limits email traffic!!
- Can manifest itself differently for different
types of events - H1N1 Health Care Provider Hotline major EOC
activity 8-12 FTEs/shift - Spring flooding Logistical and operational
coordination 2-4 FTE/shift - Typically, focus is on supporting the local
response
8MOHLTC Response to H1N1
- Sequence of Events
- Notification by PHAC (Headquarters and ON
Region), international agencies - Adaptation of IMS and assignment of roles and
responsibilities MOHLTC and OAHPP - Established operation cycles - regular
coordination calls among IMS leads, FPT
activities, public communication - Infrastructure supports Support to CMOH, HR,
Finance, Admin, Safety, Facilities - Planned guidance to the health sector
OAHPP/Ministry - Other supports for the health sector Health
Care Provider Hotline, 0830 Health Stakeholder - Teleconference
- Escalation vs. De-Escalation
9MOHLTC Response to H1N1
- Main Areas of Activity
- Command
- Public communication, internal communication with
senior levels of government - Stakeholder communication and guidance to the
health sector - Operational coordination of ministry/government
activities, Liaison with other ministries through
Provincial Emergency Operations Centre, FPT work - Operations
- Surveillance and epidemiology
- Healthcare Providers Hotline
- Non-health sector issues management OPS as
employer, critical infrastructure sectors - Logistics
- Supply and equipment availability, Distribution
planning, Stockpile assessment - Finance/Admin
- Machinery of the response Scheduling, HR,
Finance, FOOD!, etc.
10MOHLTC Response to H1N1
Public Communication Internal Communication Stak
eholder Communication Operational
Coordination Non- Health Sector
Activity/Liaison Surveillance and Epi
Daily press conferences set time,
frequency Daily briefings of executive, frequent
briefings of Ministers Health Care Providers
Hotline, Health Stakeholder Teleconferences Daily
command meetings of IMS leads Twice daily
briefings of Provincial Emergency Operations
Centre, physical co-location Disciplined data
cycle between labs, IDB, Command
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