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Health Emergency Management at the Provincial Level the H1N1 Example MINISTRY OF HEALTH AND LONGTERM

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Title: Health Emergency Management at the Provincial Level the H1N1 Example MINISTRY OF HEALTH AND LONGTERM


1
Health 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

2
Outline
  • 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

3
Health 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

4
Health 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

5
MOHLTC EOC and the Incident Management System
Permission to reproduce from CartoonStock.com
6
MOHLTC Incident Management System
7
MOHLTC 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

8
MOHLTC 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

9
MOHLTC 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.

10
MOHLTC Response to H1N1
  • Structures and Processes

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
11
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