Concept and terms used by government of Estonia in the field of health care preparedness for disaste

1
Concept and terms used by government of Estonia
in the field of health care preparedness for
disaster

• Ursel Kedars, M.D.
• Ministry of Social Affairs of Estonia
• Public Service Academy of Estonia

2
Conceptual questions

• How disasters are characterized from medical
  point of view in Estonia?
  
• What is the emergency preparedness ideology the
  Estonian healthcare system is based on?
  
• How does the organization and management of
  health care resources look like in emergency?
  
• What are the responsibilities of Estonian
  Government and Ministry level in the area of
  health care preparedness for emergency?
  
• What are the definitions of important terms used
  in Estonia?

3
How disasters are characterized from medical
point of view in Estonia?

• Disasters (i.e. emergencies) are characterized
  by
  
• an acute and unforeseen imbalance between the
  capacity and resources of the healthcare system
  and the needs of the victims or the people whose
  health is threatened, over a certain period of
  time, taking into account the number of victims.

4
Emergency preparedness ideology the healthcare
system is based on

• The strategy aimed at limitation of the effects
  of a disaster on health is reached in particular
  through saving the greatest possible number of
  victims.
• Close cooperation between central and local
  authorities according to a strategy aimed at
  prevention and the limitation of the effects of a
  disaster on the health of populations concerned

5
Emergency preparedness ideology the healthcare
system is based on

• Disaster medicine ideology incorporates
• medical resources (emergency health care, public
  health techniques, medical stockpile etc)
  
• non-medical resources, capabilities and services
  (fire and rescue services etc).
  
• disaster medicine and management methodologies

6
Organization and management of health care
resources in emergency

• Governmental Crisis Committee Government
• Governmental Crisis Management Team
• Crisis Management Team of Ministry of Social
  Affairs Minister of Social Affairs
  
• Emergency Medical Coordinator
• Rescue Work Coordinator
• On-Scene Operation Commander
• On-Scene Medical Commander
• Headquarters (on-scene management structure)
• IMS IMMS methodologies

7
Estonian Government in the area of preparedness
for emergency

• Crisis (management) Committee of the Government
  of Republic is the main structure formed by
  Government in order to develop a crisis
  management policy and make proposals for
  coordinating and directing the activities of
  ministries in the field of crisis management.
• Crisis Management Team formed by the Crisis
  (management) Committee of the Government which
  closely cooperates with crisis management
  committees of counties.

8
Ministry of Social Affairs in the area of
preparedness for emergency has to

• form a crisis management team of Ministry
• perform risk assessment in order to identify the
  emergencies which may occur
  
• prepare crisis management plan for health care
  and ensure the implementation of plan in an
  emergency
  
• organize crisis management training in its area
  of government
  
• direct the responding to an emergency in its area
  of government, i.e. health care emergency,
  medical field operations

9
Definitions of important terms used in Estonia
based on legal framework

• Emergency (disaster)
• Health care emergency
• International emergency
• Emergency situation (state of emergency)

10
Definitions of important terms used in Estonia
based on legal framework

• Crisis management
• International crisis management
• Crisis Management Team
• Government CMT
• Ministry CMT
• County CMT

11
Definitions of important terms used in Estonia
based on legal framework

• Emergency medical coordinator
• Rescue work coordinator
• Headquarters temporary management structure
• Rescue commander onsite
• Medical commander onsite
• Police commander onsite
• others

12
Definitions of important terms used in Estonia
based on legal framework

• Catastrophe
• Natural disaster
• Spread of infectious disease
• National stockpiles

13
Thank You!