EZ Techniques for Incorporating Disaster Preparedness into New Hire Materials for FQHCs (30 Minute PPT)

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EZ Techniques for Incorporating Disaster
Preparedness into New Hire Materials for FQHCs
(30 Minute PPT)
Amelia Muccio Director of Disaster Planning NEW
JERSEY PRIMARY CARE ASSOCIATION
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Learning Objectives

• Overview of NJPCA
• Discuss barriers to EP buy in and preparedness
• Discuss techniques for incorporating EP into CHC
  new hire orientations
• Review successful models
• Identify next steps for facility leadership

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Community Health CentersYour Community, Your
Health, Our Commitment.

• Number of Health Centers20
• Number of sites100
• Number of staff1,600
• Number of persons served425,000
• Over 1.3 million visits

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NJPCAs Programs

• Disaster Advisory Committee (1 rep every FQHC)
• Family disaster planning/preparedness
• IS 100, IS 200, IS 700 and IS 800
• Personal Protective Equipment (PPE) lecture
• Hazard Vulnerability Analysis
• Pandemic Flu Plans
• Fit-Testing for N-95 respirators
• 14 elements of NIMS compliancy
• HRSA PIN
• Business continuity plan
• COOP

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Training Efforts (2005-2008)
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IS Compliancy
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Emergency Preparedness
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Rationale for Disaster Program Health Center
Investment (Sell It)

• We are only as prepared as the lowest common
  denominator
• Disaster planning assists with
• Ability to rotate staff
• Organizational agility
• Plans, drills, and evaluations
• Training and education
• Staff protection and support
• Communications and reporting
• Supplies and equipment
• Obligation to community
• Educating staff is an investment!

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Challenges Faced

• Overwhelming task
• Lack of clear guidance
• Time consuming
• Resource constraint
• No EP on staff
• Uneven knowledge
• Uninterested in subject
• Lacked buy-in

• Disproportionate vulnerability and needs
• High turnover rate in Centers
• Lost revenue (not seeing patients)

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The Human Condition It Cannot Happen to Me!
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The Science of Disaster Preparedness Survival

• Panic, fear and denial are inevitable in a
  disaster situation
• Brain will perform best in a stressful situation
  if you have already put it through a few
  rehearsals
• I.E. fire drills
• Brain works in pattern recognition (respond
  quicker)

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Overcoming Challenges

• Needs Assessment/Gap Analysis Data
• Flexibility
• Catered to specific needs
• On-Site training
• Buy-In (Lunch Learn)
• Tailor-Fit programs
• Reinforce compliance
• Provide continuing education credits
• Ownership of program (train the trainer)

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How to Incorporate EP?

• Why New Hires?
• First impressions matter
• Sets the tone and capabilities for expectations
• Investment in employee
• Influence how they work

• EZ ApproachNew hire orientation
• Multiple formats
• PPT (live or moderated)
• DvD/video
• SME presentation
• local EP org or official
• PCA presentation

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Focus on What You Can Control

• Focus on mitigation and preparedness
• CHCs are planning for events (pandemic,
  hurricane, power outage, outbreak, terrorism)
  that require high levels of pre-disaster
  preparedness (prevention, and mitigation
  activities)
• Disaster is reasonably expected and preparedness
  initiatives have been undertaken
• Examples of low levels of pre-disaster
  preparedness, economic depression and long-term
  civil war

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Review Documents with Staff
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Review PlansDemystify

• HVA (Hazard Vulnerability Analysis)
• EOP (Emergency Operating Plan)
• EMP (Emergency Management Program)
• CEM (Comprehensive Emergency Plan)
• SOP (Standard Operating Procedure)
• IAP (Incident Action Plan)
• Business Continuity (Continuity of Operations)
• Corrective Action (Lessons Learned/Hindsight

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Share Resources with Staff

• Family Preparedness Plan
• Children
• Elderly/Disabled
• Pets
• Emergency Communication Plan
• Evacuation Sheltering
• How to Construct a Go-Bag (supplies)

• FEMA
• American Red Cross
• Ready.Gov
• 72hours.org
• ASPCA
• HSUS
• AARP

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Establish Personal Preparedness Plans
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First Aid Kits

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Crank NOAA Weather Radios

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Potable Water

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Go Bags

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Inside Go Bags

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Rations, Stove and Tent

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Cat and Dog Go Kit

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Purchase Materials

• NOAA Weather Radio 20
• Go Bag 40
• Pet Go Bag 40
• First Aid Kit 10
• N-95s 10
• Pan Flu Kit 15
• Total 135
• Nominal Investmentwill pay dividends!

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Walk the WalkPCA Preparedness

• PCA staff member has
• IS 100, IS 200, IS 700 and IS 800 training
• Crisis Communication training
• Disaster Awareness training
• Go Bag
• NOAA Weather Radio
• First Aid Kit
• Pet Kit
• All trainings were lunch and learns

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Its a Process (Trial and Error)
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Questions?

• Amelia Muccio
• Amuccio_at_njpca.org
• [phone] ext. 26
• If you jump out the window at the 42nd floor
  and you're still doing fine as you pass the 27th
  floor, that does not mean you don't have a
  serious problem. - Charles Munger