Washington State Medical Surge Washington State Medical Surge Healthcare Coalitions Healthcare Coalitions

NW Tribal Emergency Mgt. Council – NW Tribal Emergency Mgt. Council – TulalipTulalip

June 7, 2007June 7, 2007

Tiered ResponseTiered Response ICS / NRPICS / NRP

Source: Barbera and Macintyre, Medical Surge Capacity and Capability, August, 2004

Building on the Regional ModelBuilding on the Regional Model

Clallam

Jefferson

GraysHarbor

Pacific

Whatcom

Skagit

Snohomish

King

Pierce

Lewis

Mason

Cowlitz

Thurston

Clark

SkamaniaKlickitat

Yakima

Kittitas

Chelan

Douglas

Grant

Okanogan

Ferry

Stevens

Pen

d O

reill

e

SpokaneLincoln

Adams Whitman

Franklin

Benton

Walla Walla

Colum

bia

Garfield

Asotin

Wahkiakum

San JuanIsland

Kits

ap RegionRegion

99

RegionRegion

77

RegionRegion

11RegionRegion

22

RegionRegion

33

RegionRegion

66

RegionRegion55

RegionRegion

44

RegionRegion

88PopulationR1 – R2 –R3 –R4 –R5 -

R6 –R7 –R8 –R9 -

Estimated US Census Data, 2006

Licensed Hospitals (only 45% Acute Care, %35 are Critical Access)Licensed Hospitals (only 45% Acute Care, %35 are Critical Access) Medicare Certified Ambulatory Surgical CentersMedicare Certified Ambulatory Surgical Centers Licensed Home Care AgenciesLicensed Home Care Agencies Licensed Home Health AgenciesLicensed Home Health Agencies Licensed Hospice AgenciesLicensed Hospice Agencies Kidney CentersKidney Centers Medicare Certified Rehabilitation FacilitiesMedicare Certified Rehabilitation Facilities Rural Health ClinicsRural Health Clinics Tribal clinics and servicesTribal clinics and services Licensed EMS AgenciesLicensed EMS Agencies Physician Practices and clinicsPhysician Practices and clinics Vendors (Wholesalers, etc..)Vendors (Wholesalers, etc..) OtherOther

Source: WA DOH, American Hospital Directory (www.ahd.com), Rural Assistance Center & Understanding Surge Capacity Essential Elements; Barbisch & Koenig, 2006

Building on the Regional ModelBuilding on the Regional Model

Improves communication and planning Improves communication and planning between regional healthcare partners between regional healthcare partners

Allows for coordination and management Allows for coordination and management of scarce resourcesof scarce resources

Where appropriate, allows access to Where appropriate, allows access to immediately available resources through immediately available resources through agreements agreements

Regional CoordinationRegional Coordination

Statewide Healthcare Statewide Healthcare Coalition Purpose/NeedsCoalition Purpose/Needs

Strengthen Medical Surge Capacity and Strengthen Medical Surge Capacity and Capability with the State (beginning with tiers 1 Capability with the State (beginning with tiers 1 through 3)through 3)

Strengthen communication between health and Strengthen communication between health and medical medical

Provide a forum for developing processes for Provide a forum for developing processes for healthcare response to a catastrophic eventhealthcare response to a catastrophic event

Evaluate, revise and develop MOUs/MAAsEvaluate, revise and develop MOUs/MAAs

Coordinate with jurisdictional level (Tier 3)Coordinate with jurisdictional level (Tier 3)

Regional Expectations FY06Regional Expectations FY06

Identify coalition partners for region Identify coalition partners for region (Broaden healthcare collaborative (Broaden healthcare collaborative partnerships)partnerships)

Design model that is applicable to regional Design model that is applicable to regional healthcare surge capacity workhealthcare surge capacity work

Begin holding coalition meetingsBegin holding coalition meetings Develop a charterDevelop a charter Select priority surge capacity issues Select priority surge capacity issues

MAA Regional Control Hospital

Alternate Care Site Use

Include broad healthcare representationInclude broad healthcare representation Include jurisdictional representation (e.g., PH, EMS, Include jurisdictional representation (e.g., PH, EMS,

HLS, DEM) HLS, DEM) Include product focused sub-committeesInclude product focused sub-committees Include executive/decision making level Include executive/decision making level

Ambulatory CareMedical Surge Capacity and Capability Coalition (Planning and Process Group)

Executive/Decision Making

MAAs/MOUs

Emergency CredentialingStandardsMass Dispensing

Communications

Regional MSCC Coalitions Should: Regional MSCC Coalitions Should:

Fewer and product-focused meetingsFewer and product-focused meetings

Create a systems approach to Create a systems approach to management of healthcare assetsmanagement of healthcare assets

Supports healthcare standards for Supports healthcare standards for emergency preparednessemergency preparedness

Benefits to Coalition Benefits to Coalition ParticipationParticipation

Meet with all regional leads (PH/EMS and Meet with all regional leads (PH/EMS and Hospital Committee Chairs)Hospital Committee Chairs)

Develop tools and templates (tool kit)Develop tools and templates (tool kit) Present, provide updates and attend Present, provide updates and attend

coalition and steering committee meetings coalition and steering committee meetings to provide technical supportto provide technical support

Hold Statewide Coalition WorkshopHold Statewide Coalition Workshop Provide on-going technical support, tools Provide on-going technical support, tools

and materials – monitor regional progressand materials – monitor regional progress

Summary of FY06 Activities Summary of FY06 Activities StateState

QUESTIONS?QUESTIONS?Valerie Munn, Healthcare Coalition CoordinatorValerie Munn, Healthcare Coalition Coordinator(509-456-2726)(509-456-2726)Valerie.munn@doh.wa.gov Valerie.munn@doh.wa.gov Peggi Shapiro, Washington State Hospital AssociationPeggi Shapiro, Washington State Hospital Association(206) 216-2864 peggis@wsha.org(206) 216-2864 peggis@wsha.org

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undertaking it is not enough for a man to undertaking it is not enough for a man to depend simply upon himself.depend simply upon himself.