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KY Public Health Association (KPHA) Conference Crowne Plaza Hotel, Louisville, KY March 9, 2011 1:00-2:30 PM. 1.

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Presentation on theme: "KY Public Health Association (KPHA) Conference Crowne Plaza Hotel, Louisville, KY March 9, 2011 1:00-2:30 PM. 1."— Presentation transcript:

1 KY Public Health Association (KPHA) Conference Crowne Plaza Hotel, Louisville, KY March 9, :00-2:30 PM. 1

2 Session Presenters Emergency Preparedness, Response and Recovery in Long Term Care Facilities Arleen Johnson, PhD, Director, Ohio Valley Appalachia Regional Geriatric Education Center, University of Kentucky College of Public Health, Lexington KY (859) , Betty Shiels, ABD, Co-Director, Ohio Valley Appalachia Regional Geriatric Education Center, University of Louisville Kent School of Social Work, Louisville KY (502) Home Health Care Patients In Emergency Situations: Who are they? What do they look like? Mary J. “Missy” Pfaadt, RN-C, MSN, Administrator/Executive Director, Caretenders Visiting Services of Louisville, Louisville, KY (502) In Case of Disaster: Be Prepared for Persons with Memory Disorders Renee Chase, BBA, Mdiv, Professional Training Coordinator, Alzheimer’s Association, Greater KY and Southern Indiana Chapter, Lexington, KY (859)

3 Session Objectives Upon completion of this session, learners should be able to: 1. Explain why older people are disproportionately affected by disasters 2. Discuss issues related to disaster care in Long Term Care Facilities 3. Utilize resources for emergency planning and response for older persons living in the community and in long term care settings (Arleen Johnson and Betty Shiels) 4. Discuss issues related to disaster care for home health patients (Missy Pfaadt) 5. Identify challenges of providing disaster care for persons with memory disorders (Renee Chase) Funding through KCHFS/KDPH contract #PON UK /UL Emergency Preparedness for Aging Training Grant 3

4 Older Kentuckians at Risk KY Hospitals : 7,544 daily occupied beds Nursing Facilities: 26,714 daily occupied beds --69% have memory disorder (18,432) Personal Care Homes: 4,447 licensed beds Assisted Living: 3,356 licensed beds Home Health: 41,626 daily bed census Hospice : 2,838 licensed beds 4

5 Older Persons: High Risk in an Emergency Altered immune function Higher risk of infectious illness Reduced response to antibiotics Atypical presentation of disease Chronic medical conditions Greater risk of pneumonia Memory disorder/Dementia Hyper/hypothermia Multiple medications Sensory Changes 5

6 Older Persons: High Risk in an Emergency 6 Need assistance with activities of daily living Use of portable oxygen & other medical supplies Use of wheelchairs, walkers, canes, assistive devices Anxiety about leaving familiar surroundings Decreased rebound after emergency Delayed onset of Post-traumatic Stress Syndrome Language/cultural influences

7 Personal Preparedness & Response Emergency Plan in place and shared with others Personal support network in place Plans for contacting needed others Regular practice and Plan Revision Pre-approval as volunteer for CERT, MRC, K-HELPS, Red Cross Awareness of community plans Participation in community exercises 7

8 Agency Preparedness & Response Risk Assessment HVA Community Planning Incident Command Training Agency Preparation Policies/Procedures for Caregivers on Staff MOAs with Multiple Vendors Staff Resources Supplies Inventory Shelter-in-Place Plan Evacuation Plan Direct Care Plan Files/Contact Information Continuity of Operations Staff /Supervision Timekeeping Continued Payroll Invoice Payment Cash on Hand 8

9 Networking Identify and Meet Community Partners o Emergency Management, Emergency Medical, Fire, Police, Utilities o Long Term Care & Aging Services Providers o Faith-Based Communities; Schools o Hospital Preparedness Coalition Members o Media, Transport Services, Water, Fuel, Laundry Suppliers o Funeral Homes o Special Medical Services i.e. Dialysis Care Invite Partners to your Facility Get Contact Information Discuss Roles in an Emergency Share Facility Plans with Community Partners Negotiate Memorandums of Agreement 9

10 Shelter-in-Place Decision to Shelter-in-Place Type of Disaster Safety of Staying vs Going Incident Command System Notifications Activate call lists Enable communication Supplies/equipment in place for 3-7 days Utilities/Safety and Security Memorandums of Agreement (Supplies, Equipment, Services, etc.) 10

11 Evacuation Who decides –collaborative or mandatory Scale of evacuation – to other nursing facilities, community shelter, remote shelter Partial or total evacuation Roles of County Emergency Manager/EMS/Fire Transportation arrangements – ambulance, bus, van Evacuation timing and routing– plan on 3-4 times longer than normal and possible barriers/debris Evacuation supplies, equipment, staff Continuity of operations Return to facility 11

12 National Level Earthquake Exercise KDPH training coordinators deeply involved in training with long term care Additional partners with long term care includes KDPH Preparedness Branch, KHA, 2 state LTC associations, KY Dept. of Veterans Affairs and the KY Long Term Care Ombudsman Program Regional Tabletop Exercises planned for western KY regions impacted by an earthquake --HPP Regions 1, 2 & 3 LTC March 31, HPP Regions 4, 5, 6 & 12 LTC May-June,

13 Networking and Funding Prior to an emergency, health care provider agencies can network with other providers and may qualify for Hospital Preparedness Coalition (HPC) funding for equipment & supplies. Requirements may include: 1. Complete Incident Command System ICS 100 & 200, NIMS 700, and NIMS Actively participate on regional Healthcare Planning Coalitions/Long Term Care Committees 3. Register with and/or provide agency data on WEB-EOC or other data base required by KY Department of Public Health 4. State-specific requirements 13

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15 Public Health First Responders What level of preparedness involvement have you had with at-risk older persons in your community? How familiar are you with the emergency preparedness /response challenges that they present? What revisions might be required in your health department/county plans to respond to these at-risk elders? What support does your agency need to assure their safety in an emergency? 15

16 Resources for Preparedness and Response KDPH TRAIN KY Training Modules https://ky.train.org/DesktopShell.aspx Helping Elders Prepare for Bioterrorism and Emergencies (Course ID ) Disaster Preparedness: Developing Agency Emergency Plan (Course ID ) CERT Community Emergency Response Team (Course ID ) The Aging Network (Course ID ) Medical Reserve Corps-An Introduction to Incident Command (Course ID ) Pandemic Influenza (future TRAIN Course ID ) Interim Link: Medical Reserve Corps-An Introduction to Incident Command (Course ID ) Pandemic Influenza (future TRAIN Course ID ) Interim Link: OVAR/GEC KY All Hazards LTC Planning & Resource Manual Emergency Plans- Individual & Agency Biomedical Issues Aging and Public Emergencies/DVDs Planning and Mobilizing Resources Public Communication Mental and Behavioral Issues Ethical and Legal Issues Additional Resources FEMA NIMS Resource Center NIMS Training Courses – Fact Sheets TrainingCourses.shtm#item1 TrainingCourses.shtm#item1 16

17 Resources for Preparedness and Response OVAR/GEC E-News Emergency Preparedness for Aging Geriatric Education Resources Preparedness for Long Term Care Health Literacy for Emergency Preparedness/ Aging Pandemic Flu and Aging Long Term Care:

18 Questions ? Arleen Johnson, PHD OVAR/GEC at UK 859/ Betty Shiels, PHD-C OVAR/GEC at U of L 502/ Funding through KCHFS/KDPH grant #PON UK Emergency Preparedness for Aging Training Grant 18


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