2. Capability Cliff Notes Series PHEP Capability 7—Mass Care What Is It And How Will We Measure It? For sound, click on the megaphone and then move arrow away from icon

3. Sound File Glitches These presentations have sound files that can be heard by clicking on the megaphone in the lower right corner, when the presentations are in Slide Show mode only. However, the slide will automatically forward to the next slide, or the sound will halt, if the arrow is left on the megaphone icon, due to an unavoidable glitch. To hear sound files, please move arrow away from megaphone icon as soon as it is clicked.

4. Learning Objectives Become familiar with Capability Functions Become familiar with Tasks that complete the Functions Understand how these Functions and Tasks are measured or may be measured in the future (Performance Measures)

5. Mass Care Mass care is the ability to coordinate with partner agencies to address the public health, medical, and mental/ behavioral health needs of those impacted by an incident at a congregate location. How can health departments ensure public health, medical, mental/behavioral health needs can be met in a situation where people are congregated for an extended length of time?

6. Mass Care Functions What Can Health Departments Do to Ensure Health- Related Needs Are Met in a Congregate Location? 1.Determine public health role in mass care operations 2.Determine mass care needs of the impacted population 3.Coordinate public health, medical, and mental/behavioral health services 4.Monitor mass care population health

7. Capabilities and Measures Resources The presentation will be an overview of the functions and tasks. There are no performance measures linked with this capability. One can refer to the Budget Period 2 performance measures for continued voluntary measurement. The BP3 Performance Measures Specifications and Implementation Guidance and BP2 past measures can be found at the following link: https://www.colorado.gov/pacific/cdphe/hpp-and-phep-performance-measures-and- capabilities

8. Function 1: Determine public health role in mass care operations How can health departments identify their roles and support mass care operations? 1.At the time of an incident, activate pre-determined public health roles (e.g., population monitoring, environmental health and safety assessment, accessibility for populations with special needs, and need for decontamination) needed in the mass care response in coordination with Emergency Support Function #6 and other ESF #8 partners.

9. Task Elements There are elements that health departments should keep in mind to address different aspects of the tasks: Jurisdictional strategies for mass care in conjunction with partners Processes to address functional needs of at-risk individuals Dissemination of situational awareness information to emergency management and partner organizations

10. Function 2: Determine mass care needs of the impacted population Tasks: What do health departments need to consider in order to identify the needs of the impacted population? 1.At the time of an incident, coordinate with response partners to identify population health needs in the area impacted by the incident, using risk assessment, environmental, and health demographic information. 2.At the time of an incident, coordinate with response partners to complete a facility-specific environmental health and safety assessment of the mass care locations. 3.During the incident, coordinate with partner agencies to assure food and water safety inspections at mass care locations. 4.During the incident, coordinate with partners to assure health screening of the people registering at mass care locations.

11. Task Elements There are elements that health departments should keep in mind to address different aspects of the tasks: Assessment form for shelter environmental health inspections List of potential sites to serve as congregate locations Process and protocol to conduct facility assessments Process to adopt or amend restaurant/food service requirements for food service assessments Provision of specialty food items to address nutritional needs of at-risk populations Referral of individuals to health services Personnel skilled in GIS or other mapping systems Training for conducting an environmental health and safety assessment Training for registration staff to recognize the need to make referrals Facility assessment training Shelter registration health screening tool GIS or other system to identify the location of at-risk populations

12. Function 3: Coordinate public health, medical, and mental health mass care services Tasks: How should health departments coordinate services? 1.At the time of the incident, coordinate with healthcare partners to assure medical and mental/behavioral health services are accessible at or through mass care locations. 2.At the time of the incident, coordinate with providers to give access to medication and assistive devices for individuals who need them at the mass care locations. 3.At the time of the incident, if needed, coordinate with the lead agency to provide population monitoring and decontamination services, including tracking systems for possibly contaminated (e.g., radiological, nuclear, or chemical) individuals, who may enter mass care locations. Tasks continued on next slide

13. Function 3: Coordinate public health, medical, and mental health mass care services Tasks Cont’d: How should health departments coordinate services? 4.During an incident, disseminate and promote accessible information regarding available mass care health services to the public. 5.During an incident, coordinate with agencies to provide care (e.g., medical care, essential needs, and decontamination) for service animals within general shelter populations. 6.At the time of the incident, work with partner agencies to coordinate human sheltering, and house pet sheltering mass care locations. 7.During and after an incident, coordinate with appropriate organizations to return displaced people to their pre-incident medical environment, or other appropriate setting, if needed.

14. Task Elements There are elements that health departments should keep in mind to address different aspects of the tasks: MOUs or letters of agreement with medication providers Scalable congregate location staffing model Procedures to coordinate with partner organizations for patient transfer Process to coordinate with partners to monitor populations at congregate locations Scalable congregate location staffing matrix MOUs or letters of agreement with medical supply/equipment providers Coordination with partners responsible for decontamination of individuals at congregate locations Agreements with partners for animal care Animal sheltering and care at congregate locations Service animal decontamination at congregate locations Radiation training for mass care responders Animal care training for personnel involved with animal care services

15. Function 4: Monitor mass care population health Tasks: How should health departments monitor population health? 1.During an incident, monitor facility-specific environmental health and safety, including screening for contamination (e.g., radiological, nuclear, biological, or chemical), and assure any identified problems are corrected. 2.During an incident, conduct surveillance at mass care locations to identify cases of illness, injury, and exposure within those populations. 3.During an incident, update information on developing health needs for partner agencies, and provide or coordinate assistance in meeting the needs. 4.After an incident, scale down health response when possible, including creating and executing a health resource demobilization plan.

16. Task Elements There are elements that health departments should keep in mind to address different aspects of the tasks: Process to conduct ongoing shelter population health surveillance Templates for disaster surveillance forms Demobilization procedures Database or data storage system to document mass care health services

17. Questions? Please contact: Rachel Coles Program Evaluator--CDPHE 303-692-2764 rachel.coles@state.co.us