1. United States Department of Health & Human Services Office of the Secretary for Preparedness and Response (ASPR) 0 Washington State Hospital Association 34th Annual Rural Hospital Summer Workshop Chelan, Washington June 29, 2010 “Disaster Strikes: Understand What Happens Next” Assistant Secretary for Preparedness and Response Rick Buell, Regional Emergency Coordinator Seattle, Washington (206) 615-3600

2. United States Department of Health & Human Services Office of the Secretary for Preparedness and Response (ASPR) 2010 Olympic Winter Games Vancouver, BC 12-28 February 2010

3. United States Department of Health & Human Services Office of the Secretary for Preparedness and Response (ASPR) 22 Federal Health & Medical Response General Response Principles Recognize Washington’s existing scalable health and medical system Recognize existing mutual aid agreements –Local –Regional Patient Care Procedures –Emergency Management Assistance Compact –Pacific NW Emergency Management Arrangement Work through State Operations Centers –Major Disaster Declarations e.g., Stafford Act Ensure proper health and medical resource is provided

4. United States Department of Health & Human Services Office of the Secretary for Preparedness and Response (ASPR) 3 Capacity & Capability Analysis Local and Regional Hospital Capacities Area # of Hospitals Licensed Beds ICU Neonatal / Pediatric Intensive Care Unit Capacity Burn Victim Treatment Capacity Surge Capacity Whatcom Co.1 253 24 1 0040 Region 1 Health District 2 (Skagit, Island, San Juan and Snohomish Counties) 8567 3 00249 1 Included in total number of licensed beds 2 Not including Whatcom County numbers

5. United States Department of Health & Human Services Office of the Secretary for Preparedness and Response (ASPR) 4 Resources HHS deploys an Advanced Incident Response Coordination Team Response Teams –Disaster Medical Assistance Teams (DMAT) –International Medical Surgical Teams (IMSuRT) –Burn Teams –Pediatric Teams –Crush Medicine Teams –US Public Health Service

6. United States Department of Health & Human Services Office of the Secretary for Preparedness and Response (ASPR) 5 “Tools in the Kit” Department of Veteran Affairs e.g., Disaster Emergency Medical Personnel, Mobile clinics Activation of FEMA Ambulance Contract Use of 1135a process –EMTALA waivers –Facility licensure process waivers Department of Defense e.g., Combat support hospitals, Aero-Med Evacuation National Disaster Medical System Activation e.g., Federal Coordination Centers Federal Medical Stations e.g., ER Decompression, Treatment and Triage

7. United States Department of Health & Human Services Office of the Secretary for Preparedness and Response (ASPR) 6 HI PR GUAM Army FCCNavy FCC Air Force FCC VA FCC WA OR CA ID MT NV AZ UT WY ND SD MN IA NE CO KS NM OK TX MO AR WI IL IN MI OH KY TN MS LA AL GA SC NC FL VA WV MD PA NY VT NH ME USVI AK DE NJ MA CT RI NDMS Definitive Medical Care Federal Coordinating Centers (FCCs)

8. United States Department of Health & Human Services Office of the Secretary for Preparedness and Response (ASPR) 7 Federal Medical Station

9. United States Department of Health & Human Services Office of the Secretary for Preparedness and Response (ASPR) 8 The Spectrum of Care & Federal Medical Resources Basic First AidOutpatient Care Hospital Inpatient Care Nursing Home Care Pre-hospital Care ICU/Trauma Critical Care Emergency Departments Volunteers National Disaster Medical Assistance Hospitals Disaster Medical Assistance Teams VA/Dept. of Defense US Public Health Service Medical Reserve Corps Federal Medical Stations