1. DEMOGRAPHICS Disability Communities SETRAC South East Texas Regional Advisory Council

2. Organizations

3. The SETRAC Region 9 counties Would be the 36 th largest state in US Slightly larger than Israel 22 nd largest economy in world

4. The SETRAC Region As of 2009, SETRAC has 4 FTE dedicated to Emergency Preparedness for the region: Acute Care Manager Non-Acute Care Manager EMS / Transportation Manager Information Technology Manager

5. The CMOC Region 18 Counties 177 cities 6.3 Million* (27%) 877,000 with disabilities* (24%) 120+ hospitals 500+ nursing homes

6. The CMOC Mission Identify and meet the healthcare needs of the region Protect and maintain medical infrastructure of all regional healthcare facilities Provide appropriate transfer to healthcare facilities based on capacity and capability Coordinate unique requirements of “special needs” population Maintain patient tracking records

7. Tropical Storm Allison 2001

8. The Reasons Hurricane Katrina 2005 Largest Patient Reception in US History

9. The Reasons Hurricane Rita 2005 Largest Mass Evacuation in US History

10. The Reasons 2008 Hurricane Season Largest EMS Deployment in US History

11. How do we IMPROVE?!?

12. Identifying Special Needs Home health care Hospital discharge Church and faith- based organizations HOA’s Community leaders Healthcare for the Homeless

14. Reaching Out SETRAC/RHPC work with participating hospitals in reaching out to individuals through their trusted support systems. This information is distributed year round, not just during Hurricane Season Participation – ESRD Network – Childrens Case Management Coalition – Care for Elders

15. Reaching Out SETRAC, along with local OEM physically reach out to the at risk populations for the purposes of education and preparedness. Work with local EMC to identify special needs individuals in their jurisdiction – Iron Lung – Bariatrics At Risk Packets have been given to all hospitals to give to individuals upon discharge

16. Reaching Out Preparedness Information is given to Social Workers, Case Managers and Discharge workers Many hospitals have workgroups with their Clinical Liaisons to bring info back to the families

17. Reaching Out 2-1-1 Transportation Assistance Registry – All Hazards Vests, Fanny Packs Partnerships – ESPN – Deaf Task Force – DADS/DARS – Together Against the Weather

18. Road Blocks… Trust / Privacy – Doctors – Churches – Mistrust of Government Communication – How do the prepardness efforts reach these individuals Personal Reasons – Do not want to leave home – Do not want to leave pets – Fear from the previous incidents

19. Disparity Between Assumption and Reality…

20. Going Forward… MORE TEACHING… MORE REACHING… MORE PREPARING! MORE PLANNING…

21. QUESTIONS??? Niky Smith Non-Acute Care Manager SETRAC niky.smith@setrac.org 281-822-4444