1. Preparedness and Timelines for Integrated Hospital Disaster Management Planning
Dr.P.Ravindran
Director (EMR), Dte GHS, MOHFW
Conference on Chemical (Industrial) Disaster Management
February 11-13, 2009, New Delhi

2. Integrated Hospital Disaster Planning
Integrate hospital disaster planning with:
Pre Hospital Services/ EMS
Community Plans (District DM plans)
Other Hospitals (referrals etc)
With-in hospital
With sub-plans of different Departments

3. Integrated Hospital Disaster Planning
Hospital Emergency Response plan
Hospital Emergency Preparedness Plan
Hospital Disaster Mitigation Plan (Vulnerability assessment and Risk Management Plan)

4. Legal Framework
Disaster Management Act-2005
State DM Acts

5. National Policy, plans, guidelines
Draft National Policy reflects the provisions under the Act.
In consonance with the DM Act 2005, MOHFW, the nodal ministry is preparing the Health Sector Plan.

6. NDMA Guidelines
NDMA guidelines on Mass Casualty Management provides for:
Integrated plan for hospital preparedness and response.
Capacity development.
hospital buildings to be disaster resilient.
Specialized capabilities for trauma, burns and NBC disasters.
Capacity development for preservation and identification of dead bodies.

7. Situation Analysis
Gujarat, has initiated actions for integrated hospital disaster management planning.
PWD constructions- disaster resilient.
Hospitals, barring a few, have not assessed the vulnerabilities.
Do not have preparedness and response plans.
Even if present , they are not tested and reviewed.
By and large, the culture has not imbibed into the health care system.

8. Problem areas Incident Command System for Hospitals
Borrowed concept without looking into the functional/ administrative realities.
Not in a position as of now to implement as a managerial system
Financial and decision making autonomy not available.
Need large scale training and exercises to take in the culture of ICS
Risk assessment and Risk management

9. Way ahead Policy, plans and SOPs to be in place
All hospitals to have integrated hospital preparedness and response plan
Large scale training of hospital managers on management perspective : to include-
Risk Assessment & Management
Operational Management
ICS
Capacity Development for integrated model of pre hospital and hospital care.
Hospital Disaster Plan and its testing to be made mandatory.

10. Timelines for Implementation
Phase
Year ending
Action
Phase-I
2010
Developing plans, guidelines and SOPs
Developing/ strengthening legal instruments to support, preparedness, response and capacity development for MCM
Phase-II
2012
Capacity development for prevention, preparedness, mitigation and response including hospital preparedness
Phase III
2015
Testing, reviewing and further strengthening the above initiatives
Establishing specialized capabilities for NBC disasters, trauma, containerized mobile hospital systems etc.

11. Thank you