AIRS/UWW Disaster Response Team September 14, 2010

To increase the capacity of the Information and Referral field to respond to Disasters Mission Statement

AIRS & UWW will increase the capacity of the Information and Referral field to respond to disasters by establishing a Disaster Response Team consisting of trained professionals who can establish or supplement a call center during times of Disaster and provide training to the field during non-disaster times. AIRS & UWW will increase the capacity of the Information and Referral field to respond to disasters by establishing a Disaster Response Team consisting of trained professionals who can establish or supplement a call center during times of Disaster and provide training to the field during non-disaster times. Vision Statement

DRT History Hurricanes Katrina & Rita Hurricanes Katrina & Rita After Action Report Findings/Recommendations After Action Report Findings/Recommendations UWWs National Professional Council UWWs National Professional Council AIRS/UWW Partnership AIRS/UWW Partnership Past Deployments Past Deployments

Disaster Strikes Local I&R or evaluates capacity Local I&R or evaluates capacity Formal request submitted to DRT Leadership Formal request submitted to DRT Leadership Assessment Assessment –Of the disaster –Of the needs –Of our ability to respond MOU signed MOU signed

DRT Mobilization First wave of DRT identified First wave of DRT identified DRT Emergency Coordinator first on scene to prepare DRT Emergency Coordinator first on scene to prepare Team members deployed w/in hrs of decision Team members deployed w/in hrs of decision DRT Logistics staff will work with local staff on housing & transportation DRT Logistics staff will work with local staff on housing & transportation

On-site DRT Emergency Coordinator & local staff Chain of Command identified DRT Emergency Coordinator & local staff Chain of Command identified Communication structure & processes identified Communication structure & processes identified DRT members arrive & supplement local staff needs DRT members arrive & supplement local staff needs DRT Emergency Coordinator & local staff determine needs for Second Wave of DRT members DRT Emergency Coordinator & local staff determine needs for Second Wave of DRT members

Review of exit thresholds after daily debriefings with local staff Review of exit thresholds after daily debriefings with local staff Discuss transition plan with local staff Discuss transition plan with local staff Exit Strategy

After Action Evaluation of DRT response from requesting agency Evaluation of DRT response from requesting agency Create after action report Create after action report

Disaster Webinar September 14, 2010 Presented By: Charlene Hipes COO, AIRS

What is RX Response Rx Response was developed as an initiative of Americas pharmaceutical supply system in 2007 to help ensure the availability of medicine to patients during a severe public health emergency. Rx Response acts as a single point of contact for the entire pharmaceutical supply system and federal and state emergency management officials to communicate pharmaceutical needs and other issues which may impact the supply system. The communications are actively monitored by all segments of the pharmaceutical supply system to ensure the fastest possible resolution.

Who are the Primary Rx Response Members Manufactures Distributors Dispensers/Pharmacies Disaster/Relief Organizations Federal, state and local government parties that respond to disasters, while not part of the Coordinating Body, play a key role. Non-Profits, such as AIRS and United Way Worldwide assisted with the training material and getting the word out.

History/Motivation for Creation The program was initiated by the Pharmaceutical Research and Manufacturers of America in the aftermath of Hurricane Katrina and based on fears of a new pandemic outbreak in Following Hurricane Katrina, there was no single point of contact for emergency managers and relief agencies to contact the pharmaceutical supply system.

What is the Real Benefit In the event of a severe public health emergency or disaster, one of the many critical factors in preserving and protecting public health will be continued access to essential medicines – for treatment of injuries or illness caused by the event, as well as continued supply of medicines for patients. First and foremost, the program helps communication between first responders and relief workers and those involved in the pharmaceutical supply system during an emergency or disaster.

Emergency Pharmacy Status Reporting There is no benefit to an operational pharmaceutical supply system if those in need cannot get or do not know where to get their medications. It is critical that the general public be able to locate nearby open pharmacies in a disaster or emergency event. To meet this need, Rx Response partnered with the National Council for Prescription Drug Programs (NCPDP), as well as the pharmacy switches/clearinghouses responsible for processing pharmacy payments – eRx Network (an Emdeon company) and RelayHealth. These partnerships form the basis of the Emergency Pharmacy Status Reporting tool.

Emergency Pharmacy Status Reporting Once a request is made by a state emergency or public health official to begin pharmacy status reporting, Rx Response requests a list of all NCPDP pharmacies within an affected disaster area. At the same time, Rx Response requests that the pharmacy switches/clearinghouses begin providing a daily list of all pharmacies that are billing within the affected area. The data is then merged and filtered to display only those zip codes listed within disaster declarations. Once the data is processed, Rx Response displays both a graphical, searchable map and downloadable Excel file of all known pharmacies (displayed on the map using orange icons), all open pharmacies (green icons), and any known affected/closed pharmacies (red icons). The images below show examples of these icons and what the map may look like if activated for an affected region.

Who might find the Rx Response Pharmacy Status Reporting Tool useful? Anyone who needs medicine in a disaster area Emergency rooms, acute care clinics and physicians offices for patient referrals Pharmaceutical distributors and manufacturers Emergency management and public health officials

Can I narrow my search to find a pharmacy in my neighborhood? Yes. Users can narrow their search by providing information such as a zip code or street address within their city, county or state. The reporting tool will automatically compile a list of the nearest open pharmacies based on the address where a person is located. The open pharmacy locations will be provided as an excel spreadsheet to emergency managers and in map format for emergency managers and consumers on the RxResponse.org website.

How To Contact Them If you cannot find specific information on our website, feel free to send a request for information to the Rx Response operations center, located at PhRMA's headquarters in Washington D.C. In addition, feel free to call or fax the numbers below, or send an to Rx Response c/o PhRMA 950 F Street, NW Suite 300 Washington, DC Phone: (202) Fax: (202)

1.877.UWA.LINK Now available to United Ways and 2-1-1s across the U.S., Canada and throughout the Caribbean. United Way Staff Toll-free Check- In Number UWW/AIRS Link Line

21 Jay Wilkes Manager, Disaster Services United Way Worldwide Formerly: Director, Crisis Preparedness, Response and Recovery United Way of the Bay Area , x239 Presenter:

22 DisasterAssistance.gov helps disaster survivors: Find help in Spanish and English for individuals, family, or business during all stages of an emergency; Learn what help might be available from 17 U.S. Government agencies; Have Social Security benefits sent to a new address; Find federal disaster recovery centers near a current address; Get help from the Department of State if affected by a disaster while living or traveling outside the U.S; Apply online for help from FEMA Be referred to the Small Business Administration for loans

23 Resources for Your Readiness The mission of do1thing is to move individuals, families, organizations, businesses, and communities to prepare for all hazards and become disaster resilient. September - Getting Emergency Information THE GOAL: Make sure everyone in your household can receive, understand, and act on information received in an emergency. Do One Thing (choose one thing to do this month) Purchase an Emergency Alert Radio. Make sure everyone in your household knows what to do when outdoor warning sirens sound. Create a personal support network to meet any special needs. Create a plan with a neighbor to care for your pets if you can't get home in a disaster.

24 Agency Emergency Plan: A Simplified Version for Community-Based Organizations A. Disaster Mission Statement: Make sure you know what role you are planning to play in a disaster Who are you going to be for your clients and community when disaster strikes? Does your current mission statement encompass how you see your agency functioning in a disaster? Think about your commitments and your resource limitations and create a disaster mission statement.

25 Agency Emergency Plan: A Simplified Version for Community-Based Organizations D. Volunteers: Make sure you know the best ways to use and work with volunteers in a disaster Know how you will appropriately recruit, task and manage volunteers. 1. Are your current volunteers appropriate for disaster related work? 2. Do your current practices of recruiting or accepting volunteers include your disaster preparedness and response needs? 3. What important activities (that keep your organization able to provide services) can be assigned to spontaneous volunteers? What activities should not be assigned to spontaneous volunteers? 4. What safety and/or legal considerations should you include in your plan?

26 Communicating with Our Partners: Tools for Sustained Action! Flow: You Your Organization Your Community Beyond! Transform the entire crisis communication and emergency preparedness conversation. 26

27 STAT - Safety Team Action Tools 5-Minute Messages Take just five minutes a week to raise the level of emergency preparedness and safety awareness in your organization and community organizations you serve. This Week: Flexing Your Communications Muscles Sample Messaging

28 Agenda United Way of the Bay Area and Hurricane Gustav Learnings from Gustav

Hurricane Gustav and Its Aftermath TWO MILLION EVACUATED 29

30

31 TWO MILLION EVACUATED TWO MILLION RETURNED HOME thats when the problems started …

San Francisco Mobilized UWBA asked to serve as an overflow call center UWBA asked because of our – – PEOPLE staff sprang into action – – PLANNING built emergency capacity – – PARTNERSHIPS CA Coalition of 2-1-1

33 Answering the Call Tripled our capacity almost overnight Transformed conference room into Hurricane Gustav call center Tripled our capacity – –7 to 24 phone lines – –Trained 50+ people Developed new crisis protocols – –Simple scripts – –Updates on easel pads

34 Lending Assistance to the Gulf Coast 1,700 calls at UWBA – –40,000 nationwide 550+ staff hours on phones Call volume spiked as evacuees returned home

35 What were the top caller needs? very basic needs cash, food, shelter, water, transportation

36 NO shelters NO sewage NO water NO food NO gas NO electricity shelter locations in New Orleans No infrastructure for returning residents only 36 out of 64 perishes declared a disaster

The Power of Electricity Almost 1 Million without power upon return 37 power NO $ - No ATMs - No automatic deposits – social security, unemployment, paychecks NO - No online apps for services - FEMA - Prescriptions - Phone chargers NO Water NONO -Electric pumps NO YES – electrical fires when power restored NO

38 After evacuees were allowed to return home … how many government service agencies were open?

39 NONE no food stamps, social security checks, unemployment checks no services for the neediest residents

40 How many non-profits were open as people returned home? severely underfunded spent $70M, raised $5M

41 Nonprofits not available Affected by hurricane themselves Residents of group living facilities Elderly, particularly frail elderly People with physical or mental disabilities Low-income households Single-parent families Limited English Proficiencies Recent immigrants/migrants Renters and large households Large concentrations of youth The homeless Tourists and transients No services for hidden populations

TWO MILLION EVACUATED 42 TWO MILLION RETURNED HOME thats when the problems started FOCUS on EVACUTION not RETURN HOME REACTIVE to KATRINA not PROACTIVE WHAT IS EXPECTED not WHAT IS REQUIRED

What did we learn? Be prepared with a written Emergency Operations Plan; Have practice meetings consistently during non-crisis periods of time; Partner with other departments in your United Way; Partner with other organizations – i.e Call Centers, Volunteer Centers, VOAD/COADs, etc.; Partner with key constituents in the private sector – i.e. Google for maps, computer vendors, etc.; Work quickly, stay organized; Document work – i.e. sign-in lists for volunteers, copies of trainings, etc.