Jimmy Guidry, MD State Health Officer & Medical Director Hospital Disaster Preparedness: Past, Present and Future Public Health Systems Research Committee Wednesday, February 8, 2006 Washington, D.C.

Summary of accomplishments by DHH: PRE-Hurricane Katrina and Rita: Opened with DSS and DHH staff and supplies 7- Special Needs Shelters Established Triage lines to assist special needs evacuees to make decisions about leaving with their families, reporting to special needs shelters as a last resort or seeking shelter or care at hospitals. Accepted 150 special needs evacuees in Baton Rouge from the Superdome prior to storm. Assisted with equipment and staffing to City of Orleans to open section of Superdome for special needs evacuees (approximately 400 capacity). Cared for 1200 special needs evacuees pre-storm Moved Special Needs Shelters in Lake Charles and Lafayette to Shreveport and Monroe respectively to accommodate needs. Increased the capacity in the Special Needs Shelters in Alexandria and Baton Rouge to receive evacuees and meet need.

Summary of accomplishments by DHH : POST-Katrina/Rita: Special Needs sheltering expanded at Nicholls State University and LSU to establish TMOSAs – Temporary Medical Operations and Staging Areas. LSU – TMOSA, Pete Maravich Assembly Center opened as a surge facility for emergency rooms with the capacity for 800 beds. Over 40,000 evacuees were triaged at this facility. Nicholls State - TMOSA, Lafourche – triaged over 20,000 evacuees. Expanded capacity of Special Needs Shelters around the state to care for over 2000 special needs evacuees at one time. Re-opened Special Needs Shelters and operated a TMOSA in Lafayette to serve returning Rita and Katrina evacuees Assisted with hospital surge by accepting hospital discharge patients to special needs shelters.

Lessons Learned Communication Challenges Policy Implications and Gaps Building Codes Transportation Issues

Policy Decision Points Prevention and Primary Care Secondary Care Tertiary Care Graduate Medical Education

The Future: Health Care’s Needs to Prepare and Respond to Catastrophic Disasters _____________________________________________ Continue HRSA Grants, with increased level of funding Reform Stafford Act to include health care costs for catastrophic events and long term response Funding for purchase and pre-staging of generators for special needs shelters Mitigation funds for relocation of hospital generators

CDC Grant: Public Health Preparedness & Emergency Response Green status for Strategic National Stockpile readiness > 30,000 immunizations over past three years during annual statewide mass vaccination exercises > 1,000 smallpox vaccinations to public health staff and health care workers in 75 hospitals Enhanced Health Alert Network and IT infrastructure that allowed for online –Disease surveillance reporting –Entry and retrieval of immunization data Improved web-based disease surveillance and reporting systems Increased public health laboratory capacity Established state level and nine regional emergency operations centers Provided specialized and general emergency preparedness training to employees, partners, and volunteers Family Readiness Guide developed and distributed to Louisiana citizens Developed shelf kits on threat agents for medical staff Conducted regional table-top drills and full scale exercises Conducted three field deployment disease surveillance exercises 85 positions wholly or partially funded

1. Regions Identified for Hospital PlanningCompleted 2. Identification of Lead Facility for each RegionCompleted 3. Identification of a Regional Coordinator for each RegionCompleted 4. Comprehensive Surveys Developed, Distributed & AnalyzedCompleted 5.Regional Hospital PlansDeveloped and UpdatedOn-going 6.SMART has been established as a 501 c 3Completed 7.Major surge equipment purchase has been completed.Completed 8.DHH Training Institute (Carville) has been established.Completed 9.Regional Medical Awareness Trainings for ProfessionalsCompleted 10.Standardized Medical Training has been initiated with Completed core trainers (BDLS/ ADLS). 11. Table Top Exercises and Community DrillsOn-Going 12. Major Strategic National Stockpile Statewide drill has been Completed completed under the direction of Public Health HRSA Accomplishments