1. Planning for Children in Disasters Conference April 5, 2016

2. Welcome and Opening Remarks Chris McEachin, BSN, MBA R2N Healthcare Coalition Education Committee Chair Mike Feld, MD R2N Healthcare Coalition Medical Director

3. Rick Drummer, Regional Coordinator Region 2 North Planning For Children in Disasters Conference April 5, 2016 Region 2 North Healthcare Coalition: Overview

4. Region 2 North Staff Rick Drummer – Regional Coordinator (Full Time) Michael Feld MD – Regional Medical Director (Part Time) David Vinson – Assistant Regional Coordinator (Full Time) Justine Smigielski – Administrative Assistant (Part Time)

5. Regional Medical Networks Were Created to Assist Local Emergency Management Regional Healthcare Coalition Coordinators Regional Medical Directors Regional Epidemiologists Emergency Management Homeland Security District Coordinators 4

6. Mission Our mission is to develop robust mass casualty response capabilities for the healthcare coalition including hospitals, pre-hospital agencies, long term care agencies ancillary healthcare agencies other partners including Public Health and Emergency Management. We will accomplish this by utilizing a multi-disciplinary planning approach including the appropriate dissemination of federal and state funds, when available.

7. 2,077 square miles Four major highways Major international bridge crossing Three counties (2 nd and 3 rd largest in state) Major sporting event center (Palace) Numerous colleges and major university Diverse race and ethnicity Several major outdoor entertainment venues Home to Chrysler/Fiat Headquarters Region 2 North is one of the smallest regions, but it has 2.2 million people (22% of the state population)

8. Two Level 1 and three Level 2 trauma centers Two burn surge facilities One Special Pathogen Tier 2 Hospital 73 Licensed Long Term Care Facilities 25 Hospitals Metropolitan Medical Response System Three Medical Control Authorities Numerous Life Support Transportation Agencies Cities Readiness Initiative area Region 2 North is rich in Healthcare Resources

9. Opportunities for Disaster Top 3 Regional Priorities Severe weather (tornado, snow, etc.) Power/Utility/Information Technology failure Mass casualty incident ◦ Lots of people, often in very close quarters ◦ Lots of travelers on major highways and bridges ◦ Lots of railroads, trucks, planes, etc.

10. Response Objectives Maintain situational awareness through timely exchange of critical information Provide resource support to coalition members through the mutual aid process Facilitate the coordination of incident response actions for members Promote and adhere to risk-based methodologies that ensure the safety of the emergency responders and support personnel

11. Business Structure Regional Coalition Planning Board Members include Hospitals, Medical Control Authorities, Casualty Transportation Agencies, County Public Health, County Homeland Security and Emergency Management, MSP R2N Emergency Manager, R2N Regional Epidemiologist, MCA Fiduciary Advisory Workgroups Education Hospital and Long Term Care Casualty Transportation System Pharmacy Operational Planning Regional Staff and MCA Fiduciary Regional Medical Coordination Center (Communications and Coordination) Sharing with other Regions and State

12. Planning for Children in Disasters

13. Nicole Lurie, MD, MSPH Assistant Secretary for Preparedness and Response (ASPR) “The Department of Health and Human Services (HHS) is committed to the highest level of response for children before, during, and after emergency incidents, and continues to focus on integrating pediatric issues into the public health and medical response to natural and human-caused emergencies and disasters, including pandemic influenza….HHS recognizes that the needs of children are different when planning for disasters. Children require different skills and resources to treat their injuries and illnesses because they are far more than just small adults” Testimony before the Committee on Homeland Security and Governmental Affairs Ad Hoc Subcommittee on Disaster Recovery, United States Senate. August 1, 2014

14. Children as a Special Population National Census Data: 74 million children aged 0-17 in U.S. ◦ 0-5 approximately 24.5 million ◦ 6-11 approximately 24.5 million ◦ 12-17 approximately 24.5 million Almost double that of senior citizens Source: “Managing Children in Disasters, Planning for Their Unique Needs”, Jane Bullock, George Haddow, and Damon Coppola, CRC Press, 2011

15. What might group look like? Child GroupPercentYear Age 0-6 in nonparental child care60.82005 Live with only one or no parents332005 Speak another language at home18.92004 Less than good health182004 Living in poverty172004 Suffering from asthma132005 Taking regular prescription medicine132005 Limitation of activity caused by chronic condition72006 Learning disability72005 Receive special education or early intervention5.22005 Difficulty speaking English5.22004 Source: “Managing Children in Disasters, Planning for Their Unique Needs”, Jane Bullock, George Haddow, and Damon Coppola, CRC Press, 2011

18. A Pediatric Champion’s role is to advocate for inclusion of the pediatric patient (0-15 years) in planning for and responding to medical and public health emergencies and provides appropriate timely assistance and advice to health care services in the care of pediatric patients. A Pediatric Champion does not need to be a physician, specialized training and expertise in emergency preparedness with an interest or expertise in pediatrics preferred. A Pediatric Champion’s role is voluntary and the responsibilities vary depending on member interests and expertise. Most physicians work collaboratively and constructively with other health care professionals in attaining high standards of health care in their clinical area of expertise. Pediatric Champion Role:

19. Opportunities to Grow R2N is looking to support growth in Planning for Children in Disasters: ◦ Identifying Pediatric Champions ◦ Toolkit – Distributed to Partners ◦ Pediatric Conference – Today ◦ R2N Annual Conference – Pediatric Topic ◦ Pediatric Exercises – Future Goal ◦ Improved Planning and Communications – Continuous Goal

20. Questions??? Mike Feld Region 2 North Healthcare Coalition mfeld@region2north.com 248-759-4748 Rick Drummer Region 2 North Healthcare Coalition rdrummer@region2north.com 248-759-4748

21. Triage and Other Considerations – Prehospital Pediatric Disaster and Family Considerations in a Disaster Faisal Patel, MD, FAAP Pediatric Emergency Medicine Fellow Beaumont Health System

22. Break Opportunity to network and ask questions

23. Plan, Staff and Stuff for Kids Marie M. Lozon, MD Associate Professor, Emergency Medicine Pediatric Specialty University of Michigan Medical School

24. Wrap-Up and Evaluations