1. Everything the Supply Chain should know going into the Hurricane Season Presented by: Larry Robinson Emergency Management Specialist

2. Today’s Discussion -Are YOU ready for Hurricane Season? -What should hospital executives be doing for hurricane season? -Who is responsible for raising awareness. -Have you discussed disaster planning with your vendors? -The Supply Chain is expected to have a plan. (What’s Your Plan?)

3. Are YOU ready for Hurricane Season -Must be prepared at home FIRST! -Emergency Supplies -Flashlights, batteries, generators, water, can goods, can openers, candles, matches/fire, sleeping bags, plastic bags/document protectors, bbq pits, coals, etc. -Emergency Plan -Designated place to go? -Family? -Return Plan -Insurance Policies -Renters, Home, Car, etc.

4. Hospital Executives -The Hospital Administrator is the Incident Commander. -The Chief Nursing Officers is (usually) the Planning Chief. -The Logistics Chief is (usually) the Supply Chain. -The Operations Chief is (usually) Facilities Manager.

5. Vendor Relations “Supply chains have become increasingly interdependent because of their reliance on lean practices and just-in-time delivery systems. At the same time, in doing that we’re more exposed than we’ve ever been to disruptions. And climate change has made things more volatile than ever.” Bob Armstrong, President of Supply Chain & Logistics Association Canada (SCL) in Markham, Ont.

6. Vendor Relations -Prime Distributor Plan? -Dual Sourcing. -Decrease supplier distance -Fuel -Refrigeration -Potted Water -Medical Gases

7. Plan The hurricane disaster plan can be broken into four specific stages. Stage A: Annual Plan Stage B: Pre – Landfall Preparation Stage C: Landfall Stage D: Post - Recovery

8. Annual Preparation Inventory –All non-medical disaster supplies are counted on a quarterly basis. –Inventory is counted after all disasters. Disaster Contracts –Current.

9. 5 Days – 120 hr. Update ICC on the status of: Staffing –E1 (Ride-Out Team) –E2 (Recovery Team) Supplies –Review medical supplies –Review non-medical supplies. –Check supply availability with your warehouse/distributor/prime vendor. Services –Check with contract vendors. (disaster equipment, refrigerated truck, fuel tanker, and waste management.).

10. 4 Days – 96 hr. Update ICC on the status of: Staffing –Convert work schedule to pre- determined 12 hrs shifts. –Send E1 staff home. Supplies –Order next day shipment of pre- determined supplies from Prime Distributor. –Order disaster forms or down- time documentation. Services –Order contracted vendors. (disaster equipment, refrigerated truck, fuel tanker, and waste management.).

11. 3 Days – 72 hr. Update ICC on the status of: Staffing –End of Day 3 – E2 will be sent home to evacuate. –Must be back 24 hrs after landfall or as soon as it is safe to travel. Supplies –Receive all ordered supplies. –Distribute non-medical supplies (Cots and/or air mattress and pillow to predetermined rest areas). Services –Validate receipt or deploy all contracted services.

12. 2 Days – 48 hr. Update ICC on the status of: Staffing –E1 arrive to (Ride-Out). Supplies –Ensure all medical and non- medical supplies meet the 96 hrs needs for facility.

13. 1 Days – 24 hrs. Update ICC on the status of: Staffing –Assign supply areas. –Ensure sleeping facilities are secured and prepared for staff. Supplies –Ensure all medical and non- medical supplies meet the 96 hrs needs for your facility. –Distribute non-medical supplies (flashlights, water, etc. for staff).

14. Landfall – 24 hrs. Update ICC on the status of: Staffing –Account for all FTEs Supplies –Distribute non-medical supplies (flashlights, water, etc. for staff). –Review medical supply needs. –Maintain record of all supplies distributed during disaster.

15. Post -Landfall – 24 hrs. Update ICC on the status of: Staffing –E2 (Recovery Team) Supplies –Re-establish contact with all vendors. –Review medical supply needs. –Maintain record of all supplies distributed during disaster. Services –Check status of contracted services and equipment. –Take steps to return or replenish.

16. Questions?