2. Urban vs. Rural- Two Corps, Same State: Urban vs. Rural- Alike or Different? Presented by: Susan Hoskins, Mid-America MRC Carmen Stanton, NE Missouri MRC

4. A COLLABORATIVE REGIONAL APPROACH

5. The MARC Region The Mid-America Regional Council serves eight counties, 116 cities and 1.7 million people in the Greater Kansas City Area.

6. MAMRC – CRITICAL COMPONENT OF HOMELAND SECURITY PLANNING FOR THE KANSAS CITY METRO AREA Plans Training/Exercise PASS Law Enforcement MEIS Communications Interoperability Resources HospitalsPublic Health First Responders Policy Mental Health Medical Reserve Corps The Regional Homeland Security Coordinating Committee

7. Shared Goals Across Disciplines  Develop relationships and capabilities  Design capabilities that minimize duplication  Design capabilities that are capable of being sustained after federal funds expire  Provide interoperability among local jurisdictions across disciplines  Enhance Emergency Operations Centers  Utilize volunteers and community contributions  Design systems and select equipment that can be used regularly  Develop relationships and capabilities  Design capabilities that minimize duplication  Design capabilities that are capable of being sustained after federal funds expire  Provide interoperability among local jurisdictions across disciplines  Enhance Emergency Operations Centers  Utilize volunteers and community contributions  Design systems and select equipment that can be used regularly

8. What services can Medical Reserve volunteers provide?  Distributing pharmaceuticals to first responders and citizens in a public health emergency  Assisting with the care of special needs populations  Future assignments may include mass patient care or support to hospitals in dealing with surge capacity  Distributing pharmaceuticals to first responders and citizens in a public health emergency  Assisting with the care of special needs populations  Future assignments may include mass patient care or support to hospitals in dealing with surge capacity

9. Participating Agencies The Mid-America Medical Reserve Corps will assist area health departments, including:  Clay County, Mo., Health Department  Jackson County, Mo., Health Department  Platte County, Mo., Health Department  Independence, Mo., Health Department  Unified Government (Wyandotte County, Kan.) Health Department  Kansas City, Mo., Health Department  Johnson County, Kan., Health Department  Clay County, Mo., Health Department  Jackson County, Mo., Health Department  Platte County, Mo., Health Department  Independence, Mo., Health Department  Unified Government (Wyandotte County, Kan.) Health Department  Kansas City, Mo., Health Department  Johnson County, Kan., Health Department

10. Mid America Medical Reserve Corps Applicant Breakdown

11. APPLICANTS Acceptance Process Results

12. ORGANIZATIONAL STRUCTURE UNIT COMMANDER CHIEF MEDICAL OFFICER Operations Teams Logistics EXECUTIVE OFFICER Team Dev.T & E MAMRC COORDINATOR RecruitmentPIOOutreach

13. FIVE FUNCTIONAL TEAMS – Comprised Of: Physicians Nurses Pharmacists Phlebotomists EMS Mental Health Workers Translators Security Personnel Administrative Support

14. KEY CHALLENGES Not enough volunteers to serve the metro during a public health emergency Retention –Meaningful service –Without emergencies … no sense of purpose Unrealistic expectations of volunteers Unrealistic expectations for Corps –Recruit 16,000? “Bonding Issues” Strong personalities

15. Regional organization within homeland security and emergency preparedness Key stakeholders from multi disciplines Targeted recruitment of volunteers to serve local public health agencies during emergencies or disasters Key partnerships between MAMRC, MARC, ARC and seven metro local public health agencies Regional organization within homeland security and emergency preparedness Key stakeholders from multi disciplines Targeted recruitment of volunteers to serve local public health agencies during emergencies or disasters Key partnerships between MAMRC, MARC, ARC and seven metro local public health agencies Summary of Best Practices

17. Northeast Missouri Mission The Northeast Missouri Medical Reserve Corps is a volunteer group that can supplement existing community emergency medical resources, as well as contribute to meeting the public health needs of the community.

18. Demographics Serves 11 counties in the Area B region of Northeast Missouri Combined population: 103,828* Combined land area: 5,925 square miles Average population per square mile: 17.2 *Based on 2000 and 2003 census data from the U.S. Census Bureau

19. Unit Demographics 86 Members Although based in a medical school, only 20 physicians are members 1/3 membership EMTs/Paramedics from three counties Goals: 100 members by September, 2005 –150 members by September, 2006

20. Database Excel spreadsheet Hard copy backups Easily transferable KISS

21. Organizational Chart

22. Activation Plan 24-hour cell phone Designated primary and secondary staging areas Team leaders contact team members Meet at staging area and deploy as a unit

23. Steering Committee Guiding force behind the unit Committee members are not necessarily MRC members Representatives from diverse backgrounds: Public health, fire, EMS, law enforcement, health education, retired physicians, former military.

24. Training Agenda 2005 IMS Mass casualty triage CPR Anhydrous ammonia Trauma class Hazardous materials Pediatric emergency care CERT

25. Partnerships Kirksville Fire Dept. American Red Cross Area Health Education Centers The Salvation Army Adair County Health Department Adair County Ambulance District

26. Outreach and Recruitment Four rural hospitals Medical students at ATSU Nursing students at Truman State University County health departments Volunteer fire districts

27. Fundraising Freedom 5k/1m Fun Run/Walk Training classes used as recruiting and fundraising opportunities

28. Freedom is not free. Honoring troops: “The land of the free because of the brave.” Jerry Gudehus Memorial Trophy Veterans Flag Corps will open the race Family will present the trophy

29. Rural Challenges Drawing from a smaller pool of volunteers Life after funding Lack of progress in public health Physician recruitment Need medical protocols Not enough time!

30. Common Challenges Will anyone show up? Liability Training and attendance issues Sustainability Credentialing Medical protocols

31. Three’s Company… Frank Barfield, Columbia/Boone Co. MRC Trained to respond and assist one another in any major event affecting our state Working and communicating together toward that common goal

32. Missouri is: The “Show-Me Show-Up” State!