Regional Disaster Health Response EcoSystem (NRDHRE) Partnership for Disaster Health Response Cooperative Agreement

NRDHRE (nerdy) Philosophy:

Building an ecosystem for regional disaster health system response

Ecosystem: self-sustaining community comprised of inter-dependent organisms… and their natural environment Ecosystems are . . .

• Inclusive

• Interconnected

• Redundant

• Dynamic

• Self sustaining

Why Nebraska?

• One of the top 3 states with most disaster declarations since 1960

• Financial, business hub

• Rural and Frontier 2 Time Zones 6 Healthcare Coalitions (HCC) 6 Behavioral Health Regions DHHS EMS/Trauma Regions Our Approach

Self-organizing Tiered Casualty Health System Specialty Care Medical Response Management Expansion Penetrance Private Sector, Community/business First-aid, buddy-care Business community Transportation and Community response teams, awareness, transport ambassadors communication assets Organization Actions Preparedness events assets - credentialing Business/community State reimbursement Insurance and Telemedicine cost Economic Incentives preparedness funds mechanisms for underwriting discounts reimbursement disaster care schemes

Designated aid and Hub and spoke Outpatient asset Strike team training Local/Regional transport stations, system, Crisis integration, User deployment plans Adaptive Planning Good Samaritan laws standards of care managed inventory

Disaster life support Mobile training HCW cross training Simulation and virtual Education and training requirements (HEROES) requirements reality training Training Standards

Amateur radio teams, Knowledge Center, Online decision Telemedicine platforms Information Sharing Apps and social media ASPR Med Maps support tools

Platforms integration, Capability 1

Build a Disaster Response Network

Regional Engagement and Relationship Building

Southeast HCC Nebraska Medical Reserve Corps Omaha HCC Douglas County Public Health Department Nebraska Department of Health and Human Services Sarpy/Cass County Public Health Department Dept. of Corrections Three Rivers Public Health Department Nebraska National Guard Lincoln-Lancaster County Public Health Department Nebraska Public Health Laboratory Mills County Public Health Department Fusion Center The Governor of the State of Nebraska Governor’s Policy Group Nebraska State Trauma System RROMRS Douglas Co Emergency Management NEMA Omaha Fire Department/EMS County EM (NAEMSOS) TRIMRS University of Nebraska Medical Center Physicians Mutual National Ebola Training & Education Center Children’s Physicians and Children’s Specialty Physicians Region VII EMS & Exercise Committees Omaha VA National Strategic Research Institute ORAU Global Center for Health Security Southeast District Health Department Center for Preparedness Education NSRI HEROES Program Team Rubicon Nebraska Infection Control Network Region 6 Behavioral Healthcare Nebraska Public Health Laboratory Nebraska State Trauma Advisory Board Nebraska Regional Poison Control Center Nebraska State Emergency Health Systems Office American Association of Poison Control Centers VA Nebraska-Western System American Red Cross – Kansas/Nebraska/SW Iowa Region Offutt 55th Medical Group Omaha Chamber of Commerce NeDHHS: DMAT/DMORT/ESAR-VHP/MRC Teams Nebraska State Chamber of Commerce and Industry Nebraska Task Force 1 Nebraska Hospital Association Nemaha County Hospital Nebraska Healthcare Association Faith Regional Health Nebraska Nursing Facility Association Great Plains Health Nebraska Assisted Living Association & Bryan Medical Center Nebraska Hospice and Palliative Care Association Nebraska Medicine - Bellevue Hospital Licensed Practical Nurse Association of Nebraska CHI Health & CHI Bergan Mercy Hospital Omaha Metro Healthcare Nebraska Association of Local Public Health Directors Methodist Health System & Methodist Hospital Public Health Association of Nebraska CHI Health Coalition (OMHCC)

Regional Engagement and Relationship Building

Unconventional Resources Behavioral Health Private Sector National Guard and Medical Reserve Corp Air Force/Air National Guard Insurance Companies Poison Control Transportation Department of Corrections Nursing Facility & Assisted Living Associations Logistics Hospice and Palliative Care Association National Ebola Training & Education Center Social Media National Strategic Research Institute Team Rubicon

Capability 2

Align Plans, Policies, Processes, and Procedures Related to Clinical Excellence in Disasters

Clinical Disaster Risk Assessment Workshop Summary Report Legal Reference Guide Capability 3

Increase Statewide and Regional Medical Surge Capacity

Surge Workshops Rural Region 1 – 3/13 Plains – 4/25 Tri-Cities – 4/30 Omaha Metro – 5/22 Southeast – TBD Panhandle – TBD Deployed Specialty Teams Core Team Augmented Specialties Logistics & Planning Trauma Transportation Chemical Communications & IT Radiological Telehealth Bio/Infectious Disease Burn Pediatrics Behavioral Health Cyber Security Capability 4

Improve Statewide and Regional Situational Awareness

Essential Elements of Information (EEI)

• Reporting Agency • Resource allocation vs. – HCC, NEMA Patient care decision • Data Source • Urgency of data need – Local EMS, Hospital • Data sharing • Information Requested • Is data being received – Type disaster, surge or sent? capacity, Anticipated shortages

Omaha Metro Healthcare Coalition (OMHCC) Capability 5

Develop Readiness Metrics and Conduct an Exercise to Test Capabilities

Metrics Development Readiness Designation Program DRAFT

Annual “Peer Review” Consultation

Self-Assessment Report provided & (Review) Action Items Addressed

“Response Verification of Ready” Completed Action Designation Items

Final Report Submitted to ASPR Model Evaluation Exercise (MEE) What would it look like? Emergency Response NRDHRE Model and Exercise Scope

Airbags and Increasing Medical Surge Capacity Safety System Clinical Excellence in Disaster Response Dash Board Enhance Situational Awareness

Plans, Policies, and Procedures Steering Wheel

• The NRDHRE grant is building these new components • Exercise participants are test pilots • The exercise is the obstacle course Contact

Dr. Lisa Schlitzkus, MD, FACS Assistant Professor of Surgery Trauma Medical Director Email: [email protected] Office: 402-559-5248

Jake Ferry, MA Project Manager, NRDHRE Email: [email protected] Office: 402-552-2339

Thank You