Louisiana Hospital Emergency Preparedness and Response

August 2007

Louisiana Hospital Emergency Preparedness and Response Plan Designated Regional Coordinators Emergency Operations Plan

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Table Of Contents

I. Introduction and Background

II. Louisiana Hospital Emergency Preparedness and Response A. Infrastructure i. NIMS Compliance ii. Regional structures iii. State and federal Interface B. Critical Initiatives i. Communication ii. Patient Movement Process iii. Medical Queue for Mass Evacuation iv. Emergency Codes v. Special Needs Sheltering

III. Individual Hospital Response

Appendices Appendix A – Map of Louisiana Planning Regions Appendix B – Designated Regional Coordinators Appendix C– Hospitals by Region and Type Appendix D – Louisiana Emergency Support Function 8 – Health and Medical Incident Command Structure Appendix E– Emergency Patient Transfer Process Appendix F - NIMS Compliance (to be developed) Appendix G - Interim Patient Tracking System Appendix H- Emergency Support Function 8 Hospital Emergency Preparedness and Response for Hurricanes Appendix I – Hospital CEO Checklist Appendix J - Medical Institutional Evacuation Plan

Louisiana Hospital Emergency Preparedness and Response

I. Introduction and Background

As in other parts of the nation, Louisiana is susceptible to disasters, both natural and man-made, that could exceed the resources of any individual hospital. A disaster could result from incidents generating an overwhelming number of patients, from a smaller number of patients whose specialized medical requirements exceed the resources of the impacted facility (e.g., hazmat injuries, pulmonary, trauma surgery, etc.), or from incidents such as building or plant problems resulting in the need for partial or complete hospital evacuation.

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Impact of 2005 Hurricane Season Hurricane Season 2005 was the most active and deadly in our nation’s history. Louisiana was hit by one tropical storm and four hurricanes: Cindy, Dennis, Katrina and Rita. All of Louisiana’s coastal areas were impacted. As the result of Hurricanes Katrina and Rita 58 hospitals were evacuated (19 remain closed to this date). That evacuation involved the transportation of more than 15,000 hospital patients, staff, and visitors. All state and local resources were impacted. Federal support via the National Disaster Medical System was required. More than 1200 individuals lost their lives as a result of the storms.

With federal funding provided through the Health Resources Services Administration (HRSA) Hospital Bioterrorism Grant Program, Louisiana established an infrastructure to facilitate:

o Development of a plan of action in response to the identified needs o Upgrade the ability of hospitals and other healthcare entities to respond to biological events, and o Development a multi-tiered systems in which local health care entities are prepared to triage, treat, stabilize and refer multiple casualties to identified centers for care.

Individual hospitals developed inter-hospital plans to upgrade resources required to support an emergency response.

II. Hospital Emergency Preparedness and Response

A. Infrastructure

i. Adoption of National Incident Management System (NIMS)

NIMS was developed as a comprehensive national approach to incident management, applicable at all jurisdictional levels and across functional disciplines, to further improve the effectiveness of emergency response providers and incident management organizations across a full spectrum of potential incidents and hazard scenarios. Louisiana has adopted NIMS at all government departments and agencies as well as in the private public partnership of health care providers networked through the Louisiana Hospital Emergency Preparedness and Response (LHEPR). Further, LHERP encourages NIMS adoption by associations, partners, and suppliers.

ii. Regional structures

To facilitate the multi-layered response, nine (9) planning regions for private and public hospitals were identified. These regions correspond with those used by Louisiana Department of Health and Hospitals Office of Public Health. WORKING DRAFT 8/17/07 3

Appendix A includes a map of the Louisiana Emergency Preparedness Response regions.

All hospitals “belong” to a region and have participated in the development of regional plans. Hospitals have been asked to identify a point of contact, known as the Hospital Emergency Preparedness Coordinator.

Leadership for Louisiana Hospital Emergency Preparedness and Response is provided thru hospital volunteers known as Designated Regional Coordinators (DRCs). The primary responsibilities for the DRCs are:

o To serve as the liaison for hospitals with other health-related entities (i.e. Office of Pubic Health, Bureau of Emergency Medical Services) and on behalf of hospitals with non-health related entities (i.e) Office of Emergency Preparedness. o To support the patient transfer process during a declared state of emergency o To facilitate the identification of a medical evacuation queue during a declared state of emergency. o To facilitate the development and implementation of regional and Inter- hospital emergency preparedness plans for designated regions in the State of Louisiana. o To lead the region’s process for development of, testing of, continuous improvement of and management of regional hospital response to emergency situation: o To be the leader for the region during a statewide emergency in which hospitals are tasked to respond.

Appendix B provides a listing of FY 05-06 Designated Regional Coordinators.

Louisiana’s hospitals provide various levels of care. A classification system of hospitals was identified based on capabilities was identified. Hospitals serve voluntarily as one of three levels:

o Designated Regional Hospitals (DRH) hospitals are larger acute care facilities with emergency room capabilities and many subspecialty services. They serve voluntarily and have agreed to provide additional capacity and resources in the initial emergency response of a mass casualty or event.

o Tier 1 Hospitals: Hospitals with emergency department capabilities 24/7.

o Tier 2 Hospitals: Hospitals that do not provide emergency room capabilities and are more single service in nature such as psychiatric, rehabilitation, and/or long term acute service.

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Appendix D provides a listing of Louisiana’s hospitals by region and level of service, and their Emergency Preparedness Coordinator.

Most of Louisiana’s HRSA Hospital Bioterrorism Grant Program funds have been directed to hospitals. Louisiana has received HRSA grant funds to improve communications, surge capacity, isolation capabilities, coordination, planning, training, and purchase pharmaceuticals, personal protective equipment, decontamination equipment enhancing our emergency response capabilities.

iii. State and Federal Interface

The Louisiana Department of Health and Hospitals, Office of Emergency Preparedness provides coordination on behalf of the State of Louisiana and all other state agencies, to the federal government through Emergency Support Function (ESF) 8 - Health and Medical Services, and the Louisiana Hospital Emergency Preparedness and Response.

An Incident Command Structure for Emergency Support Function 8 – Health and Medical is included in Appendix E.

NIMS Compliance will be addressed in Appendix F.

B. Critical Initiatives

Several critical initiatives have been developed by the Louisiana Hospital Emergency Preparedness and Response to support emergency preparedness: Initiatives include: o Enhancing communication capabilities and interoperability for all hospitals; and o The development of a patient movement process to facilitate movement of patients during a declared state of emergency. o Identification of a process to establish a medical queue during a mass evacuation.

i. Communication

EMSystem Louisiana hospitals implemented the emergency preparedness tool, EMSystem Resource Tracking. Hospitals participating in the EMSystem have been asked to report as needed: --- status of operations (open, limited, or closed) --- availability of beds by category (M/S, ICU, ped, psych, etc); and --- other resources that may be needed by hospitals in an emergency (blood products, fuel, pharmaceuticals, personnel, etc.)

This data warehousing includes inventories of available resources against which incoming data can be continuously compared, and that resources can be quickly assessed and distributed. WORKING DRAFT 8/17/07 5

Hospitals and other health care entities may receive an initial alert from the Governor’s Office of Homeland Security and Emergency Preparedness (GOHSEP) after identifying a potential threat through the use of blast fax and email. GOHSEP will coordinate the release of the alert with ESF 8 Incident Command.

EMSystem also includes an alert and notification components allowing ESF 8 Incident Command structures to send request submission of specific information enabling coordination of activities during an event. EMSystem is compatible with Health and Human Services (HHS) Region VI enabling the federal government to oversee activities on the state level.

Communication Systems The State identified communication systems for redundancy: o Primary system- Internet email o Secondary system – Telephone and fax o Tertiary system– Two-way radios

All Tier 1 hospitals have at least one emergency two-way radio. A regional decision was as to the selection of a two way radio. o Hospitals in Regions 2,3,4,5, and 9 – HEAR radio o Hospitals in Regions 1, 6,7,8 - 800 MHz radio

The Louisiana Department of Health and Hospitals Office of Emergency Preparedness, Designated Regional Coordinators and Designated Regional Hospitals are equipped with 800 MHz radios for statewide communications.

Ongoing Drills State-wide Radio Check: Every Monday at 0830 hours, a statewide radio check is completed. The radio checks are conducted with a rotating responsibility between the Designated Regional Coordinators at the state level.

Regional Radio Checks: A radio check is conducted on a weekly basis among hospitals in Region 7 (Shreveport area), Region 6 (Alexandria area) and Region 1 (New Orleans). Region 8 hospitals (Monroe area) conduct a radio check daily. Region 2 (Baton Rouge) hospitals conduct a radio check every month. The radio checks are conducted with rotating responsibility of coordinators within each region. By the fall of 2006, each of the 9 regions will be conducting similar radio checks.

Communication remains a challenge even with the best of plans. During Hurricane Katrina most communications in Region 1 and all communications were lost in Region 9 due to many, many technical difficulties.

Plans are underway to improve redundancy statewide.

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The hospital plans for evacuation are developed as worse case” scenario conditions. The litigious environment, the Homeland Security hearings’ criticisms, the weakened levees, fragile infrastructure, the weakened response capabilities, and overburdened staff add to the indirect factors that may facilitate hospital evacuations regardless of structural ability to shelter-in-place.

From a strategic perspective, Louisiana continues to support the strategy that patients should not be moved on a “maybe” event (prior to a storm) as it is not in the best interest of the patient to move critical care patients. Our federal partners support the strategy of sheltering-in-place (SIP) provided it can be done so safely. Hospitals must evaluate hardening structures and increasing supply assets so that unnecessary movement of critical patients is minimized.

In the event patient movement is required, the Louisiana Hospital Emergency Preparedness and Response has facilitated the development of regional and statewide patient movement processes.

The patient movement process is implemented only when the state has declared a state of emergency or as requested by the Louisiana Department of Health and Human Services. The HRSA Hospital Emergency Preparedness and Response system provides the backbone of the regional and statewide patient movement processes.

There are three components to the patient movement: resource availability, patient transfer process (In-State and Out-of-State) and patient tracking.

Resource Availability With respect to resource availability, the Designated Regional Coordinator (DRC) from each region serves to support the process by identifying available resources in his/her region. Briefly, hospitals are asked to contact and work through the Designated Regional Coordinators to identify and/or request hospital-based resources available in regions throughout the state. DRCs “match” patient care needs with available resources in the state and facilitate the arrangement of a hospital-to-hospital transfer. Hospitals report resources available on an as needed base, to Designated Regional Coordinators through a resource tracking tool, EMSystems. EMSystem allows Louisiana to maximize existing resources.

Patient Transfer In- State Movement of Patients Patient transfer includes the movement of patients from one region to another during a declared state of emergency. Hospitals are encouraged to exhaust all local resources before requesting support through the statewide patient transfer process. The Administrator/Medical Director on call from the hospital that has patients that need to be transferred outside the region should contact their Designated Regional Coordinator. (See Appendix B for contact information for the HRSA DRCs. The transferring hospital WORKING DRAFT 8/17/07 7

should have the specific information available regarding patient needs for their DRC. The “transferring” DRC will contact an “accepting” DRC with a referral request. The “accepting” DRC will contact hospitals in their region to identify available resources. If resources are not available, the accepting DRC will contact the HRSA Coordinator to advise that another alternative region must be identified. An “accepting” hospital will contact the transferring hospital regarding transfer resources. Transfer will be arranged per procedures of the transferring and receiving hospitals.

A copy of the Emergency Patient Transfer Process is included in Appendix E.

Out-of-State Movement of Patients In the event institutional plans fail, state and federal assets will be required to assist with the evacuation of medical institutions. Given the limited resources at the local and state levels, federal support will be required to support a medical institution evacuation plan. Planning Assumptions: • All hospitals are primarily responsible for their own disaster evacuation plans. It is anticipated that hospitals will remain in control of all aspects of their facility evacuation plans, and will use pre-identified resources for execution of their plan. • It is also anticipated that unknown and uncontrollable variables may interrupt and/or limit the facility’s ability to execute evacuation plans and that they may request assistance. This plan identifies the timelines, decisions, and assets that state and federal coordinated assets bring to bear when this plan is executed.

Specific plans for the medical evacuation of patients in Regions 1, 3, 4, 5 and 9 have been established and are available in Appendix J Medical Institutional Evacuation Plans.

Patient Tracking An interim patient tracking system has been established by the Louisiana Hospital Association (LHA) to facilitate the identification of patients moved during a declared state of emergency. LHA has established a website for data collection and a second site for patient query. The State of Louisiana will establish a more comprehensive patient tracking system in the future. Hospitals may contact the Louisiana Hospital Association via email at [email protected]. The LHA will store the patient tracking data in central repository accessible via the web at www.lhaonline.org.

A copy of the LHA Patient Tracking System is included in Appendix G.

iii. Medical Queue for Mass Evacuation

Consistent with the State’s plan to support mass evacuation, Designated Regional Coordinators assist in establishing a “medical queue” in cooperation with the regional unified command staff.

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To facilitate evacuation, the Louisiana Department of Health and Hospitals and support agencies have identified a system of triggers and actions to assist. Triggers and supporting responses have been established based on “H-Hour” timeframes established by the Governor’s Office of Homeland Security and Emergency Preparedness. H-Hour has been defined as H-Hour 0 = 24 hours prior to tropical storm force winds making landfall

See Appendix H for the Louisiana Hospital Emergency Preparedness and Response: H - Hour Response

As hospitals request assistance to evacuate particular units or entire buildings, the regional unified command will work to identify the medical queue. This will list which hospitals evacuate in order of priority. Evaluations will include weather conditions, flooding, structural condition of the facility, condition of patients, etc, and will be communicated to those assisting with the transportation assets (DODT). The Designated Regional Coordinator is responsible for assuring that the process is completed and communicated to the ESF 8 incident command structure and impacted hospitals.

iv. Emergency Code Uniformity

Emergency Code uniformity enables many individuals at multiple facilities to respond consistently to emergencies, which ultimately enhances safety for patients, visitors, and staff. Reasons for seeking uniformity include:

• With the current nursing and other healthcare professional’s shortage, many organizations share personnel. Having a consistent code system reduces the amount of information an employee must learn or re-lean and lessens the opportunity for confusion during emergent or disaster events.

• Communication among hospitals and other agencies in a specific geographic region during an emergency can be enhanced when there is a common language (for instance, DASH, DASH II, MMRS, and other statewide agreements that involve different regions).

• Communication during statewide, regional, or local weapons of mass destruction (WMD) events will also be enhanced.

• The myriad of different systems using numbers, alpha codes, and color codes creates confusion, increases the likelihood of miscommunication, and potential for serious outcome to patient care.

Code Recommendations: The following code designations for emergency identification in healthcare organizations are recommended:

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CODE BLUE - Medical Emergency – Cardiac/Respiratory Arrest CODE RED - Fire

CODE GREY - Severe Weather CODE BLACK - Bomb CODE PINK - Infant/Child Abduction CODE YELLOW - Disaster – Mass Casualty CODE ORANGE - Hazardous Materials CODE WHITE - Security Alert – Violence/Hostage

Note that while the above main colors remain constant, there is flexibility built into the system for individual hospital needs. Emergency code colors not stated may be used by individual organizations to address specific facility or geographic concerns. The goal is to have a common set of base colors and for hospitals to customize them to meet their needs albeit a response to these events is very similar hospital to hospital.

v. Special Needs Sheltering

There is a growing vulnerable population in Louisiana. The vulnerable population is defined as being medically dependent or those individuals with ongoing medical needs that require support, but not hospitalization.

Louisiana provides three types of shelters: General shelters, special needs shelters and hospital-based shelters. These shelters provide a triage network of shelter care for vulnerable patients. Depending upon the acuity of the shelteree, potential shelterees can be triaged to a general shelter; special needs shelter, or hospital shelter.

Many hospitals in Louisiana signed a Memorandum of Understanding (MOU) in 2004 to provide assistance for the state supported Special Needs Sheltering network. Hospitals may choose to provide: o direct sheltering or send personnel and supplies to state or local shelters.

o operation of an In-Hospital Special Needs or General Shelter.

o provide medical care to patients referred from a shelter (shelter referred) or self referred (walk-in) patients.

It is important to note, that while hospitals signed the MOU to assist with sheltering, hospitals are not required to provide sheltering. Rather, given an incident each hospital should identify the best use of its existing resources be it inpatient acute services or for sheltering.

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A process to reimburse hospitals for sheltering expenses has been developed by the Department of Health and Hospitals and the Federal Emergency Management Agency (FEMA). The Louisiana Hospital Association has agreed to assist hospitals in submission of the appropriate documentation. Specific information related to FEMA reimbursement for sheltering expenses can be found at the Louisiana Hospital Association website: www.lhaonline.org.

III. Maintenance of Individual Hospital’s Disaster Program

This document addresses the relationships between and among hospitals and is intended to augment, not replace, each facility's disaster plan. This document does not replace but rather supplements the rules and procedures governing interaction with other organizations during a disaster (e.g., law enforcement agencies, the local emergency medical services, local public health department, fire departments, American Red Cross, etc).

A checklist for the Hospital CEO has been identified and is attached as Appendix I.

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Appendix A Louisiana Hospital Emergency Preparedness and Response Planning Regions

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Appendix B Designated Regional Coordinators FY 06-07

DESIGNATED REGIONAL COORDINATORS REGION COORDINATOR FACILITY OFFICE E-MAIL 1 Norris Yarbrough Ochsner Foundation Hospital [email protected] 504-842-3772 1 Cynthia Matherne Metropolitan Hospital Council 504-837-1171 [email protected]

1 Frank Folino Touro Infirmary 504-897-7990 [email protected]

2 Allyn Whaley-Martin Our Lady of the Lake RMC 225-765-8329 [email protected]

2 Ruth Turman Earl K. Long 225-358-1320 [email protected]

2 Connie DeLeo Baton Rouge General 225-387-7852 [email protected]

2 Wayne Edelen Earl K. Long 225-358-1108 [email protected]

3 Percy Mosely Terrebonne General Med Ctr 985-873-4271 [email protected]

4 Anjanette Hebert Lafayette General Med Ctr 337-289-7441 [email protected]

4 & 5 Liz Harmon HRSA Region 4 & 5 337-570-4230 [email protected]

5 Mark Severns Lake Charles Memorial Hosp. 337-436-6111 [email protected]

5 Lee Willeford CHRISTUS St. Patrick of L.C. 337-431-7859 [email protected]

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REGION COORDINATOR FACILITY OFFICE E-MAIL 6 Mary Tarver CHRISTUS St. Frances Cabrini 318-448-6861 [email protected]

7 Knox Andress LSUHSC-Shreveport 318- 813-3311 [email protected]

8 Mike Brame St. Francis Medical Center 318-327-4971 [email protected]

8 Sheila Mason Franklin Medical Center 318-435-9411 [email protected]

9 Keith Peek Slidell Memorial Hospital 985-649-8528 [email protected]; [email protected] 9 Karen Moise St Tammany Parish Hospital 985-898-4087 [email protected]

DHH Rosanne Prats DHH 225-342-3417 [email protected] 225-342-5168 LHA Asha Green LHA 225-928-0026 [email protected]

LHA Marcia Fries LHA 225-928-0026 [email protected]

LHA Tatsy Jeter LHA 225-928-0026 [email protected]

LHA Kendra Powell LHA 225-928-0026 [email protected]

LHA Coletta Barrett LHA 225-765-8851 [email protected]

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Appendix C Hospitals by Type and Region (Updated 4/20/07)

RE PARISH FACILITY TYPE LIC HOSPITAL TITLE PHONE EMAIL G BED COORDINATOR S 1 Jefferson Behavioral Hospital of Psych T-2 Gary Chaney HRSA Emer Prep 504-464-8540 [email protected] Kenner (Located inside Coord/Administra Kenner Regional) tor 1 Orleans Children's Hospital Acute T-1 Lisa Miranda HRSA Emer Prep 504-896-9265 [email protected] w/ER Coord/Plant Oper/Safety 1 Orleans Community Care Psych T-2 Paul B. Kavanaugh HRSA Emer Prep 504-899-2500 [email protected] Hospital Coord/President/C EO 1 Jefferson East Jefferson General DRH T-1 Linda Daigle HRSA 504-454-4000 [email protected] Hospital DRC/DRH Rep/Asst Admin 1 Orleans Healthwest Rehab T-2 Paul McCann HRSA Emer Prep 504-433-5551 [email protected]; [email protected] Rehabilitation Hospital Rachel Kancewick Coord/CEO HRSA Emer Prep Coord/Director of Therapy 1 Orleans Kindred Hospital - New LTAC T-2 David Boyd HRSA Emer Prep 504-894-7649 [email protected] Orleans Coord/Dir Quality Mgmt 1 Jefferson Louisiana Speciality LTAC T-2 Stephanie T. Wells, HRSA Emer Prep 504-349-2470 [email protected] Hospital (formerly CPA Coord/Chief Solara Hospital) Executive Officer 1 Orleans LSU-Medical Center of Louisiana DR Cathi Fontenot, HRSA Emer 504-903-0283 [email protected]; [email protected]; H Laurie Smith, Bob Prep Coord [email protected] Sigilito 1 Orleans Medical Center of Louisiana-University Laurie Smith HRSA Emer Prep 504-903-3332 [email protected] Coor 1 Orleans New Orleans Adolescent Hospital T-2 Shelby Price HRSA Emer Prep 504-896-4914 [email protected] Coord/Administra tor 1 Orleans Ochsner Baptist Medical Center Eric Yancovich HRSA Emer Prep 504-897-5998 [email protected]; Wayne Hill Coord/Chief [email protected] WORKING DRAFT 8/17/07 17

Executive Officer

1 Orleans Ochsner Medical DRH DR Norris Yarbrough HRSA 504-842-3772 [email protected]; Center H Melissa Mitchell DRC/DRH Rep [email protected] HRSA Emer Prep Coord 1 Jefferson Ochsner Medical Acute T-1 Eric Yancovich HRSA Emer Prep 504-831-3560 [email protected]; Center-Kenner w/ER Robin Wallace Coord/Director of [email protected] Facilities HRSA Emer Prep Coord/Mgr of Plant Operations 1 Jefferson Ochsner Medical Acute T-1 Eric Yancovich HRSA Emer Prep 504-391-5161 [email protected]; Center-West Bank w/ER Frank Urbeso Coord/Director of [email protected] Facilities 1 Jefferson Omega Hospital Acute/L T-2 10 Debbie Schenck Hospital 504-832-4200 [email protected] TD Adminsitrator/Em ergency Preparedness 1 Orleans Psychiatric Pavilion Psych T-2 24 Daniel Aguillard HRSA Emer Prep 504-400-4631 [email protected] New Orleans LLC Coor/CEO 1 Jefferson River Oaks Child and Psych T-2 Evelyn Notting HRSA Emer Prep 504-734-1740 [email protected] Adolescent Hospital (FWF) Coord 1 Jefferson River Oaks Hospital Psych T-2 Evelyn Notting HRSA Emer Prep 504-734-1740 [email protected] Coord 1 Jefferson Select Specialty LTAC T-2 Robert Baker HRSA Emer Prep 504-780-3025 [email protected] Hospital Coord/Safety Officer 1 Orleans Specialty Hospital of New Orleans T-2 Irving Sawyers, Jr. HRSA Emer Prep 504-210-3000 [email protected] (reopened 9/18/06) Coord/CEO 504-210-3006 fax 1 Orleans St. John's Rehabilation Rehab T-2 Robert S. Rotolo HRSA Emer Prep 225-767-7550 [email protected] Hospital (FWF) Coord/Chief Executive Officer 1 Orleans Touro Infirmary Acute T-1 Frank Folino HRSA Emer Prep 504-897-8780 [email protected] w/ER Coord 1 Orleans Touro Rehabilitation Rehab T-2 Frank Folino HRSA Emer Prep 504-897-8780 [email protected] Center (FWF) Coord 1 Orleans Tulane University Acute T-1 Natasha Wells HRSA Emer Prep 504-988-3801 [email protected] Hospital and Clinic w/ER Coord

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1 Jefferson Tulane-Lakeside Acute T-2 Anita Lindsey HRSA Emer Prep 504-780-6500 [email protected] Hospital Coord 1 Jefferson West Jefferson DRH DR Mitch Leckelt HRSA 504-347-5511 [email protected] Medical Center H DRC/DRH Rep/Asst Admin 2 EBR Baton Rouge General Acute T-1 105 Connie Deleo HRSA 225-381-6153 [email protected] Medical Center - w/ER DRC/Infection Bluebonnet Control Coordinator 2 EBR Baton Rouge General DRH DR 343 Cindy Munn HRSA Emer Prep 225-381-6153 [email protected] Medical Center - Mid H Coord O City 225-405-6575 C 2 EBR Behavioral Hospital of Psych T-2 24 Angie Maxwell HRSA Emer Prep 225-343-1994 [email protected] Baton Rouge Coord/Administra tor 2 EBR Benton Rehabilitation Rehab T-2 13 Amanda Pace HRSA Emer Prep 225-336-1000 [email protected] Hospital CoordAdministrat or/Compliance Officer 2 EBR Bethesda Rehabililtation Rehab T-2 14 Dr. Theresa HRSA Emer Prep 225-356-2200 [email protected] Hospital Speight Coord 2 EBR Cypress Psychiatric Psych T-2 30 Kenneth O'Rourke HRSA Emer Prep 225-383-6134 [email protected] Hospital (FWF) Coord/Administra tor 2 East Eastern Louisiana Psych T-2 337 Sylvia Brinson HRSA Emer Prep 225-634-0678 [email protected] Feliciana Mental Health System Coord/Safety 2 East Feliciana Forensic Psych T-2 235 Teresa J. Palmer HRSA Emer Prep 225-634-0530 [email protected] Feliciana Facility Coord/Safety Coord 2 EBR Greater Baton Rouge Acute T-2 10 Bradley Devillier HRSA Emer Prep 225-358-4908 [email protected] Surgical Hospital Coord/Chief Executive Officer 2 East Gulf States LTAC of LTAC T-2 16 Wayne Dodge HRSA Emer Prep 225-683-1600 [email protected] Feliciana Feliciana Coord/Administra tor 2 EBR Healthsouth Rehab T-2 80 Murry R. Harmon HRSA Emer Prep 225-231-3100 [email protected] Rehabilitation Hospital Coord/Director of Baton Rouge Plant Operations/Safety

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2 EBR Lane Memorial Hospital Acute T-1 137 Michelle Stevens HRSA Emer Prep 225-658-4174 [email protected] w/ER Coord/ER Director 2 EBR LSU-Earl K. Long DRH DR 161 Wayne Edelen, Jr. HRSA 228-358-1108 [email protected] Medical Center H DRC/DRH Rep 2 EBR Oceans Behavioral T-2 18 Debbie Tullier HRSA Emer (225) 356-7030 Hospital of Baton Rouge Prep Coord/Administr ator 2 EBR Ochsner Medical Acute T-1 201 Steven Miller HRSA Emer Prep 225-755-4488 [email protected] Center-Baton Rouge w/ER Coord/Plant Operations Director 2 EBR Our Lady of the Lake DRH DR 719 Allyn Whaley- HRSA 225-765-8329 [email protected] RMC H Martin, CPHRM DRC/DRH Rep 2 Pointe Pointe Coupee General Acute T-1 25 Chad Olinde HRSA Emer Prep 225-683-5701 [email protected] Coupee Hospital w/ER Coord/Dir Imaging/Safety HRSA Emer Prep Coord 2 Ascension Prevost Memorial Acute T-1 25 Lizabeth HRSA Emer Prep 225-474-2161 [email protected] Hospital w/ER Simoneaux Coord/Administra tor 2 Ascension Promise Hospital LTAC T-2 54 Steve McQueen, HRSA Emer Prep 225-621-1335 [email protected];lliotta @Ascension RPh, CCS Coord/Administra 225-572-3553 @promisehealthcare.com; tor Clinical [email protected] Support Services 2 EBR Promise Specialty LTAC T-2 28 M. Bryan Day HRSA Emer Prep 225-381-2686 [email protected] Hospital of BR @ BR (FWF) Coord/Chief General Executive Officer 2 EBR Promise Specialty LTAC T-2 29 M. Bryan Day HRSA Emer Prep 225-381-2686 [email protected] Hospital of BR @ (FWF) Coord/Chief Oschner Executive Officer 2 Iberville River West Medical Acute T-1 80 R.L. Downs HRSA Emer Prep 225-687-8542 [email protected] Center w/ER Coord/Chief Executive Officer 2 EBR SAGE Rehabilitation Rehab T-2 42 Jason Risley HRSA Emer Prep 225-819-0703 [email protected] Institute Coord/Chief Executive Officer

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2 EBR South Baton Rouge Rehabilitation T-2 12 Ralph HRSA Emer Prep (225) 303-0572 [email protected] Hospital McEldowney Coord/Administra tor 2 Ascension St. Elizabeth Hospital Acute T-1 95 Leslie Norman, HRSA Emer Prep 225-647-8540 [email protected] w/ER PhD,RN,CPJRM Coord/Assistant VP Quality & Risk Management 2 EBR Surgical Specialty Acute T-2 14 Mike O'Deay HRSA Emer Prep 225-408-5742 [email protected] Centre Coord/Facility Manager 2 EBR The Neuro Medical Rehab T-2 27 Donna Johnson HRSA Emer Prep 225-906-4830 [email protected] Center Rehab Hospital Coord/Chief Executive Officer 2 EBR The NeuroMedical Acute T-2 23 Donna Johnson HRSA Emer Prep 225-906-4830 [email protected] Center Hospital Coord/Mat Manager 2 East Villa Feliciana Medical Acute T-2 598 James Bradham HRSA Emer Prep 225-634-4017 [email protected] Feliciana Complex Coord/Chief Executive Officer 2 EBR Vista Surgical of Baton Acute T-2 35 Sherry Mix HRSA Emer Prep 225-252-3027 [email protected] Rouge Coord/Administra tor 2 EBR VitalSource Specialty LTAC T-2 26 Candace Gautreaux HRSA Emer Prep 225-766-5001 [email protected] Hospital Coord/Administra tor 2 West West Feliciana Parish Acute T-1 22 Mary Weller HRSA Emer Prep 225-635-3811 [email protected] Feliciana Hospital w/ER Coord/Safety & Infection Control 2 EBR Woman's Hospital Acute T-1 225 Mike Meagher, HRSA Emer Prep 225-924-8605 [email protected] CHCM, CHSP Coord/Risk Mgr 3 Assumpti Assumption Community Acute T-1 15 Mattie Rojas HRSA Emer Prep 225-247-3183 [email protected]; on Hospital w/ER Danny Blake Coord/Safety [email protected] Officer & Dietary Director HRSA Coordinator/DON 3 St. Mary Franklin Foundation Acute T-1 25 Charles Ibert HRSA Emer Prep 337-355-1261 [email protected] Hospital w/ER Coord/Facility Mgr/Safety Dir

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3 St. Mary Gulf States LTAC of LTAC T-2 15 Kimberly Dumas HRSA Emer Prep 985-653-8447 [email protected] Morgan City (FWF) Coord/Director of Nursing 3 LaFourch Lady of the Sea General Acute T-1 35 Helene Melancon HRSA Emer Prep 985-632-8371 [email protected] e Hospital w/ER Coord/ 3 St. John LaPlace Rehabilitation Rehab T-2 22 Linda Millburn HRSA Emer Prep 985-653-8447 [email protected] Hospital Coord/Director of Nursing 3 Terrebonn LSU-Leonard J. Chabert Acute T-1 147 Troy Ledet, MPA HRSA Emer Prep 985-873-2247 [email protected] e Medical Center w/ER Coord/Dir Plant & Mat Mgmt 3 St. Luling Rehabilitation Rehab T-2 16 Demetrix Tollider HRSA Emer Prep 985-331-2281- [email protected] Charles Hospital, Inc. Coord 213 3 LaFourch Ochsner-St. Anne Acute T-1 35 Kathy Hebert HRSA Emer Prep 985-537-8367 [email protected] e General Hospital w/ER Coord/IC nurse and Safety Officer 3 Terrebonn Physicians Surgical Acute T-2 10 Connie Martin HRSA Emer Prep 985-853-1390 [email protected] e Specialty Hospital Coord/Administra tor 3 St. John River Parishes Hospital Acute T-1 106 Syl Pawol HRSA Emer Prep 985-653-1662 [email protected]; w/ER Coord/ [email protected] 3 LaFourch St. Anne Rehabilitation LTAC T-2 10 Beth Boudreaux HRSA Emer Prep 985-537-7736 [email protected] e Hospital Coord/Nurse Liaison 3 St. St. Charles Parish Acute T-1 56 Blake Boudreaux HRSA Emer Prep 985-785-4266 [email protected]; Charles Hospital w/ER Coord/Dir [email protected] Facilities Oper 3 St. James St. James Behavioral Health Hospital Candy Lewis Administrator/HR 225-869-3788 [email protected] SA Emer Prep Coord 3 St. James St. James Parish Acute T-1 25 Kenneth Petit HRSA Emer Prep 225-869-5512 [email protected] Hospital w/ER Coord/Dir Enviro Svcs 3 St. Mary Teche Regional Medical Acute T-1 149 Margaret Lebouf HRSA Emer Prep 985-380-4753 [email protected] Center w/ER Coord/Dir of Quality/Risk Management 3 Terrebon Terrebonne General DRH DR 313 Dean Marcel HRSA Emer 985- 873-4107 [email protected]; ne Medical Center H Percy Mosely Prep Coord [email protected]

WORKING DRAFT 8/17/07 22

3 LaFourch Thibodaux Regional Acute T-1 149 Eric Degravelle HRSA Emer Prep 985-493-4587 [email protected] e Medical Center w/ER Coord/Human Resources 4 Vermillio Abbeville General Acute T-1 60 Lonnie Monteaux HRSA Emer Prep 337-898-6566 [email protected] n Hospital w/ER Coord/Safety Dir 4 Vermillio Abrom Kaplan Acute T-1 35 Donna Gaspard HRSA Emer Prep 337-643-5218 [email protected] n Memorial Hospital w/ER Coord/Safety Officer 4 Acadia Acadia - St. Landry Acute T-1 33 Bekhi Labbe HRSA Emer Prep 337-684-4227 [email protected] Hospital w/ER Coord/DON 4 Acadia Acadia Rehabilitation Rehab T-2 11 Michelle Fontenot HRSA Emer Prep 337-785-2111 [email protected] Hospital (FWF) Coord/Director of Safety 4 Lafayette Acadia Vermilion Psych T-2 72 Bruce Waldo HRSA Emer Prep 337-234-5614 [email protected]; Hospital Luis Betance Coord/CEO [email protected]; (formerlyVermilion Robert Kahn HRSAEmerPrepC [email protected] Hospital for Psychiatric ord/Adm and Addictive Medicine) HRSA Emer Prep Coord/Dir of Environment 4 St. Landry Acadian Medical Center Acute T-1 52 Tony Johnson HRSA Emer Prep 337-580-7500 [email protected] w/ER Coord 4 Acadia American Legion Acute T-1 178 Russell Meche HRSA Emer Prep 337-788-6435 [email protected] Hospital w/ER Coord 4 Lafayette Community Specialty LTAC T-2 22 John E. HRSA Emer Prep 337-234-4031 [email protected] Hospital Jumonville, III Coord/Administra tor 4 Acadia Compass Behavioral Psych T-2 24 Marc Cullen HRSA Emer Prep 337-785-8003 [email protected] Center of Crowley 4 Acadia Crowley Rehab Rehab T-2 15 Gil Pinac HRSA Emer Prep 337-783-2859 [email protected] Hospital, L.L.C (FWF) Coord/Administra tor 4 Iberia Dauterive Hospital Acute T-1 103 Candice Frioux HRSA Emer Prep 337- 365-7311 [email protected] w/ER Coord 4 St. Landry Doctors Hospital of Acute T-1 171 Richard Michael HRSA Emer Prep 337-943-1708 [email protected] Opelousas w/ER Coord 4 St. Landry Eunice Extended Care LTAC T-2 18 Kevin Frank HRSA Emer Prep 337-546-0024 [email protected] Hospital Coord 4 Evangelin Evangeline Extended LTAC T-2 12 Rita Simon, RN, HRSA Emer Prep 337-837-5250 [email protected] e Care Hospital-Mamou (FWF) BSN Cood/Administrat WORKING DRAFT 8/17/07 23

4 Lafayette Heart Hospital of Acute/E T-1 32 Don Bujol HRSA Emer Prep 337-521-1036 [email protected] Lafayette R Coord m 4 Iberia Iberia Extended Care LTAC T-2 16 Kent Kramer HRSA Emer Prep 337- 369-1100 [email protected] Hospital (FWF) Coord 4 Iberia Iberia Medical Center Acute T-1 101 Trent Hebert HRSA Emer Prep 337-364-0441 [email protected] w/ER Coord/Dir Plant Oper/Safety 4 Iberia Iberia Rehabilitation Rehab T-2 24 Parker Templeton HRSA Emer Prep 337-364-6923 [email protected] Hospital Coord/Administra tor 4 Lafayette Lafayette General DRH DR 296 Al Patin HRSA 337-289-7991 [email protected]; Medical Center H Anjanette Hebert DRC/DRH 337-289-7441 [email protected] Rep/Dir Sec HRSA Emer Prep Coord/DRC 4 Lafayette Lafayette General Acute T-2 10 Susan Woollen HRSA Emer Prep 337-289-8099 [email protected] Surgical Coord 4 Lafayette Lafayette Physical Rehabilitation T-2 32 Johnny Landreth CEO/HRSA Emer 337-314-1111 [email protected] Hospital Prep Coord 4 Lafayette Lafayette Surgical Acute T-2 20 Selina Guidry HRSA Emer Prep 337-769-4202 [email protected] Specialty Hospital Coord/Chief Quality Officer 4 Lafayette Louisiana Extended LTAC T-2 76 Cayle Guillory HRSA Emer Prep 337-289-3171 [email protected] Care Hospital of (FWF) Coord Lafayette 4 Lafayette LSU-University Medical Acute T-1 146 Me J. Matte HRSA Emer Prep 337-261-6786 [email protected] Center w/ER Coord 4 Lafayette LSU-University Medical Center-Psych Unit James McFaul Regional Manager (337) 262-4100 [email protected]

4 St. Landry LTAC of Acadiana LTAC T-2 27 James H. Morgan HRSA Emer Prep 337-839-2022 [email protected] Coord/Chief Executive Officer 4 Lafayette Meadowbrook Specialty LTAC T-2 70 Wilson Boudreaux HRSA Emer Prep 337-232-1905 [email protected] Hospital of Lafayette Coord 4 Lafayette Oceans Behavioral Psych T-2 44 Nicholas Guillory HRSA Emer Prep 337-237-6444 [email protected]; Hospital of Lafayette (FWF) Coord/Administra [email protected] tor

WORKING DRAFT 8/17/07 24

4 St. Landry Opelousas General Acute T-1 180 John Armand HRSA Emer 337-594-3982 [email protected] Hospital w/ER Prep/ER Clinical Director 4 Lafayette Optima Specialty Psych T-2 24 Patricia Hebert HRSA Emer Prep 337-991-0571 [email protected] Hospital Coord/Administra tor/CEO 4 Lafayette Our Lady of Lourdes Acute T-1 267 Paula Jenkins HRSA Emer Prep 337-289-2775 [email protected] RMC w/ER Coord/Risk Manager 4 Lafayette Park Place Surgery Acute T-2 10 Jason West HRSA Emer Prep 337-237-8119 [email protected] Center Coord/Administra tor/CEO 4 Evangelin Savoy Medical Center Acute T-1 180 Vickie Stagg HRSA Emer Prep 337-468-0179 [email protected] e w/ER Coord 4 Lafayette Southpark Community Acute T-2 20 Rita Simon HRSA Emer Prep 337-769-4080 [email protected] Hospital Coord/Chief Executive Officer 4 Lafayette Southwest Medical Acute T-1 166 Sharif Omar HRSA Emer Prep 337-989-6767 [email protected] Center w/ER Coord/ 4 Lafayette St. Landry Extended LTAC T-2 41 Sheila Johnson HRSA Emer Prep 337-233-1307 [email protected] Care Hospital, LLC (FWF) Coord 4 Lafayette St. Luke's Specialty Rehab T-2 21 Laura Hebert HRSA Emer Prep 337-769-0094 [email protected] Hospital of Sunset CoordAdministrat or 4 St. Martin St. Martin Hospital Acute T-1 25 Becky Yongue HRSA Emer Prep 337-507-1232 [email protected]; w/ER Rena Mouisset Coord [email protected] 4 Evangelin Ville Platte Medical Acute T-1 95 Lori R. Petrie, CFO HRSA Emer Prep 337-363-9412 [email protected]; e Center w/ER Gene Matthews Coord/Safety [email protected] 4 Lafayette Women's and Children's Acute T-1 109 Gregory Davis HRSA Emer Prep 337-521-9101 [email protected] Hospital w/ER Coord 5 Allen Allen Parish Hospital Acute T-1 49 Annette Belcher HRSA Emer Prep 337-738-9453 [email protected] w/ER Coord 5 Beauregar Beauregard Memorial Acute T-1 60 Greg Neely HRSA Emer Prep 337-462-7176 [email protected] d Hospital w/ER Coord 5 Calcasieu Calcasieu Oaks Geriatric Psych T-2 24 Donna Mead, RN HRSA Emer Prep 337-439-8111 [email protected] Psych Coord/CEO 5 Calcasieu Christus St. Patrick DRH DR 392 Lee Willeford HRSA 337-431-7859 [email protected]; Hospital of Lake H Allen Abshire DRC/DRH 337-491-7112 [email protected] Charles Rep/Dir HRSA Emer WORKING DRAFT 8/17/07 25

Prep Coor

5 Calcasieu Cornerstone Hospital of LTAC T-2 30 William D. Jean HRSA Emer 337-527-1102 [email protected] Southwest Louisiana (FWF) Prep/CEO 5 Calcasieu DeQuincy Memorial Acute T-1 19 Gayland Barrow HRSA Emer Prep 337-786-1218 [email protected] Hospital w/ER Coord/Serive & Support Director 5 Calcasieu Dubuis Hospital of Lake LTAC T-2 24 Ronald Hand HRSA Emer Prep 337-491-7752 [email protected] Charles (FWF) Coord/Administra tor 5 Calcasieu Extended Care of LTAC T-2 29 Mark D. Severns HRSA DRC/DRH 337-436-6111 [email protected] Southwest Louisiana (FWF) Rep/Chief Executive Officer 5 Jefferson Jennings American Acute T-1 137 Ruth Carnes HRSA Emer Prep 337-616-7042 [email protected] Davis Legion Hospital w/ER Coord/Dir Human Resources 5 Jefferson Jennings Senior Care Psych T-2 101 Connie Amy, RN HRSA Emer Prep 337-824-1558 [email protected] Davis Hospital Coord/Administra tor 5 Calcasieu Lake Charles DRH DR 324 Bill Wilkie HRSA Emer 337-494-3176 [email protected] Memorial Hospital H Prep Coord/ 5 Calcasieu Lake Charles Memorial Acute T-2 38 Butch Bennett HRSA Emer Prep 337-480-7076 [email protected] Hospital - Gauthier Coord/CEO Campus 5 Calcasieu LSU-W O Moss Acute T-1 74 Margaret Doucet HRSA Emer Prep 337-475-8370 [email protected] Regional Medical w/ER Coord/Training & Center Dev Specialist/Emerg Prep Coord 5 Allen Oakdale Community Acute T-1 60 Phil Rider HRSA Emer Prep 318-335-3700 [email protected] Hospital w/ER Coord/Dir Plant Oper 5 Beauregar Oceans Behavioral Psych T-2 20 Sheila Langston HRSA Emer Prep 337-460-9472 [email protected] d Hospital of Deridder Coord/DON 5 Calcasieu Rehab Hospital of Rehab T-2 33 Charlie Ball HRSA 337-786-6100 [email protected] Dequincy (FWF) Coor/General Manager 5 Jefferson Rehabilitation Hospital Rehab T-2 27 Michelle Fontenot HRSA Emer Prep 337-821-5353 [email protected] Davis of Jennings Coord/Safety Officer

WORKING DRAFT 8/17/07 26

5 Cameron South Cameron Acute T-1 49 Rita Simon, RN, HRSA Emer Prep 337-439-8111 [email protected] Memorial Hospital w/ER BSN Coord 5 Calcasieu West Calcasieu Acute T-1 120 Rob Daughdril HRSA Emer Prep 337-527-7034 [email protected]; Cameron Hospital w/ER Deanne Smith Coord 337-527-4183 [email protected] 5 Jefferson WestEnd Hospital Psych T-2 20 Hank Goy HRSA Emer Prep 337-616-8122 [email protected] Davis Coord/ 5 Calcasieu Women and Children's Acute T-1 84 Charlene Warren CNO/HRSA 337-475-4136 [email protected] Hospital, Lake Charles w/ER Emerg Prep Coord. 6 Avoyelles Avoyelles Hospital Acute T-1 55 Michael Johnson HRSA Emer Prep 318-240-6180 [email protected] w/ER Coor/Director of Plant Operations 6 Vernon Bayne Jones Army Acute T-1 62 Dennis O'Reilly HRSA Emer Prep 337-531-3265 [email protected] Community Hospital w/ER Coord 6 Avoyelles Bunkie General Hospital Acute T-1 33 Terry Riche HRSA Emer Prep 318-346-3316 [email protected] w/ER Coord 6 Vernon Byrd Regional Hospital Acute T-1 60 John Bennett HRSA Emer Prep 337-239-9041 [email protected] w/ER Coord/Dir Facilities Mgmt 6 Rapides Central Louisiana State Psych T-2 196 Sam Mayeux HRSA Emer Prep 318-484-6636 [email protected] Hospital Coord 6 Rapides Christus St. Frances DRH DR 246 Mary Tarver HRSA 318-448-6861 [email protected]; Cabrini Hospital H Charles Credo DRC/DRH 318-448-6900 [email protected] Rep/Sa & HRSA Emer Prep Coord 6 Rapides Crossroads Regional Psych T-2 70 Jimmy Rowles HRSA Emer Prep 318-445-5111 [email protected] Hospital Coord 6 Rapides Dubuis Hospital of LTAC T-2 33 Michelle Hamilton HRSA Emer Prep 318-4484960 [email protected] Alexandria (FWF) Coord/Administra tor 6 LaSalle Hardtner Medical Center Acute T-1 35 Ray Atwell HRSA Emer Prep 318-495-3131 [email protected] w/ER Coord 6 Rapides Healthsouth Rehab T-2 47 Mark Vercher HRSA Emer Prep 318-449-1370 [email protected] Rehabilitation of Coord/Safety Alexandria Officer 6 Rapides Healthsouth Riverside LTAC T-2 28 Kemp Wright HRSA Emer Prep 318-767-2900 [email protected] Hospital of Alexandria Coord/Chief Executive Officer

WORKING DRAFT 8/17/07 27

6 Winn Healthsouth Specialty LTAC T-2 20 Wendy Carpenter HRSA Emer Prep 318-648-3526 [email protected] Hospital of Winnfield Coord 6 LaSalle LaSalle General Acute/E T-1 60 Brenda Smith HRSA Emer Prep 318-992-9200 [email protected] Hospital R Coord/Director of General Services 6 Vernon Leesville Rehab Rehab T-2 16 Elizabeth Bennett HRSA Emer Prep 337-395-8118 [email protected] Hospital, LLC Coord 6 Rapides LSU-Huey P. Long Acute T-1 137 Kathey Nugent HRSA Emer Prep 318-473-1459 [email protected] Medical Center w/ER Coord 6 Concordia Promise Specialty LTAC T-2 40 Regetta Woods, HRSA Emer Prep 318-757-7575 [email protected]; Hospital of Miss-Lou RN Sharon Boothe Coord/Clinical [email protected] Case Manager 6 Rapides Rapides Regional Acute T-1 285 Charles E. Luttrull HRSA Emer Prep 318-473-3150 [email protected] Medical Center w/ER Coord/Safety Officer 6 Concordia Riverland Medical Acute T-1 25 Billy Rucker HRSA Emer Prep 318-757-9551 [email protected] Center w/ER Coord 6 Vernon Tri Parish Rehabilitation Rehab T-2 33 Connie Ball HRSA Emer Prep 337-462-8880 [email protected] Hospital, LLC Coord/Chief Financial Officer 6 Rapides VA -Dept. of Veteran's Acute T-1 331 Gary Speyrer HRSA Emer Prep 318-473-0010 [email protected] Affairs Medical Center w/ER Coord 6 Winn Winn Parish Medical Acute T-1 60 Tony Acosta, PA-C HRSA Emer Prep 318-648-3012 [email protected] Center w/ER Coord 6 Winn Woodlands Behavioral Psych T-2 19 Barry Hines HRSA Emer Prep 318-628-5445 [email protected] Center Link Martin Coord/Administra tor 7 Caddo Behavioral Hospital of Psych T-2 12 Debbie Priebe HRSA Emer Prep 318-636-7500 [email protected] Shreveport (FWF) Coord/Administra tor 7 Bienville Bienville Medical Acute T-2 21 Deborah Hilton, HRSA Emer Prep 318-263-4700 [email protected] Center w/ER RN Coord/Dir of Nursing 7 Bossier Bossier Specialty Acute T-2 12 Cynthia N. HRSA Emer Prep 318-549-4305 [email protected] Hospital Laborde, BSN, RN Coord/Administra tor 7 Caddo Brentwood Hospital Psych T-2 200 Doug Jones HRSA Emer Prep 318-564-4921 [email protected] Coord 7 Red River Christus Coushatta Acute T-1 25 Deborah Dalton, HRSA Emer Prep 318-932-2205 [email protected] Health Care Center w/ER RN Coord/Adminstrat WORKING DRAFT 8/17/07 28

7 Bossier Christus Schumbert Acute T-2 141 Susan Malloy, HRSA Emer Prep 318-932-2205 [email protected] Bossier RRT Coord/CardioPul monary 7 Caddo Christus Schumpert Acute T-1 474 Diane Jones HRSA Emer Prep 318-681-4500 [email protected] Health System/St. Mary w/ER Coord 7 Caddo Christus Schumpert Acute T-1 160 Audrey Henderson, HRSA Emer Prep 318-681-5000 [email protected] Highland w/ER RN Coord/ED Mgr 7 Webster Community Rehab Rehab T-2 12 Denise Logan HRSA Emer Prep 318-932-1770 [email protected] Hospital of Coushatta (FWF) Coord 7 Webster Community Specialty LTAC T-2 43 Mark Goff Administrator/HR 318-377-5555 [email protected]; Hospital of North SA Emer Prep [email protected] Louisiana Coord 7 Bossier Cornerstone Hospital of LTAC T-2 102 John Sauls HRSA Emer Prep 318-747-9500 [email protected] Bossier City Coord/Dir Plant Eng 7 DeSoto DeSoto Regional Health Acute T-1 57 Sue Bridges HRSA Emer Prep 318-872-4610 [email protected] System w/ER Coord 7 Caddo Doctors Hospital of Acute T-1 108 Jeffery Cazes HRSA Emer Prep 318-678-4448 [email protected] Shreveport, Inc. w/ER Coord/Complianc e Ofcr/EPC 7 Caddo Dubuis Hospital of LTAC T-2 36 Patricia Moore, HRSA Emer Prep 318-678-1006 [email protected] Shreveport (FWF) RRT Coord/Respir Mgr 7 Claiborne Homer Memorial Acute T-1 60 Debra B. Woodard, HRSA Emer Prep 318-927-2024 [email protected] Hospital w/ER RN Coord/ 7 Caddo LifeCare Hospital - LTAC T-2 130 Diane Cloinger, HRSA Emer Prep 318-688-8504 [email protected] Shreveport (FWF) RN Coord/IC 7 Natchitoc Louisiana Extended LTAC T-2 21 Kermit Simmons HRSA Emer Prep 318-354-2044 [email protected] hes Care Hospital of (FWF) Coord Natchitoches 7 Caddo LSU Health Sciences DRH DR 436 Donnell Chagnard HRSA Emer 318-675-5000 [email protected] Center, Shreveport H Prep Coord 7 Webster Minden Medical Center Acute T-1 159 Kristie Copeland, HRSA Emer Prep 318-377-2321 [email protected] w/ER RN Coord/IC 7 Natchitoc Natchitoches Regional Acute T-1 75 Danita Olivier HRSA Emer Prep 318-214-4417 [email protected] hes Medical Center w/ER Coord/Safety Officer 7 Caddo North Caddo Medical Acute T-1 25 Todd Cowan HRSA Emer Prep 318-375-3235 [email protected] Center w/ER Coord/EMS WORKING DRAFT 8/17/07 29

7 Caddo Promise Specialty LTAC T-2 146 Jim Ray HRSA Emer Prep 318-934-0524 [email protected] Hospital of Shreveport Coord/Plant Ops Dir 7 Bossier Red River Behavioral Psych T-2 20 Linda K. Ellis HRSA Emer Prep 318-549-2033 [email protected] Center LLC Coord/Administra tor 7 Sabine Sabine Medical Center Acute T-1 48 Kenny R. Carter HRSA Emer Prep 318-256-5691 [email protected] w/ER Coord/Safety Officer 7 Caddo Shriners Hospitals for Acute T-2 45 Shelly Horton HRSA Emer Prep 318-226--3324 [email protected] Children Coord/Plant Ops Dir 7 Webster Springhill Medical Acute T-1 60 Theresa Dugger, HRSA Emer Prep 318-539-1000 [email protected] Center w/ER RN Coord/IC 7 Caddo St. Luke's Rehabilitation Rehab T-2 60 Marc Pearce HRSA Emer Prep 318-631-2345 [email protected] Hosp of Shreveport Coord/Administra tor 7 Caddo VA-Overton Brooks VA Acute T-1 112 Deborah Callahan HRSA Emer Prep 318-221-8411 [email protected] Medical Center Coord/Asst Eng Chief 7 Bossier Willis - Knighton Acute T-1 114 Renata Snyder,RN HRSA Emer Prep 318-212-7615 [email protected] Bossier Health Center w/ER Coord/Infection Control 7 Caddo Willis-Knighton Acute T-1 369 Debbie Lear HRSA Emer Prep 318-212-8967 [email protected] Medical Center w/ER Coord/Asst Safety Of 7 Caddo Willis-Knighton Acute T-1 184 Lisa Stamper HRSA Emer Prep 318-212-3615 [email protected] Pierremont Health w/ER Coord/Infection Center Control 7 Caddo Willis-Knighton South Acute T-1 153 Lorraine Hall HRSA Emer Prep 318-212-5610 [email protected] & Center for Women's w/ER Coord/Infection Health Control 8 Lincoln Allegiance Health Center of Ruston, L.L.C. 14 Jeff Garland [email protected]

8 Morehous Bastrop Rehabilitation Rehab T-2 15 Tena Hughes HRSA Emer Prep 318-556-1191 [email protected] e Hospital (FWF) Coord/Safety Officer 8 Caldwell Caldwell Memorial Acute T-1 47 Jane Fowler HRSA Emer Prep 318-649-6111 [email protected] Hospital w/ER Coord/D.O.N.

WORKING DRAFT 8/17/07 30

8 Caldwell Citizens Medical Center Acute T-1 40 Roger Ballard, RN HRSA Emer Prep 318-649-6106 [email protected] w/ER Coord/DON/Educ ation 8 Ouachita Cornerstone Hospital at LTAC T-2 49 Bobby Hayden HRSA Emer Prep 318-397-5678 [email protected] West Monroe Coord/Facilities 8 East East Carroll Parish Acute T-1 23 Tasha Freeman HRSA Emer Prep 318-559-3761 [email protected] Carroll Hospital w/ER Coord 8 Union Edgewood Hospital Psych T-2 32 Jennifer Qayyum HRSA Emer Prep 318-325-1145 [email protected] (DBA) Coord/Administra tor 8 Franklin Franklin Medical Center Acute T-1 49 Sheila Mason, RN HRSA Emer Prep 318-435-9411 [email protected] w/ER Coord/DON/Educ ation 8 Ouachita IASIS Glenwood Acute T-1 242 Teresa Dozier HRSA DRC/DRH 318-329-4776 [email protected]; [email protected] Regional Medical w/ER George Rachal Rep/InfecCon 318-329-4821 Center HRSA Emer Prep Coord/Bio Sup 8 Ouachita Golden Age Senior Care Psych T-2 12 Dorothy Smith, RN HRSA Emer Prep 318-651-0920 [email protected] Hospital (FWF) Coord/DON/Educ ation 8 Lincoln Green Clinic Surgical Acute T-2 12 James W. HRSA Emer Prep 318-232-7700 [email protected] Hospital McClung, MBA Coord/Chief Executive Officer 8 Lincoln Health Paradigm Psych T-2 15 Ronnie Cox HRSA Emer Prep 318-254-0142 [email protected] Hospital Coord/Administra tor 8 Lincoln Healthsouth North LA LTAC T-2 90 Randy Goodwin HRSA Emer Prep 318-251-3126 [email protected] Rehab. Hospital Coord/ICP 8 Jackson Jackson Parish Hospital Acute T-1 25 Robby Roberts HRSA Emer Prep 318-395-4435 [email protected] w/ER Coord/Facilities 8 Union Liberty HealthCare Psych T-2 18 Toby Tubbs, RN HRSA Emer Prep 318-281-2448 [email protected] Systems Coord/Administra tor 8 Morehous Liberty HealthCare Psych T-2 60 William P. Gunther HRSA Emer Prep 318-368-0110 [email protected] e Systems Coord 8 Lincoln Lincoln General Acute T-1 159 Martin L. Best HRSA Emer Prep 318-254-2494 [email protected] Hospital w/ER Coord/Asst VP/Dir Plant Oper/Emerg Prep

WORKING DRAFT 8/17/07 31

8 Ouachita Louisiana Extended LTAC T-2 18 Theresa Marsala, HRSA Emer Prep 318-329-4300 [email protected] Care of West Monroe (FWF) RN, MEd, FACHE Coord/Administra tor 8 Ouachita LSU-E.A. Conway Acute T-1 247 Corine Sutton, RN HRSA Emer Prep 318-330-7596 [email protected] Medical Center w/ER Coord/Ancil. Svcs 8 Madison Madison Parish Hospital Acute T-1 25 Ray Thorton HRSA Emer Prep 318-574-2374 [email protected] w/ER Coord 8 Ouachita Monroe Surgical Acute T-2 10 Steve Miller HRSA Emer Prep 318-410-0002 [email protected] Coord/VP- Facilities 8 Morehous Morehouse General Acute T-1 60 Dickey Hodge HRSA Emer Prep 318-283-3600 [email protected] e Hospital w/ER Coord/Facilities 8 Ouachita Ouachita Surgical Acute T-2 10 W. Benjamin HRSA Emer Prep 318-322-1339 [email protected] Hospital Patterson Coord/Administra tor 8 Ouachita P & S Surgical Center Acute T-2 10 Paul DeBona HRSA Emer 318-998-8164 [email protected] Prep/Operating Room Manager/Safety Officer 8 Ouachita Premier Rehabilitation Rehab T-2 20 Kathy Lingenfelter HRSA Emer Prep 318-812-1000 [email protected] Coord/UR, IC/EH Nurse 8 Richland Richardson Medical Acute T-1 46 Betty Hill, RN HRSA Emer Prep 318-728-4181 [email protected] Center w/ER Coor/ICP 8 Richland Richland Parish Hospital Acute T-1 25 Alisha Murphrey, HRSA Emer Prep 318-878-5171 [email protected] - Delhi w/ER RN Coord/DON 8 Richland Richland Parish Rehab T-2 16 Mike Jones HRSA Emer Prep 318-728-4410 [email protected] Rehabilitation Hospital (FWF) Coord/Administra tor 8 Ouachita St. Francis Medical DRH DR 345 Mike Brame HRSA 318-327-4971 [email protected]; Center H Mike Nolan DRC/DRH Rep [email protected] HRSA Emer Prep Coord 8 Ouachita St. Francis North Acute T-1 255 Stella Dannheim HRSA Emer Prep 318-388-8139 [email protected] Hospital w/ER Coord/ED Manager

8 Ouachita St. Francis Specialty LTAC T-2 50 Jo Dodd HRSA Emer Prep 318-327-4626 [email protected] (FWF) Coord/COO WORKING DRAFT 8/17/07 32

8 Ouachita St. Patrick's Psychiatric Psych T-2 28 Cindy Rogers, HRSA Emer Prep 318-355-3480 [email protected] Hospital (FWF) FACHE Coord 8 Ouachita Sterlington Rehab T-2 36 Cathy Perot HRSA Emer Prep 318-665-9950 [email protected] Rehabilitation Hospital Coord/Administra tor 8 Union Tri - Ward General Acute T-2 15 Allen Tuten HRSA Emer Prep 318-285-5328 [email protected] Hospital w/ER Coord/Administra tor/CFO 8 Union Union General Hospital Acute T-1 25 Darra Jung HRSA Emer Prep 318-368-8270 [email protected] w/ER Coord 8 West West Carroll Parish Acute T-1 33 David McSwain, HRSA Emer Prep 318-428-6180 [email protected] Carroll Hospital w/ER RN Coord/CAN 9 St. Doctors Hospital of Acute T-2 10 Pinky Bradford, HRSA Emer Prep 504-832-2115 [email protected]; [email protected] Tammany Slidell RN Coor/Adm Holly Braue HRSA Emer Prep Coord 9 St. Fairway Medical Center Acute T-2 21 David Guzan, HRSA Emer Prep 985-766-7770 [email protected]; Tammany CASC Coord/CEO [email protected] Kory Krista HRSA Emer Prep Coord 9 St. Greenbrier Hospital Psych T-2 26 John M. Dean HRSA Emer Prep 985-893-2970 [email protected] Tammany Coord/Administra tor 9 St. Gulf States LTAC of LTAC T-2 58 Vicki Torres HRSA Emer Prep 985-875-7525 [email protected]; Tammany Covington Herman Frank Coord/Administra [email protected] tor 9 Livingsto Gulf States LTAC of LTAC T-2 59 Richard Daughdrill HRSA Emer Prep 225-665-2664 [email protected] n Denham Springs Coord/Administra tor 9 Tangipaho Gulf States LTAC of LTAC T-2 40 Timothy Burke HRSA Emer Prep 985-543-3881 [email protected] a Hammond (FWF) Coord/Administra tor 9 Washingt Gulf States LTAC of LTAC T-2 14 Gayla Pittman HRSA Emer Prep 985-730-7040 [email protected] on Washington/St. Coord Tammany (Bogalusa Campus) 9 St. Gulf States LTAC of LTAC T-2 20 Tara Roberts, RN HRSA Emer Prep 985-326-0440 [email protected] Tammany Washington/St. Coord/Administra Tammany (Slidell tor Campus)

WORKING DRAFT 8/17/07 33

9 Tangipaho Hood Memorial Acute T-1 25 Edward Dugar, RN HRSA Emer Prep 985-748-9485 [email protected]; [email protected] a Hospital w/ER Martha Payne, RN Coord/Risk Mgnt 9 St. Lakeview Regional Acute T-1 178 Sabrina Estrade HRSA Emer Prep 985-867-3800 [email protected]; Tammany Medical Center w/ER Eric Evans Coord/Asst Plant [email protected]; Tina Coker Ops [email protected]; 9 St. Louisiana Heart Acute T-1 58 Tania Loumiet, RN HRSA Emer Prep 985-690-7904 [email protected] Tammany Hospital w/ER Coord/Inf Control 985-966-8359C 9 Washingt LSU Bogalusa Medical Acute T-1 90 Beverly Sheridan HRSA Emer Prep 985- 730-6775 [email protected] on Center (Inpatient w/ER Coord/Director of Campus) Education 9 Washingt LSU Bogalusa Medical Psych T-2 18 Beverly Sheridan HRSA Emer Prep 985- 730-6775 [email protected] on Center (Outpatient Coord/Director of Campus) Education 9 Tangipaho LSU-Lallie Kemp Acute T-1 22 Lisa Bruhl HRSA Emer Prep 985-878-1385 [email protected] a Regional Medical w/ER Cord/Dir Hum Center Res HRSA Emer Prep Cord/Comm Coor 9 Washingt Magnolia Behavioral Psych T-2 30 George Holinga HRSA Emer Prep 985-735-9104 [email protected] on Healthcare, LLC Coord/CEO 9 Tangipaho North Oaks Medical Acute T-1 269 Sherry Collura HRSA Emer Prep 985-230-6602 [email protected] a Center w/ER Coord/Risk Mgr 9 Tangipaho North Oaks Rehab T-2 27 Pam Smith HRSA Emer Prep 985-230-6104 [email protected] a Rehabilitation Hospital (FWF) Coord/Risk Mgr 9 St. Northshore Regional Acute T-1 165 Travis Sisson HRSA Emer Prep 985- 646-5261 [email protected] Tammany Medical Center w/ER Coord/CFO 9 St. Regency Hospital of LTAC T-2 38 Mark Thompson HRSA Emer Prep 985-867-3935 [email protected] Tammany Covington Coord/Saftey Officer 9 Washingt Riverside Medical Acute T-1 25 Brian Smith HRSA Emer Prep 985-839-4431 [email protected] on Center w/ER Coord/Facilities Director/Safety Officer 9 St. Slidell Memorial DRH T-1 182 Keith Peek HRSA Emer 985-649-8528 [email protected]; Tamman Hospital Prep Coor/I.S. (O) smhcommandcenter.org y Tech/Special 985-960-1536 Respon Team (C) 9 St. Southeast Louisiana Psych T-2 446 Cindy Little HRSA Emer Prep 985-626-6351 [email protected] Tammany Hospital Coord/Safety

WORKING DRAFT 8/17/07 34

9 Tangipaho Southeast Regional LTAC T-2 14 Monica Nix HRSA Emer Prep 225-978-3618 [email protected] a Medical Center Coord/Administra C tor 9 St. Southern Surgical Acute T-2 37 Ramirez James HRSA Emer Prep 985-641-0600 [email protected] Tammany Hospital Coord/Administra tor & CEO 9 St. Helena St. Helena Parish Acute T-1 25 Denise Stewart HRSA Emer Prep 225-222-6111 [email protected]; Hospital w/ER Deanne Broussard Coord [email protected] HRSA Emer Prep Coord 9 St. St. Tammany Parish DRH DR 223 Karen Moise, RN, HRSA DRH 985-898-4087 [email protected] Tamman Hospital H CI Rep/Inf Control 985-705-7552 y Coord C 9 Tangipaho United Medical Rehab T-2 20 John M. Day HRSA Emer Prep 504-242-4246 [email protected] a Rehabilitation Hospital Coord/Administra tor

WORKING DRAFT 8/17/07 35

Appendix D Louisiana Emergency Support Function 8 Incident Command Structure

Louisiana Department of Health and Hospitals

INCIDENT COMMANDER

REGIONAL MEDICAL COMMAND STRUCTURE (DRC, EMS, OPH)

OPERATIONS OPERATIONS OPERATIONS HOSPITALS STATE OPERATED EMERGENCY MEDICAL TRANSPORTATION SPECIAL NEEDS Designated Regional SHELTERS Office of Public Health

Coordinator (DRC) Office of Public Health Bureau of EMS

Hospitals State Operated Emergency Special Needs Shelters Medical Transportation Services Emergency Preparedness Coordinator

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Appendix E Emergency Patient Transfer Process

The HRSA Hospital Emergency Preparedness Grant has facilitated the development of regional and statewide patient transfer processes. Consistent with the DHH Office of Public Health, the state has been divided into nine regions. The volunteer Designated Regional Coordinator (DRC) from each region has agreed to support the patient transfer process by identifying available resources in their region.

Each region has a Designated Regional Coordinator (and backup) to assist.

The process for patient transfer is as follows:

1) The Administrator/Medical Director on call from the hospital that has patients that need to be transferred outside the region should contact their Regional Designated Regional Coordinator. The transferring hospital should have the following information available for their DRC:

Patient Name: Preliminary Diagnosis Resources Needed: Physician Support Type of Bed Other special needs

Hospital Information: Hospital Name: Contact Person for transfer: Telephone Number: Transfer approved by:

Whether staff will accompany patient (s)

2) The “transferring” DRC should contact “accepting” DRC with a referral request. The transferring DRC will provide patient and hospital information. Please note the HRSA Coordinator on-call is available for back-up assistance. 3) The accepting DRC will contact hospitals in their region for available resources. The DRC will provide the potential accepting hospitals with limited patient and hospital information consistent with HIPAA guidelines until appropriate resources have been identified. If resources are not available, the accepting DRC will contact the HRSA Coordinator to advise that another alternative region must be identified. 4) The accepting hospital will contact the transferring hospital regarding transfer resources. Transfer will be arranged per procedures of the transferring and receiving hospitals.

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5) If transportation is needed, the DHH Office of Public Health EMS line should be accessed (225-763-5729) for assistance. 6) The accepting DRC will notify the transferring DRC of the proposed referral arrangements.

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Appendix F NIMS Compliance To be Develooped

Element 1:

Adoption of National Incident Management System (NIMS)

Most incidents are managed locally. In other instances, incidents that begin with a single response discipline within a single jurisdiction may rapidly expand to multidiscipline, multijursidictional incidents requiring significant additional resources and operational support. The LHPR has implemented and institutionalized processes, systems, procedures and/or plans to ensure effective cross-jurisdicational coordination between multiple local incident command structures (ICS) organizations responding to an incident covering a large geographical area.

Element 2:

Incident command, whether at local, state, or federal levels, has the authority and flexibility to modify procedures and organizational structures as necessary to align with the operating characteristics of their specific jurisdiction or to accomplish the mission in the context of a particular hazard scenario.

ICS incorporates measurable objectives. LHPEPR strongly encourages implementation and institutionalization processes, procedures, and/or plans that incorporate measurable objectives to ensure fulfillment of incident management goals. Objective setting will begin at the top of incident command structure and communicated throughout the organization.

LHEPR plan will implement and institutionalize processes, procedures and/or plans to ensure that ICS uses common terminology for organizational functions, resource descriptions, and incident facilities.

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Appendix G Louisiana Hospital Association PATIENT TRACKING PLAN

PURPOSE: In the event of a disaster, patients will be displaced from hospitals, nursing homes, and private homes. A mechanism is needed so that patients can be tracked when transported to and from hospitals, nursing homes and special needs shelters. In an event of such disaster, this patient-tracking plan will be implemented and executed.

CONCEPT OF OPERATIONS: Once an evacuation is triggered, hospitals and nursing homes will provide a list of their patients being transferred and the identified data set in MS Excel format to the DRC databanks and Louisiana Hospital Association via email at [email protected]. The LHA will store the patient tracking data in central repository accessible via the web at www.lhaonline.org. The federal NDMS will update LHA on the list of evacuees (via the same e-mail address) being evacuated through the federal government patient evacuation pathway to an out of state Veterans Administration (VA) Federal Coordinating Center (FCC) identified by the Global Patient Movement Requirement Center (GPMRC).

The GPMRC minimum data set includes:

A. Last Name, First Name, Middle Initial (three separate columns) B. Person ID Type (List = NATO, None, Other, SSN) C. Person ID (SSN) D. Last known address E. Birth date (mm/dd/yyyy) F. Insured (List = Yes, No) G. VSI (Very Serious Injury) H. Gender I. Race J. Transferring facility K. Receiving facility L. “Chief Complaint” (5 areas): Critical Care/ ICU, Med/Surge, Psych, Burn, Pediatric M. Emergency Contact Information

Hospitals and nursing homes that self-evacuate through a commercial pathway will notify the LHA of the receiving facility location of their patients. The NDMS will notify LHA with the receiving facility location of patients that are evacuated via the federal NDMS system. LHA will work with the receiving hospitals to continue to maintain current patient information via the identified mechanism. LHA will also work with the media to disseminate the web address for the use by the general public to recover information about family members that have been evacuated. For those hospitals that are self- evacuating it is necessary to complete a minimum data set to include A, C, D, E, H, I, J, K, L, M of the data set listed above. WORKING DRAFT 8/17/07 40

Appendix H

Louisiana Hospital Emergency Preparedness and Response H - Hour Response Hospital Evacuation Plan Timeline for Hospital Evacuation July 6, 2007

1) Definitions: ⇒ H-Hour: 0 = 24 hours prior to tropical storm force winds making landfall

For planning purposes H- hour has been chosen as the determining factor. H- Hour will be determined by Governor’s Office of Homeland Security and Emergency Preparedness, (GOSHEP)

2) Timeline for Evacuation

⇒ H-Hour 96 - H-Hour 73 State ESF 8 • Notify DRCs and other ESF(s) partners regarding possible need to initiate Medical Institution Evacuation Plan. • Request identification of regional ICS contact information for all airheads to be returned within 4 hours (~H-Hour 92.) and request that hospital network begin monitoring emails and other notification channels. • State ESF 8 (HRSA staff) will : o request activation of EMSystem and 3 day call roster o communicate H-Hour timeline, conference call schedule, and schedule radio roll call with DRCs o report to State EOC by H-Hour 76 o summarize and monitor EMSystem results

Hospital DRC • Alert hospitals regarding potential need to activate emergency response plans: shelter in place and/or evacuation (partial or full). Hospitals should re-confirm evacuation and/or shelter in place resources, and evaluate census reduction activities. • Request hospitals to complete update EMSystem by H-Hour 76. • Forward copies of Form 1 to hospitals. • Request hospitals to review evacuation plans and should private plans fail, request federal assistance as soon as possible. • Alert airhead DRC/Designee hospital resource. • Prepare to report to command center and/or airhead. • Prepare 3 day call roster

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Hospitals • Notify hospital incident command of potential threat • Update EMSystem by H-HOUR 76 • Evaluate threat matrix for hospital • Verify evacuation and/or shelter in place resources

⇒ H- Hour 72 State ESF 8 • Conduct conference call to make decision regarding activation of MIEP. • Identify activation timeframe for MIEPs.

H- Hour 72 to H- Hour 61 Hospital DRC • Report to command center and/or airhead • Update hospitals regarding plans to status of MIEP activation • Request to hospitals: o confirmation of evacuation and/or shelter in place resources as soon as possible but no later than H-Hour 60 via the EMSystem. o implement census reduction strategies, o update EMSystem. • Forward patient evacuation requests to State ESF 8 as they arrive from requesting hospitals. (email address or fax number). • Notify hospitals of patient evacuation status as manifest information becomes available.

Hospitals • Notify the DRC re: proposed response: shelter in place or evacuate; and potential need for augmentation of evacuation plans as soon as possible, but no later than H-Hour 60 via the EMSystem. • If hospitals request patient evacuation assistance, hospitals should complete Form 1 and forward to the DRC as soon as possible, but no later than H- Hour 60 to (email address or fax number). • Should begin patient transfer preparation process.

Regional Airhead • Prepare airhead to receive evacuation resources and patients. o Communication links o Security o Public Affairs o Traffic flow o PPE o Support resources- computer, printer, copier

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State ESF 8 State ESF 8: • Will forward federal evacuation requests to Global Patient Resource Management Center (GPRMC). • Monitor progress of patient movement. • Monitor progress of storm.

Federal ESF 8 GPRMC will • Determine availability of NDMS hospital resources. • Forward patient manifests to State ESF 8 and Hospital DRC.

DOD will • Activate MIEP plans

H-Hour 60 Hospitals Hospitals must confirm plans to shelter in place or evacuate (partial or full); and need for augmentation of evacuation plans or shelter in place assistance via EMSystem.

DRCs & State ESF 8 DRCs and State ESF 8 will confirm federal requests for patient evacuation

H- Hour 60 to H- Hour 51 Hospitals • Hospitals requesting federal evacuation assistance should update Form 1 at intervals identified by the process (i.e. every 2 hours) • Hospitals should • continue patient transfer preparation process. Patients should be ready to begin transfer process no later than H Hour 51. • Coordinate with DRC to move patients to airhead as requested.

Hospital DRCs DRCs will forward patient evacuation requests to GPMRC as they arrive from requesting hospitals • DRC will receive patient manifest as they become available from GPRMC. • DRC reviews patient manifest with Regional Airhead staff. • DRC works with EMS and hospitals to “pull” patients to airhead.

Regional Air Medical Command (AMC) • Airhead ready to receive first patients by H-Hour 51.

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• Incident Commander works with EMS Coordinator and Hospital Coordinator to “pull” patients from hospitals via staged ambulances. • Hospital and EMS DRCs work with Hospital Loading Officer to move patients to AMP. • Monitor progress of storm.

State ESF 8 • Monitor GPRMC patient manifest as they become available; forward to airhead/DRC. • Monitor progress of patient movement. • Monitor progress of storm.

Federal ESF 8 • GPRMC will forward patient manifests to State ESF 8 and Hospital DRC as they become available.

⇒ H- Hour 51 • Patient movement to AMC begins.

H- Hour 51 - H Hour 24 Hospitals • Hospitals requesting assistance should update Form 1 at intervals identified by the process (i.e. every 2 hours) Hospitals should: • continue patient transfer preparation process. Patients should be ready to begin transfer process no later than H Hour 51. • coordinate with DRC to move patients to AMC.

Hospital DRC DRCs will: • forward patient evacuation requests to GPMRC as they arrive from requesting hospitals • Reviews patient manifest with airhead staff. • Coordinates with EMS and hospitals to “pull” patients to airhead

Regional Air Medical Command (AMC) • Incident Commander works with EMS Coordinator and Hospital Coordinator to “pull” patients from hospitals via staged ambulances. • Hospital and EMS DRCs work with Hospital Loading Officer to move patients to AMC. • Monitor progress of storm.

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State ESF 8 • Monitor patient manifest as they become available; forward to DRC/airhead. • Monitor progress of patient movement. • Monitor progress of storm.

Federal ESF 8 • GPRMC will forward patient manifests to State ESF 8 and Hospital DRC as they become available.

⇒ H- Hour 24

• AMC Incident Commander monitors continued evacuation operations, makes determination as to timeframe to discontinue operations and communicates to State ESF 8. • AMC monitors dispatch plans for completion within timeframe to discontinue operations.

H-Hour 24- H-Hour 0 ⇒ H- Hour 18 State ESF 8 will conduct conference call with federal, state, and local partners to review status of evacuation progress

Hospital DRC • Work with AMC to determine final patient evacuation transports; initiates plans for other patients to shelter in place. • Communicates final plans for evacuation to hospitals. • Communicates Forms 2 and 3 for completion by hospitals in 4 hours ( H Hour 20) • Forward Completed Forms 2 and 3 to State ESF 8.

Hospitals • Finalize patient transport process. • Complete Forms 2 and 3 and forward to DRC

Regional AMC • AMC will monitor dispatch plans for completion within timeframe to discontinue evacuation transports.

State ESF 8 • Monitor progress of patient movement. • Monitor progress of storm. • Prepare reports from Forms 1, 2 and 3. • Communicate Form 3 to ESF8 and other ESFs at GOHSEP. WORKING DRAFT 8/17/07 45

⇒ H- Hour 12 • Air evacuations discontinued.

Regional AMC • Incident Commander initiates plans to discontinue operations. • Incident Commander identifies final timeframe to evacuate AMP,

Hospital DRC • Evacuates to shelter in place location

⇒ H- Hour 6 State ESF 8 will conduct conference call with federal, state, and local partners to review status of evacuation progress

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Appendix I Louisiana Hospital Association Hospital CEO Checklist 2007 HURRICANE CEO CHECKLIST

Actions for Consideration in Preparation for a Hurricane

Review Hurricane Preparedness policies & procedures

Review Hurricane Security and Safety Plan for your hospital and make adjustments as required

o Ensure plans address safety issue with hospital designs, especially those with a lot of glass.

o Ensure an adequate inventory of supplies, including medications, blood and blood products, food, water, fuel, linens, and oxygen to sustain operations for up to 7 days is available. (Keep in mind that dialysis centers, rape crisis centers, and retail pharmacies will be closed, so those patients will seek treatment at hospitals).

Review transferring and evacuating procedures and protocols

o Review policies to back-up patient and employee records.

Ensure that process for admitting and discharging patients is identified.

o Review pre-admission checklist for patients admitted from other facilities or from home to ensure that all necessary information on the patient will be collected.

o Review protocols for patient flow, including coordination with physician and transportation services and offering of support services such as pharmaceuticals to patients that will be discharged

o Ensure that Chief of Medical Staff is involved in patient discharge process

Ensure that backup emergency generators work

o Ensure hospital water chillers and heating, ventilation and air conditioning systems are on emergency generator system.

o Ensure emergency backup power system support key ancillary areas, such as morgue and other buildings.

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o Ensure that emergency power plans are extended beyond 24 hours. Know how long the generator is expected to last.

o Ensure staff is trained to repair any problems that might arise with the generators.

o Verify your hospital has portable generators in case the main generators fail

Determine alternate communication methods for key staff in the event traditional communication systems are compromised

o Check the status of your hospital’s emergency two-way radio, such as your HEAR or 800 MHz radio; Ensure your understanding of how to operate the equipment and identify your role with that communication system

o Ensure hospital has a alternative form of communication that links to other hospitals, LHA, local Emergency Operations Center (EOC), Emergency Medical Services (EMS), and Fire/Rescue

Review Mutual Aid Agreements to reinforce commitment of support with other hospitals and State Office of Emergency Preparedness

Review or develop alternative plan for elevator access to ensure patient can be transported throughout the hospital in the event of power lost or damages to elevators.

Educate employees regarding current events & review plans regularly.

Ensure that all staffing and sheltering issues are addressed in your emergency plan

o Ensure relief teams for staffing are in place to ensure staff is well rested to prevent burnout.

o Ensure behavioral healthcare services are provided. Ensure stress levels and post-traumatic issues of staff members and their family members are addressed before, during, and after the event.

o Ensure childcare centers are open in the hospital for the staff and their children. Work with local childcare agencies to identify those that might be able to help during a disaster.

o Evaluate need for “cash on hand” to advance employees so that they can support their families and come to work.

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Review and ensure that your Hospital Emergency Incident Command System (HEICS or HICS) procedures are in place. Identify your role and the roles of your key staff members within that process.

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Appendix J

Medical Institution Evacuation Plan

Regions 1,3,4,5, and 9

(To Be Developed)

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