Disaster Services
Deploying and Maintaining
a Healthy Workforce
Disaster Services
ARC Structure
Region Region Region
Chapter
Chapter
Chapter
Chapter
Chapter
Chapter
Regions
grouped to
form a
Division with
support from
national
headquarters
Disaster Relief
Operation starts at a
chapter. Large
operations have a
temporary structure
and encompass
multiple
chapters/regions
2
Disaster Services
Staff Wellness Structure
Division Staff
Wellness
Consultant
Chapter
Health
Reviewer
Staff Wellness
Associate, nhq
Staff Wellness
on DRO
3
Disaster Services
Staff Wellness Tools
• Initial responder
application
– Health Status
Record
– Physical Capacity
Grid
– Hardship Codes
• Pre-deployment
– Pre-assignment
Health
Questionnaire
– Hardship Codes
• Relief Operation
– Illness and Injury
Report
4
Disaster Services
FY 2012 Illness and Injury Report Analysis
8000
7000
6000
5000
4000
Staff Assigned
3000
2000
1000
0
Level 3
Level 4
Level 5
5
Disaster Services
Illness and Injury Report Analysis
Percent of Illness and Injuries
700
600
500
400
Illness
300
Injury
200
100
0
FY 08
FY 09
FY 10
FY 11
FY 12
6
Disaster Services
Illness and Injury Report Analysis
Illness as Reported in FY 12
Respiratory
GI
Headache
Fatigue
Cardiovascular
Diabetic
Asthma
Rash
Dental
Heat Related
Mental Health
Allergy
Eyes
GU
20%
23%
5%
2%
0% 3%
1%
20%
1%
4%
0%
2%
14%
2%
3%
Other
7
Disaster Services
Illness and Injury Report Analysis
Injuries FY12
12%
19%
Lac/Abra
6%
Strain/Sprin
Falls
4%
Bites
3%
14%
9%
MVA
Dental
Feet
12%
Burns
21%
Other
8
Disaster Services
Illness and Injury Report Analysis
Percent of Total Staff Assigned Who Were Hospitalized
0.25
0.2
0.15
0.1
Hospitalized
0.05
0
FY 08
FY 09
FY10
FY 11
FY 12
9
Disaster Services
Illness and Injury Report Analysis
Percent of Total Staff Assigned Out-Processed for Medical
Reasons
1.2
1
0.8
0.6
0.4
0.2
0
FY 08
FY 09
FY 10
FY11
FY12
10
Disaster Services
Staff Wellness Data – Comparison (%)
FY 08
FY 09
FY 10
FY 11
FY 12
Illness
1.96
7.37
2.54
3.11
2.11
Injury
0.8
3.7
1.13
1.35
1.43
Hospitalized
0.06
0.24
0.04
0.11
0.11
Out-Processed
for Medical
Reasons
0.27
1.1
0.73
0.49
0.69
Total Number
of Staff
Assigned
25,693
9,198
7,578
13,551
10,015
11
Disaster Services
Next Steps
• CDC’s Morbidity Conference
– Presenting the Red Cross illness and injury
analysis results
• Kimberly A. Brinker, RN, MSN, MPH
• Catherine Head, RN, MS, CNM
• Disaster Medicine and Public Health
Preparedness journal
– Requested a manuscript regarding the
analysis
12