EZ Techniques for Incorporating Disaster
Preparedness into New Hire Materials for
FQHCs (30 Minute PPT)
Amelia Muccio
Director of Disaster Planning
NEW JERSEY PRIMARY CARE ASSOCIATION
Learning Objectives
• Overview of NJPCA
• Discuss barriers to EP buy
in and preparedness
• Discuss techniques for
incorporating EP into
CHC new hire
orientations
• Review successful models
• Identify next steps for
facility leadership
.
Community Health Centers:
“Your Community, Your Health, Our Commitment.”
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Number of Health Centers=20
Number of sites=100
Number of staff=1,600
Number of persons served=425,000
Over 1.3 million visits
NJPCA’s Programs
• Disaster Advisory Committee (1 rep every
FQHC)
• Family disaster planning/preparedness
• IS 100, IS 200, IS 700 and IS 800
• Personal Protective Equipment (PPE) lecture
• Hazard Vulnerability Analysis
• Pandemic Flu Plans
• Fit-Testing for N-95 respirators
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14 elements of NIMS compliancy
HRSA PIN
Business continuity plan
COOP
Training Efforts (2005-2008)
Disaster Education by Year
3500
Number Trained
3000
2500
Year 2005
2000
Year 2006
Year 2007
1500
Year 2008
1000
Total
500
0
Year
IS Compliancy
Compliancy with IS 100, 200, 700, 800 and HVA (7/08)
Percent Completed
105%
100%
IS 100
IS 200
IS 700
95%
90%
IS 800
HVA
85%
80%
Course/Item
Emergency Preparedness…
Rationale for Disaster Program: Health Center
Investment (Sell It)
• We are only as prepared as the
lowest common denominator
• Disaster planning assists with:
– Ability to rotate staff
– Organizational agility
– Plans, drills, and
evaluations
– Training and education
– Staff protection and support
– Communications and
reporting
– Supplies and equipment
– Obligation to community
• Educating staff is an
investment!
Challenges Faced
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Overwhelming task
Lack of clear guidance
Time consuming
Resource constraint
No EP on staff
Uneven knowledge
Uninterested in subject
Lacked buy-in
• Disproportionate
vulnerability and
needs
• High turnover rate in
Centers
• Lost revenue (not
seeing patients)
The Human Condition:
“It Cannot Happen to Me!”
The Science of Disaster Preparedness & Survival
• Panic, fear and denial are inevitable in a
disaster situation
• Brain will perform best in a stressful
situation if you have already put it through
a few rehearsals
– I.E. fire drills
– Brain works in pattern recognition (respond
quicker)
Overcoming Challenges
• Needs Assessment/Gap
Analysis Data
• Flexibility
• Catered to specific needs
• On-Site training
• Buy-In (Lunch & Learn)
• Tailor-Fit programs
• Reinforce compliance
• Provide continuing
education credits
• Ownership of program
(train the trainer)
How to Incorporate EP?
• Why New Hires?
– First impressions
matter
– Sets the tone and
capabilities for
expectations
– Investment in
employee
– Influence how they
work
• EZ Approach—New
hire orientation
– Multiple formats
• PPT (live or
moderated)
• DvD/video
• SME presentation
• local EP org or official
• PCA presentation
Focus on What You Can Control
• Focus on mitigation and
preparedness
• CHC’s are planning for events
(pandemic, hurricane, power
outage, outbreak, terrorism)
that require high levels of predisaster preparedness
(prevention, and mitigation
activities)
• Disaster is reasonably expected
and preparedness initiatives
have been undertaken
• Examples of low levels of predisaster preparedness,
economic depression and longterm civil war
Review Documents with Staff
Review Plans—Demystify
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HVA (Hazard Vulnerability Analysis)
EOP (Emergency Operating Plan)
EMP (Emergency Management Program)
CEM (Comprehensive Emergency Plan)
SOP (Standard Operating Procedure)
IAP (Incident Action Plan)
Business Continuity (Continuity of Operations)
Corrective Action (Lessons Learned/Hindsight
Share Resources with Staff
• Family Preparedness
Plan
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Children
Elderly/Disabled
Pets
Emergency
Communication Plan
– Evacuation & Sheltering
• How to Construct a GoBag (supplies)
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FEMA
American Red Cross
Ready.Gov
72hours.org
ASPCA
HSUS
AARP
Establish Personal Preparedness Plans
First Aid Kits
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Crank NOAA Weather Radios
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Potable Water
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Go Bags
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Inside Go Bags
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Rations, Stove and Tent
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Cat and Dog Go Kit
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Purchase Materials
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NOAA Weather Radio $20
Go Bag $40
Pet Go Bag $40
First Aid Kit $10
N-95s $10
Pan Flu Kit $15
Total: $135
Nominal Investment—will pay dividends!
Walk the Walk—PCA Preparedness
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PCA staff member has:
IS 100, IS 200, IS 700 and IS 800 training
Crisis Communication training
Disaster Awareness training
Go Bag
NOAA Weather Radio
First Aid Kit
Pet Kit
**All trainings were lunch and learns
It’s a Process (Trial and Error)
Questions?
Amelia Muccio
Amuccio@njpca.org
(609)689-9930 ext. 26
“If you jump out the window at the 42nd
floor and you're still doing fine as you pass
the 27th floor, that does not mean you don't
have a serious problem.” - Charles Munger