Southeast Wisconsin Healthcare Emergency Readiness Coalition, Inc. HERC (Region 7)
The Southeast Wisconsin Healthcare Emergency Readiness Coalition, Inc.
(HERC) is dedicated to utilizing an efficient, coordinated approach
to providing healthcare in a critical incident that extends beyond normal operations
Board of Directors Meeting
Location: Wisconsin Athletic Club - Wauwatosa, WI – Room #3
Date: Tuesday – August 26, 2015
1:00 to 3:00 PM
ANNOUNCEMENTS /
WELCOME / APPROVAL
OF MINUTES AND
BOARD CHANGES
The meeting began at 1:03 PM. Lynn welcomed our state partners from DHS,
Lisa Pentony, Carolyn Strubel, Dr. Meiman.
Lynn discussed the minutes from the meeting of July 2, 2015; and no changes were reported. Thereafter, the minutes were
unanimously approved as written
HERC Board Changes:
– Steven Riegg will replace Sean Slowey
– Peter Molter will replace Justin Harnum
A quorum being present, changes to the Board membership unanimously approved.
Informational
New Website
Betty reported on the new website, namely: www.HERCRegion7. Highlights include:
- A tab for Public Health will be added shortly.
- The Mission Statement is included.
- Board of Directors listing has been incorporated, as well as links to other sites.
- There will also be a Distribution List of the HERC membership by agency.
- Training and Exercises: The BAT 16 information will be added in this section.
- In the future, the PCA portal information will also be included.
Informational
Coalition
Business/Executive
Committee Report
Review of Budget Period
July 1, 2014-June 30, 2015 /
Funded Projects
Budget Period: July 1, 2014 - June 30, 2015
- $105,000 carryover funding from the previous budget year
- $28,500 Flexible Funding – Funds which have been redirected for regional use
- $16,500 Business Operations, including: $5,000 fiscal agent fee; $1,500 for the Form 990 Return; $6,000 to cover audit
fees; and $4,000 legal fees.
- $3,000 Community Health Centers Infectious Disease Project. Public Health purchased PPE for clinics, as well as
training materials.
- $10,000 for contract development. Currently working on a draft.
- $20,000 for a 24/7 person to be available for call-taking
- $20,000 allocated for a geo mapping data base project working with Milwaukee County- this is ongoing
- $5,000 support for the SERTAC Conference
- $1,787.95 for support of the recent Ebola Symposium
- $4,500 allocated to the web site development program and maintenance
- $7,000 for WISCOM radios – The coalition has purchased 3portable radios, using the additional monies from the
Community Health Centers.
- Pediatrics Disaster Preparation Workshop – This workshop was not held and the funds were instead used for the geo
mapping project.
Informational
Flex Funding redirect funding $28,500
Initial Discussion of Future
Budget
-
$25,000 has been allocated for contract work to help draw up a Business Plan for the Coalition.
$3,500 used for tactical emergency supplies. This is for the TECC Summit in January with WEMSA; and Milwaukee
Fire is the grantee.
The proposal for funding response vehicles has been rejected.
Budget Period #4 – the current fiscal year:
- $157,000 has been received from WHEPP for coalition funding.
- ASPR has allocated an additional $50,000 for Ebola Preparedness.
- As of July 1, 2015, the Healthcare Coordinator and Medical Advisor positions are contracted by the state.
Allocations for this fiscal year: Broad-based titles are being used – i.e., just a general allocation for place holding for dollars to
be spent. This will be re-discussed in the future.
-
$40,000 for a Health Medical Intelligence person – One-half of this amount is also funded by UASI.
$35,000 for Business Operations: $10,000 for business fees; $8,000 for the fiscal agent, $1,000 for tax return
preparation; $6,000 audit fees; and $10,000 for legal fees
$2,000 for Chair and Vice Chair travel
Pediatrics Preparedness Workshop has been reallocated for this year
$15,000 for Medical Coordinating Center policies and plan development
$20,000 operations activities
$15,000 SERTAC and EMS support
$25,000 Healthcare Coalition activities
o Public Health, EMS, Clinics, etc. are included in this funding.
o The State pays for the 7 regional Medical Coordinating Centers and Medical Advisors
o What about assurance of future UASI funding? Foremost is to figure out what funding is needed.
Betty to send
out position
descriptions
Betty will send out position descriptions to the group. The full-time person will take all sources of information of the
medical and healthcare threats, and then sort through and put them into a digestible medical intelligence report for distribution.
This process will allow for having everything at a glance!!
- How do we hire this person? This is a contract position – $60,000 for a 1-year position. Because this is a contracted
position, no benefits are provided. The position is 40 hours per week including 3 days at a downtown location, and
working in other areas as well. This person must be on call for off hours and weekends. The candidate is required to
have Public Health medical experience and Emergency Medical healthcare experience; with the ability to work well
in all environments, including a law enforcement building. Many different backgrounds and disciplines will be
merged together. This position will be added to the plan each year and hopefully it will continue. Other funding
sources will be explored in the future. The strength is in benefits and usefulness of the product!
$50,000 Ebola Preparedness funding.
$20,000 allocated for startup costs
$20,000 Disaster Surveillance specialist – This is a part-time staff person to work with the Health Intelligence Analyst
$5,000 for distance learning (teleconferences)
 If anyone has additional ideas please inform one of the committee members.
Send your ideas
to the
Committee
Fiscal Agent: Froedtert had performed these duties in the past. HERC plans to switch to a new fiscal agent when the current
fiscal year is closed out. Since we need someone who is responsive to our needs, one of the recommendations is: Anick &
Associates. Their costs are similar to what we have been paying.
It is preferred that this group will meet every month for the next 3 months – September, October, and November 2015 from
1:00-3:00 PM. Future items for discussion: Board restructure, governance structure. These matters will be discussed further
next month; and all changes will be done prior to the November 17 th annual meeting
Historical Overview of
HERC and Current ByLaws/Structure
Dr. Liu explained that Region 7 is not the largest as to geography; but as to the number of people we are at 2.2 million
residents. Region 7 was organized in 2002 as the HRSA Region 7 for the purpose of administering federal hospital
preparedness grant monies. Members included those from hospital systems and emergency management. Thereafter additions
included the Wisconsin Hospital Association and Public and Private Health. Region 7 became a 501c3 in August of 2003,
using the Bioterrorism name. Articles and By-Laws were then drawn up. Additional members included: Community Health
Centers, volunteer committee organizations, and long-term care facilities. In 2014 the name was changed to HERC which is
more reflective of what we do.
-
-
-
HERC
COMMITTEE
PARTNER
Thereafter, Dr. Liu reviewed the mission and vision statement.
A brief overview of the By-laws was discussed: members are invited by the Board, with the expertise of all to be
provided. A quorum of 51% is required for voting at meetings. For off-line votes a 2/3 majority is required. Thereafter,
the Board structure was discussed, and Dr. Liu reviewed the membership list.
The Executive Committee is selected by the board, and they can act for the Coalition when the board is not available. A
quorum is the simple majority for meetings. A quorum for non-meeting votes requires all members. SERTAC,
Emergency Management, and Public Health are represented on the Executive Committee. The member-at-large is the
Medical Advisor. Officers must be members of the Board. The weekly workloads are as follows: 5 hours/wk. for the
Chairperson; Vice-Chair is 3-5 hours/wk.; the Secretary is involved with notices of meetings, etc., for 4-5 hours/wk.
Treasurer ensures accurate accounting and spends 4-6 hours/wk.
HERC Coordinator has a direct contract with the state for this year and is 40 hours/wk. The Medical Advisor also has a
direct contract with the state. Robert’s Rules of Orders will be followed
- Further discussions will take place next month. 2 organizational structures will be presented. Send your ideas to a
committee member.
Region 7 Exercise Design: September 22nd is the date of the next Exercise Design Committee meeting from 9:00 AM to
noon. That date is the same day as the monthly HERC Region 7 BOD Meeting – check for rooms.
- BAT 15 Report: Communications was a huge issue. The Notification went out late; and there were on-line algorithm
problems. Point of dispensing areas also incurred problems; mapping changes are needed. The PODS did not have
detailed maps for entrances to facilities. Region 7 continues to lead as a model for others to emulate.
- We are also working on a Joint Information System, and getting input from Public Health. There is a meeting tomorrow
at Columbia St. Mary’s from 9:00 AM to noon - Address: 2350 N. Lake Drive, Milwaukee. Enter through the public
entrance.
Check for
meeting rooms
on 9/22/2015
Public Health update: Wauwatosa PH has a local accreditation visit scheduled for the end of September.
Develop
workgroup to
-
REPORTS
-
-
Patty Ruth asked about deliverables that are tied closely to the Healthcare Coalition. Local plans will be reviewed for
gaps. Make sure the information gets on future agendas. Wi-Trac training, and hazard vulnerability information will be
used. Suggestion to develop a workgroup for this.
Agenda items – add this to the October meeting agenda: i.e., plans identified as best practice, etc.
Ebola funding is being received – On the ASPR side, break it down to be more manageable. The Ebola exercise must be
done! The tabletop must be done prior to next June 30, 2016. Drills to be set up for a future functional exercise.
Information to be distributed to all. The National level has identified Ebola facilities. The University of Minnesota
hospital is one; but it is not yet ready. The model is still being worked on.
WALDAB – Betty presented a high level crosswalk between objectives for the CDC ASPR to the Group. Further info is
needed about this for the Regional Medical Coordinating Center. Much of this is still being created, as well as
determining how it will function. Joe Cordova said different disciplines would be called; and this would only come into
play if it’s the big one or another coalition is calling you. All were reminded there is much helpful information on the
PCA portal.
DHS Update: DHS will be the grantee for the grant. Steve Fronk, as Director of the City of Milwaukee Homeland Security,
is looking into this. A Steering Committee will be developed to explore the matter further.
Emergency Management: An exercise will take place this weekend which will include the Joplin tornado footprint over the
city of Waukesha. BAT 16 is set for June 5th of next year 2016. 10 counties will be involved.
All county Emergency Management offices do many exercises. Ben reminded everyone to speak with their county’s
Emergency Management managers about this.
- Southeast Regional Emergency Management: An Emergency Preparedness app entitled “Ready Badger” will be
released in spring.
- Southeast EMS is also working on recovery support functions. WICAMS: This includes the City of Milwaukee. The
State is also working on this, and it will fit into the long term recovery piece. 4 counties in Southeast Wisconsin
already have the equipment. Ben will send the information to everyone. WICAMS stands for Wisconsin
Credentialing Asset Management System. Each facility will have their own coordinator. Leveraging funds from
grants is important to show inter-agency cooperation. Determine what is there as a process. The system interacts
with WEAVR, and the cost is shared with WEM.
Meeting ended at 3:03 PM
NEXT MEETING IS:
TUESDAY – September 22, 2015
(1:00-3:00 PM)
Sheriff’s Academy, Franklin
See Attendance sheet on next page
review local
plans
Add “best
practices” to
October agenda
Set up Steering
Committee
Ben to send out
WICAMS info
ATTENDANCE:
KEY: BD= Board Member
Name
Adrian, Shelley
Alar, Laura
Aranda, Jamie
X
Arnold, Linda
Auger, Thomas
Baasch, Joseph
Barberene, Anne
Barca, Frank
Barrett, Kate
X
Beebe, Rory
X
Beegle, Jeffery
Beix, Jim
Biedrzycki, Paul
Braunschweig, Joel
X
Butler, Chuck
Carroll, Jennifer
X
Christensen, Ann
Colella DO, M. Riccardo
X
Conklin, Laura
X
Corneliuson, Elizabeth
Cox MD, John
X
Crogan, Jeff – Vice Chair
X
Czerwinski, David
X
Davies, Al
Dettmering, Jacob
Devore, Jean
Forro, Joseph
Fronk, Steve
Gajeski, Katie
X
Garcia, Silviano
Gnadt, Bridget
X
Grossman, Starrlene
Hass, Tom
Hass-Peters, Lisa
Healy-Haney, Nancy
X
Helm, Deborah
Henley Kathleen
Herkowski, Steve
Jandrisevits Ph D, Matt
X
Jones, Benjamen
X
Karsten, Barbara
X
Kissinger, Brenda
X
Kreuser, Nancy
Lenz MD, Tim
X
Liu MD, Jason
X
Loizzo, Jennifer
Luedtke, Jessica
Marquis MD, Sean
Marshall, Curtis
X
Mattila, Mary
X
Mattila, Reed
McCall, Casey
MBR=Member
MBR
BD
MBR
BD
MBR
MBR
MBR
MBR
MBR
BD
MBR
MBR
EX
MBR
MBR
MBR
MBR
EX
MBR
EX
MBR
EX
BD
MBR
MBR
MBR
MBR
BD
MBR
MBR
MBR
MBR
MBR
MBR
MBR
MBR
MBR
MBR
MBR
BD
MBR
MBR
MBR
MBR
EX
MBR
MBR
MBR
MBR
MBR
MBR
MBR
EX = Executive Committee Member
Affiliation
Waukesha Public Health
Columbia St. Mary’s - Ozaukee
MCW EM Resident
American Red Cross
Aurora Healthcare
Froedtert – St. Joseph’s Hospital
Oak Creek Health Department
United Health System
Washington County Public Health
Agnesian Health
Post- Acute Medical Milwaukee
Wauwatosa Health Department
City of Milwaukee Health Dept.
Aurora – Washington County
City of Sheboygan Fire
Pro Healthcare
North Shore Health Dept.
SERTAC
City of Wauwatosa Health Dept.
Froedtert
CHW – MCW, Pediatrics EM Fellow
Froedtert
Wheaton Franciscan Healthcare
Aurora - Summit
SERTAC Coordinator
Children’s Hospital
Mke County Fire Dept. – Gen. Mitchell Intl.
Emergency Mgmt. & Homeland Security
Cudahy Health Department
CRCHD-Central Racine County Health Dept.
Waukesha County HHS
Sheboygan DPH
Aurora Sheboygan
Froedtert
Waukesha County Health Department
Village of Greendale Health Department
Wheaton Franciscan Healthcare
Aurora Behavioral Health
Children’s Hospital of Wisconsin
Waukesha County Health Officer
Waupun Memorial Hospital
St. Agnes Hospital, EMS
City of Wauwatosa Health Officer
MCW – EMS Fellow
Medical College of Wisconsin
CRCHD/Racine Health Department
MCW Public Safety
Mercy Walworth
DHS
Aurora Healthcare
Aurora Healthcare
Wheaton All Saints
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
Meiman, Jon
Michaels, Dan
Molter, Peter
Murphy, Dan
Nitka, Teri
MBR
MBR
BD
MBR
BD
DHS, Health Emergency Preparedness
Cudahy Health Department
United Hospital System
Aurora – Grafton
Paratech Ambulance
Nygren, Susan
Ove, Jacqueline
Page, Lindsey
Palen, Ashley
Parker, Michael
Payne, Erika
Pentony, Lisa
Perez, Adam
Platt, Kathleen
Pochinski, Matt
Ratajczak, David
Rausch, Darren
Richards, Jay
Riedijk, Frank
Riegg, Steven
Rivera Rodriguez, Jose
Ruth, Patty
Ruzinski, Anna
Sangtian, Montinee
Sartorius, Claudia
Schicker, Craig
Schindler, Diana
Schliesman, Ben
Seitz, Michelle
Spredemann, Meghan
Stanley, Marisa
Stenbol, Carl
Sternig, Ken
Story, Luke
Strubel, Carolyn
Thiel, Michael – Secretary
Ugaste, Chief Rob
Vallone Amy
Van Matre, Debbie
Viel, Erik
Walsh, Elizabeth
Walters, Chris
Weston, Ben
Whitehouse, Joni
Whitehouse, M. Jane
Whittkamp, Paul
Wians,Stacey
Wiza, Tim
Wucherer, Bill
Ziller, Lani
MBR
MBR
MBR
MBR
MBR
MBR
MBR
BD
MBR
EX
MBR
MBR
MBR
MBR
BD
MBR
MBR
MBR
MBR
MBR
MBR
MBR
EX
MBR
MBR
MBR
BD
MBR
MBR
MBR
EX
MBR
MBR
MBR
MBR
MBR
MBR
MBR
MBR
BD
MBR
MBR
MBR
MBR
MBR
Department of Corrections
South Milwaukee Health Department
Milwaukee Health Dept.
Public Health Specialist, OC Health Department
16th Street Community Health Center
Wheaton Franciscan Healthcare
DHS, Health Emergency Preparedness
Community Care, Inc.
North Shore Health Department
Pro Healthcare
FBI
Greenfield Health Department
Lakeview Specialty Hospital
Froedtert – Community Memorial Hospital
Milwaukee Fire & EMS
Milwaukee Health Department
Ozaukee County Public Health
Menomonee Falls Police & Fire
MCW – EMS Fellow
House of Corrections - Milwaukee
Aurora Sheboygan
City of Wauwatosa Health Department
Wisconsin Emergency Mgmt.
Children’s Hospital of Wisconsin
Wauwatosa Health Department
Milwaukee Health Department
Milwaukee County EMS
Milwaukee County EMS
Wheaton Franciscan Healthcare
Department of Public Health
Children’s Hospital of Wisconsin
Wauwatosa Fire Department
Wheaton Franciscan Healthcare
WI-Trac Administrator
Milwaukee County EMS
Walworth County Health Department
Paratech Ambulance
MCW EMS Fellow
Washington County Public Health
Milwaukee VA Hospital
DPH - EMS
Kenosha County Epidemiologist
Wheaton Franciscan Healthcare
Franklin Health Department
Columbia St. Mary’s - Milwaukee