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Function 3
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Management of Disaster Medical and Health Resources |
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LEMSA Roles: Preparedness - Response |
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Function Objective Identify, mobilize, apply, and deactivate medical and health resources needed for the response to disasters. Resources include medical and health personnel, medical transport, equipment and supplies acquired from local, regional, state, or federal governments or through contracts and agreements with the private sector. |
Element 3.1 Procedures
for resource acquisition and application
(ordering & authorization procedures)
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LEMSAs
should ensure that the plans and procedures of the Operational Area for the
acquisition of medical and health resources include:
·Procedures to rapidly assess the status of existing
medical resources and the timeframe for expanding the pool of available resources.
·Provisions to receive requests for assistance from
a variety of sources including field responders, hospitals and other medical
and health facilities, field treatment sites, neighboring jurisdictions and the
Regional Disaster Medical/Health Coordinator, and other response functions
seeking medical and health support.
·Procedures to ensure that all requests include necessary
information such as:
§Request tracking information (request number,
date/time, incident)
§Person and agency making request and contact
information
§Type, number, and specific requirements of
requested resources
§Estimated duration of response
§Location and person to report to
§Route information and potential hazards
§Support needed for resource (Fuel, water, lodging,
meals, maintenance, etc.)
§Sources of support for resource
·
LEMSAs
should ensure that the plans and procedures of the Operational Area for the
acquisition of medical and health resources include:
·Procedures to allocate resources according to the
priorities of the Action Plan.
·Procedures to request, mobilize, enroll and manage
volunteers.
LEMSAs
should ensure that the Operational Area has plans for the establishment of staging
areas for responding medical resources.
Element 3.2 1 Resource planning and preparedness (resource
inventories, prior agreements)
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Standard: |
LEMSAs
shall ensure development and maintenance |
LEMSA’s should ensure the
development of inventories of sources of disaster medical resources based
within the Operational Area. Resource
categories include:
·
Hospitals
·
Medical transport
·
Skilled nursing
facilities / residential care facilities and other facilities
·
Locally based medical
response teams (DMATs, MMRT, etc.)
·
Locally based specialized
non-medical response teams (Hazmat, NDMSHazmat,
USAR, etc.)
·
To the extent possible,
significant providers of medical suppliers and equipment
·
Regional Disaster
Medical/Health Coordinators and Specialists
To the extent possible,
inventories should include the following information:
·
Prior agreements
·
Description of resource
·
Location of resource
·
24-hour contact
information for resource manager/controller
·
Cost and process for
acquiring resource
Inventories should be updated annually.
LEMSAs should incorporate the
following concepts
in their contracts
with ambulance companies:
Development of Agreements:
§
Ambulance Contractors should
attempt to
establish cooperative assistance agreements with ambulance providers within the
jurisdiction of the LEMSA and in neighboring counties.
§
Any agreements should be submitted to the LEMSA for
review and approval.
Agreement Activation:
§
The Ambulance Contractor should
agree to report to the LEMSA if the agreement was activated.
§
The Ambulance Contractor should seek prior approval from the person designated
by LEMSA (e.g., Medical Health
Operational Area Coordinator or EMS Administrator) if the out-of-area response would reduce ambulance
coverage below the level required to meet contract requirements.
§
The Ambulance Contractor should be
required, at the
direction of the person
designated by
LEMSA, to back-up, move-up, or post
within county or to adjacent or other county.
§
The Ambulance Contractor should file a report with the LEMSA or MH OAC detailing the numbers of
vehicles and personnel that were committed to the out-of-area response.
§
The LEMSA should assist the Ambulance Contractor to recoup
un-reimbursed costs if federal and state funds become available.
Element 3.2 Resource acquisition, allocation and mobilization.
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Standard: |
LEMSAs shall ensure development of policies and
procedures to: (1) Define criteria for evaluating initial
requests for assistance from both within and outside of the Operational Area.
(2) Rapidly mobilize and
dispatch medical and health resources within the Operational Area to meet
immediate response needs. |
LEMSAs should ensure that the
plans and procedures of the Operational Area for the acquisition of medical and
health resources include:
·
Procedures to initiate
the process to acquire resources to meet initial, immediate and planned needs.
·
Procedures for requesting
uniformed resources.
·
Provisions to receive
requests for assistance from a variety of sources including field responders,
hospitals and other medical and health facilities, field treatment sites,
neighboring jurisdictions and the Regional Disaster Medical/Health Coordinator,
and other response functions seeking medical and health support.
·
Procedures to ensure that all
requests contain all
necessary information including:
§
OES Mission Number or locally
assigned alternative tracking
number that will provide
information required to manage resources and obtain reimbursement.
§
Person and agency making
request and contact information.
§
Type, number, and specific
requirements of requested resources.
§
Estimated duration of
response.
§
Location and person to report
to.
§
Route information and
potential hazards.
§
Support needed for resource
(Fuel, water, lodging, meals, maintenance, etc.).
§
Sources of support for
resource.
·
Immediate and delayed
resource needs during operational period.
LEMSAs should ensure that the
plans and procedures of the Operational Area for the acquisition of medical and
health resources include:
·
Procedures to allocate
resources according to the priorities of the Action Plan.
·
Procedures to request,
mobilize, enroll and manage volunteers.
LEMSAs should ensure that the
Operational Area has plans for the establishment of staging areas for
responding medical resources.
Element 3.3 System for accessing, acquiring, using
and supporting external resources (including interface with RDMHC)distribution, utilization,
and support of external resources.
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Standard: |
(1) LEMSAs
shall seek to develop cooperative agreements with neighboring jurisdictions
for sharing prehospital resources across jurisdictions in response to
disasters. (2) LEMSAs shall
include provisions in contracts with ambulance providers requiring
out-of-county response to disasters when authorized by the LEMSA and when
local conditions and resources permit. (3)
LEMSAs shall ensure development of policies and procedures to
guarantee necessary logistic support has been arranged for all requested
resources responding from outside the jurisdiction prior to their arrival.
(4) LEMSAs shall ensure development of policies and
procedures to support the operations of out-of-jurisdiction ambulances
requested to respond to local emergencies. |
LEMSAs should incorporate the
following or similar language in their contracts with ambulance companies:
Development of Agreements:
§The Contractor shall seek to establish cooperative assistance
agreements with ambulance providers within the jurisdiction of the LEMSA and in
neighboring counties.
§Agreements will be submitted to the LEMSA for
review and approval and will remain in effect through the life of the ambulance
contract.
Agreement Activation:
§The Contractor will report to the LEMSA within 24
hours that the agreement was activated.
§The Contractor will seek approval from the
<designated by LEMSA> in the event the out-of-area response would reduce
ambulance coverage below the level required to meet contract requirements.
§At the direction of the <designated by LEMSA>
the contractor is required to back-up, move-up, or post to adjacent or other
county.
§Within 10 days of demobilization, the Contractor
will file a report with the LEMSA detailing the numbers of vehicles and
personnel committed to the out-of-area response.
§The LEMSA will assist the Contractor to recoup
un-reimbursed costs if federal and state funds become available.
Element 3.4: Resource Tracking
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Standard: |
LEMSAs shall ensure development of systems for
tracking the location and status of out-of-county resources from their time
of arrival to their assignment to an incident and from their release from an
incident to assignment to another incident or deactivation. |
LEMSAs should ensure
development of procedures for tracking personnel, equipment, and other
non-disposable medical resources applied to the response of disasters. The following information should be reported
and maintained by the Planning Section of the Operational Area Emergency
Operations Center or the Medical/Health Department Operation Center, if
activated:
·
Resource name /
identifier (Name of personnel, unit number, etc.)
·
Resource description /
type / quantity (Type of asset, type of personnel, etc.)
·
Identifier of incident
to which resource is assigned
·
OES Mission Tracking Number or alternative that will
provide information required to obtain reimbursement.
·
Date/time assigned
·
Incident contact
information
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Damage to equipment or
injury to personnel
·
Estimated date/time of
release
·
Actual date/time of
release
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Disposition
Element 3.5: Deactivation / Demobilization
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Standard: |
LEMSAs shall ensure policies and procedures are in place to notify, release, and appropriately demobilize resources upon response deactivation. |
LEMSAs should ensure
development of plans, policies and procedures for deactivation / demobilization
of medical and health resources operating under the coordination of the
Medical/Health Branch of the EOC or Operations Section of the DOC, if
activated. Plans, procedures, and
policies should include provisions for:
·
IC communication of
release of resource to appropriate unit of the Operations Section of the EOC or
DOC, if activated.
·
If resource is no
longer needed, release of resource by appropriate Operations Section unit.
·
Notification of
resource of release or reassignment.
·
Provision of
appropriate documentation to Logistics and Finance Units.
·
Collection of
information on damage to equipment or injuries to personnel.
·
Collection of incident
reports.
·
Collection of
documentation required for reimbursement.
·
Assistance to resources for demobilization
which may include:
§
Fuel for vehicles
§