This page details the major projects the MHPC will be working on from July 2017-June 2018, and who will be taking lead. However, each team member works closely with the rest to make sure all of our projects overlap, and is written in support of each other. This list is also not all inclusive of each person’s responsibilities or work plan.
Regional Outreach- The goal of this project is to improve regional partnerships by increasing face time with those partners, creating strong working relationships, and continuing to build trust. Expand regional partnerships beyond the defined boundaries to include additional NC counties, but also to include SC counties and coalitions.
- Divide the region into geographic “sub-regions”, and assign a coalition staff member to each sub-region.
- Each month, make a visit to at least one county in each sub-region for an informal meeting with the partners in that county (should result in a quarterly visit to each county)
- Identify the surrounding NC and SC partners that would be impacted by an event in the Metrolina region, or that could be supported by, collect their contact information, and ensure they are invited to regional activities.
- Host or participate in joint collaboration/planning sessions with boarding SC coalition, which should include MAHPC and THPC as needed.
Regional Healthcare Support Cell / Medical Intelligence Center Plan Update – The intent of this activity is to update the regional response/support plan to improve the ability of the healthcare coalition to support regional partners and stakeholders well and accurately detail current process, plan, etc. This will include further development of the Medical Intelligence Center concept.
Based on recent regional events (real world, exercise, drill) or identified through training or education, the Metrolina HPC personnel and executive body of stakeholders will update the regional support plan to accurately describe and detail the function and support of the regional healthcare coalition. This will also include the development of education specific to the plan, inclusion of the plan in regional and partner exercises/events, and the investigation of any additional technology needed to support effective situational awareness and information sharing.
(Directly supports or supported by: Healthcare EM Edu/Training, Regional Comms Testing, Regional Bed Coordination/Evacuation Planning, and Regional Outreach)
Licensed Care Facility Education and Outreach- The goal of this activity is to increase the capability among ancillary healthcare facilities in the region to adequately prepare for and improve overall response to an event that affects the facility patient population.
- Monthly CMS education that is designed to assist facilities in better preparing for the implementation of the CMS Emergency Preparedness Rule. This education is designed for home health, hospice, PACE, and LTC provider types.
- Engagement and outreach to regional facilities. Visit 5 regional facilities per month to introduce them to the Coalition and to find out what their needs are from the Coalition. This will be done by clearing out one to two days every month and visiting the facilities.
- Conduct a Needs Assessment/Gap Analysis, that includes an identification of the types of facilities within the region, determine their planning, education/training, exercise, and communication needs/gaps.
- Conduct an Impact Analysis to determine which facilities will be affected by the CMS EP Rule.
Bed Coordination/Regional Evacuation Coordination Planning- The goal will be to develop an evidence based and partner driven plan for regional bed coordination, facility evacuation, and patient reception that can be easily incorporated in local and state level plans, trained on, exercised, and operationalized.
- Identify, collect, and review case studies, lessons learned, and plans for bed coordination, facility evacuation, and patient reception.
- Obtain participation and support from critical local partners to ensure the plan meets their needs and expectations, and can be incorporated into their current plans or processes
- Based on critical partner input, engage a workgroup to review research, make recommendations, and develop a draft plan that can be incorporated into local plans, the RHSC/MIC plan, and state plans.
- Include the draft plan in local, regional, and state exercises to test the effectiveness.
Hospital First Receiver Guidance- The intent of this activity is to increase responder safety and health capacity and support to first responders and the healthcare workforce during an event in North Carolina through increasing the available trained personnel to respond, as well as available to train, first responders and healthcare workforce in providing Hospital First Receiver Decontamination.
- Continue to partner with the NC Hospital Association to provide support for the program
- Conduct regular meetings with the SME/Development committee to review/update the guidance and training material
- Develop an overview presentation for the guidance that can be delivered in person, virtually, or through recorded media to increase awareness of the program, how it was developed, how to interpret it, and how to leverage the available training
Regional Exercise Coordination- Metrolina HPC will facilitate the development and implementation of a regional exercise planning process that will be designed to improve exercise coordination between partners to decrease exercise burden and support a “whole community” approach that also includes at-risk populations and LTC partners. This should include participation in a full-scale exercise (FSE), in order to evaluate medical surge capabilities and identify future support activities and priorities for the region.
Strategy: Using internal personnel and regional partners, an HSEEP process will be used to:
- Collect and consolidate partner exercise requirements and current plans
- Publish a regional exercise calendar to facilitate exercise coordination among partners, primarily on the local or sub-regional level.
- Facilitate Quarterly Exercise Planning/Coordination meetings.
- Participate in partner exercises on the local and sub-regional level, which could include facilitating 3 sub-regional workshops or TTX’s
- Promote and begin a 5-year exercise planning cycle/process that works through sub-regional workshops, sub-regional TTXs, sub-regional FX, a regional FSE, and a detailed AAR/IP. This process should ensure that coalition education/training, outreach, LTC planning, RHSC/MIC planning, and Bed Coord/Evac planning are all considered in or supported by regional and partner exercise plans.
The exercise will clearly identify the areas of medical surge preparedness and response and at-risk populations and assist in the identification of strategic preparedness initiatives for subsequent budget periods. Both real exercise play and virtual participation will be employed and HSEEP guidelines for planning, documentation, and conduct will be followed. This exercise will be conducted to ensure compliance with established ASPR/HPP requirements for conduct, participation, and capabilities evaluated. This will include regional participation in the coalition surge test (CST).
Healthcare Emergency Management Training and Education- The goal will be to ensure adequate preparedness and response capacity, education and training opportunities are vital to improve capability and increase capacity within the healthcare infrastructure work force to function during all phases of emergency management.
Strategy: Metrolina HPC will conduct, or develop and conduct, the following courses on incident management and healthcare emergency management and response in locations that allow for increased attendance from geographic regional partners and managed through NC TERMS:
- ICS 300 and 400
- Hospital Liaison Training (HLT): How to be an effective Liaison for your facility in your local EOC (including WebEOC/SMARTT overview) (1-2 Hours)
- Medical Intelligence Center/RHSC Orientation (MICO): “How Would It Help You”, Scope, Activation levels/levels of support, information sharing processes, etc (1 hour)
- MHPC/SMRS Operations Orientation (MHPC Ops): Overview of the resources and capabilities/limitations of the MHPC and SMRS (1-2 Hours)
Healthcare Emergency Response Training – The goal will be to ensure adequate preparedness and response capacity, education and training opportunities are vital to improve capability and increase capacity within the regional SMRS teams and HCOs to function well during all phases of emergency response.
Strategy: Metrolina HPC will conduct courses on the healthcare emergency response and the State Medical Response System. The following courses will be offered within Metrolina HPC in locations that allow for increased attendance from geographic regional partners and managed through NC TERMS:
- SMAT Initial Training (Online Portion)
- SMAT Base Camp Operations Training
- SMAT Monthly Training
- Joint Training with Carolinas Med-1
- NC First Receiver Decon and Train-the-Trainer
- CONTOMS in partnership with Central Piedmont Community College
FY 2017-2018 Initial Funding Allocations and Funded Projects
|Salary and Fringe for 4 Full Staff||$316,882.50|
|Capability 1: Foundation for Health Care and Medical Readiness|
|Regional Stakeholder Travel||$15,000|
|Regional Governance Update||$0|
|Licensed Care Facility Education and Outreach||$0|
|Healthcare Emergency Management Training and Education||$0|
|Regional Exercise Development||$0|
|Capability 2: Healthcare and Medical Response Coordination|
|Program Support Specialist (Contract Position)||$25,000|
|Regional Communications Testing||$0|
|Regional Healthcare Support Cell / Medical Intel Center Plan||$0|
|Capability 4: Medical Surge|
|Warehouse Lease (includes both Warehouses in August)||$198,910|
|Warehouse Move Support||$15,000|
|SMAT II Sustainment||$10,000|
|Logistics Support Specialist (Contract Position)||$14,500|
|Fleet Maintenance and Driver Agreement||$6,000|
|Fleet Maintenance Needs||$10,000|
|SMAT III Sustainment (7 SMAT III’s- $3,500 each)||$24,500|
|Cabarrus Trailer UTV Trailer Upfit||$3,100|
|Healthcare Emergency Response Training (CONTOMS)||$10,000|
|Bed Coordination/Regional Evacuation Coordination Planning||$0|
|Hospital First Receiver Guidance||$0|