Massachusetts Long Term Care Mutual Aid Plan Mass

Massachusetts Long Term Care Mutual Aid Plan (Mass. MAP) Staff Orientation Helen Magliozzi - Program Lead Denise De. Simone – Admin. Coordinator Jim Garrow - Project Manager Scott Aronson - Principal

What Led to Mutual Aid in New England: Massachusetts Experience Learning from experiences in: • • • NY State – 1 st Plan (began in 1983) 2001 Tropical Storm Alison (Houston) 2001 9/11 2005 Hurricanes Katrina / Rita Massachusetts Disasters: • • May 2006 Flooding (Mother’s Day Storm) November 2006 Chemical Explosion (Danvers) 2008 Ice Storm in Central & Western MA

Mary Immaculate Evacuated (250 beds) (Evacuation: May 2006 / Recovery: Sept. 2006) Source: Boston Globe. com

Other Incidents where Mass. MAP was Activated § § § § Aug/Sept 2011 - Tropical Storm Irene/Lee Flooding Oct/Nov 2011 - “Halloween Storm” - Snowstorm/ Power Failure July 2012 – MA Nursing Home Generator Failure (Region 5) August 2012 – Industrial Fire – NYS (MA Region 1) Oct/Nov 2012 - Superstorm Sandy Jan 2013 Influenza Event – Boston & Hartford, CT Activations for Hospital Resident Decompression Feb 2013 – Blizzard (NEMO) Jan 2014 – Snowstorm

OVERVIEW of Mass. MAP

Plan Operation is 1 st within your town/city. Additional Support will come from your Region then other regions in a widespread disaster. ~500 LTC / 30 Hospitals / 4 LTACs or Rehab Hospitals 213 LTC / 11 Hospitals Regions 1, 3, 4 & 5 151 LTC

The Basics • • Identify needs and provide supplies/ equipment/pharmaceuticals as necessary Assist with transportation of supplies / staff / equipment / evacuated residents Provide staffing support (whether a facility is evacuating or isolated) Place and support the care of evacuated residents (continuity of care / surge locations)

Disaster Struck Facility

Actions of Disaster Struck Facility NOTIFY: Call 911 / begin Internal Activation process • NOTIFY: Use HHAN Alert Notification System (DPH) to notify Mass. MAP members and Critical Partners • ACTIVATE: Emergency Reporting System • • www. massmap. org • LTC Coordinating Center / Regional Medical Coordinating Center PREPARE: Evacuation? Staffing? Equip? Supplies? • PREPARE: Transportation Evacuation Tool Complete (if evacuating) • PREPARE: Generator Information - Update (if prestorm/event) •

Transportation Evacuation Surveys (transportation tab on website) Provides Public Health, Fire, EMS and Emergency Management with strong knowledge of the resources needed to evacuate our facility (ambulances, wheelchair vehicles and buses) • • Consider completing with monthly fire drills (each resident care area) On website for an automated tool

Pre-established Evacuation Sites • • Primary sites should be pre-selected using the LTC Patient Care Categories Address highest acuity residents first • • Who matches up best with our facility Address their surge numbers next Always assume they have no open beds • How many of your residents can they accept at 110% surge • • Process to communicate with them • Know where they are and their primary contacts

Resident Tracking – What goes with the Resident • Resident Emergency Evacuation Form • • Active Chart (or Current Service Plan for AL) • • • 1 per resident - info and acuity / mobility / risks Include MAR (Med List), Meds & Controlled Substances Wristband (name / DOB) Resident, MR, Staff & Equip Tracking Sheet • List of residents; by facility they evacuated to • Transportation vehicle info and time departed • What (and whom) went with them • • Photo, if possible DNR Bracelets / Transfer Sheets

Resident Accepting Facilities/Lenders

Actions of Resident Accepting Facilities/Lenders • Prepare to receive residents • • Complete Emergency Reporting Complete the Influx of Resident Log - residents arrive Confirm that the residents are received – “CLOSE THE LOOP” • • Open beds vs. Surge Area Complete Electronic Resident Tracking information Start a new chart for resident If Lender: Prepare to provide Resources/Assets

What happens at 2: 00 AM? Anyone who might answer the phone: Basic knowledge that Mass. MAP exists (there is a plan) • Get the name of the person calling, facility, contact number and issue or request • OR – Listen to the automated message and take down directions for what it tells you to do • Inform the Nursing Supervisor ASAP • Nursing Supervisor – Scope will determine actions • • • Immediate analysis of open beds – M / F / Either Activate internal emergency notification tree Complete Emergency Reporting- www. massmap. org Evacuation? Prepare to receiving incoming residents Resource & Asset Request: Prepare to provide staff, equipment, supplies or transportation

Mass. MAP Website (all tabs are specific to our facility based on data we enter)

Emergency Reporting Designated Facility Leadership or Nursing Supervisor (complete for Mass. MAP when requested)

Internal Situation-Status Report & Emergency Reporting: What You Should Know (and WHY) HANDOUT Operational Issues at your facility (other plan members) • Open Beds • Available Transportation for • • Resident Transportation • Movement of Supplies and Equipment Resources & Assets (needed) • Resources & Assets (you could provide) • • Equipment • Supplies • Staffing

Long Term Care (LTC) Coordinating Center / Regional Medical Coordinating Center (RMCC) § Region 1: Jewish Geriatric (Longmeadow) § Region 2: RMCC, CMED (Holden) § Region 3 & 4 Hebrew Rehabilitation (Roslindale) § Region 5: Sarah Brayton Nursing Center (Fall River)

Function of the LTC Coordinating Center / RMCC “Air Traffic Control” • • • Staffed by volunteers from the Mass. MAP Assist with resident placement Support resident tracking - “Close the loop” Assist with obtaining staff, supplies and equipment Assist with transportation of residents, staff, supplies and equipment Support interaction with local and state agencies ENSURE ALL MEMBERS ARE ACCOUNTED FOR