Public Health & Healthcare Emergency Preparedness in Minnesota - EPR - Minnesota Dept. of Health

Public Health & Health Care Emergency Preparedness in Minnesota

Creating and Sustaining Public Health and Health Care Emergency Preparedness, Response and Recovery Systems.

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Spring 2014

Working Together

Since 1872, Minnesota has invested in maintaining healthy individuals, families and communities; this tradition was strengthened in 1976 with the Community Health Services Act which consolidated public health services. In recent years, there has been a new emphasis on response and recovery planning for terrorism and natural disasters among state, local, tribal and health care partners:

  • Minnesota Department of Health: Office of Emergency Preparedness, Public Health Laboratory, Mortuary Science, Environmental Health, Infectious Disease, Epidemiology, Prevention and Control, the Communications Office, and others
  • Community Health Boards (County and City Health Departments) and Tribal Health Departments
  • Hospitals and Health Care Facilities through eight regional coalitions
  • State and Local Partners: Emergency Management, Law Enforcement, Education, Emergency Medical Services, private businesses, voluntary agencies, and others.

All Emergencies are Local

A key role of local health departments and health care partners in planning and response is to consider the impacts to people in a community when public health, health care and behavioral health systems are compromised or unavailable during and after a disaster.

  • Through federal funding since 2002, local, tribal and state officials have planned, trained, and practiced emergency response and recovery activities in conjunction with health care and other partners.
  • With systems, structures, and wisdom growing every year, public health and health care has assisted with disaster responses throughout the state as depicted below Looking Ahead Challenges lie ahead as federal funding dwindles. We are focusing our efforts on:

The sustainability of our systems and programs

  1. The continuous expansion and maintenance of partnerships and coalitions
  2. Resilience and flexibility to meet all kinds of emergencies

Health Preparedness Funding

Same data in table and graphical format.

Year To Hospitals State To Locals MDH funding
2004 8,542,551 0 7,248,086 7,453,914
2005 8,173,336 0 7,696,539 7,306,461
2006 7,983,328 0 6,900,400 6,369,600
2007 7,050,445 0 6,212,544 5,643,456
2008 6,761,826 0 5,715,232 6,901,174
2009 6,149,904 0 6,603,320 5,998,436
2010 6,698,777 0 5,664,216 6,757,310
2011 5,990,088 97,000 4,754,871 5,978,471
2012 5,961,891 100,000 5,693,094 5,491,766
2013 5,625,009 96,000 4,552,660 6,034,921
2014 $3,526,348 96,000 4910827.68 6250144.32

 

Graph showing the funding breakdown by year including Federal to MDH, Federal to Locals, Federal to Healthcare, and State funding to MDH. In general, funding has decreased every year since 2004.


Timeline of Events: 2002-2014

2002 NW Summer Flooding
2003 Statewide SARS Preparedness
2003 Statewide Smallpox Vaccination
2005 Central Operation Northern Comfort - Katrina
2005 SW Slayton Hepatitis A Outbreak
2006 WC Browns Valley Flooding
2007 NE Ham Lake Fire
2007 SE Summer flooding
2007 Metro 35W Bridge Collapse
2008 Metro Hugo Tornado
2008 NW Flooding
2009 Statewide Influenza H1N1
2009 SE Prairie Island Incident
2009 NW Flooding
2010 Central Wadena Tornado
2011 NW Inhalational Anthrax
2011 Statewide Government Shutdown COOP
2011 NE Flooding in Duluth area
2012 Metro Minneapolis Tornado
2012 Statewide Fungal Meningitis
2013 SW Ice Storm
2013 Metro White Powder Incident
2014 Metro MDH Lab Emergency

 

Timeline of emergencies from 2002 through 2014.

Programs

Disease Surveillance: From Flu to Smallpox, the MDH Infectious Disease Division (IDEPC) monitors the occurrence of infectious diseases, develops strategies for preventing and controlling disease, and works to put those strategies into action.

Behavioral Health: A range of mental health and chemical abuse (behavioral health) problems may surface at any stage in response or recovery among the public and among professionals who respond to an incident. Addressing these concerns improves the emergency response and the health of the whole community.

Health Alert Network: Alerts about developing situations or disease outbreaks are sent to local and tribal health departments who distribute them on to hospitals, clinics and others via email, phone, & fax.

Volunteer Systems: In early 2004, MDH developed a registry for health professionals interested in volunteering during a public health emergency. As of Fall, 2013, there are 10,000 skilled and trained individuals enrolled in the on-line registry!

Continuity of Operations (COOP): If MDH’s own facilities, staff or technology are compromised by a storm, power outage, or an act of sabotage, the public will still be counting on the agency to perform its critical functions. MDH has been developing COOP plans to be ready for any contingency.

Hospital Tracking: The Minnesota System for Tracking Resources, Alerts and Communication (MNTrac) provides tracking for:

  • Hospital Diversion status
  • Patient status
  • Hospital bed availability
  • Pharmaceuticals & Resources MNTrac also features emergency alert & advisory notifications and online conferencing during emergencies.

Health Coalitions: Health Coalitions are a collaborative network of health care organizations and their respective public and private sector response partners. They facilitate resource sharing/coordination, information sharing, and coordination of incident response actions among member organizations.

Fatality Management: Federal funding enabled MDH to purchase a Disaster Portable Morgue Unit and to help fund staffing for a Disaster Mortuary Emergency Response Team that will be available to help in local emergencies.

Hotlines, Websites, News Releases & Nurse Triage Lines: MDH can quickly distribute information for the public and the medical community via news releases, hotlines and interactive websites. During the H1N1 Flu pandemic, the MN FluLine received over 27,000 calls in six months, thus decreasing the burden on physicians and hospitals.

Exercises & Training: Statewide, regional, and local exercises are conducted regularly and systematically so all aspects of emergency planning can be tested and refined.

Medicine and Medical Supplies: A natural disaster or a terrorism incident could rapidly strain or deplete medical and pharmaceutical supplies. To address this, CDC developed a resource called The Strategic National Stockpile Program. It can reach any location in the U.S. within 12 hours of a request. Some state and local stockpiles are also in place.

Local and Tribal health departments have developed and tested detailed plans to dispense medication very quickly to every Minnesotan. These Mass Dispensing plans rely on partners, volunteers and the media to aid in providing medicine to the public.

Laboratory Testing: The Public Health Laboratory (PHL) collaborates with a variety of program partners to detect, investigate, prevent, and control public health threats. These threats include rare or unusual infectious diseases, such as "invasive" bacterial infections; outbreaks of illness from consuming contaminated food or water; terrorism events; chemical hazards; and environmental emergencies.

Mobile Medical Teams: Minnesota has two Mobile Medical Teams (MMTs), groups of volunteer medical and support professionals who have received training and practice in providing acute medical care in a mobile field environment. The MMTs can deploy either with the equipment needed to establish a range of clinical services or without equipment to support staffing needs in existing care facilities.

When Resources Become Scarce: Patient Care Strategies for Scarce Resource Situations is a standardized framework to assist Minnesota hospitals, clinics or primary care settings in determining how to extend resources when the need for equipment and supplies exceeds availability during a health emergency.

Core strategies were developed to use during a scarce resource situation, or in anticipation of one, for oxygen, staffing, nutritional support, medication administration, hemodynamic support and IV fluids, mechanical ventilation and blood products. In addition, resource reference cards designed to provide incident-specific tactics and planning information were developed for renal replacement therapy, burn therapy, pediatrics and palliative care.

Ready to Respond: When a public health emergency occurs, MDH has four teams of staff trained and ready to respond. These teams maintain their readiness by conducting emergency simulation exercises several times a year.

To assist with response, MDH also has a Department Operations Center that serves as the command center to coordinate information and activities during a response.

If communication systems are compromised, MDH has back-up cellular and satellite phones plus 800 MHz radios that are part of the statewide ARMER system. These tactical communication assets are stored at MDH and each of the seven district offices.

Updated Thursday, 01-Dec-2016 12:11:40 CST