Partnering with the
American Red Cross in the Disaster Cycle
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Shift from a linear structure
Prepare
Respond
Recover
To One Disaster Cycle
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The Red Cross began an extensive effort in 2012 to reassess and revise its approach to disaster services.
Feedback from our customers, volunteers & partners consistently told us that Red Cross needs to:
Be reliable
Deliver consistent & high quality services
Allow flexibility at the local level to meet local needs
Be active across all phases of the disaster cycle
Our revised structure and approach seeks to address those four points
Whats Different
What is the Disaster Cycle?
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All work is done in
process
Three core
processes deliver
services to the
client
Five pillar
processes support
the three core
processes
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Creation of programs, rules, guidelines, tools
Planning
Business systems
Decision support & analysis
Evaluation and metrics
Coordination of big stuff
Develop & coordinate national partnerships (including Government)
Training and education (internal and external)
Coordination of multi-region or division-wide activities for entire cycle
Disaster operations in major disaster
Monitoring and ensuring compliance with Red Cross-wide guidelines
Front line technical assistance
Relationship with state agencies & leadership
State-wide planning and capacity building
Service delivery
Develop and support primarily volunteer workforce
Focus on the entire disaster cycle
Mobilize the community to respond
Develop & coordinate local partnerships
National Division Region
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Board of Governors
Gail McGovern, Pres. & CEO
Cliff Holtz, Pres. Humanitarian Services
7 Division Vice Presidents
Richard Reed, SVP Disaster Cycle Services
National Organization: Executive Level
Disaster Cycle Services Divisional Organization
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Division Vice President
Division Disaster Executive
Division Disaster Director
Division Disaster State Relations
Director
External
Internal
Divisional & Regional Organization: Disaster Health & Mental Health
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Division Vice President
Regional Chapter Executive
Regional Disaster Program Officer
Regional Disaster Health Services
Advisor
Regional Disaster Mental Health
Advisor
Division Disaster Executive
Division Respond Capability Work Group
Disaster Health Services Division Advisor
Disaster Mental Health Division Advisor
Division Disaster Leadership Teams
Division Response Management Teams Adaptation of the principles of the FEMA IMAT Goal 3 DRMTs per Division
Capabilities Work Groups
Full Cycle (Prepare/Respond/Recover) Representation from across workforce Work groups focus will be implementing training, doctrine, best practices for disaster
cycle across the Regions
Division Health Service & Mental Health Advisors
Division Disaster State Relations Director Contacts
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DDSRD Contact Information
Tracy McBroom (CA) [email protected] (c) 916-956-7610
Rothwell Ahulau (HI, Guam, Samoa) [email protected] (c) 808-349-2256
Denise Everhart (WA, OR, AK) [email protected] (c) 503-936-3263
Kam Kennedy (MO, IL, KS, IA, NE) [email protected] (c) 816-398-3200
Seth Gardner-Gould (WI, MN, ND, SD, ID, MT) [email protected] (c) 612-910-72152
Julia Dailey (TX) [email protected] (c) 512-417-5559
Chele Rider (OK, AR) [email protected] (c) 202-230-3978
Charles Butcher (NM, AZ, NV, CO, WY, UT) [email protected] (c) 719-367-0479
Joe Wainscott (IN, MI, OH) Joe.Wainscott@ redcross.org (c) 317-605-3421
Loren McCamey (KY, WV) [email protected] (c) 502-797-5167
Donna Weise (AL, MS, LA) [email protected] (c) 404-858-7079
Ryan Logan (GA, TN) [email protected] (c) 404-416-2297
Cesar Rivera (FL, PR, USVI) [email protected] (c) 404-858-7049
Anne Palmer (MD, DE, PA, DC) [email protected] (c) 202-384-2318
Greg Mack (VA, NC, SC) [email protected] (c) 919-384-5936
Michael Fawcett (NE) [email protected] (c) 603-247-5674
Amanda Hayde (NY, NJ) [email protected] (c) 917-946-5092
Partners in Epidemiology Reporting
Jeanne Spears, RN Disaster Health Services
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Background Red Cross Disaster Surveillance System
Partnership with CDC since 1987
Goal is to provide accurate, timely description of the health-related needs of disaster-affected population
Data used for planning, preparedness, response and recovery efforts for Red Cross, local, state, and federal agencies
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CDC/ARC Surveillance Committee
Members Red Cross - Disaster Health Services CDC - National Center for Environmental Health Role Increase capacity of Red Cross volunteers to capture and report these data Develop processes to ensure data sharing with DRO and partners during the disaster
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Morbidity and Mortality Surveillance
Where, Why, When?
Shelters
Outreach
Emergency Aid Stations
Why Collect Morbidity & Mortality Data?
To identify potential threats to client(s) requiring immediate public health action(s)
To provide data for situational awareness To assist in plan and prepare for future responses To promote awareness of nursing practice in relationship to epidemiology in
disasters To support states compliance with the National Mass Care Strategy To disseminate findings to the preparedness community and advance disaster
science
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Health Services NY Shelter Visits
29% - mental health issues
22% - follow-up care
19% - exacerbation chronic conditions
13% - acute conditions
Reasons for Visits by Shelter
When Does Red Cross Collect Surveillance Data?
Depends on size of Disaster Levels:
Level l Chapter disaster response (e.g., single or small multi-family house fire or flood)
Level ll Chapter response larger multi-family or neighborhood event (e.g., multi-family or apt fire)
Level lll Multi-chapter, state, or regional disaster response
Level lV and above National HQ response
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Aggregate Morbidity Surveillance
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Aggregate Morbidity Form
PART I
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Aggregate Morbidity Form PART II
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Aggregate Morbidity Form PART III
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PART IV: Reason for Visit
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Aggregate Morbidity Form PART V
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New to Aggregate Morbidity Form Functional and Access Needs
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Morbidity Flow Chart Reporting Process
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Disaster-Related Mortality Surveillance
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Disaster-Related Fatalities
All deaths associated with a disaster
All single and multi-family fires deaths
Information obtained about disaster-related deaths are identified by the coroner/medical examiner, fire and police departments, hospitals and emergency departments or other similar sources
Condolence Visits
Once deaths are verified, Red Cross usually schedule condolence visits with the family
Condolence visits include health services, mental health and/or spiritual care and possibly client casework
For larger scale fatalities, an integrated care team is established to contact families
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Questions????
Jeanne Spears, RN [email protected]
202-367-5454
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Anne Palmer [email protected]
240-485-3047
THANK YOU!