managing mass fatalities seminar - DelValle Institute for Emergency

Transcription

MANAGING MASS FATALITIES
SEMINAR
DELVALLE INSTITUTE FOR EMERGENCY
PREPAREDNESS
Tuesday, February 15, 2011
The Colonnade Hotel
Huntington Ballroom
Thomas M. Menino, Mayor
City of Boston
AGENDA
8:00 AM
Welcome
James Hooley
Chief of Department, Boston Emergency Medical Services
Barbara Ferrer, PHD, MPH, MEd
Executive Director, Boston Public Health Commission
Mary E. Clark, JD, MPH
Director, Emergency Preparedness Bureau, Massachusetts Department of
Public Health
8:20 AM
Roles and Responsibilities of the Massachusetts Office of the Chief
Medical Examiner
Henry Nields, MD, PhD
Chief Medical Examiner, Massachusetts Office of the Chief Medical
Examiner
9:00 AM
Considerations for Management of Large Numbers of Dead
Joseph Scanlon, DPA, MD
Professor Emeritus and Director of Emergency Communications Research
Unit (ECRU), Carleton University, Ottawa
President, Scanlon Associates, Inc.
9:40 AM
Role of Funeral Directors in a Mass Fatality Event
John W. Bresnahan
Assistant Chief of Investigations, Massachusetts Division of Professional
Licensure, Board of Registration of Embalming and Funeral Directors;
Chairman of Massachusetts Funeral Director Association Mass Fatality Task
Force
10:20 AM
Break
10:35 AM
Mental Health Needs of Disaster Survivors and Receivers
Anthony T. Ng, MD
Assistant Professor of Psychiatry, Uniformed Services School of Medicine,
George Washington School of Medicine
11:15 AM
Family Assistance Center Organization, Functions, and Key Issues
Suzy Davidson
Disaster Officer, American Red Cross
Robert Wortman
Chief Emergency Services Officer, American Red Cross
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AGENDA
12:00 PM
Lunch
1:00 PM
Mass Fatality Working Group Topics:
1. Overall Incident Management
2. Family Assistance Center Operations
3. Coordinating Public Information
4. Resource Coordination
5. Psychological First Aid for All Receivers
6. Policy Considerations and Legal Issues
2:30 PM
Break
2:45 PM
Key Outcomes from Working Group Discussions
Moderator: Kristine Cavicchi, Massachusetts Office of the Chief Medical
Examiner
3:45 PM
Next Steps: Where to from Here?
Moderator: James Hooley, Chief of Department, Boston Emergency Medical
Services
John Grieb, Massachusetts Department of Public Health
Donald E. McGough, JD, Office of Emergency Management
Henry Nields, MD, PhD, Massachusetts Office of the Chief Medical Examiner
Michael J. Philbin, Massachusetts Emergency Management Agency
4:00 PM
Adjourn
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FACULTY BIOGRAPHIES
John W. Bresnahan
Assistant Chief of Investigations, Massachusetts Division of Professional Licensure, Board of
Registration of Embalming and Funeral Directors; Chairman of Massachusetts Funeral Director
Association Mass Fatality Task Force
John W. Bresnahan currently serves as the Assistant Chief of Investigations for the Commonwealth
of Massachusetts Division of Professional Licensure. For the past 8 years, he has been an
investigator for the Board of Registration of Funeral Directors and Embalmers. Mr. Bresnahan has
been licensed by the Commonwealth of Massachusetts as a funeral director for the past 31 years,
he is the former owner and operator of Devanny-Condron Funeral Home in Pittsfield,
Massachusetts.
Mr. Bresnahan has been a visiting Professor for nine years at the New England Institute at Mount
Ida College. He serves as the chair of the Massachusetts Funeral Directors Association’s Mass
Fatality committee.
Mr. Bresnahan has a baccalaureate degree from Siena College and an MBA from Jones
International University. He also holds professional certifications as a Funeral Service
Practitioner, Thanatologist, and Investigator.
Kristine Cavicchi
Director of Operations, Office of the Chief Medical Examiner
Kristine Cavicchi is the Director of Operations at the Office of the Chief Medical Examiner (OCME),
a position she has held since May of 2008. Her responsibilities include management of all intake
activities, mortuary technicians, health and safety, and facilities. Prior to this role, Kristine held
other positions at the OCME. Specifically she was the Executive Assistant to the newly appointed
Chief Medical Examiner and later the Chief of Staff for the agency. In these positions, Kristine had
the opportunity to learn about all aspects of death investigations from the medical examiner’s
perspective. In addition, Kristine managed many programs including the reorganized Forensic
Pathology Fellowship Program, the Residency and Medical Student Program and the successful
Forensic Pathology Grand Rounds. She also acted as the liaison between the OCME and the
Executive Office of Public Safety and Security.
Prior to her work at the OCME, Kristine worked as a Pathology Assistant at Boston area hospitals,
for a marketing firm and as a health care consultant.
Kristine has a Masters in Public Administration with a concentration in Health Administration
from Suffolk University. She is currently completing thesis work for a Masters Degree in
Biomedical Forensic Science at Boston University. Her anticipated graduation date is September
2011. Kristine is a Member of the National Association of Medical Examiners and a member of the
American Society for Public Administration.
Mary E. Clark, JD, MPH
Director, Emergency Preparedness Bureau, Massachusetts Department of Public Health
Mary E. Clark is the Director of the Emergency Preparedness Bureau at the Massachusetts
Department of Public Health. In that role, she oversees state and local emergency preparedness
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FACULTY BIOGRAPHIES
Mary E. Clark, JD, MPH (continued)
and response for the Department. She is the principal investigator for both the Public Health
Emergency Preparedness Cooperative Agreement grant through the Centers for Disease Control
and Prevention (CDC) and Hospital Preparedness Program activities funded through the Assistant
Secretary for Preparedness and Response (ASPR).
Previously, Ms. Clark was the Regional Public Health Preparedness Manager at the Cambridge
Public Health Department, coordinating public health emergency preparedness planning for
Massachusetts Emergency Preparedness Region 4b, a coalition of 27 local health departments in
the Metro Boston area. In 2007, Region 4b was recognized nationally for its work on development
of local and regional response plans, public health workforce training, and exercises and drills.
Ms. Clark also served as Program Manager for the Cambridge Advanced Practice Center for
Emergency Preparedness. One of only eight such centers nationwide, the Cambridge APC includes
expertise in preparedness planning, political science, public health law, sociology, public policy,
adult education, surveillance, epidemiology, and community-based research. Its work focuses on
community and regional readiness for a public health emergency by developing, implementing,
and evaluating innovative regional solutions to the preparedness problems facing local health
authorities.
Ms. Clark has also served as an associate counsel for the Massachusetts Medical Society, and
managed programs to improve access to health care at the AIDS Action Committee of
Massachusetts, Community Research Initiative of New England, and JRI Health in Boston. She
received her MPH from Harvard School of Public health, and her law degree from New York
University.
Suzy Davidson
Disaster Officer, American Red Cross
Suzy Davidson has 33 years with the American Red Cross, both as volunteer and employee.
Davidson began her career with Red Cross in Health and Safety. Her status as a Paramedic
enabled her to facilitate advanced health and safety course. During that time she also served as
her chapter’s volunteer Disaster Director and served as Ohio’s State Disaster Chairperson.
In her career, Suzy has served in the roles of the State Disaster Specialist for Ohio, the Chapter
Solutions Manager for Northern New Jersey, and the Readiness Officer for 10 New England states
and the Caribbean, focusing on chapter and state disaster services capacity and readiness.
Davidson also supports FEMA Region 1. She has served on over 80 past disasters in roles of
Operations Management, Disaster Assessment, Liaison, Field Logistics, and Staff Services. She is
also a Director on one of the Red Cross Critical Response Teams which respond to transportation
accidents where major loss of life occurs. She is a member of Society for Human Resource
Management (SHRM) and of the Contingency Planners of Ohio.
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FACULTY BIOGRAPHIES
Barbara Ferrer, PhD, MPH, MEd
Executive Director, Boston Public Health Commission
As the City’s Health Commissioner, Dr. Ferrer manages a $172 million budget and oversees 1,200
employees. In addition to operating public health programs, the Commission provides oversight of
Boston Emergency Medical Services, several substance abuse treatment facilities, and the second
largest homeless services program in New England. A high school principal in the Boston Public
Schools from 2004 to 2007, Dr. Ferrer returned to the Commission in 2007 after having previously
served as the Deputy Director for six years. During that time she spearheaded a broad-based and
comprehensive campaign to reduce racial and ethnic health disparities.
Dr. Ferrer has more than 25 years of experience working in healthcare. Prior to joining the Boston
Public Health Commission, she spent five years at the Massachusetts Department of Public Health,
first as Director of Health Promotion and Chronic Disease Prevention and later as Director of the
Division of Maternal and Child Health.
In 1988, Dr. Ferrer received a master’s degree in public health from Boston University, and was
awarded a Pew Foundation doctoral fellowship to attend Brandeis University. She wrote her
doctoral thesis on hospital length-of-stay determinants for AIDS patients and, in 1994, received
her doctorate from Brandeis University’s Heller School for Advanced Studies in Social Welfare. Dr.
Ferrer also holds a master’s degree in education from the University of Massachusetts, Boston.
John Grieb
Health Systems Preparedness Planner, Massachusetts Department of Public Health
John Grieb has spent his professional career working primarily as a health care planner. Much of
his work has been hospital based working on projects related to program development, facilities
planning, capital acquisition, and human resources. He has also worked in the capacity of a
regional and state planner, developing policy and regulations for occupational health, accident
prevention, cardiovascular, and radiology services. Since 2001, John has worked in the area of
public health emergency preparedness with both the Cambridge Public Health Department and
currently with the Massachusetts Department of Public Health Emergency Preparedness Bureau.
John received his BA from Oberlin College and his MPH from Columbia University.
James Hooley
Chief of Department, Boston Emergency Medical Services
A lifelong resident of Boston, Chief James Hooley has been with the department for 32 years,
starting as an EMT in June, 1978. The Chief has served in several positions as he rose through the
ranks at Boston EMS including Paramedic (1980), Shift Commander (1995), Superintendent of
Field Operations (1999), and Superintendent‐in‐Chief, the second in command, in 2001.
Throughout his career, Chief Hooley has placed significant emphasis on improving services for
residents by seeking out advancements in pre‐hospital medicine, proactively collaborating with
partners and creating professional development opportunities for staff. He has also pushed
initiatives within the department that directly relate to the Mayor’s priorities in reducing
healthcare disparities. He was named Chief of Department in January 2010. Recently, under Chief
Hooley’s leadership, Boston EMS played an important role in response to the recent H1N1
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FACULTY BIOGRAPHIES
James Hooley (continued)
influenza outbreak. He prioritized the training of approximately 100 certified paramedics as
vaccinators while the entire staff at EMS provided ongoing support of public clinic logistics. This
has proven to be an effective model for future mass‐care incidents.
Donald E. McGough, JD
Director, Mayor’s Office of Emergency Management, City of Boston
Don McGough is the Director of the Mayor’s Office of Emergency Management (OEM) for the City
of Boston. As a member of the Mayor’s Cabinet, Mr. McGough coordinates the City’s homeland
security and emergency management programs. He is responsible for oversight of the City’s
efforts to effectively prevent, respond to, and recover from natural and man-made disasters. In
this capacity, Mr. McGough is also responsible for managing homeland security grant programs
administered by the City, including the Urban Area Security Initiative (UASI) and Regional
Catastrophic Planning Grant. He is also a member of the Boston Area Maritime Security
Committee.
Before his appointment, Mr. McGough worked with a national consulting firm, where he
coordinated his firm’s homeland security and emergency preparedness services for state and local
governments. He worked with dozens of state and local government agencies supporting the
development of strategic, emergency, and continuity plans, technology implementation, first
responder and community training, and exercise design, development and evaluation.
Before serving as a consultant, Mr. McGough spent more than a decade with the Boston Police
Department. There, he served in various positions, including Chief of Staff, Assistant Chief for
Administration & Technology, and Director of Planning and Research. Mr. McGough’s
responsibilities included development of Department policy, management of a $200 Million
operating budget, and coordination of operational and administrative planning initiatives.
Mr. McGough received his Bachelor of Science degree from Northeastern University, and a Juris
Doctor degree from New England School of Law.
Anthony T. Ng, MD
Assistant Professor of Psychiatry, Uniformed Services School of Medicine
George Washington School of Medicine, Mannanin Healthcare, LLC
Dr. Ng is an Assistant Professor of Psychiatry at the Uniformed Services University of Health
Sciences and an Assistant Clinical Professor of Psychiatry at George Washington University in
Washington, DC. Dr. Ng is an independent consultant in emergency psychiatry, disaster mental
health and emergency management issues, as director of Mannanin Healthcare, LLC, a US-based
health care and emergency medical management consulting firm he founded. He is also a boardcertified psychiatrist with Acadia Hospital in Maine.
Dr. Ng has provided his expertise in various disasters and crisis responses including the
September 11th terrorist attacks in New York in 2001 and the Virginia Tech shooting in 2007.
Additionally, he worked extensively with many organizations in multiple capacities including the
New York City Chapter of Voluntary Organizations Active in Disaster (NYCVOAD), the US
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FACULTY BIOGRAPHIES
Anthony T. Ng, MD (continued)
government, the American Red Cross, and USAID in the Middle East on disaster issues. Dr. Ng was
one of the international consultant reviewers of the latest version of the Inter Agency Standing
Committee (IASC) Guidelines on Mental Health and Psychosocial Support in Emergency Settings.
Dr. Ng was a member of the American Psychiatric Association Committee on Psychiatric
Dimensions of Disaster (CPDD) which he led between 2003 and 2006. He was recognized by the
APA for his work in Hurricane Katrina with a Special Presidential Commendation. He is the
immediate past President of the American Association for Emergency Psychiatry.
Dr. Ng received his bachelor degree at The City College in New York and his medical degree at
State University of New York at Buffalo School of Medicine. He completed his psychiatry residency
at St. Vincent’s Hospital and an additional year of training as a Public Psychiatry Fellow at
Columbia/Presbyterian Hospital, both in New York.
Henry Nields, MD, PhD
Chief Medical Examiner, Massachusetts Office of the Chief Medical Examiner
Dr. Nields began his career as a medical examiner in Boston in 1995. In 1998 he joined the staff of
the New York City medical examiner’s office. While in New York City he was a member of the team
of forensic pathologists attempting to identify the individuals who perished in the terrorist attacks
on the World Trade Center in 2001. He returned to the Massachusetts medical examiner’s office in
2006 and served as the Acting Chief Medical Examiner from 2007 until his appointment as Chief
Medical Examiner in October of 2009.
Dr. Nields earned his medical degree from Boston University School of Medicine. He completed his
residency training in Anatomic and Clinical Pathology at the Beth Israel Hospital and the Boston
University Medical Center. He completed his Forensic Pathology fellowship at the Massachusetts
Office of the Chief Medical Examiner in conjunction with Brigham and Women’s Hospital. In
addition to his forensic pathology training, Dr. Nields holds a doctorate degree and has several
years of experience in molecular genetics research.
Joseph T. Scanlon, DPA, MD
Professor Emeritus and Director of Emergency Communications Research Unit (ECRU),
Carleton University, Ottawa
President, Scanlon Associates, Inc.
Joseph Scanlon is Professor Emeritus and Director of the Emergency Communications Research
Unit (ECRU) at Carleton University in Ottawa, Canada and President of Scanlon Associates Inc. He
has been conducting disaster research since 1970. After a brief career as a journalist, Professor
Scanlon joined the faculty of the Carleton School of Journalism serving as its second Director from
1966-73. In 1970, he began conducting innovative research on crises and disaster which led to
Professor Scanlon organizing and running a field research team for nearly 20 years that
responded to emergency incidents and documented them.
His most recent research on the managing large numbers of fatalities began with a study from the
December 26, 2004, Indian Ocean tsunami. He was part of a team funded by NSF and headed by
Dr. Henry Fischer of Millersville University. Professor Scanlon and three colleagues received funds
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FACULTY BIOGRAPHIES
Joseph T. Scanlon, DPA, MD (continued)
from the Canadian Social Science and Humanities Research Council to examine the Canadian mass
death incidents. Professor Scanlon has also received funding to study how three Canadian
communities dealt with death and disease during the second deadly wave of the 1918-20
influenza pandemic.
Professor Scanlon has shared the results of his work in lectures as well as more than 200
monographs, book chapters and articles in professional and academic journals. He was a regular
lecturer for many years at the Canadian Police College and the Canadian Emergency Preparedness
College, as well as a guest lecturer at various institutions worldwide.
Recently Professor Scanlon serves on a committee of the Transportation Research Board
concerned with developing ways to mitigate terrorist attacks on State transportation agencies. He
was also a member of an advisory committee trying to improve the social science content of quick
response field studies by the Earthquake Engineering Research Institute. Professor Scanlon has a
Bachelor of Journalism degree, a Graduate Diploma in Public Administration and a Master of Arts
in Politics from Queen’s University.
Michael J. Philbin
Planning Department Coordinator, Massachusetts Emergency Management Agency
Michael J. Philbin is the Planning Department Coordinator for the Massachusetts Emergency
Management Agency. The Planning Department is responsible for maintaining the State
Comprehensive Emergency Management Agency that guides the Commonwealth’s preparedness,
response, recovery and mitigation efforts for natural, technological, and human-caused hazards.
Planning also assists communities in developing their emergency management plans. When the
MEMA State Emergency Operations Center is activated, MEMA Planning staffs the Planning
Section, producing Situation Reports, Incident Action Plans, and GIS products and analysis.
Robert (Bob) Wortman
Chief Emergency Services Officer, American Red Cross
Mr. Wortman brings over 25 years of American Red Cross experience to the Massachusetts Bay
Chapter. Mr. Wortman’s career began as a Disaster Action Team (DAT) volunteer and Health and
Safety instructor for the Southeast Louisiana Chapter. Since then he has held many positions
within the American Red Cross including roles in Marketing, Emergency Services, Disaster,
Readiness, and Operations. Mr. Wortman has been an active member of the Disaster Services
Human Resource System (DSHR) since 1986, and is currently an Assistant Director. He has
directed relief efforts for hurricanes, floods, tornadoes, wild fires, ice storms, winter storms and
many man-made disasters. As the Chief Emergency Services Officer for Massachusetts Bay, Mr.
Wortman is responsible for the strategic planning, implementation and evaluation of the Red
Cross Emergency Services within Eastern Massachusetts. This includes coordinating and
managing the emergency response teams of staff and volunteers, mental health professionals and
working with local fire and emergency departments and community partners. In addition, Mr.
Wortman serves as the spokesperson on emergency issues throughout the region. Mr. Wortman
received a Bachelor’s degree in Philosophy from St. Mary’s of the Barrens Seminary in Perryville,
Missouri.
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ACCREDITATION INFORMATION
Managing Mass Fatalities Seminar
PHYSICIAN CONTINUING MEDICAL EDUCATION (CME):
This course is jointly sponsored by Boston University School of Medicine and the
DelValle Institute for Emergency Preparedness, in association with the Boston Public Health
Commission and Boston Emergency Medical Services.
This activity has been planned and implemented in accordance with the Essential Areas and
Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the
joint sponsorship of Boston University School of Medicine and the DelValle Institute for Emergency Preparedness. Boston University School of Medicine is
accredited by the ACCME to provide continuing medical education for physicians.
Boston University School of Medicine designates this educational activity for a maximum of 6.25
AMA PRA Category 1 CreditsTM. Physicians should only claim credit
commensurate with the extent of their participation in the activity.
Target Audience: Emergency Management, Emergency Medical Service, Fire Service,
Governmental Administrative, Hazardous Materials, Health Care, Law Enforcement, Public
Health, Public Safety Communications, Funeral Directors, and Public Works personnel.
Course Director: Sophia Dyer, MD FACEP Medical Director, Boston EMS, Police and Fire
Assistant Professor of Emergency Medicine, Boston University School of
Medicine
SOCIAL WORK CONTINUING EDUCATION CREDITS
Application has been made for 6.5 Continuing Education Credits for Social Work. The authorization code will be made available when application has been approved.
NURSING CONTINUING EDUCATION UNIT (CEU):
This program meets the requirements of the Massachusetts Board of Registration in Nursing,
244 CMR 5.00 for 7.4 contact hours of nursing continuing education for full day attendees, and
4.5 contact hours for morning session attendees.
OFFICE OF EMERGENCY MEDICAL S ERVICES (OEMS) C REDITS:
Application has been made to the Office of Emergency Medical Services for 6.5 of EMT continuing education credits for full day attendees, and 3.75 credits for morning session attendees.
FUNERAL DIRECTING AND EMBALMING CONTINUING E DUCATION UNIT (CEU):
This program has been submitted to the State Board of Funeral Directing and Embalming for 7
Continuing Education Credits.
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ACCREDITATION INFORMATION
Educational Objectives
Initiate discussion on how to coordinate mass fatality plans, procedures and resources
within the Metro Boston Homeland Security Region
Identify capabilities, responsibilities, and resources of the Massachusetts Office of the
Chief Medical Examiner (OCME)
Recognize the legal considerations of mass fatality events and implications for response
plans
Distinguish roles and responsibilities of local/state/federal entities in mass fatality incidents
Identify cultural and familial implications of managing the dead in mass fatality incidents
Initiate discussion on local and regional plans, procedures, protocols and roles for managing Family Assistance Centers, including protocols to address the social, psychological
and economic tolls which victims of disasters and crimes may encounter
DISCLOSURE STATEMENT
Boston University School of Medicine asks all individuals involved in the development and presentation of Continuing
Medical Education (CME) activities to disclose all relationships with commercial interests. This information is disclosed
to CME activity participants. Boston University School of Medicine has procedures to resolve any apparent conflicts of
interest. In addition, faculty members are asked to disclose when any unapproved use of pharmaceuticals and devices is
being discussed.
John W. Bresnahan, Kristine Cavicchi, Mary Clark, Suzy Davidson, Barbara Ferrer, John Grieb, James Hooley, Donald E.
McGough, Anthony T. Ng, Henry Nields, Michael J. Philbin, Robert Wortman and Dr. Sophia Dyer have nothing to disclose
with regard to commercial interests.
John W. Bresnahan, Kristine Cavicchi, Mary Clark, Suzy Davidson, Barbara Ferrer, John Grieb, James Hooley, Donald E.
McGough, Anthony T. Ng, Henry Nields, Michael J. Philbin, Robert Wortman and Dr. Sophia Dyer do not plan on discussing unlabeled/investigational uses of a commercial product.
DISCLAIMER
THESE MATERIALS AND ALL OTHER MATERIALS PROVIDED IN CONJUNCTION WITH CONTINUING MEDICAL EDUCATION ACTIVITIES ARE INTENDED SOLELY FOR PURPOSES OF SUPPLEMENTING CONTINUING MEDICAL EDUCATION
PROGRAMS FOR QUALIFIED HEALTH CARE PROFESSIONALS. ANYONE USING THE MATERIALS ASSUMES FULL RESPONSIBILITY AND ALL RISK FOR THEIR APPROPRIATE USE. TRUSTEES OF BOSTON UNIVERSITY MAKES NO WARRANTIES OR REPRESENTATIONS WHATSOEVER REGARDING THE ACCURACY, COMPLETENESS, CURRENTNESS, NONINFRINGEMENT, MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE OF THE MATERIALS. IN NO EVENT
WILL TRUSTEES OF BOSTON UNIVERSITY BE LIABLE TO ANYONE FOR ANY DECISION MADE OR ACTION TAKEN IN
RELIANCE ON THE MATERIALS. IN NO EVENT SHOULD THE INFORMATION IN THE MATERIALS BE USED AS A SUBSTITUTE FOR PROFESSIONAL CARE.
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John W. Bresnahan
John W. Bresnahan
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John W. Bresnahan
John W. Bresnahan
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John W. Bresnahan
Anthony T. Ng, MD
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Anthony T. Ng, MD
Anthony T. Ng, MD
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Anthony T. Ng, MD
Anthony T. Ng, MD
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Anthony T. Ng, MD
Anthony T. Ng, MD
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Anthony T. Ng, MD
Anthony T. Ng, MD
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Anthony T. Ng, MD
Anthony T. Ng, MD
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Anthony T. Ng, MD
Anthony T. Ng, MD
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Suzy Davidson & Robert Wortman
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WORKING GROUPS
Session Locations & Facilitators
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WORKING GROUPS
Topics in Managing Mass Fatalities
To enable participation in-depth questions and discussion on key topics in mass fatality
management, Working Groups have been organized following lunch from 1:00 PM to 2:30 PM.
Each Working Group will have two to four facilitators and one note-taker. The facilitators will
include participants from Massachusetts Emergency Management Agency, Massachusetts
Department of Health, Office of the Chief Medical Examiner, Mayor’s Office of Emergency
Management, Boston EMS and Boston Public Health Commission Offices of Public Health
Preparedness and Communications. In addition, speakers from the morning and subject matter
experts will circulate to be available to answer questions.
Participants will identify –depending upon time and discussion interest:
Questions or issues they have on the specific topic
Key challenges or gaps which may not have been addressed
Feedback they would like considered for mass fatality planning purposes for the
Metro Boston Homeland Security Region
Please note that the Working Groups are not problem solving sessions. They are discussion
sessions. As issues emerge and suggestions are made, they will be documented.
The Massachusetts Mass Fatality Management Plan will be used as a resource for the Working
Group; also refer to the ‘Lessons Learned from Case Studies’ and ‘Successes and Failures’ in this
booklet.
Listed below are the Working Group topics and the task:
1) Overall Incident Management
Consider the needs of Emergency Management in support of a mass fatality operation with
counterparts, public safety, hospitals, etc. from time of incident, 2-12 hours; 12-24 hours.
Consider the roles of Massachusetts Emergency Management Agency and Department of Public
Heath in overall incident management and the intersection of state and local roles.
2) Family Assistance Center Operations
Consider how a Family Assistance Center/Family Information Center is used to support families
and to aid in the identification of the deceased as well as the coordination required to adequately
manage and provide services. Massachusetts Emergency Management Agency has overarching
authority over the FAC/FIC, the Red Cross will manage the facility, but it will be staffed by multiple
agencies and organizations.
3) Coordinating Public Information
Consider how information will be coordinated among the various local, regional and state agencies
and the manner in which key messages will be provided to the public.
4) Resource Coordination
Consider the resources that are available at the local, state, and Federal levels during a mass
fatality incident and what it would take to smoothly implement and coordinate use of needed
resources.
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WORKING GROUPS
Topics in Managing Mass Fatalities
5) Psychological First Aid for All Receivers
Consider how to support all personnel involved in the response – how to recognize stress, manage,
and address it.
6) Policy Considerations and Legal Issues
Consider the policy and legal issues in a mass fatality event, such as information release, morgue
operations, among other key issues.
As you discuss:
Try to create a common operating picture, in terms of what you know and how
circumstances might change in a mass fatality event
Remember to identify the intersection of State and Local responsibilities
Expect that these initial discussions may produce more questions than answers
Consider these various scenarios (or choose your own) as you discuss various dimensions:
What if a university research building, filled with students, suddenly collapsed at mid-day
due to a terrorist attack? Hundreds of people are believed trapped or dead.
What if a pandemic occurred and hundreds of people began to die in Boston?
What if a hurricane destroyed a Boston neighborhood and hundreds of people are known
to be trapped or dead.
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REGISTERED PARTICIPANTS
As of January 28, 2011
Aguiar, Richard
Fall River Fire Department
Beaurpere, Chris
DelValle Institute for Emergency Preparedness
Ahern, Caitlin
Cambridge Health Alliance
Benincasa, Jeanne
Commonwealth Management Services
Aiello, Roger
Boston EMS
Bernard, Dorothy
CEMA
Alabduljabbar, Manal
WSHC
Bernice, Judy
Massachusetts Department of Public Health
Allen, Mea
Bevilacqua, Alexis
Alotaibi, Badar
Harvard University
Biton, Czarina
Cambridge Public Health Department
Alvira, Yetsenaira
Washington Heights Apartments/Tenants Association
Black, Lynn
IMSuRT East
Anahory, Lisa
MA1-DMAT
Blackington, Neil
Boston EMS
Badger, Donald
Dolan Funeral Home
Boehne, Carolyn
Action for Boston Community Development, Inc.
Bagby, Meghan
Boston MedFlight
Bogdanski, Ronald
Massachusetts Personal Care Center
Baker, George
Mashpee Fire & Rescue
Boomhower, Robert
IMSuRT East
Banner, Greg
United States Department of Health and Human Services
Bozigian-Merrick, Stephanie
Barish, Mark
Massachusetts General Hospital
Bresnahan, John
Massachusetts Funeral Director Association
Barker, Michael
United States Coast Guard, Boston
Brown, Justin
Boston MedFlight
Barry Jr., John
Lynn Fire Department
Buckley, Steve
Braintree Emergency Management
Bastin, John
CMRRC
Burke, Frances
Boston Public Health Commission
Beaulieu, Paula
South Shore Hospital
Caputo, Charles
Milton Police Department
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Cardillo, Vincent
Massport
Costa, Ted
Massport Fire Rescue
Cavaleri, Dianne
Boston EMS
Cotsonas, Courtney
FBI
Cavicchi, Kristine
Office of the Chief Medical Examiner
Coulon, John
Town of Topsfield, Massachusetts
Chernack, Simon
Boston University
Credle, Thea
Boston University
Chiocca, Christopher
Prudential Center Security
Crotty, Mary
Massachusetts Nurses Association
Chong, Emma
Quincy Medical Center
Cunningham, Christopher
Homeland Response Force
Cluett, Scott
EasCare Ambulance
Curran, Erin
Boston EMS
Cody, Gerard
Town of Lexington Health Division
Cyr, Judy
Central Maine Regional Resource Center
Coffey, Peter
Bedford VAMC
DaCampo, Karen
Woburn Board of Health
Cohen, Brad
Danello, Talia
Sharon Health Department
Colanti, Michael
D’Angio, Louis
Genzyme
Conlon, Joseph
Chelsea Fire Department
Dardeno, Antonette
ASLMS
Connolly, Sukie
Lowell General Hospital
Dasey, Timothy
Massachusetts Institute of Technology, Lincoln Laboratory
Cooper-Zack, Joan
Davidson, Suzy
American Red Cross
Coppinger, Pamela
Day, Richard
Chelmsford Board of Health
Corneille, Adam
Boston EMS
DeFlaminis, Robert
Massport Police
Corneliess, Caitlin
Deignan, Paul
State of New Hampshire
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Denneno, David
Sturdy Memorial Hospital
Fallon, John
Massachusetts State Police
Denning, Donald
City of Boston
Fantozzi, Thomas
Bristol County Sheriff's Office
Derchi-Russo, Kelly
Faunce, David
Southeastern Massachusetts EMS Council
Desrosiers, William
Massachusetts Emergency Management Agency
Fayles, Michael
Boston Police Department
Devlin, James
Feltrup, Mark
MBTA Transit Police Department
Diaz, Chester
MA ARNG 1st CST
Femino, Meg
Beth Israel Deaconess Medical Center
DiChiara, Ralph
Spencer Fire Department
Ferrer, Barbara
DiNapoli, David
Fitzgerald, Kieran
Tishman Speyer
Doherty, Meghan
Flynn, Mike
Higgin's Funeral Home
Dolan, James
Dolan Funeral Home
Flynn, Tara
Norfolk County Sheriff's Office
Doyle, John
Boston EMS
Forbes Jr., Douglas
Duclos, John
Fall River Fire Department
Forest, Richard
Boston EMS
Dunne, Thomas
Dolan Funeral Home
Fowler, Frederick
Southeastern Massachusetts EMS Council
Dyer, Sophia
Boston EMS
Freccero, Charlene
Eiduson, Joe
Westborough Fire Department
Gabriel, Emily
Boston EMS
El Sayed, Mazen
Boston EMS
Gagnon, Deborah
Evans, Kerry
Gammon, Kris
Central Maine Regional Resource Center
41
Gavigan, David
Haddock, April
Federal Bureau of Investigation
Gaynor, Peter
Providence Emergency Management Agency
Hannon, John
Foxborough Police Department
Gentley, Doris
Harrington, Lori
Boston EMS
Gillis, Mark
BEMA
Harris, Lee
Internal Revenue Service
Gina
Board of Health
Harvey, Regina
Southern Jamaica Plain Health Center
Goldberg, Joshua
University of Massachusetts Medical School
Harwood, Laura
Golden, Richard
Hassett, Catherine
Middleborough Health Department
Gomes, John
Fidelity Investments
Hengen, Travis
Boston University
Goodman, Annekathryn
IMSuRT East
Hennegan, Edward
Goyette, Jeanette
Southcoast Hospital Group
Herrmann, Thomas
Graciani, Ben
Higgins, Bryan
Higgins Funeral Home
Grant, Natalie
Higgins, John
Amtrak Mechanical Services
Gray, Chelsea
Boston University
Hines, Thomas
MA1 DMAT
Grazioso, Chris
Fallon Ambulance Service
Hooley, James
Boston EMS
Grieb, John
Massachusetts Department of Health
Host, Karen
Cataldo Ambulance
Grimsley, Thomas
American Red Cross
Hovey, Donna
Tufts Medical Center
Grossman, John
Executive Office of Public Safety and Security
Hudson, Penny
Southern Maine Regional Resource Center for Health
Emergency Preparedness
42
Husband, Tucker
Medical Academic and Scientific Community Organization,
Inc.
Hutton, Tom
United States Northern Command
Isenhart, Maurice
Jennings, Michael
Blue Cross Blue Shield of Massachusetts
Jones, Brenda
Office of Emergency Management
King, Alice
Brigham and Women’s Hospital
Kleinman, Gary
United State Department of Health and Human Services
Kokaram, Stacey
Boston EMS
Kue, Ricky
Boston EMS
Kunze, Jeremiah
Conference of Boston Teaching Hospitals
Joseph, Nancy
LaBonte, Hilary
Joshi, Archana
Ladd, Debra
Plymouth County Fire and Rescues Training Association
Josti, Michael
Massachusetts State Police IMAT
LaFond, David
Chelsea Fire Department
Kampmier, Craig
Swansea Fire Department
Lawrence, Tom
Rhode Island Disaster Medical Assistance Team
Kanadanian, Koren
MA-1 DMAT
Leach, Joanne
New Hampshire Finance and Administration Council
Planning Committee
Kanavich, Linda
Boston EMS
Kearney, Brendan
Boston EMS
Kelley, Kevin
Kelly, Edward
City of Melrose
Kent, Michael
Burlington Police Department
Keys, Jennifer
Federal Bureau of Investigations
Kilduff, Thomas
Fallon Ambulance
Leard, Douglas
Town of Wayland, Massachusetts
Levy-Bell, Rachel
Boston University School of Medicine
Lewandowski, Richard
Fitchburg, Massachusetts
Lichtenberger, Janice
Hull Emergency Management
Lilly, Allison
Partners Health Care
Liner, Kathleen
Federal Bureau of Investigations
Lippi, Cheryl
IMSuRT East
43
Looney, John
Milton Hospital
Marinello, John
Boston Veteran Affairs Medical Center
Lucas, Casey
Brigham and Women's Hospital
Marshall, Bonnie
Braintree Emergency Management
Lundrigan, Larry
Milton Police Department
Martin, Elizabeth
Lupi, Maryann
IMSuRT East and Massachusetts General Hospital
Martin, Kim
Lydon, Ed
Northeast Hospital Corporation
Martin, S. Atyia
Lymneos, Donna
Braintree Emergency Management Agency
Mason, Andy
Massachusetts CBRNE Enhanced Response Force Package
Maciejko, Thomas
Boston EMS
Massaquoi, Allieu
Boston Medical Center
Mahoney III, John
MBTA Transit Police
Maynard, William
Mahoney, Chris
Armstrong Ambulance
Mazza, Serena
Winchester Hospital
Main, Mike
McCall, Anne
MBTA Transit Police
Malloy, Gerald
Lockheed Martin/Department of Defense
McCall, Michael
Mangino, John
McCormick, Kelley
Manning, Susan
Newton-Wellesley Hospital
McDonald, Timothy
Mannion, James
McGough, Don
Mansberger, Leigh
McGovern, Philip
Boston EMS
Manuell, Mary-Elise
University of Massachusetts Memorial Medical Center
McGovern, Stephen
Amtrak Police Department
Manzi, Shannon
Children's Hospital Boston
McLoughlin, James
44
McMahon, Maureen
Boston Medical Center
Montiverdi, Christopher
Worcester Emergency Management
McMahon, Sheila
HES
Morash, Stephen
Boston University
McNiff, Joseph
Mulvaney, Ann
Department of Homeland Security/Federal Emergency
Management Agency
Meaney, Robert
Medfield Police Department
Meehan, Bryan
Winchester Hospital
Mellin, Casey
Memon, Nasim
American Cancer Society & Tufts Medical Center
Merry, Nicholas
Meyer, Anna
Meyer, Garrett
US Coast Guard, Boston
Miller, Lauren
EasCare Ambulance
Miller, Sheila
Milligan, Don
Milner, Michael
United States Department of Health and Human Services
Milsten, Andrew
University of Massachusetts
Minkoff, Alison
Mitchell, H.
Massachusetts Funeral Directors Association
Murphy, James
Plymouth County Sheriff's Department
Nadworny, Dan
Nagle, Austin
Nagle, Kevin
Norfolk County Sheriffs Office
Nally, Jacquelyn
Ng, Anthony
Uniformed Services School of Medicine
Nettles, Bentley
National Guard
Nields, Henry
Office of the Chief Medical Examiner
O'Connell, Colin
Brookline Fire Department.
O'Connor Jr., John
Massachusetts Department of Transportation
O'Keeffe, Denis
Boston EMS
O'Regan, Thomas
EMA, Inc.
Pagliarulo, Nicholas
Paone, Robert
Patridge, Kevin
Massachusetts Department of Fire Services
45
Pawluczonek, Kelly
Framingham Board of Health
Perito, Richard
Pettis, Patricia
HHS/ASPR Region I
Philbin, Mike
Phillips, Allen
Phillips, Kevin
Phillips, Rebecca
Pleas, Lorna
City of Boston Elderly Commission
Podsiadlo, Benjamin
Lawrence General Hospital
Pomodoro, Brian
Porter, Jekaterina
Emerson Hospital
Prado, Luis
Chelsea Department of Health and Human Services
Price, Ray
Southcoast Hospitals Group
Rabideau, Lisa
Ramdin, Larry
Town Of Reading
Rand, Robert
Ravid, S, Sharon
Boston University School of Public Health Practice Office
46
Rawlings, Samantha
Brigham and Women's Hospital/Dana Farber Cancer
Institute
Reardon, Terence
Revere Police Department
Regan, Kevin
Harvard University
Regan, Paul
Federal Emergency Management Agency, Region 1
Reisman, David
Rennick, Marcus
Rivas, Kelly Jo
Management Agency
Robbins, David
Federal Emergency Management Agency, Region 1
Roberto, Michael
Winchester Hospital
Robery, Joanne
Massachusetts Maritime Academy
Robinson, Chassea
Gloucester Health Department
Rodman, Carol
Upham's Corner Health Center
Rose, Karen
City of Medford Board of Health
Rose, Richard
Cambridge Health Alliance Public Safety Department
Rothman, Eugene
MA-1 DMAT
Roy, Charlotte
Newton Wellesley Hospital
Russo, Christopher
Hull Fire Department
Sampsonis, Christina
1st Civil Support Team WMD
Sansossio, Ciro
Natick Fire
Santoro, John
City of Methuen
Satwicz, Paul
IMSuRT East
Scales, Ann
Scanlon, Joseph
Carleton University in Ottawa
Schoeff, Rosa Lynn
Schweichler, Steven
The Fletcher School
Searle, Eileen
Boston University School of Public Health
Sears, Bryan
Seger, Robert
Shanley, Kevin
Mayor's Office of Emergency Management
Shark, Zachary
University of Massachusetts, Boston
Shattuck, Mischa
Massachusetts Institute of Technology, Lincoln Laboratory
Shea, Steven
Winchester Hospital
Shubitowski, Kathy
Silva, Isaiah
New England Baptist Hospital
Simpson RN, Patricia
Massachusetts General Hospital Charlestown HealthCare Center
Singleton, Frank
City of Lowell
Smith, Brenda
NDMS/Massachusetts General Hospital
Smith, William
Winchester Hospital
Snell, Betsy
Management Agency
Somers, Tarah
ATSDR
Spaulding, Jeanne
Middleborough Health Department
Stanek, Sean
Fidelity Investments
Stanley, John
United States Coast Guard
Stella, Darlene
IMSuRT East
St-Jean, Widline
United Security, Inc.
Stoner, Phil
Sullivan, Ali
Brigham and Women's Hospital/Faulkner Hospital
Sullivan, David
McNamara Funeral Home
Sullivan, Joyce
Hull Board of Health
Sullivan, Michael
Boston EMS
Sutherland, Charles
47
Symanski, Amy
Spaulding Rehabilitation Hospital
Tully, Kevin
Taylor, Elizabeth
Dedham Emergency Management
Vashi, Sejal
Taylor, Janet
Shriver Job Corps
Velazquez, Yalinette
Southern Jamaica Plain Health Center
Taylor, Jon
United Security Incorporated
Vitiello, Katy
DMORT
Tecce, Heather
Wagner, Alicia
Titleman, Bonnie
Boston University
Walker, Thomas
United States Coast Guard, 1st District
Tello, John
Boston Properties
Walsh, Anne Marie
Norfolk County Sheriff’s Office
Tenjo, Clara
Boston Public Health
Wante, Barry
Brigham and Women's Hospital
Thatcher, Jimi
Massachusetts DWD
Warner, Marilyn
Thomas, Kevin "Kip"
Boston University School of Medicine Healthcare
Emergency Management Program
Watkins, Jim
CDC - Boston Quarantine Station
Tigges, James
Burlington Police Department
Weiss, Paul
Southern Maine Regional Resource Center for Health
Tilbe, James
Massachusetts Corps of Fire Chaplains
White, Dan
Boston Regional Intelligence Center
Tommaney, John
Boston College
White, Deirdre
Gloucester Fire Department/Annsiquam Village Church
Tosti, Corinne
Williams, Laura
Boston EMS
Tracy, Jack
Williams, Mark
Milton Emergency Management
Traskos, Theresa
DMAT MA-1
Wilson, Kristen
IMSuRT East
Treece, Dennis
Massport
Wintle, Thomas
First Parish Church
48
Wisgirda, Betty
Wolcott, Bryon
Federal Emergency Management Agency
Wortman, Robert
American Red Cross
Wright, Tina
Massachusetts League of Community Health Centers
Wyke, Matthew
Action Ambulance
Yadgood, Lillian
Hallmark Health System Inc
Yong, Rothsovann
University of Massachusetts Memorial Medical Center
Zimmerman, Richard
City of Waltham, Board of Health
Zollo, Anthony
Dedham Emergency Management
49
DELVALLE INSTITUTE FOR EMERGENCY PREPAREDNESS
Sophia Dyer, Medical Director
S. Atyia Martin, Director
Rebecca Phillips, Associate Director
Mea Allen, Senior Program Manager
Alexis Bevilacqua, Administrative Analyst
Chris Beaurpere, Senior Program Manager for Exercises and Coordination
Caitlin Corneliess, Program Manager
Kenneth McCarron, Technical Training Specialist
Brian Pomodoro, Senior Program Manager
Sejal Vashi, Emergency Preparedness Educator
Managing Mass Fatalities is part of the Metro-Boston Homeland Security Region’s training
and exercise program, and is supported with federal funding from the US Department of
Homeland Security’s Urban Area Security Initiative (UASI), and by the Massachusetts
Department of Public Health, Office of Emergency Preparedness under the Centers for
Disease Control and Prevention (CDC) Public Health Emergency Preparedness
Cooperative Agreement.
50
NOTES
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51
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52
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53
FLU INFORMATION
SUBSCRIBE TO BPHC FLU ALERTS AND GET THE LATEST INFO
Visit: www.bphc.org
For the most up to date information on influenza in the City of Boston and for sectorspecific guidance and recommendations, please visit www.bphc.org.
Residents can also follow us on Twitter and Facebook.
Multilingual videos are available on our YouTube channel.
The Mayor's Health Line is a free multi-lingual service available Monday through Friday
from 9AM to 5PM from at 617-534-5050 or Toll-Free: 1-800-847-0710.
54
DELVALLE INSTITUTE FOR
EMERGENCY PREPAREDNESS
VISION The DelValle Institute for Emergency Preparedness is the pre-eminent resource for emergency preparedness
MISSION
The DelValle Institute for
provides high quality allhazards training for public
health, health care, and
public safety personnel,
with a focus on chemical,
biological, radiological,
nuclear, and explosive
incident preparedness,
response, and recovery.
training in Eastern Massachusetts. The Institute prepares the community to respond to health-related challenges in ways
that protect first responders, care providers, and citizens, alike. By providing a common forum for learning, it supports
collaborative planning and interoperability in response to large-scale health challenges. The Institute draws on the best in
the field to create and deliver programs that educate, inspire, and prepare, creating a healthier and safer community for all
service providers, visitors, and residents.
COURSES
Advanced Weapons of Mass Destruction
Agro Terrorism
All Hazard Disaster Response and Protection for Hospital
Personnel – Awareness
All Hazards Disaster Response and Protection for
Healthcare Workers – Operations (WMD/Hazardous Protection
and Decontamination for Healthcare Workers)
AUDIENCES
Community Health Centers
Emergency Management
Emergency Medical
Services Providers
Fire Service
Governmental
Administrative
Hazardous Materials
Hospital Emergency
Department Staff
Healthcare Volunteers
Hospital Executives
Hospital Safety Officers
Hospital Security Staff
Law Enforcement
Public Health
Pharmacy, Nursing and
Medical Students
ACCREDITATION
The DelValle Institute
co-sponsors selected
trainings with the Boston
University School of
Medicine, which is
accredited by the
Accreditation Council for
Continuing Medical
Education to provide
continuing medical
education for physicians.
Additional accreditations
include Nursing and
OEMS credits.
Anthrax Preparation and Response
Clinician Training for Flu Clinics
Community Flu Educator Training of Trainers
Designing Exercises and Drills
Dosimeter Training for First Responders
First Responder/ Hazardous Worker Emergency Response –
Defensive Operations (Advanced WMD/Hazardous
Materials Technician)
Health and Homeland Alert Network (HHAN)
Incident Command System
Infection Control Considerations
Introduction to Disaster Planning
Mass Prophylaxis for Special Populations
Pre-Event Smallpox Vaccination Training
Ready, Set, Act! Emergency Preparedness for Outreach
Educators
Refresher – All Hazards Disaster Response and Operations
(WMD/Hazardous Materials Refresher)
Risk Communication
Role of the Community Health Center During a Disaster
Staff Wellness During Disaster
Steps Toward Preparedness - Strategies for Communities
Surge Capacity & Emergency Operations Planning
Surge Capacity Planning and Triage Systems for
Community Health Centers
Technical Assistance Workshops
WMD Protection & Decontamination for Law Enforcement
BOSTON MEDICAL RESERVE CORPS
Advanced Public Health Emergency Management Practice
Emergency Management in Boston
Intro to Incident Command System
Intro to Weapons of Mass Destruction
Leadership Skills Lab
Leadership Under Pressure
Managing a Mass Dispensing Clinic
Orientation
Patient Tracking in Mass Casualty Events
Promoting Resiliency in an Emergency: Psychological Fist
Aid
Protecting Public Health: Epidemiology in Emergencies
Tabletop Exercise: Testing Your Response Readiness
CONFERENCES AND LECTURES
Beyond Capacity: Medical Surge and Catastrophes
Boston Influenza Summit
Boston Influenza Review
Evacuating and Receiving Hospital Patients
Integrated Emergency Management Course (IEMC)
Enhancing Protection: Biosafety Monitoring of Boston
Laboratories
International Conflict and IED Response: Local
Healthcare and Security
Lessons Learned from Hurricane Katrina
Lessons Learned from Columbine
Medical Intelligence and Information Sharing
Protecting Children in Disasters
Public Safety Response to Methamphetamine Labs
Preparing for 10,000 Patients
Public Behavior in a Disaster: What Have We Learned?
Surge Summit
Tales of Our Cities: Planning for Interdisciplinary
Response to Terrorist Use of Explosives
When Structures Fail: Local Search and Rescue
EXERCISES
Hospital Evacuation Drill
Metro Boston Exercise Program
Operation Falcon
Pandemic Influenza Tabletop for Healthcare
Founded in 2003, the DelValle Institute for Emergency Preparedness is a program of the Boston Public Health Commission and Boston EMS. The DelValle
Institute is supported by the Massachusetts Department of Public Health with funding from the Assistant Secretary for Preparedness and Response (ASPR)
Hospital Preparedness Program and the US Centers for Disease Control and Prevention (CDC) Public Health Cooperative Agreement; and by the Metro
Boston Homeland Security Region, with funding from the Massachusetts Executive Office of Public Safety and Security and the US Department of Homeland
Security. For more info visit our website at www.bphc.org/delvalle

managing mass fatalities seminar - DelValle Institute for Emergency

Transcription

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