NEW YORK STATE COMPREHENSIVE EMERGENCY MANAGEMENT PLAN NEW YORK STATE HUMAN SERVICES ANNEX & STANDARD OPERATING GUIDE NEW YORK STATE COMPREHENSIVE EMERGENCY MANAGEMENT PLAN NEW YORK STATE HUMAN SERVICES ANNEX & STANDARD OPERATING GUIDE LEADS: Office of Children and Family Services and Office of Temporary and Disability Assistance LEADS: Dept. of Health, Office of Mental Health, and Dept. of Agriculture and Markets LEAD: Office of Temporary and Disability Assistance LEAD: State Education Department LEAD: Dept. of Housing and Community Renewal LEAD: Dept. of Health LEAD: Dept. of Mental Health LEADS: Office of Children and Family Services and Office of Temporary and Disability Assistance LEADS: Dept. of Health, Office of Mental Health, and Dept. of Agriculture and Markets LEAD: Office of Temporary and Disability Assistance LEAD: State Education Department LEAD: Dept. of Housing and Community Renewal LEAD: Dept. of Health LEAD: Dept. of Mental Health Functional and Medical Needs Group Supervisor James J. Raucci Health Program Administrator Division of Family Health NYS Department of Health Member Agencies: .New York State Office for the Aging .State University of New York .Office of Children and Family Services .State Education Department .Healthcare Association of New York .NYS Commission on Quality Care & Advocacy for Persons with Disabilities .NYS Office of Alcoholism and Substance Abuse Services .American Red Cross .Home Care Association .Office of Mental Retardation and Developmental Disabilities Functional and Medical Needs Group Supervisor James J. Raucci Health Program Administrator Division of Family Health NYS Department of Health Member Agencies: .New York State Office for the Aging .State University of New York .Office of Children and Family Services .State Education Department .Healthcare Association of New York .NYS Commission on Quality Care & Advocacy for Persons with Disabilities .NYS Office of Alcoholism and Substance Abuse Services .American Red Cross .Home Care Association .Office of Mental Retardation and Developmental Disabilities History and Scope of FunctionalHistory and Scope of Functional and Medical Needs Groupand Medical Needs Group ActivitiesActivities Alexis SilverAlexis Silver Senior Director, Policy andSenior Director, Policy and DevelopmentDevelopment Home Care Association of New York StateHome Care Association of New York State (HCA)(HCA) History and Scope of FunctionalHistory and Scope of Functional and Medical Needs Groupand Medical Needs Group ActivitiesActivities Alexis SilverAlexis Silver Senior Director, Policy andSenior Director, Policy and DevelopmentDevelopment Home Care Association of New York StateHome Care Association of New York State (HCA)(HCA) OriginOrigin 2001 identified need to plan for State2001 identified need to plan for State’’ss vulnerable populationsvulnerable populations Group was put together withGroup was put together with representatives of State agencies andrepresentatives of State agencies and private partnersprivate partners Basic plan draftedBasic plan drafted OriginOrigin 2001 identified need to plan for State2001 identified need to plan for State’’ss vulnerable populationsvulnerable populations Group was put together withGroup was put together with representatives of State agencies andrepresentatives of State agencies and private partnersprivate partners Basic plan draftedBasic plan drafted Overall missionOverall mission Support and promote response andSupport and promote response and readiness activities for Functional andreadiness activities for Functional and Medical Needs Sheltering on local andMedical Needs Sheltering on local and community levelscommunity levels Overall missionOverall mission Support and promote response andSupport and promote response and readiness activities for Functional andreadiness activities for Functional and Medical Needs Sheltering on local andMedical Needs Sheltering on local and community levelscommunity levels Original FocusOriginal Focus ResponseResponse Short Term RecoveryShort Term Recovery Original FocusOriginal Focus ResponseResponse Short Term RecoveryShort Term Recovery First Tests of PlanFirst Tests of Plan Small Table topSmall Table top Hurricane Pierce ExerciseHurricane Pierce Exercise –– large group;large group; helped identify many training issueshelped identify many training issues First Tests of PlanFirst Tests of Plan Small Table topSmall Table top Hurricane Pierce ExerciseHurricane Pierce Exercise –– large group;large group; helped identify many training issueshelped identify many training issues Camp SmithCamp Smith Post KatrinaPost Katrina –– NYS elected to establish aNYS elected to establish a shelter for citizens displaced by theshelter for citizens displaced by the hurricanehurricane Camp Smith, a NYS military facility wasCamp Smith, a NYS military facility was converted to shelter spaceconverted to shelter space Brought focus to the need to rewrite theBrought focus to the need to rewrite the plan and make it realistic and operationalplan and make it realistic and operational Camp SmithCamp Smith Post KatrinaPost Katrina –– NYS elected to establish aNYS elected to establish a shelter for citizens displaced by theshelter for citizens displaced by the hurricanehurricane Camp Smith, a NYS military facility wasCamp Smith, a NYS military facility was converted to shelter spaceconverted to shelter space Brought focus to the need to rewrite theBrought focus to the need to rewrite the plan and make it realistic and operationalplan and make it realistic and operational Scope ExpandedScope Expanded Realized the need to be able to provideRealized the need to be able to provide mass caremass care Identified many specific needs to beIdentified many specific needs to be addressed in shelter planning (signage,addressed in shelter planning (signage, communication supports, mobilitycommunication supports, mobility limitations, etc.)limitations, etc.) Scope ExpandedScope Expanded Realized the need to be able to provideRealized the need to be able to provide mass caremass care Identified many specific needs to beIdentified many specific needs to be addressed in shelter planning (signage,addressed in shelter planning (signage, communication supports, mobilitycommunication supports, mobility limitations, etc.)limitations, etc.) Plan GrewPlan Grew Plan expanded, became much morePlan expanded, became much more specific in set up, operation, staffing andspecific in set up, operation, staffing and supporting shelter resident needssupporting shelter resident needs Plan GrewPlan Grew Plan expanded, became much morePlan expanded, became much more specific in set up, operation, staffing andspecific in set up, operation, staffing and supporting shelter resident needssupporting shelter resident needs June 2006 FloodsJune 2006 Floods Group oversaw response efforts to JuneGroup oversaw response efforts to June flooding upstateflooding upstate –– localized shelterslocalized shelters Pointed out further needs for fine tuningPointed out further needs for fine tuning the operational and communicationthe operational and communication functions of the planfunctions of the plan June 2006 FloodsJune 2006 Floods Group oversaw response efforts to JuneGroup oversaw response efforts to June flooding upstateflooding upstate –– localized shelterslocalized shelters Pointed out further needs for fine tuningPointed out further needs for fine tuning the operational and communicationthe operational and communication functions of the planfunctions of the plan County/Local TemplatesCounty/Local Templates Created a template planning documentsCreated a template planning documents for county and local planners to use infor county and local planners to use in sheltering strategiessheltering strategies County/Local TemplatesCounty/Local Templates Created a template planning documentsCreated a template planning documents for county and local planners to use infor county and local planners to use in sheltering strategiessheltering strategies 2007 Sheltering Summits2007 Sheltering Summits Educational efforts designed to promoteEducational efforts designed to promote local and county collaborative planninglocal and county collaborative planning Included:Included: –– General Population ShelteringGeneral Population Sheltering –– Functional and Medical Needs ShelteringFunctional and Medical Needs Sheltering –– Animal ShelteringAnimal Sheltering 2007 Sheltering Summits2007 Sheltering Summits Educational efforts designed to promoteEducational efforts designed to promote local and county collaborative planninglocal and county collaborative planning Included:Included: –– General Population ShelteringGeneral Population Sheltering –– Functional and Medical Needs ShelteringFunctional and Medical Needs Sheltering –– Animal ShelteringAnimal Sheltering Scope is EvolvingScope is Evolving Moving from Response to PreparednessMoving from Response to Preparedness ““The chief responsibility of government is toThe chief responsibility of government is to protect the citizens, communities and economicprotect the citizens, communities and economic vitality of our State and Nationvitality of our State and Nation –– and individualsand individuals must share a burden of that responsibility,must share a burden of that responsibility,”” ““Therefore, it is imperative that citizens take theTherefore, it is imperative that citizens take the time now to be prepared before storm warningstime now to be prepared before storm warnings are posted by reviewing their emergency plansare posted by reviewing their emergency plans at home and at work to ensure their safety andat home and at work to ensure their safety and that of their loved ones.that of their loved ones.”” (Governor Patterson)(Governor Patterson) Scope is EvolvingScope is Evolving Moving from Response to PreparednessMoving from Response to Preparedness ““The chief responsibility of government is toThe chief responsibility of government is to protect the citizens, communities and economicprotect the citizens, communities and economic vitality of our State and Nationvitality of our State and Nation –– and individualsand individuals must share a burden of that responsibility,must share a burden of that responsibility,”” ““Therefore, it is imperative that citizens take theTherefore, it is imperative that citizens take the time now to be prepared before storm warningstime now to be prepared before storm warnings are posted by reviewing their emergency plansare posted by reviewing their emergency plans at home and at work to ensure their safety andat home and at work to ensure their safety and that of their loved ones.that of their loved ones.”” (Governor Patterson)(Governor Patterson) Citizen PreparednessCitizen Preparedness State initiative promoting preparedness forState initiative promoting preparedness for allall Working with regional groups toWorking with regional groups to encourage and support planning for theencourage and support planning for the special needs populationsspecial needs populations Citizen PreparednessCitizen Preparedness State initiative promoting preparedness forState initiative promoting preparedness for allall Working with regional groups toWorking with regional groups to encourage and support planning for theencourage and support planning for the special needs populationsspecial needs populations Functional and MedicalFunctional and Medical Needs ShelteringNeeds Sheltering Functional and MedicalFunctional and Medical Needs ShelteringNeeds Sheltering Functional andFunctional and Medical Needs ShelteringMedical Needs Sheltering Group MissionGroup Mission Upon activation, act as an auxiliary source of functional and meUpon activation, act as an auxiliary source of functional and medicaldical needs sheltering to counties during periods when local, county aneeds sheltering to counties during periods when local, county andnd established mutual aid resources are exhausted.established mutual aid resources are exhausted. DefinitionDefinition Functional/Medical needs shelters will house those individuals wFunctional/Medical needs shelters will house those individuals whoho need assistance with medical care and/or personal care duringneed assistance with medical care and/or personal care during evacuation and sheltering because of physical, emotional or mentevacuation and sheltering because of physical, emotional or mentalal impairments or disabilities; but do not require nursing home,impairments or disabilities; but do not require nursing home, hospital or other institutional care.hospital or other institutional care. Functional andFunctional and Medical Needs ShelteringMedical Needs Sheltering Group MissionGroup Mission Upon activation, act as an auxiliary source of functional and meUpon activation, act as an auxiliary source of functional and medicaldical needs sheltering to counties during periods when local, county aneeds sheltering to counties during periods when local, county andnd established mutual aid resources are exhausted.established mutual aid resources are exhausted. DefinitionDefinition Functional/Medical needs shelters will house those individuals wFunctional/Medical needs shelters will house those individuals whoho need assistance with medical care and/or personal care duringneed assistance with medical care and/or personal care during evacuation and sheltering because of physical, emotional or mentevacuation and sheltering because of physical, emotional or mentalal impairments or disabilities; but do not require nursing home,impairments or disabilities; but do not require nursing home, hospital or other institutional care.hospital or other institutional care. Functional and Medical NeedsFunctional and Medical Needs ShelteringSheltering Group FunctionsGroup Functions Develop a FMN sheltering plan for the StateDevelop a FMN sheltering plan for the State Provide technicaProvide technicl assistance for vulnerable populational assistance for vulnerable population selfself--preparednesspreparedness Assist with county and local FMN shelter planningAssist with county and local FMN shelter planning Monitor and provide technical and other support for county and lMonitor and provide technical and other support for county and localocal sheltering during a disastersheltering during a disaster Establish and operate state shelter(s) under certain circumstancEstablish and operate state shelter(s) under certain circumstanceses Functional and Medical NeedsFunctional and Medical Needs ShelteringSheltering Group FunctionsGroup Functions Develop a FMN sheltering plan for the StateDevelop a FMN sheltering plan for the State Provide technicaProvide technicl assistance for vulnerable populational assistance for vulnerable population selfself--preparednesspreparedness Assist with county and local FMN shelter planningAssist with county and local FMN shelter planning Monitor and provide technical and other support for county and lMonitor and provide technical and other support for county and localocal sheltering during a disastersheltering during a disaster Establish and operate state shelter(s) under certain circumstancEstablish and operate state shelter(s) under certain circumstanceses OverviewOverview Functional/Medical Needs shelters are a safeFunctional/Medical Needs shelters are a safe refuge immediately before, during and after anrefuge immediately before, during and after an emergency conditionemergency condition ““Shelters are a lifeboat, not a cruise shipShelters are a lifeboat, not a cruise ship”” The goal is to maintain shelter residentsThe goal is to maintain shelter residents’’ healthhealth and functional status for a short period of timeand functional status for a short period of time and expedite their safe return to their previousand expedite their safe return to their previous living situation.living situation. OverviewOverview Functional/Medical Needs shelters are a safeFunctional/Medical Needs shelters are a safe refuge immediately before, during and after anrefuge immediately before, during and after an emergency conditionemergency condition ““Shelters are a lifeboat, not a cruise shipShelters are a lifeboat, not a cruise ship”” The goal is to maintain shelter residentsThe goal is to maintain shelter residents’’ healthhealth and functional status for a short period of timeand functional status for a short period of time and expedite their safe return to their previousand expedite their safe return to their previous living situation.living situation. Population ServedPopulation Served Require nonRequire non--inpatient, ongoing medical care orinpatient, ongoing medical care or supervisionsupervision May have functional limitations that requireMay have functional limitations that require assistance with activities of daily living whenassistance with activities of daily living when separated from their environment, usual careseparated from their environment, usual care giver(s), service animal or equipmentgiver(s), service animal or equipment Population ServedPopulation Served Require nonRequire non--inpatient, ongoing medical care orinpatient, ongoing medical care or supervisionsupervision May have functional limitations that requireMay have functional limitations that require assistance with activities of daily living whenassistance with activities of daily living when separated from their environment, usual careseparated from their environment, usual care giver(s), service animal or equipmentgiver(s), service animal or equipment Examples*Examples* Blind, visually, or hearing impairedBlind, visually, or hearing impaired –– dependentdependent PostPost--acute stroke, cardiac, canceracute stroke, cardiac, cancer Wheelchair bound; requiring assistanceWheelchair bound; requiring assistance DiabeticDiabetic –– need assistance with insulinneed assistance with insulin Developmentally disabledDevelopmentally disabled Individual requiring wound careIndividual requiring wound care Medically fragile, chronically illMedically fragile, chronically ill **individuals with disabilities or health concerns who are self maindividuals with disabilities or health concerns who are self managing,naging, with or without a caregiver, are expected to be served by Generawith or without a caregiver, are expected to be served by Generall Population SheltersPopulation Shelters Examples*Examples* Blind, visually, or hearing impairedBlind, visually, or hearing impaired –– dependentdependent PostPost--acute stroke, cardiac, canceracute stroke, cardiac, cancer Wheelchair bound; requiring assistanceWheelchair bound; requiring assistance DiabeticDiabetic –– need assistance with insulinneed assistance with insulin Developmentally disabledDevelopmentally disabled Individual requiring wound careIndividual requiring wound care Medically fragile, chronically illMedically fragile, chronically ill **individuals with disabilities or health concerns who are self maindividuals with disabilities or health concerns who are self managing,naging, with or without a caregiver, are expected to be served by Generawith or without a caregiver, are expected to be served by Generall Population SheltersPopulation Shelters Basic Considerations for Opening a ShelterBasic Considerations for Opening a Shelter Qualified and sufficient staffQualified and sufficient staff ADA facility w/climate controlADA facility w/climate control Meet or exceed ARC guidelines for sheltersMeet or exceed ARC guidelines for shelters Accessible transportationAccessible transportation Communication technologiesCommunication technologies Electrical generation capabilitiesElectrical generation capabilities Medications, DME and oxygen, medical andMedications, DME and oxygen, medical and administrative suppliesadministrative supplies Operational supplies (beds, cots, blankets, food,Operational supplies (beds, cots, blankets, food, water, personal care items, etc.)water, personal care items, etc.) Coordination with pet shelteringCoordination with pet sheltering Basic Considerations for Opening a ShelterBasic Considerations for Opening a Shelter Qualified and sufficient staffQualified and sufficient staff ADA facility w/climate controlADA facility w/climate control Meet or exceed ARC guidelines for sheltersMeet or exceed ARC guidelines for shelters Accessible transportationAccessible transportation Communication technologiesCommunication technologies Electrical generation capabilitiesElectrical generation capabilities Medications, DME and oxygen, medical andMedications, DME and oxygen, medical and administrative suppliesadministrative supplies Operational supplies (beds, cots, blankets, food,Operational supplies (beds, cots, blankets, food, water, personal care items, etc.)water, personal care items, etc.) Coordination with pet shelteringCoordination with pet sheltering Expectations of Local Government Receiving a State Shelter • Local Government maintains primary responsibility • Assign a local shelter manager to work with the State team • Provide for appropriate veterinarian/animal sheltering • Provide decontamination for residents, if required • Provide transportation services for shelter residents • Mass evacuation of shelter if needed Expectations of Local Government Receiving a State Shelter • Local Government maintains primary responsibility • Assign a local shelter manager to work with the State team • Provide for appropriate veterinarian/animal sheltering • Provide decontamination for residents, if required • Provide transportation services for shelter residents • Mass evacuation of shelter if needed Expectations of Local Government Receiving a State Shelter Continued• Provide security/law enforcement for shelter • Safely close or consolidate shelters (prioritize closure of state shelter) • Assess need for long term mental health services for those affected • Ensure safe and appropriate discharge for shelter residents Expectations of Local Government Receiving a State Shelter Continued• Provide security/law enforcement for shelter • Safely close or consolidate shelters (prioritize closure of state shelter) • Assess need for long term mental health services for those affected • Ensure safe and appropriate discharge for shelter residents Future ActivitiesFuture Activities--PreparednessPreparedness Improve our ability to effectively communicateImprove our ability to effectively communicate with shelter residentswith shelter residents Development of SMERTDevelopment of SMERT Training for FMN shelteringTraining for FMN sheltering Encourage additional local planningEncourage additional local planning Future ActivitiesFuture Activities--PreparednessPreparedness Improve our ability to effectively communicateImprove our ability to effectively communicate with shelter residentswith shelter residents Development of SMERTDevelopment of SMERT Training for FMN shelteringTraining for FMN sheltering Encourage additional local planningEncourage additional local planning How you can be involvedHow you can be involved Have a personal preparedness planHave a personal preparedness plan Help family or friends develop a planHelp family or friends develop a plan Find out about your local FMN shelter planFind out about your local FMN shelter plan Participate in local information registriesParticipate in local information registries Volunteer for local planning and/or exercisesVolunteer for local planning and/or exercises How you can be involvedHow you can be involved Have a personal preparedness planHave a personal preparedness plan Help family or friends develop a planHelp family or friends develop a plan Find out about your local FMN shelter planFind out about your local FMN shelter plan Participate in local information registriesParticipate in local information registries Volunteer for local planning and/or exercisesVolunteer for local planning and/or exercises