Washington State
Region 9 Healthcare Coalition
2016 Annual Report
srhd.org/hcc│[email protected]
Region 9 Healthcare Coalition│2016 Annual Report
Washington State
Region 9 Healthcare Coalition
2016 Annual Report
July 1, 2015 – June 30, 2016 (Fiscal Year)
The mission of the Washington State Region 9 Healthcare
Coalition is to prepare for, respond to, and recover from
crisis using all available resources, providing patient care
at the appropriate level and in the most efficient manner.
The Region 9 Healthcare Coalition (R9 HCC) strives to build emergency preparedness and
response capacity across the healthcare system to create resilient communities within the ten
counties and three tribes of eastern Washington. To fulfill our mission, the R9 HCC collaborates
with healthcare partners to create and enhance the regional healthcare system’s capability to
provide quality patient care during medical surge events. The activities of the R9 HCC outlined
herein were funded under the United States Department of Health and Human Services (HHS)
through the Office of the Assistant Secretary for Preparedness & Response (ASPR) Healthcare
Preparedness Program (HPP) grant as part of the Budget Period 4 (BP4) of the cooperative
agreement with the Washington State Department of Health (DOH) and dispersed through the
Spokane Region Health District (SRHD).
A warm hearted thanks to all partners for their time and efforts in strengthening the planning
and response coordination of Region 9 healthcare system partners. After so many years of great
work in healthcare system preparedness, it is exciting to see the R9 HCC implement systems
change that supports a more collaborative response throughout eastern Washington’s
healthcare partners. This would not be possible without the effort and dedication of great
agencies and great people.
Region 9 Healthcare Coalition│2016 Annual Report
2
Table of Contents
Planning
Membership Meetings
4
Healthcare System Operational Response Committee
5
Coalition Connection Newsletter
5
Region 9 Patient Tracking Concept of Operations
6
Disaster Clinical Advisory Committee
6
Region 9 Disaster Medical Coordination Center
7
Ebola & Other Special Pathogens Planning & Preparedness
8
Russell Phillips & Associates
8
Exercises & Training
Alternate Care Facility Full Scale Exercise
9
Cascadia Subduction Zone Exercise 2016: Cascadia Rising
10
Crisis Standards of Care Workshop
11
Responses
Regional Responses
12
WATrac
12
Emergency Support Function 8 Manual
13
Moving Forward
Budget Period 5: June 2016-July 2017
14
Staff & Acknowledgements
Staffing Updates
15
Partner List
16
Region 9 Healthcare Coalition│2016 Annual Report
3
Planning
Photo at 13fotoartis.com
Includes projects, committees, and HCC communications that build infrastructure to connect partners
HCC General Membership Meetings
The R9 HCC hosts bi-monthly general membership meetings on odd months of the year at the Enduris
Training Center that are open to all types of healthcare providers, mental health providers, public health
professionals, emergency managers and related services. Meetings provide partners with the opportunity to
network, understand the roles and responsibilities of partner agencies, and share lessons learned from
response activities within their facilities. Topics in 2015-2016 included overviews from our HCC neighbors in
Oregon and Idaho; exercise planning and implementation from partners at Pullman Region Hospital in
conjunction with patient surge due to Washington State University football games and the associated influx
of people for those events; overview of Hospital Emergency Response Training (HERT) program for response
to Mass Casualty Incidents (MCI) through the Medical Reserve Corps (MRC) of eastern Washington; and
status of mental health services in Region 9 and the Spokane County Regional Support Network’s (RSN)
transition to a Behavioral Health Organization (BHO). Additionally, meetings included lessons learned from
past responses including the:
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Pacific Northwest emergencies of the 2014-2015 year;
September 2015 Aurora Bridge Bus Crash and Mass Casualty Incident (MCI) in Seattle, WA;
May 2011 post- tornado hospital evacuation in Joplin, Missouri; and
Eastern Washington 2015 Windstorm.
This last year also brought a continuation of the C-Suite Introduction series. These presentations introduce
local healthcare leaders and the work of their organizations in healthcare emergency preparedness planning
to the R9 HCC membership. Speakers highlight the work of their agencies in preparedness planning, strategic
partnerships, and the response roles they play in our region. The 2015-2016 year’s speakers included Devan
Johnson, Chief Operating Officer for Deaconess Hospital and Dorothy Sawyer, CEO of Eastern State Hospital.
General membership meeting video links, webinar recordings, minutes, and agendas can be found on the R9
HCC website at [email protected].
Region 9 Healthcare Coalition│2016 Annual Report
4
Planning
Includes projects, committees, and HCC communications that build infrastructure to connect partners
Coalition Connection Newsletter
The R9 HCC strives to keep members engaged in emergency
preparedness information and activities. The Coalition
Connection Newsletter is a monthly e-publication containing
information on status of R9 HCC workgroups and committees,
updates regarding emergency preparedness and best practices,
general membership meeting previews and summaries, along
with a list of upcoming events around the region, including
training opportunities and conferences. Members can subscribe
to the Coalition Connection Newsletter by emailing the R9 HCC
at [email protected]. Past issues are housed on the R9 HCC’s website
at srhd.org/hcc. Follow us on Facebook (@HealthcareCoalition),
LinkedIn (Region 9 Healthcare Coalition) and Twitter (@R9HCC).
The Coalition Connection delivers
emergency preparedness information
to partners in an easy to read
e-newsletter format.
Healthcare System Operational Response Committee
In 2014, the R9 HCC strategic planning process identified a need for increased
situational awareness among healthcare partners during an emergency event. To fill
this need, the advisory committee Healthcare System Operational Response
Committee (HSORC) formed in July 2015, consisting of representatives from hospitals,
blood centers, dialysis, and agencies serving other vulnerable populations. The HSORC
developed tools and protocols to gather and disseminate essential elements of
information (EEI) during an ongoing event to provide Region 9 healthcare partners with
accurate and timely information. The last phase of this committee’s work is refining the
process and expanding its implementation throughout Region 9.
The HCC has developed SITREPs to
distribute key pieces of information to
partners during a response increasing
situational awareness across the
healthcare system.
Region 9 Healthcare Coalition│2016 Annual Report
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Planning
Includes projects, committees, and HCC communications that build infrastructure to connect partners
Lessons learned from national and international
MCIs consistently document the deficiencies of
response agencies at all jurisdictional levels to
manage the location and status of involved victims.
The inability to accurately track patients impacts
not only people in need of care but the entire
community. The potential negative impacts of
poorly executed patient tracking are broad,
spanning delayed patient care, hindered family
reunification, hampered investigations, and lack of
comprehensive situational awareness.
Recognizing the need for better patient status and
location tracking, the Patient Tracking Concept of
Operations (ConOps) Committee began convening
in January 2015 with the objective to draft a
regional Patient Tracking Concept of Operations
guide for use within Region 9. The group proudly
contains representatives of EMS, hospitals, and the
Disaster Medical Coordination Center (DMCC).
Under the leadership of co-chairs, Mike Lopez from
City of Spokane Fire and Mark Sheldon from
Providence Holy Family Hospital, this group is
working to provide guidance and expertise to
ensure the ConOps addresses the needs of all
organizations within the healthcare system of
Region 9 for a coordinated effort. Stay tuned for
more information.
Region 9 Healthcare Coalition│2016 Annual Report
Photo by Greg Gilbert
Region 9 Patient Tracking Concept
of Operations Committee
Recent mass casualty incidents, such as the 2015
Aurora Bridge Bus Crash, illustrate the need for
pre-established systems around patient tracking and
crisis standards of care. Such planning sets the
foundation for a more robust response and recovery
to tragic events.
The Region 9 Disaster Clinical
Advisory Committee
On May 25, 2016, the Region 9 Disaster Clinical
Advisory Committee (DCAC) first convened to begin
the work of developing crisis standards of care for
our region. The committee, comprised of several
subject matter experts including a medical ethicist,
two emergency medicine physicians, a mental
health director, a director of psychiatric services, a
nursing director, an emergency response and safety
officer, a bio-ethicist, a nursing administrator and a
public health manager, has established a quarterly
work meeting schedule and committee charter. The
DCAC is following the 2009 Institute of Medicine
(IOM) recommendations to implement a crisis
standards of care plan that reflects the region’s
values and priorities. Progress and updates from
the DCAC will be shared through the HCC Coalition
Connection Newsletter.
6
Planning
Photo by Arel Maurer
Includes projects, committees, and HCC communications that build infrastructure to connect partners
Region 9 Disaster Medical Coordination Center
The Disaster Medical Coordination Center (DMCC) is a critical component of response to any Mass
Casualty Incident (MCI). The purpose of the DMCC is to coordinate the placement of patients from an
MCI across the entire healthcare system, allowing patients to be placed at the most appropriate
healthcare facility to meet their treatment needs as quickly as possible. Region 9 takes a unique
approach to the DMCC model by using a sub-regional approach. This model is useful to provide adequate
coverage to the large geographical area of the region, with Deaconess Hospital as DMCC for the central
counties of eastern Washington, Holy Family Hospital for the northern three counties, and Pullman
Regional Hospital for the southern counties. Each DMCC is responsible for making patient placement
decisions and communicating that information to the transport officer on scene based on current
healthcare system intelligence. Currently, the R9 HCC is working with regional partners to improve
efficiencies in DMCC operations identified through actual events and exercise. Those ideas include:
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Utilize a matrix of predetermined patient placement numbers for each hospital so that patient
placement from the scene of an MCI can be initiated immediately. This alleviates a delay in patient
placement caused by DMCC activation and the need for operational status updates from healthcare
partners prior to placing the first patient.
Involve the Combined Communications Center (CCC) dispatch professionals to make patient
placement decisions and to communicate those decisions to the scene using the matrix of predetermined patient placement numbers from the scene instead of the DMCC fulfilling this function.
This removes the DMCC activation delay and allows DMCC staff time to assess the healthcare system
operational status without having to immediately focus on patient placement. It also alleviates a
communications gap that currently exists between the scene and the DMCC, allowing communication
professionals at the CCC to manage what they do best, dispatch operations.
Utilize the DMCC as the Healthcare System Coordinator with the role of maintaining communications
with regional hospitals to maintain a clear healthcare system operating picture and using that
information to guide the CCC dispatch personnel to adjust patient placement and distribution based
on hospital capacity as needed.
Several of the above ideas complement each other and in an effort to improve the response capability of
our healthcare system, these and other ideas are being evaluated, will be tested and ultimately
incorporated into our Region 9 DMCC plans. The initial focus of these improvements is the healthcare
partners within Spokane County, anticipating that adjustments to the DMCC system across the entire
region will follow as appropriate.
Region 9 Healthcare Coalition│2016 Annual Report
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Planning
Includes projects, committees, and HCC communications that build infrastructure to connect partners
Ebola/Other Special Pathogens Planning & Preparedness
Preparedness work for Ebola and Other Special Pathogens (EVD/OSP) continues in healthcare coalitions
across Washington under two Healthcare Preparedness Program (HPP) grants through the Office of the
Assistant Secretary for Preparedness & Response (ASPR) awarded to the state. HPP Ebola Part A funds
capability development in the healthcare system to include Assessment Hospitals and Medical Treatment
Centers. The goal of these funds is to enhance the capability of designated facilities to safely manage
patients with EVD/OSP, including the preparedness activities of the healthcare coalitions that surround
them, including R9 HCC. In the 2015-2016 grant year a survey of all non-assessment and non-treatment
hospitals (referred to here as “frontline” hospitals) was conducted to identify any gaps in a hospital’s ability
to quickly identify, isolate, and inform appropriate partners about a potentially highly infectious patient that
has crossed their threshold. The analysis of this survey has been completed and results will help guide
preparedness efforts moving forward with these frontline hospitals. The R9 HCC is focused on providing
opportunities for training and exercise with all coalition partners to demonstrate and enhance the capability
to manage EVD/OSP patients.
Under the HPP Ebola Part B funding, Washington is designated the lead state in HHS Region 10 and is home
to the Regional Treatment Center, Providence Sacred Heart Medical Center (PSHMC) in Spokane. This
summer the Region 10 Concept of Coordination under which EVD/OSP patients in Oregon, Idaho, and
Alaska will be transported to Spokane for treatment at the new Special Pathogens Unit (SPU) at PSHMC was
finalized. Additionally, construction is underway to renovate an entire unit at PSHMC for this purpose, with
anticipated completion in late November 2016.
Russell Phillips & Associates
The R9 HCC works with partners in
preparedness activities for capability
development in the safe management
of patients with highly pathogenic
diseases throughout the healthcare
system. Providence Sacred Heart
Medical Center is the Regional
Treatment Center for FEMA Region 10
(AK, WA, OR, ID).
The Washington State Department of Health (DOH) is engaged
in an ongoing contract with Russel Phillips & Associates (RPA) to
conduct medical surge assessment visits at all hospitals within
the state. These assessments are designed to support
components of Emergency Support Function (ESF) 8 and
decision making on resources and asset needs, hospital surge
capacity, transportation planning to support hospital
evacuations, and a patient categories-of-care resource tool. To
date, Deaconess Hospital and Sacred Heart Medical Center have
been surveyed. The R9 HCC is working in conjunction with DOH
and RPA to complete remaining assessments for Region 9
hospitals. Together, this work enables hospitals to understand
their physical patient care bed capacity for improved planning,
exercising and response to an single hospital evacuation or large
-scale emergency event while informing all ESF8 responders
about the true medical surge capacity within their jurisdiction.
Region 9 Healthcare Coalition│2016 Annual Report
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Trainings & Exercises
To test plans and processes, trainings and exercises improve emergency preparedness capability in the region
Alternate Care Facility Full Scale Exercise
Alternate Care Facilities (ACF) are designed to assist in medical surge needs during an emergency.
Equipment including E-Beds, cots, ventilators, automated external defibrillators (AEDs) & patient
monitors, evacuation chairs and sleds, fatality management supplies, nursing & trauma kits and other
general medical & logistic supplies are housed in towable trailers enabling the units to be mobile in
time of need. On June 21, 2016, the R9 HCC participated in the Spokane Regional Health District
(SRHD) and the MRC of eastern Washington set up of an ACF at the Upper Columbia Seventh Day
Adventist’s Conference Center. The full scale exercise was testing the ability of public health to
co-locate an ACF with an American Red Cross (ARC) general population shelter utilizing a Seventh Day
Adventist’s facility. The scenario was based on the Cascadia Rising 2016 WA State exercise scenario
and the projected impacts to the region from a massive earthquake on the west side of WA. Many
valuable lessons were learned and are now part of the Improvement Plan that SRHD and R9 HCC staff
will implement over the next several months. Some of the lessons include:
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Reorganize the contents of the two ACF trailers and create “Go Kits” that will enable the quick
set-up of a facility
Create a Just In Time Training Guide to ensure volunteers have the information they need to
provide basic patient care.
Revise the activation section of the Behavioral Mental Health Response Plan
Share “lessons learned” with other Local Health Jurisdictions and Red Cross Regional Offices that
have signed on to this agreement
New, valuable partnerships were established and exercised, increasing both the capacity and capability of public health, behavioral health, emergency management, and healthcare to respond to emergency events in a timely and efficient manner.
Photo by Ryan Traylor
Contents of the ACF trailer are assembled
for usage by MRC volunteers and HCC
staff in the Upper Columbia Seventh Day
Adventists Conference Center in
preparation for patient care. Together
with ARC staff, patient movement and
placement is simulated in order to
exercise plans and processes.
Region 9 Healthcare Coalition│2016 Annual Report
9
Trainings & Exercises
To test plans and processes, trainings and exercises improve emergency preparedness capability in the region
Cascadia Subduction Zone Exercise 2016: Cascadia Rising
Photo by Chris Chaffee
In June 2016, emergency planning partners from the states of Washington, Oregon and Idaho,
along with Tribal and Federal partners, exercised response operations to a simulated Cascadia
Subduction Zone disaster (earthquake of an unprecedented magnitude). The R9 HCC participated
in the Cascadia Rising 2016 exercise by joining regional partners as observers, evaluators, and
volunteers to test medical surge plans and preparedness of the broader healthcare system in WA
and northern Idaho. The R9 HCC plans to work with regional and state partners over the next
year to implement lessons learned and better define how an event like Cascadia would affect our
region and how our region would respond to patient surge from the west side of the state.
R9 HCC staff member, Elena Mierau, participated in the Idaho Cascadia Rising Exercise play. Moulaged in trauma
makeup, she played burned victim, laying in a simulated burning plane awaiting help until first responders pulled
her from the wreckage and transported her to Kootenai County Hospital. Post play she participated in the
hotwash, providing feedback and contributing to lessons learned. Exercises such as this help to practice
emergency plans, thus refining response capability.
Region 9 Healthcare Coalition│2016 Annual Report
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Trainings & Exercises
To test plans and processes, trainings and exercises improve emergency preparedness capability in the region
Crisis Standards of Care Workshop
Catastrophic disasters have underscored how quickly and completely healthcare systems can be
overwhelmed. During a disaster, entire regions could face shortages of critical resources and communities
may experience significant changes in healthcare operations and delivery. During a disaster, the focus of
medical care shifts beyond individuals to ensuring the best possible outcomes for the population as a whole.
In 2009 the Institute of Medicine convened a committee of experts to develop guidance that could be used to
establish and implement “crisis standards of care” (CSC). The committee concluded that CSC are a critical
component of disaster planning and are necessary to the equitable and ethical allocation of scarce resources.
The committee also concluded that an effective and fair legal system allows providers to more confidently
perform their work during altered standards of care events.
Ethical considerations and legal authority form the foundation for catastrophic disaster planning. With
support from ASPR, DOH, SRHD and in partnership with the R9 HCC, a continuing medical education workshop in CSC planning, Crisis Standards of Care: Why Planning Matters, was offered on April 28, 2016. The R9
HCC welcomed Dr. John Hick, Faculty Emergency Medicine Physician for Hennepin County Medical Center in
Minnesota, along with several other local and state partners to discuss the importance of this work for our
eastern Washington region.
With over 40 people in attendance and an additional 15 people in virtual attendance via GoToMeeting, the
information shared was poignant, the discussion was robust and well received by participants. The call to
action at the conclusion of the workshop included inviting anyone interested to meet and determine how best
to continue the conversation for Region 9, leading to the formation of the Region 9 Disaster Clinical Advisory
Committee (DCAC).
“There is no harm in hoping for
the best as long as you’re prepared
for the worst.”
Photo by AP/Jim Mone
-Stephen King
Dr. John L. Hick, MD, published many of the initial articles on resource triage
and created the conventional crisis standards of care constructs now adopted
by Institute of Medicine and the Department of Health & Human Services.
Region 9 Healthcare Coalition│2016 Annual Report
11
Response
Working together to efficiently respond and recover
The R9 HCC participated in several types of responses this past
year, including hazardous materials release, suspicious packages,
wildfires, and inclement weather related power outages. The R9
HCC, in coordination with healthcare partners, initiated WATrac
alerts to create situational awareness (SA) and gather essential
elements of information (EEI) from regional hospitals and
healthcare partners to increase information sharing and
maintain ongoing SA during responses. The R9 HCC joined public
health and emergency management providing input on public
service announcements. Post responses, the R9 HCC helped to
organize debrief meetings involving multiple contributors and
agencies to capture lessons learned and prompting increased
awareness and training around the WATrac platform and
improvements to the SA processes developed through R9 HCC
committee work.
Photos clockwise from top: Avista Utilies, Dan Pelle
Regional Responses
From wildfires, to power outages &
HazMat release, the Region 9 Healthcare
Coalition gathers and disseminates
information for a coordinated recovery
across healthcare.
WATrac
The Washington system for Tracking Resources, Alerts, and Communication
(WATrac) is a web-based application serving the Washington healthcare
system by providing two distinct functions: 1) daily tracking of agency or
organizational status and patient care bed availability and, 2) incident
management and situational awareness for disaster response. With nine
distinct modules, WATrac provides hospital status summaries, regional
overviews and real-time search capabilities on facilities across Washington
State. Users can receive incident alerts and be immediately notified of diversion status changes. Familiarity
with WATrac, reinforced with disaster preparedness drills, supplies Washington healthcare agencies with
the tools to manage and coordinate communications, resources, and patient care with their partner
agencies. In times of limited resources or great need, WATrac is a tool that assists healthcare across the
state to provide lifesaving support to the public in the event of a disaster. The R9 HCC serves as the
WATrac Regional Lead for Region 9 and manages user accounts.
Region 9 Healthcare Coalition│2016 Annual Report
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Response
Working together to efficiently respond and recover
Emergency Support Function 8
Emergency Support Functions are the grouping of governmental and certain private sector capabilities into an organizational structure to provide support, resources, program implementation, and services that are needed to save lives, protect property and the environment, restore essential services
and critical infrastructure, and help victims and communities return to normal following domestic incidents. Emergency Support Function 8 (ESF8) Public Health and Medical Services, is the grouping of
functional areas and services including all of healthcare, public health, and mortuary, veterinary, mental health care, and emergency medical services.
As a large and diverse ESF involving partners and resources across multiple disciplines, the need for a
tool to help support ESF 8 response was clear but such a tool was elusive. In 2013, the concept of The
Region 9 ESF8 Manual was developed by Erika Henry, R9 HCC Coordinator from 2010-2014 (now the
Healthcare Preparedness Lead for the Washington State Department of Health) and in 2015 completed by Elena Mierau (intern extraordinaire and current R9 HCC staff member). The Region 9 ESF 8
Manual organizes emergency resources into an index system using common synonyms, with cross references to the primary root topic. This manual is an operational resource to be used by ESF8 staff during an emergency response to assist in the location and distribution of requested medical resources
from local, regional, state & federal partners to affected healthcare providers. This manual will be
used within the context of a county emergency coordination center (ECC) and in partnership with
city/county emergency management staff. ESF8 staff members will work with emergency management in the procurement of resources and will function within an established incident command system. In September 2016, Erika traveled to
Washington D.C. to present the Region 9
ESF8 Manual at the Disaster Health Education Symposium sponsored by the National
Center for Disaster Medicine & Public
Health.
Unique to Region 9 is the ESF8 Manual, an index organizing emergency resources, developed by the HCC, to aid ESF8 staff during a
response. The ESF8 desk was activated at the
Emergency Coordination Center (ECC) during
the 2015 Inland Northwest Windstorm and
staff utilized the manual to efficiently and
effectively locate resources.
Region 9 Healthcare Coalition│2016 Annual Report
13
Photo by Randall K. Roberts
Moving Forward
Budget Period 5: July 2016-June 2017
For the upcoming year, focus will center on the completion of projects started during BP4 :
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Continue work related to finalizing the patient tracking plan and its implementation in
Region 9 including finalizing the plan and standard operating procedures, testing those
plans and procedures through exercises and drills, refinement of the plans and broader
implementation across the region
Improve the Disaster Medical Coordination Center (DMCC) alerting process,
communication with the scene and patient destination/placement from the scene
Continue progress with the Region 9 Disaster Clinical Advisory Committee (DCAC) and
meeting goals
Identify gaps in training, planning or resource needs to provide the most benefit to
partners
Outreach to vulnerable populations by improving coordination with long term care
agencies
Conduct a Region 9 MCI exercise to test and refine SA, DMCC activation, and additional
processes
Strengthen WATrac utilization in the region and explore other WATrac capabilities such as
command center and patient tracking modules
The R9 HCC is eager to contribute and continue to guide our growing resilience in partnership
with the healthcare system and R9 HCC membership. The R9 HCC staff looks forward to
working with each of you and to building new relationships as healthcare emergency planning
and preparedness expands in Region 9.
Region 9 Healthcare Coalition│2016 Annual Report
14
Staffing & Acknowledgments
Staffing Updates
2015 welcomed two new staff members to the R9 HCC. Elena Mierau and Ryan Traylor joined the team to
support partner engagement, champion and expand the use of WATrac, enhance communication outreach
with the membership, provide leadership and facilitation for committee work, and foster relationship
building with all R9 HCC partners. This increased staffing allowed the R9 HCC to concentrate on the
progression of two new workgroups and broadening scope in the area of situational awareness and
development of a concept of operations for the patient tracking capabilities across healthcare and first
response partners in Region 9. Paired with the efforts over the last 6 years, the R9 HCC’s ability to bridge the
diverse group of partners within the Region 9 healthcare system continues to strengthen and expand
community resiliency.
Staff List
Ed Dzedzy, Lincoln County Public Health & HCC Chair
Email: [email protected] Phone: (509) 725-9213
ext. 24
Travis Nichols, HCC Coordinator
Email: [email protected] Phone: (509) 324-1465
Photo from equityinspokane.org
Ryan Traylor, HCC Outreach Specialist
Email: [email protected] Phone: (509) 324-1538
Elena Mierau, Healthcare Preparedness Specialist
Email: [email protected] Phone: (509) 324-1652
Susan Sjoberg, Public Health Lead & HCC Facilitator
Email: [email protected] Phone: (509) 324-1669
“Alone we can do so little;
together we can do so
Housed in SRHD, Spokane, WA, the Region 9
Healthcare Coalition serves eastern
Washington to bridge public health,
emergency management, and healthcare
promoting collaboration and communication
to foster emergency resiliency across the
region.
much”
–Helen Keller
Region 9 Healthcare Coalition│2016 Annual Report
15
Staffing & Acknowledgments
The R9 HCC has much gratitude for the many partners that further emergency preparedness work
Contributors
Healthcare System Operational Response Committee Representatives:
Erika Abdnor, Deaconess Hospital
Chris Banks, Fresenius Medical Care
Mike Bell, Lincoln Hospital
Stacey Bogar, Inland Northwest Blood Center
Jan Dobbs, Frontier Behavioral Health
Ed Lewis, Greater Spokane Dept. of Emergency Management
Chad Lloyd, Rockwood Clinic
Jamie McIntyre, Aging & Long Term Care of Eastern
WA
Greg Palmanteer, Community Health Systems
Blake Powell, Rockwood Clinic
Paul Priest, American Medical Response
Patrick Ramsey, American Medical Response
Adam Richards, Providence Health Care
Eric Rodgers, Rural Critical Access Hospital
Region 9 Patient Tracking Concept of Operations Committee Representatives:
Erika Abdnor, Deaconess Hospital
Gerry Bozarth, Department of Emergency Management
Eric Cassidy, Lincoln Hospital
Dean Davis, Deaconess Hospital
Rick Ferraro, Valley Hospital
Chris Jaklitsch, Mann-Grandstaff VA Medical Center
Region 9 Healthcare Coalition│2016 Annual Report
Kelly Jennings, Spokane Co. Fire District #3
Michael Lopez, Spokane City Fire
Paul Priest, American Medical Response
Patrick Ramsey, American Medical Response
Mark Sheldon, Providence Holy Family
Aimee Swanson, Mann-Grandstaff VA Medical Center
Roy Varney, Deer Park Ambulance
16