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Initiative Update

Protecting Patients When Disaster Strikes Playbook on Safeguarding Emergency Power Formally Unveiled

08.24.17

Providence, RI – August 24, 2017 – Emergency management officials, public health leaders, and healthcare facility administrators gathered at Women & Infants Hospital on Thursday for the presentation of Protecting Patients When Disaster Strikes, a new playbook that will be used to advance Rhode Island’s work to safeguard the emergency power needs of critical healthcare facilities before disasters strike.

The clear, centralized guidance in Protecting Patients When Disaster Strikes derives from years of emergency preparedness planning and training by the Rhode Island Emergency Management Agency (RIEMA), the Rhode Island Department of Health (RIDOH), the Healthcare Coalition of Rhode Island, healthcare facilities, and other partners. Although the event was held at Women & Infants Hospital, all healthcare facilities can use the playbook, including nursing homes, health centers, and assisted living communities, as well as other community organizations.

“Rhode Island is susceptible to power outages stemming from natural disasters such as hurricanes, winter storms, floods, as well as human-caused and technological incidents. Protecting our citizenry and critical infrastructure is the top priority of our agency. Therefore, it is crucial that we work together as a state to assist critical facilities that are dependent on power to provide support to Rhode Island’s most vulnerable populations,” said RIEMA Director Peter Gaynor.

“Climate change and cyber threats are just two of the emerging issues we must be mindful of as we look forward and work to secure Rhode Island’s power infrastructure,” said Director of Health Nicole Alexander-Scott, MD, MPH. “RIDOH’s Center for Emergency Preparedness and Response has done tremendous work with hospitals and emergency preparedness partners throughout the state on planning for and training for emergencies, as well as learning from actual incidents. Protecting Patients When Disaster Strikes will help smaller facilities such as nursing homes, health centers, and assisted living communities, follow their lead and ensure that all Rhode Islanders, including the state’s most vulnerable populations, will continue to get the health services and care they need during emergencies.”

“At Women & Infants Hospital, the safety of our patients, visitors, and staff is of utmost importance, and ensuring our readiness to respond in the case of an emergency or a disaster is critical,” said Diane Rafferty, interim president and chief operating officer, Women & Infants Hospital. “We are proud to be able to work collaboratively with the state agencies and other health care providers in planning for emergencies. This playbook will now be one more valuable tool in our preparedness toolbox.”

The playbook includes inventory material, emergency power supply contacts, facility manager checklists, and reporting information and is comprised of a four-phase planning process to help facilities safeguard their emergency power systems and expedite power restoration. The four phases are:

  • An assessment of potential power vulnerabilities and guidance on how to address vulnerabilities before a disaster occurs.
  • Guidance on how facilities can ensure reliable emergency power, should the grid go down.
  • Guidance on how to operate while under emergency conditions and how to sustain efforts during emergency power operations for four days or longer.
  • Information on the post-disaster recovery process, and how to best learn as an organization and most effectively prepare for subsequent emergencies.

Rhode Island is the first state to implement the initiative and will be a model for a nationwide push of the Powered for Patients program. Having officially entered hurricane season in June, the playbook could not have been completed at a better time. A copy of the playbook will be distributed to healthcare facilities and community partners through the state.

Protecting Patients When Disaster Strikes was developed using funding from the U.S. Department of Homeland Security. The playbook references partnerships with the U.S. Army Corps of Engineers, the Federal Emergency Management Agency, National Grid, the Hospital Association of Rhode Island, the American Society of Healthcare Engineering, and the U.S. Department of Health and Human Services, among other organizations. RIEMA and RIDOH’s Center for Emergency Preparedness and Response worked with the nonprofit Powered for Patients on its development.

“One of the key lessons learned after Hurricane Sandy was that federal officials lacked sufficient situational awareness of failing hospital generators. The Rhode Island initiative will help address this problem by developing a protocol for how to best share information about threats to backup power systems with government officials and utilities,” said Eric Cote, project director for Powered for Patients.

First DHS-funded, state-specific Stakeholder Engagement Initiative wrapping up with important findings and far reaching outcomes

01.22.17

The DHS-funded Stakeholder Engagement Initiative launched by the Rhode Island Emergency Management Agency (RIEMA) and Powered for Patients in October 2015 is nearing its conclusion and will help set the stage for similar initiatives in other states. Key state stakeholders involved in the project have included the Rhode Island Department of Health; the Rhode Island Office of Energy Resources; National Grid, the state’s primary electric utility; and the Hospital Association of Rhode Island. Several federal agencies have been active participants including FEMA, DHS, and HHS.

After more than a year of stakeholder meetings, emergency power system vulnerability assessments and strategic planning, a key outcome of the initiative will be a comprehensive Playbook, entitled Protecting Patients When Disaster Strikes. The Playbook details the key responsibilities of stakeholders across a four-phase planning and operational continuum to safeguard emergency power systems and expedite power restoration.

The Playbook will also introduce new consensus protocols that can become a national model for enhancing situational awareness of emergency power system status during disasters. (More to come on this once the Playbook is officially published in the coming weeks.)

New Online FEMA Emergency Management Institute (EMI) Course on the ABC’s of Temporary Power (IS-815) Highlights the work of Powered for Patients

01.22.17

From its inception, Powered for Patients has worked closely with FEMA leaders and officials from the U.S. Army Corps of Engineers (USACE) responsible for the management and deployment of the federal fleet of temporary generators to meet the needs of critical infrastructure facilities whose generators fail during disasters.

A part of this work has been Powered for Patients’ active promotion of the FEMA/USACE online Emergency Power Facility Assessment Tool (EPFAT). A facility’s registration of its emergency power system through the online EPFAT system enables FEMA and USACE to accelerate deployment of temporary generators during a disaster.

As part of this ongoing collaboration, FEMA is helping to spread the word about the work of Powered for Patients.  FEMA’s new online Emergency Management Institute (EMI) course on the ABC’s of Temporary Power (IS-815), highlights the work of Powered for Patients. Information about the new FEMA course is available at https://training.fema.gov/is/courseoverview.aspx?code=IS-815

National Working Group on Information Sharing Advances

01.22.17

As Powered for Patients digs deeper into the role of remote monitoring and automated reporting technology in increasing situational awareness of at-risk emergency power systems during disasters, the need for a consensus protocol for leveraging this technology becomes even more evident.

Developing such a protocol is a key outcome of the National Working Group on Information Sharing, a new Powered for Patients initiative for which planning continues.  As this planning advances, Powered for Patients Project Director Eric Cote has received lots of input on this issue from hospital facility managers, remote monitoring technology providers and government officials.

While government officials are eager to tap the capability of remote monitoring and automated reporting technology to rapidly get status reports about hospital emergency power systems during disasters, a key challenge will be finding a way to vet information before it is passed up the chain of command. Many of the automatic notifications generated by remote monitoring technologies relate to mechanical threats that can often be resolved without problem. Yet, this technology also can automatically detect and rapidly alert facilities personnel to catastrophic mechanical failures that can signal an imminent loss of emergency power. The Powered for Patients initiative will work with key stakeholders to help develop protocols around rapidly sharing more urgent mechanical threat notifications up the chain of command.

The sooner government officials know of a mechanical threat that has the potential to disable an emergency power system, the faster government resources can be deployed to avert a failure. Similarly, accelerated notice to utilities of a potential failure of a hospital’s emergency power system during a disaster can enable reprioritization of restoration efforts.  Stakeholders interested in taking part in the National Working Group on Information Sharing are encouraged to contact Project Director Eric Cote at cote@poweredforpatients.org.

New State Stakeholder Engagement Initiatives Being Planned in Other States

01.22.17

Given the important lessons learned about the vulnerabilities of emergency power supply systems during Hurricanes Hermine and Matthew, Powered for Patients is working with officials in Southeastern states to launch initiatives to chronicle lessons learned. These initiatives will also focus on identifying opportunities to enhance stakeholder coordination and information sharing in states as it relates to safeguarding emergency power and expediting power restoration.

Public and private sector stakeholders interested in participating in state initiatives are encouraged to contact Powered for Patients Project Director Eric Cote at cote@poweredforpatients.org.

 

Powered for Patients Takes Part in Resiliency 2.0 Summit at Partners Healthcare

01.21.17

 

On January 11, 2017, national and regional leaders on climate change gathered for a daylong conference to catalyze climate action plans for metro Boston health care service providers and allied stakeholders.

The Barr Foundation, Partners HealthCare, and Health Care Without Harm co-sponsored the invitation-only Summit on climate resilience. The goal of the Summit was to raise awareness of what is needed to create a robust network of health care provision as an essential component of resilient cities. Findings will be presented in a report and this meeting will create a template for similar summits in other major cities.

Powered for Patients Project Director Eric Cote was invited to participate in the event and he contributed subject matter expertise around the challenges facing hospitals in maintaining emergency power during extended power outages triggered by natural disasters.

Powered for Patients to Provide Learning Session at 2017 Preparedness Summit

01.21.17

 

A proposed Powered for Patients presentation on emergency power for critical healthcare facilities has been accepted by the organizers of the 2017 Preparedness Summit, the nation’s pre-eminent annual gathering of federal, state and local public health preparedness leaders. The Powered for Patients presentation was accepted as a combined Learning Session and will complement a presentation on power outage planning for vulnerable populations.

Powered for Patients Project Director Eric Cote will deliver the presentation, entitled “Empowering Public Health Preparedness Leaders to Better Protect Patient Health When Emergency Power Systems for Critical Healthcare Facilities are Threatened or Fail”.

This will complement a presentation entitled, “BREATHE Easier In Power Outage Emergencies: A Power-Packed Campaign and Planning Toolkit” developed to reflect lessons learned from the May 2009 super derecho by the Franklin-Williamson Bi-County Health Department in Illinois. The 2017 Preparedness Summit will take place in Atlanta, Georgia from April 25 – 28th.

Powered for Patients Celebrates 1st Power Generation Industry Corporate Sponsor

04.30.15

POWER PRO-TECH-Rev-Small

Powered for Patients is pleased to announce of our first corporate sponsor, Power Pro-Tech Services (PPT) headquartered in Altamonte Springs, FL. The company is an industry leader specializing in the service and installation of distributed power systems. www.powerprotech.com

“We are proud and delighted to become an official sponsor of Powered for Patients, which we see as a terrific example of a public/private partnership that is addressing issues critical to public health and safety,” said Bob Byrne, President and CEO of Power Pro-Tech Services. “Our participation in the initiative will increase our company’s value to hospitals and other healthcare clients.”

Byrne said he looks forward to his company’s participation in Powered for Patients State Stakeholder Engagement Initiatives being planned in several states, as well as having his company’s expert on codes and standards serve on the Powered for Patients Code & Standards Workgroup. Byrne added that his company’s participation in the Codes & Standards Workgroup will enable him to work closely with the American Society of Healthcare Engineering (ASHE) to bring his hospital clients to the table to help collectively address concerns over proposed federal rules that will require more frequent testing of hospital generators. ASHE is an active supporter of Powered for Patients and is expected to help lead the Codes & Standards Workgroup.

Powered for Patients Promotes Mission at 2015 Preparedness Summit

04.16.15

Powered for Patients Project Director Eric Cote took part in a presentation at the recent 2015 Preparedness Summit in Atlanta, GA that addressed the consequences of power failures for hospitals. Cote provided an overview of the work of Powered for Patients in safeguarding backup power and expediting power restoration for hospitals and other critical healthcare facilities. Cote’s presentation was one of two during the 90-minute session that included a presentation from West Virginia University Law Professor James Van Nostrand on Combined Heat Power systems as an alternative to backup generators.

While at the Preparedness Summit, Cote also had the opportunity to meet with senior public health preparedness officials from a number of states to discuss launching State Stakeholder Engagement Initiatives.

Closer Ties Between Hospitals and Utilities Forged at Edison Electric Institute Conference

03.30.15

To help Powered for Patients facilitate enhanced dialogue between hospitals and utilities, Jonathan Flannery, the Senior Associate Director of Advocacy for the American Society of Healthcare Engineering (ASHE), led an ASHE delegation on behalf of Powered for Patients to the Edison Electric Institute’s Key Account Manager conference in New Orleans earlier this year. Jonathan was a presenter at our initial stakeholder meeting in 2014 and has been a steadfast supporter since.

The Edison Electric Institute (EEI) is a national trade association that represents the nation’s investor-owned utilities which comprise 70 percent of the electric utility sector. EEI invited Powered for Patients and ASHE to attend its upcoming National Key Accounts Workshop to help begin the process of building closer connections between utilities and hospital facility managers.
Flannery provided a briefing about Powered for Patients to a group of utility executives that was very well received. Several utilities in attendance asked for immediate follow up discussions to explore working with Powered for Patients. In addition, Flannery and nearly a dozen hospital facility managers from Louisiana sat down for a face-to-face discussion with the utilities serving these hospitals. This was an excellent continuation of the work Powered for Patients has initiated in bolstering dialogue between hospital facility managers and their utilities. We are grateful to Jonathan Flannery for representing Powered for Patients at the meeting and we express our gratitude to EEI for providing the opportunity.

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