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Primary Care Emergency

Preparedness Projects

Building Community Resiliency


Through Community Integration Meetings

Jean Paul Roggiero, MPA


Melissa Corrado, MBA
Primary Care Development Corporation
NACHC Community Health Institute & EXPO
August 24, 2009
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Primary Care Emergency
Preparedness Projects

OBJECTIVES
• Learn how to identify community partners and
leverage local resources prior to an incident.

• Conduct a community emergency preparedness


planning session with community stakeholders.

• Acquire lessons learned, both successes and


challenges, and the unique methods used by
PCDC to achieve the above goal.

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Primary Care Emergency
Preparedness Projects

Primary Care Development Corporation (PCDC)

Excellent Healthcare in Every Neighborhood


Public Private Partnership formed in 1993

Mission: Strengthen primary care in underserved communities

Invest…Providing capital to build facilities, expand practices, and


upgrade outmoded equipment, leading to better services for more
patients
Strengthen…Helping providers develop patient-centered
approaches that strengthen their practices and improve and expand
care

Lead...Promoting policies that increase access to quality primary


care in order to lower costs and improve the health of communities

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Primary Care Emergency
Preparedness Projects

Primary Care Emergency Preparedness Project


• Started in 2003/2004, funding from NYC Council and
NYC DOHMH
• PCEPP—Basic
- Assist PCCs to create/enhance an All Hazards
EOP and creating a multidisciplinary emergency
management committee.
• PCEPP—Advanced
- Assist PCCs in the creation of a comprehensive EP
Staff Training and Drills program including design,
delivery & execution.
- Host community integration meetings with
community stakeholders.
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Primary Care Emergency
Preparedness Projects

RESULTS
68 New York City primary care centers have
increased their EP capacity and are better
prepare to respond to an emergency or
disaster that could occur within
the community

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Primary Care Emergency
Preparedness Projects

Dana Meranus and Bindy Crouch,


Healthcare Emergency Preparedness
Program, NYC DOHMH

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Primary Care Emergency
Preparedness Projects

APPROACH to
COMMUNITY INTEGRATION

Work with a clearly defined and focused region.

• NYC landscape - Borough vs. community district.

• Unique characteristics and vulnerabilities.

• Partner with PCC’s that have graduated our EP


projects in addition to engaging advocates
& service coordinators for the community.

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Emergency Preparedness
Advanced Program

APPROACH to
COMMUNITY INTEGRATION

• Primary Care Centers


Identify Local • Hospitals
Community
• Police/Fire
Stakeholders
• Houses of Worship
• Community Board
• Local Elected Officials
• Community Based Org.

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Emergency Preparedness
Advanced Program

APPROACH to
COMMUNITY INTEGRATION
• Local DOH
• Local OEM
Introduce Regional • American Red Cross
Partners • CHCANYS
• NY Disaster Chaplaincy
• Dept. of Aging
• Department of
Education

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Primary Care Emergency
Preparedness Projects

COMMUNITY INTEGRATION
MEETING GOALS
• Relationship building - laying the foundation

• Educate non primary care partners on the capabilities of


PCC’s

• Work together to develop an actionable EP plan that will


focus on the health and safety of the community

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Primary Care Emergency
Preparedness Projects

APPROACH to
COMMUNITY INTEGRATION
• Stakeholders were asked to develop and prioritize
community preparedness plan initiatives.

• After goals were determined and agreed upon by


the group, specific initiatives/activities for each goal
were developed.

• These action items were prioritized into short-term


(6-12months) vs. long-term (years 1-2) objectives.

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Primary Care Emergency
Preparedness Projects

MEETING STRUCTURE
• Laying the foundation—Icebreaker, acclimation to EP
• Establishing importance—Key regional figure
• Reviewing community attributes—Must be local person
• Creating the “Ideal State of Emergency Preparedness”
• Organization of and gaining consensus on community
goals—Derived from “Ideal State” and best practices
• Brainstorming activities—Ways to achieve goals
• Prioritizing goals and activities into community work
plan
• Establishing timeline and persons responsible
Status
Key Partners (Delayed, in
Activities/Initiatives Due Date Comments
(NAMES BEST!) process,
complete)

GOAL 1 – Educate and empower the community

Reach out to local radio


1.1 Create one (1) community service Houses of
station to see about
announcement related to EP worship, CHC
PSA

GOAL 2 – Leverage community resources

Chamber of
2.1. Conduct comprehensive inventory Start in specific area as
commerce, local
of resources defined by blocks
news-paper rep.

2.2. Identify shortage gaps and reach


out to adjacent communities for TBD
MOUs in high priority areas

GOAL 3 – Plan to protect vulnerable populations – Elderly & Homebound


Draft a consent form
3.1. Create a registry of low mobility that can be used to
Meals on Wheels,
or individuals with special needs waive confidentiality so
Landlord’s 6 mos
that requires assistance in an people can allow their
Association
emergency. info to be used for the
list.
Primary Care Emergency
Preparedness Projects

CASE STUDY: “READY ROCKAWAY”


• Group of trained EP professionals comprised of
representation from of PCC, Hospitals, and other local
community organizations.

• Inspired PCC EP Coordinator who participated in PCDC


EP Projects to work with the community to prepare a
high risk area of NYC for disaster.

• Received funding from NYC Council to support the EP


initiatives. The majority of those initiatives were
formulated during the community integration meeting

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Primary Care Emergency
Preparedness Projects

CASE STUDY: “READY ROCKAWAY”

• Currently hosting first projects over the summer (Go


Bags, electronic records, bilingual EP newspaper)

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Primary Care Emergency
Preparedness Projects

CHALLENGES AROUND COMMUNITY


INTEGRATION MEETINGS
• Keeping the momentum—follow up!
– Establish a regular forum and communication mechanism
– Continually engage new community partners (especially
residents)
• Ownership of the specific initiatives/ activities
– Tracking progress on process and outcomes
• Continuing to align efforts with local, state, and national
initiatives
• Securing ongoing support/ funding
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Primary Care Emergency
Preparedness Projects

COMMUNITY OUTREACH
STRATEGY for PCC
Engage and seek support from local elected officials.
Reach out to:
• Local Chamber of Commerce and its member.
• Local Citizen Corps Councils and its Partner Programs
(CERT, MRC).
• Local Media for initial coverage.

Aim to invite senior leaders from various institutions for


Initial meeting.

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Primary Care Emergency
Preparedness Projects

Questions?

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Primary Care Emergency
Preparedness Projects

Thank you!

Jean Paul Roggiero, MPA Melissa Corrado, MBA


(212) 437-3932 (212) 437-3932
jroggiero@pcdcny.org mcorrado@pcdcny.org

www.pcdcny.org

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