# Presentation: 540725

## Plans Development &

**Plans Development &**
**Course Summary**

***At the end of this session participants will understand their roles & responsibilities, and be able to complete comprehensive PRC & FCC plans.***

## Outline

***Summary of Roles & Responsibilities***
***Plan Formats and Components***
***Review of FCC Self Assessment Survey***
***Course Summary***
***Questions and Answers***

**Outline**

## References

***DoD-VA MOA (16 Nov 06)***
***FCC Guide  (7 Jul 06)***
***VHA Handbook 0320.04 (26 Dec 07)***
***DoD Directive 6010.22, “NDMS”  (20 Aug 07)***

**References**

## Directors’ Responsibilities

***a.  Appoints and/or identifies the FCC or PRC Coordinator responsible for the day-to-day operation and readiness***
*** ***
***b.  Establish and maintain the support of area hospitals, government agencies, volunteer organizations and others within the immediate area.***
*** ***
*** ******c.  Ensure the development, exercise and evaluation of local Patient Reception Area plans.***

**Directors’ Responsibilities**

## Directors’ Responsibilities

***d. Conduct a full-scale exercise at least once every three years.***
*** ***
***e.  Ensure that FCC or PRC staff, as well as applicable federal, state and local government and private sector personnel receive appropriate orientation or training in operations. ***
*** ***
***f.  Activate local PRA plans as indicated in activation notifications.***

**Directors’ Responsibilities**

## Directors’ Responsibilities

***g.  Ensure that bed availability reporting, as well as reception, sorting, staging, transportation and hospitalization of arriving patients occurs efficiently.***
*** ***
*** ******h.  Provide administrative support for patient control and proper patient accounting.***

**Directors’ Responsibilities**

## Coordinators’ Principal 

***  ******Establish and maintain active participation and support of local hospitals, health associations, EMS, emergency management agencies, police and fire services.***
***  ******Ensure that representatives of NDMS member hospitals, as well as representatives of local emergency management agencies, EMS agencies, public safety, police and fire services are provided annual orientation to the PRA plan.***

**Coordinators’ Principal **
**Responsibilities**

## Coordinators’ Principal 

***c.  Ensure that FCC staff and other individuals designated to augment the FCC staff annually receive detailed education and training .***
***d.  Ensure that a PRT is developed for each PRA.***
***e.  Collect bed availability data from each participating non-Federal hospital and report to the DoD’s GPMRC as directed.***

**Coordinators’ Principal **
**Responsibilities**

## Coordinators’ Principal 

*** ******f.  Ensure 24/7 communications are established with GPMRC for the receipt of regulating decisions, evacuation mission information and patient medical data. ***
***g.  Ensure an accounting method is in place to account for patients regulated but not yet received, and for patients in the PRA. ***
***h.  Coordinate fiscal information to support the processing of financial claims reimbursement. ***

**Coordinators’ Principal **
**Responsibilities**

## Plan Formats

***DoD:***
***  ******1. Situation***
***  ******2. Mission***
***  ******3. Execution***
***  ******4. Administration and Logistics***
***  ******5.  Command and Control***
***VA:  none prescribed***

**Plan Formats**

## Plan Components - Summary

***Concept of Operations***
***PRA Activation***
***Control Center Operations***
***Bed Availability Reporting***
***Medical Regulating & Evacuations to the PRA***
***Patient Reception & Staging***
***Transportation ***
***Patient Administration***
***PMI***
***Patient Discharge & Return***

**Plan Components - Summary**

## Plan Components

***Concept of Operations***
***Define the  PRA area***
***List references***
***Identify airfields***
***Describe roles of principle agencies, teams, etc.***
***List the POCs and their contact info***
***PRA Activation***
***Describe Departmental & Service processes***
***Describe PRA alert processes***
***Describe process for notifying local agencies***

**Plan Components**

## Plan Components

***Control Center Operations***
***Describe staff responsibilities ***
***Describe communications, logs, reports, etc.***
***Describe control of access to the center***
***Bed Availability Reporting***
***Define the terms (e.g., bed categories)***
***Describe bed & throughput reporting process***

**Plan Components**

## Plan Components

***Medical Regulating & Evacuations to the PRA***
***Describe GPMRC***
***Describe procedures for coordinating info***
***Patient Reception & Staging***
***Describe the reception site***
***Outline the procedures for accessing, securing and supporting the site***
***Detail the operations of the PRT***
***Describe configurations for extended, stand-by situations ***
***Diagram the patient flow***
***   ***

**Plan Components**

## Atlanta PRA

***   ***

**Atlanta PRA**

- Hangar 746

- Hangar 747

- Deplane/Escort

- CC Triage

- Security

- Triage

- Flight Line

- Shelter Staging

- Medical Needs

- Med Supplies

- Green Team

- Yellow Team

- Red Team

- EMS Staging

- Transportation Flow

- Transpo Coord

- Transpo Coord

- MACC

- Evacuee Documentation

- Chairs/ Holding

- Food

- Mass Transpo Staging

- Mobile CMD Post

- Transpo CMD Post

- Animal Control

- Chapel

- Animal Control

## Houston PRA

***   ***

**Houston PRA**

## Birmingham PRA

***   ***

**Birmingham PRA**

## Plan Components

***Transportation ***
***Describe resources & methods of accessing them***
***Outline the procedures for tracking assets***
***Map primary & alternate routes***
***Describe the role of local law enforcement***
***Patient Administration***
***Detail patient tracking systems***
***Describe notification requirements***
***Describe policies for disposition of records***

**Plan Components**

## Plan Components

***PMI***
***Describe general provisions & objectives***
***Identify pre-event storage sites & inventories***
***Identify DoD PMI Center POCs***
***Patient Discharge & Return***
***Describe processes for managing DoD patient discharges and transfers***
***Describe same for NDMS patients ***

**Plan Components**

## Plan Components

***Financial Claims Processing***
***Describe processes for NDMS FCC operations cost reimbursements***
***Describe NDMS patient treatment reimbursement processes***
***Training & Exercises***
***Identify requirements for individual and teams’ training ***
***Identify PRA exercise requirements***

**Plan Components**

## Plan Components

***Public Relations & Media Information***
***Identify local media***
***Describe rules, limitations, processes for preparing releases***
***Identify agencies and individual authorized to release info***
***Communications***
***Provide inventory of equipment***
***Provide contact info and recall rosters***

**Plan Components**

## FCC Self Assessment

***Command, Control & Communications:***
***Have TRAC2ES accounts been established for sufficient numbers of staff?***
***Patient Reception & Distribution:***
***Detailed plans for mustering a PRT?***
***Definitive Medical Care:***
*** ******Are MOAs more than three years old?***
***Training & Exercises:***
*** ******Last major exercise more than three years ago?***

**FCC Self Assessment**

## Plans Development &

**Plans Development &**
**Course Summary**

**Notes:**
Critical Care Air Transport Team - CCATT team cares for patient during aeromedical evacuation mission aboard a C-17 Globemaster enroute to Landstuhl, Germany.
Photo courtesy of the United States Air Force.

## Plans Development &

**Plans Development &**
**Course Summary**

**Notes:**
Medical care at 15,000 feet
SOUTHWEST ASIA -- Capt. (Dr.) Erik von Rosenvinge conducts an initial assessment of his patient before a C-130 Hercules cargo aircraft leaves for Baghdad on Jan. 28. The doctor is a 379th Aeromedical Squadron critical care air transport physician.
(U.S. Air Force photo by Tech. Sgt. Bob Oldham) 
Photo courtesy of the United States Air Force.

## Plans Development &

**Plans Development &**
**Course Summary**

**Notes:**
Aeromedical evacuation of wounded service members from Iraq aboard a C-17 Globemaster enroute to Landstuhl, Germany.
Photo courtesy of the United States Air Force.

## Plans Development &

**Plans Development &**
**Course Summary**

**Notes:**
Medical team and C-17 Globemaster III aircrew carefully move the more than 800-pound mobile extracorporeal membrane oxygenation, or ECMO, machine and Meaghan Ababa down the aircraft ramp to a waiting ambulance.
Photo courtesy of the United States Air Force.

## PRC Plan Development

**PRC Plan Development**

**Medical Issues Related to AE**

**Notes:**
Wounded service person ... being transferred from an AmBus to a C-17 Globemaster for the flight to Landstuhl, Germany.
Photo courtesy of the United States Air Force.

## Course Summary

***VA-DoD Contingency System Overview***
***Patient Regulating ***
***TRAC2ES***
***Air Operations Orientation***
***Patient Reception Team Operations***
***Logistics & Patient Movement Items***
***Military Patient Management Issues***
***PRC Plans Development***

**Course Summary**

## Questions?

***Questions?***

**Course Summary**