HomeMy WebLinkAboutMINUTES - 03132012 - C.71RECOMMENDATION(S):
Recognize the Contra Costa County Medical Reserve Corps (CCMRC) as an
officially-designated County Volunteer Program.
FISCAL IMPACT:
No general fund impact. Financial support of the CCMRC is primarily through grants and
awards including the Department of Homeland Security, Urban Area Security Initiative
Citizen Preparedness and Hospital Prepared Program Grant.
BACKGROUND:
The Medical Reserve Corps Program (MRC), a specialized arm of the Citizen Corps, was
created following the terrorist attacks of September 11, 2001. A national network of
volunteers dedicated to ensuring hometown security, the MRC is comprised of organized
medical and public health personnel, as well as non-medical individuals, who donate their
time and expertise to prepare for and respond to disasters of all kinds. MRC volunteers work
in coordination with existing local emergency response programs and also supplement
existing community public health initiatives, such as outreach and prevention and
immunization programs, working to match specific needs.
APPROVE OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
Action of Board On: 03/13/2012 APPROVED AS RECOMMENDED OTHER
Clerks Notes:
VOTE OF SUPERVISORS
AYE:John Gioia, District I
Supervisor
Gayle B. Uilkema, District II
Supervisor
Mary N. Piepho, District III
Supervisor
Karen Mitchoff, District IV
Supervisor
ABSENT:Federal D. Glover, District V
Supervisor
Contact: Patricia Frost, 646-4690
I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the
Board of Supervisors on the date shown.
ATTESTED: March 13, 2012
David Twa, County Administrator and Clerk of the Board of Supervisors
By: June McHuen, Deputy
cc: Tasha Scott, Demetria Gary, Juliene Latteri
C.71
To:Board of Supervisors
From:William Walker, M.D., Health Services Director
Date:March 13, 2012
Contra
Costa
County
Subject:Recognition of Contra Costa County Medical Reserve Corps as a County Volunteer Program
BACKGROUND: (CONT'D)
The Contra Costa County Medical Reserve Corps (CCMRC) project began in 2009, and
in May 2009 was officially registered with the Office of the U.S. Surgeon General in the
Department of Health and Human Services, and was recognized as part of the
Department of Homeland Security’s Citizen Corps. The CCMRC is led by an
experienced emergency physician who has vast experience in disaster and austere
medicine, and currently has 218 registered volunteers who have completed orientation
and training. Lead oversight of the CCMRC is provided by Contra Costa Health Services
Emergency Medical Services with support from the Public Health Division.
The attached report describes the Contra Costa County Medical Reserve Corp in greater
detail.
CONSEQUENCE OF NEGATIVE ACTION:
Not applicable.
CHILDREN'S IMPACT STATEMENT:
Not applicable.
ATTACHMENTS
G:\C&G DIRECTORY\NON CONTRACTS\2012\CCMRC Program Description.doc
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Contra Costa County Medical Reserve Corps
Program Description
January 2012
Contra Costa County Emergency Medical Services (EMS), a division of the Contra
Costa Health Services Department (CCHS), requests from the Office of the County
Administrator recognition of the Contra Costa County Medical Reserve Corps
(CCMRC) as an official Program of Contra Costa County.
A. Description/background:
The need for trained supplemental medical and public health personnel to assist
with emergency operations was highlighted after the terrorist attacks of September
11, 2001.
The Medical Reserve Corps Program (MRC), a specialized arm of the Citizen Corps, a
national network of volunteers dedicated to ensuring hometown security, was
created after President Bush’s 2002 State of the Union Address in which he asked all
Americans to volunteer in support of their country.
The Medical Reserve Corp is comprised of organized medical and public health
professionals, as well as non-medical individuals, who serve as volunteers who want
to donate their time and expertise to prepare for and respond to emergencies and
promote healthy living throughout the year. MRC volunteers work in coordination
with existing local emergency response programs and supplement existing
community public health initiatives, such as outreach and prevention and
immunization programs, working to match specific community needs.
The MRC Program provides the structure necessary to deploy personnel to an
emergency as it pre-identifies volunteers, validates credentials and provides
ongoing training opportunities.
The Contra Costa County Medical Reserve Corps Project began in 2009 and has
progressed to a sustainable program.
The mission of the CCMRC is to improve the health and safety of the community by
training, organizing and utilizing public health, medical and non-medical volunteers
to assist in or augment medical care during disasters, major disease outbreaks and
community events.
Lead oversight of the CCMRC is provided by CCHS’ Emergency Medical Services with
support from the Public Health Division. A Steering Committee and Advisory
Committee provided input into the development, mission, goals and objectives of
the CCMRC.
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B. Why the CC MRC is in the best interest of the County:
In the wake of a catastrophic disaster or major disease outbreak, it is anticipated
that large numbers of ill and injured people will seek medical care. This surge in
demand for health care services has the potential to quickly overwhelm local health
care resources. The CCMRC provides an asset to help address the health care surge
by augmenting the number of licensed medical professionals to assist in the disaster
response. These activities may include:
1. Assist with mass vaccinations or prophylactic medication dispensing, and
2. Support medical care in or near emergency evacuation shelters, and
alternative care sites.
The CCMRC works to develop trained individuals and structured teams capable of
scalable responses such as:
1. Individual CCMRC members – augmenting or assisting in providing
immediate support, and
2. Multiple MRC ‘sub-teams’ – augmenting or assisting in providing
immediate or planned support (e.g. vaccine clinics at Points of Dispensing
[PODs], First Aid stations, and shelter support).
Although not yet at this level of response, the CCMRC plans to and is working
toward supporting disaster healthcare operations during a prolonged event (e.g.
Field Treatment Sites and prolonged shelter operations through MRC-acquired
disaster caches. These supplies and equipment would allow for sustained or short
term, self-sufficient, basic and advanced first aid, support to medical shelters, and a
pharmaceutical cache to treat up to 1000 people).
The CCMRC could also be mobilized to support and augment CCHS’ day-to-day, non-
disaster-related activities. These include:
1. The provision of healthcare to the underserved and administration of
immunizations to the community.
2. The simultaneous, multi-site, community-based flu vaccine clinics
sponsored by Public Health. CCMRC members could also be deployed to
CCHS-approved events to provide basic first aid at Health Fairs -including
city or county sponsored Health/Emergency Preparedness Fairs,
exercises and drills, mass vaccination clinics, community walkathon first
aid support, and CPR/AED training sessions.
CCMRC deployment and lines of authority in non-emergency and emergency events:
Non-Emergency Event
1. The CCMRC Team Leader or his designee (an EMS Staff member who
serves as Project Coordinator) receives requests for CCMRC event
participation.
2. The CCMRC Team Leader reviews the event for appropriateness,
evaluates need with capabilities, and vets requests with CCHS/EMS
leadership, then solicits CCMRC volunteer participation.
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3. The Team Leader or Project Coordinator selects, prepares and dispatches
the members (as individuals or sub teams) to their assignment.
4. The members are led by an assigned unit leader who will then maintain
accountability to the Team Leader or Project Coordinator.
Emergency Event:
1. The County Emergency Operations Center (EOC) and the CCHS
Department Operations Center (DOC) would formulate medical/health
response priorities, including determining the need for CCMRC activation.
2. Once the need and its scope has been determined and relayed to the EMS
Division.
3. The EMS Division, via the EMS Director and EMS Operations Chief will
notify the Project Coordinator and the MRC Team Leader.
4. The mission objectives, response activities and team roles will be defined
by CCHS/EMS.
5. The CCMRC Team Leader will, in turn, provide direction to CCMRC
members, (individuals, sub teams or a team as a whole).
C. Estimate of new staffing requirements:
There are no new staffing costs anticipated. MRC is currently led by a CCHS
emergency medicine physician experienced in disaster and austere medicine - both
in the U.S. and abroad - as a volunteer. As noted above, an EMS staff member is
assigned as Program Coordinator managing the day-to-day administration of the
CCMRC. Other members of the CCMRC Advisory Council have volunteered their time
as Plans, Operations, and Logistics Chiefs. A Training Officer has also been identified.
If new staffing were required, the costs would be supported through grant funding.
D. Total anticipated cost:
The cost of the program is supported by:
1. Current EMS staff who provide administrative program oversight and
support.
2. One contracted paid MRC support member working 20 hours per month.
3. Small grants from the National Association of County and City Health
Officials (NAACHO), Hospital Preparedness Program (HPP) Grant and
CAERS providing funding for equipment, caches and training.
4. Liability/malpractice during periods of declared disasters is managed by
multiple federal and state statutes.
5. Liability/malpractice associated with disaster-response training, as well
as periods of declared disasters, is managed under Cal. Gov. Code § 8657.
6. Liability/malpractice during non-emergency activities is managed by the
current County-contracted plan at no additional cost. Volunteers are
covered parties as long as they are working on or behalf of the County.
E. Available funding revenue:
The financial support of the CCMRC is provided predominantly through grants and
awards including the Department of Homeland Security (DHS), Urban Area Security
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Initiative Citizen Preparedness grant (UASI), HPP, and NACCHO. These grants have
provided funding for equipment purchases including the pharmaceutical cache
maintained at the Contra Costa Regional Medical Center (CCRMC).
F. Pros and cons of the request:
The CCMRC has the full support of the Contra Costa Health Services Director, EMS
and Public Health leadership. In order to be effective during times of crisis,
volunteers must be organized and trained to work in emergency situations. The
CCMRC is designed to provide that organizational structure and promote
appropriate training of volunteers according to local community needs and
vulnerabilities. The result is a collaborative, organized effort whose goal is
preparing for large scale public health crises. The CCMRC brings volunteers together
to supplement existing local emergency plans and resources. It has the capability to
supplement existing emergency and public health resources and agencies such as
Red Cross, CCHS Public Health, fire, police, and ambulance services.
The MRC within Contra Costa has a proven record of mobilizing volunteers to
augment and support healthcare events and services in the County. These activities
include:
1. 2009-2010 drive-through H1N1 immunization clinics hosted by Public
Health and multi-site one-day flu vaccine venues in November 2010. Fifty
volunteers filled nearly 70 shifts at immunization clinics and almost as
many volunteers staffed the flu vaccine venues.
2. Cost savings to the county by relying on volunteer MRC staffing for these
events ranged from $19,000 to $27,000.
3. MRC staffing of information booths at Health Fairs and provide training in
CPR to the community including students in schools, promoting
community resiliency
Volunteers have eagerly requested additional opportunities to offer their time and
expertise to serve the Contra Costa community.
The risks associated with MRCs are primarily focused in the area of volunteer
liability and medical malpractice issues that are not well addressed on either the
state or national level. These risks are not unique to Contra Costa. The risks are
assessed as minimal based on our experience to date and the processes in place to
aggressively mitigate these risks. The CC MRC program, in consultation with County
Counsel, is taking the following proactive risk mitigation steps to substantially
reduce exposure:
1. Clear lines of authority to assure accountability,
2. Competency-based curriculum development, training and testing of MRC
members prior to deployment,
3. Standardized processes and protocols for MRC members who may be
deployed to disaster and non-disaster events,
4. Deployment of MRC volunteers to events with appropriate CCHS
oversight e.g. Public Health,
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5. Mechanisms to address and reliably reduce risks associated with
deployment e.g. evaluation and complaint processes, and
6. Close monitoring of proposed legislation introduced (by EMSA) to the
State Legislature intended to address this issue.
G. Negative consequences if not approved:
The CCMRC currently has 218 registered volunteers who have completed
orientation and training - investing thousands of hours into the development and
implementation of this important program. Without formal approval from the Board
of Supervisors as a recognized County volunteer program, the CCMRC would likely
have to disband and a valuable disaster resource would be lost to the Contra Costa
Community. Under the auspices of Public Health these volunteer health care
extenders could not be developed to meet underserved areas in our health care
system and provide community health education services beneficial to its
constituents during non-disaster periods.
MRCs add substantial value to overall Community resilience, especially during a
time of difficult economic time and increasing public need.