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Hurricanes Provide Harsh Education
Healthcare Commission Issues Reminder of its 13 Guidelines for Community Preparedness


There's a lot to be said about the response to hurricanes Katrina and Irene. Without getting into all the politics, I will say that the federal response was not as bad in Katrina as it was made out to be. There was a lot to be learned - by the public and by some leaders. Here are some that stood out in my mind:
  • In 14 years of teaching disaster preparedness, I always harped on two key points: "Don't let your response become the story," and "have a plan, work the plan." Both were violated by some of those responding to Katrina.
  • FEMA is not, and was not designed to be, an immediate disaster response agency. It is a back-up to local and state resources, not a replacement for them.
  • Leadership demands a lot - one of the most important is remaining calm when everyone else is in a panic.
  • Sometimes, you just gotta be blunt. A spokesperson in Texas told the public that if they elected to stay in their homes rather than evacuate, they would be on their own and officials would make no effort to come and save them until it was safe.
  • Your goal should be to get people out of harm's way - not to help them stay in harm's way. Example - if someone is burned in a house fire, they are removed from the home and taken to the hospital while firefighters are still fighting the flames. You do not bring the doctors and nurses into the house while it is still burning!
  • If you can't get out - what makes you think anyone else can get in?
  • When you're thirsty - don't complain when someone risks their life to get water to you.
  • In the immediate aftermath of a disaster, you're on your own, buddy! You better be prepared to take care of yourself.
  • As I've said before, if you don't give the media something to talk about, they will grasp at anything. Despite all the horrendous talk of undeterred murders and rampant rapes at the Astrodome - it appears that none of the stories were true. Unfortunately, some of the blame lies with official spokespersons who relayed rumors to the public rather than waiting to get the facts.

Some areas of our Gulf Coast were better prepared to deal with the hurricanes. Others were ill prepared - some would even say criminally ill prepared. That remains to be seen. If you are a leader of a community or a business, this is a good time to look at your organization's level of preparedness. The Joint Commission on Accreditation of Healthcare Organizations has some good guidelines, issued in 2003 and re-issued after the hurricanes. While these are for communities, they are easily adapted to a business.

  1. Define the community
  2. Identify and establish an emergency management preparedness and response team
  3. Determine the risks and hazards the community faces
  4. Set goals for preparedness and response planning
  5. Determine current capacities and capabilities
  6. Develop the integrated plan
  7. Ensure thorough communication planning
  8. Ensure thorough mental health planning
  9. Ensure planning related to vulnerable populations
  10. Identify, cultivate, and sustain funding sources
  11. Train, exercise, and drill collaboratively
  12. Critique and improve the integrated community plan
  13. Sustain collaboration, communication, and coordination

If that all sounds like a difficult task, imagine how hard it will be to stand before the media and the people who depended on you, trying to explain why your lack of preparedness, or your poor response, resulted in hundreds of people dying.

For those in the Gulf Coast - God Bless You and Keep You.

 

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