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Borinquen Health Care Center, Inc  •
Funded in part by:
Emergency Management Plan
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BORINQUEN MEDICAL CENTERS OF MIAMI-DADE recognizes the need to be fully integrated into our community’s Emergency Management Planning networks. Borinquen has both the experience and capacity to be an effective participant in a emergency management planning campaign and can play an important role in assisting local providers throughout Miami-Dade County in delivering critical emergency management services. The Bureau of Primary Care has encouraged Community Health Centers to expand their awareness of their local emergency management planning , and to give serious consideration to becoming directly involved and to develop a strategy formulated to address these situations, in order to respond effectively to emergent community needs and continue to provide quality primary healthcare to our patients. POLICY:     It is the policy of Borinquen Medical Centers of Miami-Dade to formulate an Emergency Management Plan describing Borinquen’s participation in local, county, state and federal agencies. THE EMERGENCY MANAGEMENT PLAN OF BORINQUEN MEDICAL CENTERS OF MIAMI-DADE will entail: - Participation with Miami-Dade Fire, Urban, Search and Rescue and the Florida Task Force 1 (FLT-1) on Emergency Management Planning to define the role that Community Health Centers will play in cases of emergencies/disasters. - Collaboration and securing an Articulation Agreement between BHCC and JACKSON HEALTH SYSTEMS/PUBLIC HEALTH TRUST detailing medical and nursing staff to JHS in case of a disaster/emergency. - Formulating and defining the role that our two (2) medical mobile coaches will play in disaster/emergency management planning. - Following the strategic components for EPP Development as defined by the Bureau of Primary Health Care. BORINQUEN MEDICAL CENTERS OF MIAMI-DADE EMERGENCY MANAGEMENT PLAN  I. EMERGENCY MANAGEMENT PLAN FOUNDATIONAL CONSIDERATIONS PLANNING - Multidisciplinary disaster/emergency planning committee - Collaborative relationship and linkages: o City of Miami/Miami-Dade County Emergency Management Agencies o Miami-Dade County Health Department o Center for Disease Control o Federal Bureau of Investigation II. SURVEILLANCE - Triage of patients, stratification regarding clinical symptoms - Evaluate and track microbiology results, according to organism - Notify infection control (24/7) - Designation of Isolation and/or Protective Environment Rooms III. IDENTIFICATION OF AUTHORIZED PERSONNEL - Appointment of Designated Coordinator (24/7) - Appointment of Designated Medical Commander (24/7) - Identification of Key Position Holders - Notification to alert personnel potential disaster situation - Lines of authority, role responsibilities and succession IV.     ACTIVATION PLAN - Circumstances under which plan is to be activated - Authority to activate/deactivate plan, including nights, weekends and holidays. - States of Activation: o Alert o Stand by o Call Out o Stand Down V. ALERTING SYSTEM - Activation, including normal, off hours, weekends, and holidays. - Specification of notification. - Chain of command of notification, internal and external personnel. - Responsibility of recalling staff’s return to work. - Ready mobile motor coach for emergency duties on site and throughout Borinquen’s multiple sites. VI. RESPONSE - Internal Disaster Emergencies. - External Disaster Emergencies. - Evaluation of current supply and equipment on hand. - Services in a timely and 24 hour manner by Departments. - Water supply decontamination. - Ventilation systems. - Alternate communications, i.e., walkie-talkies, cell/smart phones, laptops, iPads, smart tablets, etc. - Hierarchy outside law enforcement assistance required. VII. HOSPITAL DISASTER CONTROL - Emergency/Disaster Control Command Center locations. - Alternate location for referral of BMC patients requiring secondary and tertiary care. VIII. SECURITY - Lock down to prevent entry and exit to certain areas of the health center. - Testing of same. - Access and egress to building without lock down. - Control vehicular traffic and pedestrians - Escort of responding emergency service personnel. IX. COMMUNICATIONS SYSTEMS - Provisions overloaded and rendered unserviceable during disasters. (Telephone, facsimile, cell/smart phones, texting, and walkie talkies) - Messenger system. - Runner and delivery personnel. - Evaluation plan. X. EXTERNAL TRAFFIC FLOW AND CONTROL - Vehicular and people entrance to and exit from Borinquen. - Police support to maintain order in vicinity of facility. XI. VISITORS - Anticipated increases in visitors and curious onlookers during an emergency/disaster. - Waiting areas for visitors and family members. XII. MEDIA - Designated media area. - Internal spokesperson as media contact. - Communications internal and external spokespersons. - Requests for information from media. XIII. RECEPTION OF CASUALTIES AND VICTIMS - Receipt of Multiple casualties. - Identified. - Triaged. - Registered-Treated in designated treatment areas. - Referred to area hospitals. - Transported as needed. - Portable auxiliary power for illuminations and other electrical equipment. - Electronic Health Records organized to handle influx of casualties XIV. CUT OFF FROM COMMUNICATION OR RESOURCES DUE TO DISASTER - Auxiliary power - Rationing of food and water - Waste and garbage disposal - Rest and rotation of staff - Rationing of medication and supplies - Staff and patient morale XV. EQUIPMENT AND SUPPLIES - Wheelchairs, crutches - Masks, gloves, eye protection, gowns - Hand washing and sanitizing supplies - Alcohol, Hydrogen Peroxide - Bandages - Disposal suture kits XVI. PHARMACEUTICALS - Stock levels of oral Ciprofloxacin - Doxycycyline, oral - Bronchial dilators - Pharmaceutical warehouses within local area - Save storage of immunizations XVII. LABORATORY - Phlebotomists on staff - Sufficient laboratory supplies on hand to handle extra patient load - Containers to transport specimens to contact laboratory XVIII.  POST DISASTER RECOVERY - Designated recovery person - Provisions for: Documentation, Financial matters, Inventory and re supply, Record preservation, Clean up, Hazard removal and clean up, Salvage, Garbage and waste disposal, Utility and equipment servicing, Physical plant restoration renovation - Critical incident stress debriefing - Employee Assistant Program - Group/individual counseling services - Family Support Program XIX. EDUCATION AND TRAINING - Mandatory emergency/disaster training program. - Participation with Miami-Dade Fire, Urban, Search and Rescue and the Florida Task Force 1 (FLT-1). - Articulation agreement with JHS/PHT detailing medical and nursing staff for volunteers and relief. XX. KEY INTERNAL PERSONNEL - CEO, Chief Medical Officer, Chief Administrative Officer, CFO, Chief Special Programs Officer, and Director of IT. XXI. KEY EXTERNAL PERSONNEL/AGENCIES - Local, County, State and Federal Emergency Management Agencies. - Homeland Security. - Miami-Dade Department of Health. - Local, County, State Law Enforcement Agencies. - Homeland Security. - FBI field office. - Metropolitan Medical Response/Systems Coordinator (MMRS). - National Disaster Medical System (NDMS) contact - CDC Emergency Management Planning Department. - CDC hospital infection program (healthcare quality) - Other local area hospitals, i.e., North Shore Medical Center, Mt. Sinai Medical Center, and Larkin Community Hospital.
This Borinquen Medical Center  is a Health Center Program grantee under 42 U.S.C. 254b, and a deemed Public Health Service employee under 42 U.S.C. 233(g)-(n).