state department of social and health services emergency

Washington State Department of Social and Health Services

Emergency Management Geographic Information System

2011 Partners in Emergency Preparedness ConferenceData into Action: Developing Technology to Integrate Functional Needs Support Services

Irina Sharkova, PhDSenior Geographic Research Manager, DSHS Research and Data Analysis Division

Sue BushDirector, DSHS Office of Emergency Management

APRIL 26, 2011

1DSHS | Planning, Performance and Accountability ● Research and Data Analysis Division ● April 2011

Acknowledgments:

DSHS Research and Data Analysis Division

including

Elizabeth Kohlenberg, PhD, Director

Sharon Estee, PhD

David Mancuso PhDDavid Mancuso, PhD

Barbara Lucenko, PhD

Rebecca Yette

Maija Sandberg

b lBarbara Felver

Laura Killian

Jane Zerbe

Joshua Sjoding

Thomas Williams


Lessons of Hurricane Katrina

The White House The federal response to Hurricane Katrina: Lessons learnedThe White House, The federal response to Hurricane Katrina: Lessons learned

• An estimated 1,330 people were dead as a result of the storm

• Many of the dead were elderly or infirm:

—In Louisiana, 71% of the victims were older than 60 years, and 47 % of those were over 75 years old

• At least 68 victims were found in nursing homes, some of whom were allegedly abandoned by their caretakersabandoned by their caretakers

• Six months later, there were 2,096 people from the Gulf Coast area still reported missing (now the number is 138 people)

Who is vulnerable?

Individuals in need of additional response assistance may include those who have disabilities; who live in institutionalized settings; who are elderly; who aredisabilities; who live in institutionalized settings; who are elderly; who are children; who are from diverse cultures; who have limited English proficiency or are non‐English speaking; or who are transportation disadvantaged (FEMA, 2008).


Disaster Response in Washington

• Since 2000 FEMA has made 46 emergency or major disaster declarations for• Since 2000, FEMA has made 46 emergency or major disaster declarations for Washington, including earthquakes in 2001 and 2003

• Every county in the state has been affected at least once between 2000 and 2011

FEMA Major Disaster Declarations for Washington since 2000

Year Date Disaster TypesYear Date Disaster Types2011 25‐Mar Severe Winter Storm, Flooding, Landslides, and Mudslides

2009 2‐Mar Severe Winter Storm and Record and Near Record Snow

2009 30‐Jan Severe Winter Storm Landslides Mudslides and Flooding2009 30 Jan Severe Winter Storm, Landslides, Mudslides, and Flooding

2007 8‐Dec Severe Storms, Flooding, Landslides, and Mudslides

2007 14‐Feb Severe Winter Storm, Landslides, and Mudslides

2006 12‐Dec Severe Storms Flooding Landslides and Mudslides2006 12 Dec Severe Storms, Flooding, Landslides, and Mudslides

2006 17‐May Severe Storms, Flooding, Tidal Surge, Landslides, and Mudslides

2003 7‐Nov Severe Storms and Flooding

2001 1‐Mar Earthquake


2001 1 Mar Earthquake

Department of Social and Health Services

Serves state’s most vulnerable residents

• Persons with physical and developmental disabilities (344,000 clients)

• Seniors (94 500 clients)• Seniors (94,500 clients) • Foster children (11,000 clients) • Persons with limited English proficiency (at least 130,600 clients)

• Most clients are low‐income

Lead state agency for planning related to special needs populations

• Governor’s Directive to DSHS:“Assist affected jurisdictions as they identify special needs populations in the potentially affected areas and plan for the care of special needs p y p ppopulations.”


DSHS provides services to . . . .

Percent served by DSHSEvery 4th Washington resident*

• Every 2nd child (706,200 clients)

• Every 5th adult (762 450 clients)

Percent served by DSHSSFY 2007

Persons with disabilities100%

• Every 5 adult (762,450 clients)

• Every 8th senior (94,500 clients)

Every 2nd resident with disabilities** All persons

• All children (63,600 clients)

• Every 2nd adult (232,300 clients)

• Every 6th senior (47,300 clients)

55%

44%

47%

16%18%

12%

25%

NOTES* Excluding DSHS clients receiving Child Support Enforcement services only. **DSHS clients with a disability: All clients meeting one or more of the following conditions: a) At least one month of medical coverage in SFY 2007 in any of the following coverage categories: Medicaid Disabled; Healthcare for workers with disabilities; GA‐U; ADATSA.b) R i d f th f ll i i i SFY 2007 A i d Ad lt S i i h it id ti l i h DD DVR MHD

0‐17 18‐64 65+ All ages


b) Received any of the following services in SFY 2007: any Aging and Adult Service in‐home, community residential, or nursing home; any DD; any DVR; any MHD.Population data: 2008 American Community Survey.

GIS Support to DSHS during Major Emergencies

Counties Receiving FEMA and DFSP Assistance

Flood Stages on WA Rivers


GIS Support to DSHS for Emergency Planning Lower Green River Valley, 2009

• We used Geographic Information• We used Geographic Information System (GIS) to determine which DSHS clients with access and functional needs, service providers, facilities, and staff are inside the area potentially affected by the flood

• We prepared maps and tables for distribution to DSHS emergency planners


DSHS Long‐term Care Facilities Lower Green River Valley, 2009

• In inundation area: 345 beds in 8 long‐term care facilities (1 nursing home 2 boarding homes and 5 adulthome, 2 boarding homes and 5 adult family homes)

• In nearby area: 2,137 beds in 200 long‐term care facilitieslong‐term care facilities

Long‐Term Care Facilities

Depth of Potential Flooding


DSHS Clients with Limited English ProficiencyLower Green River Valley, 2009

• In the inundation area: 1,950 clients speaking 36+ languages

Top 10 languages:SPANISH 1,345RUSSIAN 209SOMALI 107VIETNAMESE 48UKRAINIAN 23UKRAINIAN 23CHINESE 20CAMBODIAN (KHMER) 16SAMOAN 16ARABIC 15ARABIC 15TAGALOG 14

Depth of Potential Flooding


DSHS Clients with Functional Needs in the Lower Green River Valley, 2009y

Inundation Area Nearby Area Total

Type of Needs Facilities Persons Facilities Persons Facilities Personsyp

Nursing Homes 1 125 5 430 6 555

Boarding Homes 2 196 17 726 19 922

Adult Family Homes 5 24 178 981 183 1,005y

Foster Care Homes 1 2 67 127 68 129

Medical Risk Factors 222 1,364 1,586

Transportation Need: High 142 634 776

Transportation Need: Medium

1,266 6,525 7,791

Developmental Disabilities 267 1,385 1,652

Vocational Rehabilitation 41 547 588Vocational Rehabilitation 41 547 588

Deaf and Hard of Hearing 40 234 274

Clients with Access and Functional Needs

2,3258.6%

12,9535.9%

15,2786.1%


Total Population in Area 27,105 221,410 248,515

The Lower Green River Valley Project: Lessons Learned

h j li dThe project was complicated

• The flow of data and information was arduous

• Data came from multiple sources, at different times and in different formats

• Issues of confidentiality of personal information when used for emergency planning are complex, unclear

W h d 3 4 th i d t f t ti l iWe had a 3‐4 months window to prepare for a potential emergency in the Green River Valley

• Most emergencies occur with little or no advance warning

• Vulnerable populations are all over the state, many in rural or otherwise hard‐to‐reach areas

• The state needs: —A central repository of timely, accurate and well‐integrated data about its vulnerable populations

—Tools to turn the data into information for decision‐makers


Our Long‐Term Goal

d l hi f i S ( S)To develop a Geographic Information System (GIS) on

• Residential location and functional needs of people served by DSHS • Location of DSHS offices and critical staff‐service providers• Areas prone to natural and man‐made disasters

To be ready to provide necessary information to DSHS and EMD

• Whenever a disaster happens and for planning purposes

• Anywhere in the state• Close to real timeClose to real time

• In accordance with applicable privacy laws

First step: to develop and build a preliminary statewide GIS


Client Functional Needs and Residential Addressesand Residential Addresses

Communication, Maintaining Independence, Medical Care, Supervision, and Transportation

Needs

WASHINGTON STATEDepartment of Social and Health Services

Known and PotentialHazards

Department of Social and Health Services

EMERGENCY MANAGEMENT GISEM‐GIS

DSHS Offices and Staff

Places Of Residential Care

• City and County Boundaries

• Roads and Other InfrastructurePlaces Of Residential Care

and Service Delivery • Shelters

Nursing Homes, Boarding Homes, Adult Family Homes, Assisted Living Facilities, Other Group Homes and Community

R id i l F ili i


Residential Facilities

Communication

DSHS Clients with Access and Functional Needs

Communication• Speaking • Hearing• Seeing

Transportation & Movement

Assistance in Daily Living

• Understanding

•Walking • Bathing • Using stairs• Driving

• Eating• Dressing• Toileting

Medical NeedsSupervision

•Managing health conditions with needed equipment and medications

• Due to cognitive, behavioral, or mental health conditions


The EM‐GIS will support:

• Real‐time disaster response and assistance to DSHS clients with access and functional needs

• Planning and preparation for disasters potentially affecting DSHS clients with access and functional needs

The EM‐GIS will provide information about DSHS clients with access and functional needs for:

—All Washington State’s jurisdictions (cities, counties)

—Custom‐defined geographic areas (neighborhoods, health planning areas, travel zones)


Questions? Suggestions?Questions? Suggestions?

Contact Irina SharkovaDepartment of Social and Health Services, Research and Data Analysis Division

360.902.0743

[email protected]


state department of social and health services emergency

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