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08-09-2023 Council Packet
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08-09-2023 Council Packet
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Ramsey County │ Annex D: Public Health and Medical 14 <br />3.5.2.3 Operations Centers <br />Depending on the nature of the incident, incident coordination may necessitate the activation of <br />multiple operations centers. The RCEOC is the primary location from which Ramsey County government <br />provides support and coordination during a large or complex incident. When activated, a liaison from <br />SPRCPH will be designated to coordinate the health and medical services to assist the overall incident <br />management. <br />Concurrently, or if the event is a public health emergency, SPRCPH may activate its DOC. From the <br />SPRCPH Response and Recovery Plan: <br />The DOC is the hub of SPRCPH’s emergency response and recovery operations. It is responsible for the <br />strategic overview, or “big picture,” of the disaster, and is a centralized post where public health <br />response functions can sustain communication and coordinate response efforts. In the event of a public <br />health emergency, the Incident Command Team staff activates the DOC within SPRCPH, where command <br />leadership and program staff meet to plan and operationalize the public health response to the <br />emergency. The Incident Command Team will decide the scope of the DOC activation based on extent of <br />the event and/or the resources needed. The DOC has the capability to be activated within one hour of the <br />decision to activate. Operational periods of the DOC, typically 12-hour periods, will be established by the <br />Command Staff, including a determination regarding 24/7 operations. This determination is predicated <br />on availability of sufficient staffing. <br />3.5.2.4 Medical Surge <br />Widespread or long-lasting emergencies can challenge the capabilities of the health care system to <br />adequately care for large numbers of patients. In addition, given the nature and scope of an incident, <br />health care operations could be impacted by infrastructure or resource challenges. <br />Medical surge is the ability to rapidly expand the capability and capacity of the existing health care <br />system (long-term care facilities, community health agencies, acute care facilities, alternate care <br />facilities, and public health departments) to provide support for an event that results in increased need <br />of personnel (clinical and non-clinical), support functions (laboratories and radiological), physical space <br />(beds, alternate care facilities) and logistical support (clinical and non-clinical equipment and supplies). <br />This includes providing definitive care to individuals at the appropriate clinical level of care, in a <br />culturally competent manner, within sufficient time to achieve recovery and minimize medical <br />complications. <br />In the metro region, hospital surge capacity is dependent on the daily census (monitored by MNTrac), <br />with additional capacity generated using a combination of tactics, including deferral of elective cases, <br />early discharges, use of flat-space areas for patient care, conversion of single to double rooms, etc. An <br />assessment of the census and hospitals affected will be made by the Regional Hospital Resource Center <br />(RHRC) early in the event to assist with resource and staffing requests from outside the region if <br />necessary. Each hospital has its own internal plan to address medical surge, but if additional resources <br />are needed, assistance can be requested through the Metropolitan Area Hospital Compact, which is a
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