To support our response objectives, the Coalition is currently providing the following services in addition to regional information sharing.
Situational Awareness Response Process (SARP)
The REDi HCC collects information from eastern Washington healthcare partners via survey to inform Coalition Situation Reports and interactive healthcare information dashboards. Information reported is shared back with Coalition and state partners to inform response activities as outlined in our Situational Awareness Response Process.
The REDi Situation Report shares implications of the response at a region-wide level to support situational awareness and the development of a coordinated response. Our Situation Reports also include information reported through WATrac and WA HEALTH. These reports should be used in conjunction with WATrac for timely agency and bed availability status. We ask that all hospital and skilled nursing facility partners log into WATrac to regularly update your agency status and bed information according to WATrac Regional Use Expectations.
To receive and/or contribute information to these Situation Reports, please enter three emergency points of contact from your organization here.
Information Sharing for Healthcare, EMS, Emergency Management and Public Health Partners
The REDi HCC team monitors the WA Health and DOH COVID-19 dashboards for data that is accurate and relevant to our eastern Washington partners, which may also be included in REdSituation Report.
As of April 23, 2020, WA DOH is asking healthcare to use their PPE in the yellow zone (contingency) since there is not enough in the state for healthcare to use their PPE in the standard way. REDi HCC is continuing to share CDC guidance on use of PPE, including strategies for optimizing use of PPE, as well as WA DOH new resources on conservation as well as prioritization of allocation.
Please direct specific questions regarding potential COVID-19 cases to your local health jurisdiction at the county level. REDi is more than happy to provide introductions to public health partners if needed. For updated information regarding COVID-19 please visit the WA State Department of Health's website or the CDC website.
If there are any major disruptions or changes to the operational status of your organization, please contact the REDi HCC Duty Officer at (509) 362-0041.
Resource Coordination Process (RCP)
The REDi HCC is continuing to run a weekly query to help connect partners in need of resources with those who are able and willing to share. If your organization is in need of resources, please submit your completed ICS Form 213 RR through the REDi HCC Resource Request Form. If you have the same request the following week, you must resubmit your request (you can use the same ICS 213 RR form). For more information on this process please refer to the REDi HCC Resource Coordination Process. All completed resource requests will be included in the very next query for available resources. If you have any questions, feel free to email us at HCC@srhd.org or if it is an emergency, call our Duty Officer phone (509.362.0041).
At this time, REDi is only able to provide Regional Resource Coordination for healthcare partners in eastern Washington. Before working with REDi in completing this process, please ensure your organization completes and submits a completed ICS Form 213 RR form to your appropriate local health jurisdiction as outlined in the WA DOH Statewide Resource Request Process.
In summary, to find resources:
If resources are located from our Resource Query (processed each Thursday), REDi HCC will provide documentation containing the resource location and appropriate contact information to facilitate coordination. If resources are not found, REDi HCC will provide documentation indicating that resources are exhausted. This information may serve as documentation that the resource request should be elevated.
This process assists with facilitating resource coordination between our partners (by sharing, trading or via compensation – determined by the parties), in addition to assisting the Washington State Resource Request Process by providing another avenue to acquire healthcare resources, before resource requests are elevated to the appropriate jurisdiction authority.
The Coalition's ability to query regional resources depends upon accurate contact information. To ensure your organization is able to contribute to future regional resource queries, please provide 3 contacts from your organization using this link.
A coordination call service is available to all coalition partners who participate in the region’s Situational Awareness Response Processes. The purpose of a coordination call is to serve as just in time coordination with Coalition peers and to find agreement and alignment regarding issues affecting the healthcare system’s response. Average time for a coordination call is approximately 15-20 minutes, with the maximum length being 30 minutes. Process details are documented in this Coordination Call summary document.
To activate this service, call the REDi Duty Officer at 509-362-0041 and provide the problem statement, contact list for participants in addition to any context needed and preferred time for the call (usually within 1 hour of the request).
REDi HCC Duty Officer
As an emergency response organization, the REDi Healthcare Coalition provides a duty officer 24/7/365 to respond to emergencies in the healthcare community. The officer is a rotating Coalition staff member and acts as an emergency point of contact for Coalition partners during, and outside of, normal business hours. The primary functions of the duty officer include:
For details about the duty officer and the REDi Healthcare Coalition response function, please reference this handout.
General Information Sharing
Information regarding Coalition activities, response resources, planning meetings, etc. is shared through our REDiLINK newsletter. Our most recent newsletters can be found here in the REDiLINK newsletter archive. To opt-in for newsletters, complete this opt-in form.
Once a week, REDi staff will facilitate a regional COVID-19 meeting where leads from local health jurisdictions (public health), Emergency Management, EMS, and healthcare will gather virtually to discuss COVID in their county, data trends, response gaps/needs, and successes. Partners will be asked to report out by county. During these webinars, REDi staff will give an overview of Coalition response activities then provide an opportunity for partners to ask questions, engage in conversation about this response, and provide updates. Please view more details and RSVP here.
REDi HCC Response Plan
All HCC response functions fall under the Regional Emergency and Disaster Healthcare Coalition (REDi HCC) Response Plan. It provides a concept of operations for a coordinated healthcare response to incidents impacting the nineteen counties and four tribal areas of the REDi Healthcare Coalition. This plan outlines the roles and responsibilities of the coalition, members, and partners during a community-based incident or event, this plan supports strategic planning, information sharing, and resource management; the integration of these functions with the ESF-8 lead agency to ensure information is provided to local officials; and communicates and addresses resources and other needs requiring ESF-8 assistance. The primary focus of the HCC, outlined in the plan, is to support healthcare organizations during emergency response and recovery.
Regional Patient Placement, Tracking and Movement Coordination
Medical surge patient placement stakeholders including hospitals, DMCCs, EMS, and LTC are encouraged to attend ongoing coordination meetings starting on June 9, 2020. These reoccurring coordination meetings are all posted on our events page.
HCC partner input and guidance has led to the transition of medical surge support and demobilization of the ROC. The ROC was designed to be a centralized service integrating essential medical surge functions, requires re-distributing medical surge functions them out to the respective lead agencies.
Questions about the transition of ROC services can be directed to firstname.lastname@example.org
Crisis Standards of Care (CSC) Regional Clinical Triage Team
We hope we never need be in a healthcare “crisis” space in our region. In case that a shortage of space, staff or equipment causes a competition for resources or patient access to care becomes a reality, the REDi HCC Crisis Standards of Care Regional Clinical Triage Team Annex outlines how we will support healthcare organizations and providers within the Coalition that are affected by a CSC declaration. This annex is written in alignment with Washington State Department of Health Scarce Resourced Management and Crisis Standards of Care guidelines.
How it works
Once a Health Officer declares a crisis, and the surge planning becomes exhausted, the Regional Triage Team (RTT), when asked, will provide consultation regarding CSC. Within one hour, 3-4 partners from across the region, including medical ethicists and senior clinicians, will come together to deliberate and determine next steps.
Support for Healthcare System Crisis Standards of Care Committees
The CSC RTT does not supplant the work of individual healthcare agency or system CSC committees. However, it is available to support these committees if needed. Resources developed by the Washington State Disaster Medical Advisory Committee may be used by healthcare system CSC committees and found in our Resource Library.
WATrac is communication technology used for efficient and coordinated healthcare information delivery throughout Washington state. It is the only system of its kind in the state and enables users across healthcare disciplines to accurately track the availability of hospital beds, surgical specialists, and facility/agency status.
Do you use WATrac regularly for daily operations or have ideas for how you can improve WATrac? Are you passionate about operationalizing emergency response plans with the use of a centralized system? Are you promoting WATrac in your own community and training others within your agency on how to use the system? If you answered yes to any of these questions, we are seeking your input! The WATrac advisory committee regularly revisits how we operationalize WATrac in eastern Washington, and make necessary changes to improve the user experience for all. Meetings are open to all REDi partners, but WATrac Advisory Committee members must apply. If interested in attending the next meeting, RSVP on our Events page or read more about the WATrac Advisory Committee.