Fatality Management. 2.1 Definition: Fatality management is the ability to coordinate with other organizations (e.g., law enforcement, healthcare, emergency management, and medical examiner/coroner) to ensure the proper recovery, handling, identification, transportation, tracking, storage and disposal of human remains and personal effects; certify cause of death; and facilitate access to mental/ behavioral health services to the family members, responders and survivors of an incident; and
Fatality Management. Introduction <.. image(Hurricane Public Domain Image 13454 from xxxx://xxxx.xxx.xxx) removed ..> Fatality management refers to the recovery, handling, identification, transportation, tracking, storage and disposal of human remains, certifying cause of death, and facilitating access to mental/behavioral health services. Preparing for mass fatality incidents requires collaboration among a variety of agencies, including health departments, to help ensure a coordinated and thorough response. The fatality management pre-incident process measure is designed to encourage health departments to collaborate with emergency management and other key partners to determine what role public health will play in managing fatalities. It is understood that a health department’s role in this capability (i.e., from no role due to legislation/regulation to a supporting role in any number of the capability functions) will vary depending on the jurisdiction. As long as a health department determines its role in conjunction with emergency management and other key partners, it has met the intent of this measure.
Fatality Management. Introduction Fatality management refers to the recovery, handling, identification, transportation, tracking, storage, and disposal of human remains, certifying cause of death, and facilitating access to mental/behavioral health services. Preparing for mass fatality incidents requires collaboration among a variety of agencies, including health departments, to help ensure a coordinated and thorough response. The fatality management pre-incident planning measure is designed to encourage health departments to collaborate with emergency management, law enforcement, medical examiners, coroners, funeral directors, and other key partners to determine what role public health will play in managing significant numbers of fatalities – or in supporting the management of fatalities by other agencies. It is understood that a health department’s role in this capability (i.e., from no role due to legislation/regulation to a supporting role in any number of the capability functions) will vary depending on the jurisdiction. As long as a health department determines its role in conjunction with its key partners, it has met the intent of this measure.
Fatality Management. Introduction Fatality management is the ability to coordinate with organizations (e.g., law enforcement, healthcare, emergency management, and medical examiner or coroner) to ensure the proper recovery, handling, identification, transportation, tracking, storage, and disposal of human remains and personal effects; certify cause of death; and facilitate access to mental or behavioral health services for family members, responders, and survivors of an incident. Coordination also includes the proper and culturally sensitive storage of human remains during death surges. Capability Functions Coordinate surges of deaths and human remains at healthcare organizations with community fatality management operations Mental or behavioral support at the healthcare organization level Fatality Management
Fatality Management. Measure 5.1: Percent of healthcare coalitions (HCCs) that have systems and processes in place to manage mass fatalities consistent with their defined roles and responsibilities. Performance Target: 100% by the end of the project period (Year 1 data will be used to establish baselines) Data Elements: Has the HCC established systems and processes to manage mass fatalities consistent with its defined roles and responsibilities including but not limited to the following: Ensuring that systems and processes are aligned with the local jurisdictional EOP or fatality management plan. Fatality Management
Fatality Management. All entities responsible for completion of a given performance element must have completed the performance element in order to answer “Yes” to Question 2. Example #1 (decentralized state). In this state, there are 10 autonomous LHDs (or autonomous regions/districts) in the jurisdiction, but only 5 have been funded to complete a given performance element for this measure. For the awardee to enter “Yes” on Question 2 for that performance element, the 5 funded LHDs (not 10) must have completed it. If the awardee itself was responsible for completion of a different performance element, it could only enter “Yes” on Question 2 for its performance element once it has been completed by the awardee. Example #2 (centralized state with 8 regional or district offices). In this state, the awardee has determined that the main office and 4 of its 8 regional offices will be responsible for addressing all the performance elements for this measure in this budget period. The awardee will determine when it and these 4 regional offices have satisfactorily completed the performance element. Pre-Incident Once the main office and the 4 regional offices have done so, the awardee may enter “Yes” on Question 2 for those performance elements. If, in this example, the awardee main office is the only entity responsible for completing a performance element (i.e., it does not assign any responsibility to any of its regions), then it may enter “Yes” once it (the main office) has completed the performance element. Core Public Response Example #3 (Directly funded city). In this hypothetical example, the directly funded city is the only entity responsible for all the performance elements for this measure. Therefore it does not need to track sub- awardees or autonomous local level entities. The city awardee will be able to enter “Yes” to Question 2 for each of the performance elements as it completes them. Fatality Management Key Measurement Terms Formal written agreement: A document between two or more parties that contains specific binding obligations or expectations that each involved party must attain. Examples of formal written agreements include the following: • Contracts • Emergency Operations Plans (EOP) and annexes, which describe roles and responsibilities of jurisdictional agencies • Letters of Agreement • Memoranda of Agreement (MOA) • Memoranda of Understanding (MOU) • Mutual Aid Agreements • Any other official document which describes the role of public health and carries with...
Fatality Management. Introduction <.. image(Hurricane Public Domain Image 13454 from xxxx://xxxx.xxx.xxx) removed ..> Fatality management refers to the recovery, handling, identification, transportation, tracking, storage, and disposal of human remains, certifying cause of death, and facilitating access to mental/behavioral health and related services. Preparing for mass fatality incidents requires collaboration among a variety of agencies, including health departments, to help ensure a coordinated and thorough response. The fatality management pre-incident planning measure is designed to encourage health departments to collaborate with emergency management, law enforcement, medical examiners, coroners, funeral directors, and other key partners to determine what role public health will play in managing significant numbers of fatalities – or in supporting the management of fatalities by other agencies. It is understood that a health department’s role in this capability (i.e., from no role due to legislation/regulation to a supporting role in any number of the capability functions) will vary depending on the jurisdiction. As long as a health department determines its role in conjunction with its key partners, it has met the intent of this measure. Depending on its role, all elements within the measure may not be required to meet full capability based on awardee-determined role in fatality management. Capability Functions This capability consists of the ability to perform the following functions:
Fatality Management. Introduction Fatality management is the ability to coordinate with organizations (e.g., law enforcement, healthcare, emergency management, and medical examiner or coroner) to ensure the proper recovery, handling, identification, transportation, tracking, storage, and disposal of human remains and personal effects; certify cause of death; and facilitate access to mental or behavioral health services for family members, responders, and survivors of an incident. Coordination also includes the proper and culturally sensitive storage of human remains during death surges.
Fatality Management. Key Questions Which agency/department has the lead role in FM for your jurisdiction? How are decedents processed in your jurisdiction normally/during a disaster? What are the roles and responsibilities of locals, regional and State government agencies? Who is responsible for processing death certificates, decedent recovery and identification, notify next of kin, etc. Has the HCC coordinated with local, regional, or State jurisdictions in order to identify the roles and responsibilities for its member hospitals, and other HCOs for Fatality Management? Do the individual facility plans align with the lead agency’s plan? Who is responsible for Family Assistance Centers (FACs) in the locals, regional and State government agencies?
Fatality Management. Measure 5.1: Percent of healthcare coalitions (HCCs) that have systems and processes in place to manage mass fatalities consistent with their defined roles and responsibilities. Performance Target: 100% by the end of the project period (Year 1 data will be used to establish baselines) Data Elements: Has the HCC identified the roles and responsibilities of member organizations and other key partners for managing mass fatalities? Has the HCC established systems and processes to manage mass fatalities consistent with its defined roles and responsibilities? Has the HCC established systems and processes to manage a surge of concerned citizens requesting information about missing family members, including how to contact the responsible agency for family support, and protocols to ensure its HCOs can connect with family assistance and/or family reception centers? Has the HCC successfully tested its systems and processes for managing mass fatalities during an exercise or event? Has this taken place within the past year? Has the HCC successfully implemented lessons learned and corrective action from this exercise or event within the past year? How is the measure calculated? Numerator: Number of HCCs (including health departments, participating hospitals, emergency management, coroners and medical examiners, funeral directors and other awardee-defined response entities) that have systems and processes in place to manage mass fatalities consistent with their defined roles and responsibilities. Denominator: Number of HCCs identified by awardees. Result Calculation: In order for an awardee to report a positive result for the performance measure, the HCC must answer ‘Yes’ to each data element. A negative response by the HCC to any data element will cause a negative result to be reported for the coalition for that performance measure. Why is this measure important? This measure helps to ensure that local public health agencies and directly funded cities coordinate with leaders or officials who manage fatalities, as well as other jurisdictional partners, to develop a shared understanding of roles and responsibilities related to fatality management. What other requirements are there for reporting measure data? Reporting for this measure is required for all awardees. Reporting for this measure is required at least annually, and at Mid-Year for BP 1. Awardees are expected to collect all data elements at the HCC level. What data must be reported? Fatality Manag...
