Goal 4
K1 Document own needs
•Pre-registration for ALL shelters
•Prescription
•Contact number
•Department of Health form to use (to give to public)
K2 Fire department
•Volunteer stickers (Symbol for person with a disability, i.e., symbolic representation of person using a wheelchair, pet)
K3 Standardized identification for persons with disabilities/special health needs
•Item in emergency kit
•Part of the county brochure – use that “Hurricane readiness”
•Wallet-sized
K4 Develop system to fill out form (including foreign language)
K5 Collaboration to include health provider in discussion (especially if [person] speaks foreign language)
K6 Provide information to
•parents
•health insurance company (HMSA, Kaiser, Medicare, Medicaid)
K7 What can we learn from Hurricane ‘Iwa and ‘Iniki? Use past experience
K8 Agency listing – include the Americans with Disabilities (ADA) Coordinator, Center for Independent Living (CIL),
Area Agency on Aging (AAA)
•Need to designate agency to maintain list
K9 Education campaign
•Use what’s in media now re: disaster [preparation]
•Community meetings
•School system, insurance
•Internet
•Health fairs
•Fun runs
•State fairs/county fair information booths
K10 Use senior companion program for education (and senior centers)
K11 Develop natural supports/buddy system
K12 Staff positions to teach facilities to review and make functional evaluation plans
K13 As shelters are designated (Level II), post information in places to inform the public
K14 People register for shelters
•Estimate how many people will use shelters (although not everyone will show up)
•American Red Cross can determine staffing needs for shelter
K15 First responder liability (when not on duty)
K16 Recovery phase – Need to develop short term and long term plans
K17 Visitors
•Hotels – involve in planning
•Registration – of persons with severe health needs or physical needs
•Inform of own responsibilities
•Provide information card to visitor at hotel registration
K18 Client information
•Picture ID – address
•Homeless – physical description of location where they regularly stay
•Database and paper file
K19 Provider agencies – give services/get information / provide information
K20 Partner with pharmacist when people get their prescription
•Contact form – gather information and provide education
•Contact form /provide information (minimum supply /O2 [oxygen])
K21 Release of information /share information forms (agencies to share information with each other)
K22 PSA – educational (residents and visitors)
K23 Shut-ins brochure to provide information on emergency preparedness
•1-1 staff to educate person /make plan
•1-1 staff to help execute plan
K24 Develop specialized agency for this purpose
•Educate community (people with disabilities, persons who are elderly, families and agencies)
•Set up database
•Maintain database
K25 Use civic organizations as partner
•Education
•Buddy system
K26 Churches – member list
K27 Electric company – has listings (persons with severe health needs, medical, and elderly
•Bill insert – for educating
•Software with programmable message (within one year)
K28 Education PSAs – “Help your neighbor” campaign
•Care providers
K29 Physician’s offices distribute information
K30 Live broadcasting
•Internet – streaming media
•Information – in a PDF format
•Blog
•Radio
K31 Community Meetings – for public education
•Neighborhood Watch
•Have voluntary registry of people who need assistance
K32 DOH annual assessments – check form to identify if education is needed or to request meeting
K33 Ethnic or cultural associations
K34 District meetings
•Discuss needs
•To improve communication between parties
K35 Mandate emergency planning and evacuation as part of the “Plan of Care”
•For people who are Medicaid regulations, Hawaii Administrative Rules (HAR), developmental disability (DD), or have a mental illness (MI)
•Licensing Hawaii Administrative Rules (HAR) 100 or 89 Adult Residential Care Home (ARCH or Dom Homes)
•Include emergency planning
K36 Agencies contracting with the State of Hawaii
•Include emergency evacuation plan
•Work with Department of Accounting and General Services (DAGS) - procurement
K37 Goal 4 – make first sentence an objective
•Make second sentence the goal – “emergency preparedness or evaluation plan in place.”
K38 Use consistent wording
•“emergency preparation” and “emergency evacuation preparation” as these terms don’t mean the same thing – perhaps use “comprehensive emergency planning”
K40 Definition page – include terminology and abbreviations
K41 Outreach to homeless population
•Who is responsible to help develop this plan?
K42 Staffing Level II shelters
•Medical Reserve Corp
K43 Emergency Preparedness Campaign Week (same message – consistency)
•Electricity bill inserts
•First responders
•Television Public Service Announcement (PSA)
•County Plan
•Transportation Plan
•Registration
•Update individual plans annually
K44 Media Campaign
•Disaster mascot (like “Sparky”)
K45 Updated Shelter list
•Publish in newspaper
•Publish in phone book
M1 Department of Health (DOH) – Developmental Disabilities Division (DDD) – in process of meeting with clients
•Provide list of supplies
•Case manager notify clients / parents – meeting with parents / family – Individual Service Plan (ISP)
•Identify shelters – listen to radio – ensure shelter open
•Provide special ID for person with developmental disabilities (bracelets)
•If can’t wait in line at shelter, American Red Cross is looking at “spotters” to see if there is a need to be addressed and can move people out of line
M2 Person with disability – have indicated on State ID card “epilepsy” “diabetes”
M3 Schools – emergency plan
M4 Checklist in phone book
M5 Accurate & update information to disseminate
M6 Public Service Announcement (PSA) – television (elderly prefer)
•*Budget for State Civil Defense (SCD) to do PSAs (LeslieWilcox – Public Broadcasting Station director – contact)
•Use current tsunami card to include more information about person
M7 Portable TV – battery operated
M8 Community Organizations –meetings- establish list of PWD
M9 Churches
M10 Mail-deliver 1 page flyer & stuff in mailboxes – use a large postcard
M11 Emergency medication for Medicaid clients
M12 www.mauiready.org
•Website with emergency info
•Booklet & wallet card, shelter list & map
M13 Disaster kit include:
•Air mattress
•Ziploc bags
•Paper plates
•Incontinent supplies
•Folding shovel
•Use fishing vest with pockets for person in wheelchair to have easy access to items, instead of looking for it in a bag
M14 Insert -Maui news
M15 Identify isolated clients
•Education – provide checklist
•Examples – flashlights
•“Ready to Go Plan”
•*Think of preparation
M16 Information desk / booth at community events (whole day)
M17 Postcard advertising at Internet cafes “Are You Ready?”
M18 Short video – air different stations
M19 Radio announcements
M20 Advertising stickers / magnet – where to go for information
M21 Frank Delima for PSA
M22 Senior fair / health fair – information booths
M23 Maui LTC Partnership (MLTCP) – Maui Health Initiative Task Force (MHITF)
M24 Veterans Organizations – resource for information distribution
M25 Aloha Disaster Network (faith-based group)
M26 Mormon Church
M27 Voluntary Organizations Active in Disaster (VOAD)
M28 Local Emergency Planning Council (Maui Electric Company)
M29 Maui Economic Opportunity (MEO)
M30 Vocational Rehabilitation (VR)
M31 Homeless Community – education
•Anyone working with homeless & emergency preparedness? Are there any existing resources?
•Information exchange
M32 School curriculum to teach kids about emergency preparedness
KON1 Have radios, flashlights and phone [that] work without batteries
KON2 Weather alert – [over the] Internet
•Doesn’t work anymore – how do get it again
KON3 [Pacific Disaster Center, managed by the University of Hawai`i and located on] Maui [could it be used?]
•Inform their staff with respect to people with disabilities
KON4 Shelter in place included in each [personal] evaluation plan?
KON5 Big Island has many different kinds of emergencies
•How do you deal with [all the] variety?
KON6 Let people know all involved – education about all issues
KON7 [Provide] Drills in schools
•Tsunami drills
KON8 Humane society and veterinarians – [when an individual or family] adopts a pet provide information on emergency
KON9 Evacuation [When the] statewide survey [is conducted] – include schools – “Safety week” theme include different variety of
KON10 Agencis [emergency in blogs or disaster have evcuation readiness] issues plan and practice (including hotels)
KON11 Schools need to prepare to keep children if disaster occurs
KON12 [Put information about emergency readiness in the] Phone book
•Information
KON13 [Put out a public service] message to have battery-powered radio (or a crank radio)
H1 HDRC – ice chest – use as a kit. Preparedness
•What would you do? (practice on own and in simulations)
•Assessing if plan will work (reality during emergency)
H3 Standardize part of message
•PSA – captioning / interpreting message
•Posters – for people with mobility impairments; post/mount near water fountain
H4 DOH
•PSAs good
•Health educators part of team (work with district office)
H5 Work with community colleges / high schools and have students work on project
H6 Living in Paradise – Derek Koresu (local stories)
H7 Provide a statewide message and include PWD in general message – safety and emergency prep is statewide issue
H8 Find a way to get more than 30 days worth of medicine (Quest / Medicare / Medicaid) – look at this on larger scale (have back up for emergency – rotate supplies)
H9 *Legislation for monies for PSA
H10 Beacon lights – mount on homes to indicate “special needs” home
H11 Work with churches to include PWD in plans
H12 Grocery stores – info table for emergency prep checklist
•Have price cap for cost of items during emergency
•Stay open 24 hours during emergency
H13 *Matson containers
•Use for community storage and can lock for security
•Add lights that blink during emergency
•Can store generators and large supplies
H14 Each family look at own needs – investigate re: being paid back – people with limited income have difficulties
H15 Sprint – text message for people who are Deaf
H16 TV – text and have an American Sign Language interpreter
H17 Community forums
H18 Agencies serving PWD
•Responsible to educate clients, families, direct service worker (DSW) / personal care attendant (PCA), community based providers
•Easter Seals does education; has phone tree and will contact families to inform them of disaster and having plan in place
•Share plans
H19 Keaau Youth Business Center (include in discussion)
•Has audio visual equipment
•Cyd Hoffeld (contact person) to create educational video
H20 Have back up plan if no power for cell phones
H21 Emergency prep planning (include all groups – include churches)
H22 Foodbank for planning to gather food for those without food
H23 Employers / airlines – provide education (brochures)
H24 Worry about tourist, homeless
O1 Reword, summarize it
•Use action word 1st “Develop and Implement a Personal Emergency Readiness / Preparedness Campaign (Larry Littleton to come up with wording)
•Preparedness includes evacuation
•Clarify Goal 4 – Develop goal and then disseminate
•Develop statewide outreach program
Objective 4.1
M1 Message ideas
•”You are Responsible”
•”Shelter in Place”
•”Are You Prepared?”
M2 Get car charger for cell phone
M3 Being prepared means having gas in your car
M4 County Fair / Fundraiser / Walks – information booths – caregivers walk
M5 Department of Human Services (DHS) – Do mail-out with Medicaid / Med Quest
M6 Preparation – have medication ready
KON1 General message about readiness with website listed (on-going messages) – Shelter in place message [broadcast]
•Film for windows (broadcast where to purchase)
KON2 How to get message out to people with disabilities so that it’s understandable
KON3 [Utilize traffic or transportation] Message boards (digital) [to alert the public of impending emergency]
KON4 One message – yellow flashing light means “turn on [your] radio” [to learn about emergency]
KON5 Include the Department of Health Communications Office, [contact] Janice Okubo
KON6 Put up two FM towers to improve communication system in rural/remote areas (Puna, Oceanview, Ka`u, and H1 Kohala)
H1 Simple statewide slogan. Use a “short and sweet message”
•”Be Emergency Ready” & pictures
•”Readiness Alert Information”
H2 PCA / DSW – training for self and client to be ready
H3 Agencies have in place as part of Medicaid Waiver Contracts – annual plan review (have plan outline for provider)
H4 For clients – part of Individual Service Plan (ISP), but not “real”
•Practice (basic)
•Families / case managers need to work on developing natural supports and community contracts
H5 Downtown associations / malls / Small Business Association (SBA) – outreach and training – use posters
H6 Bus stops near ocean
•Stop operations – normal transportation not operational
•Be aware of action plan and practice
H7 Agencies – post maps and emergency evacuation plan for people to see and use
H8 County Civil Defense – design standardized signage for emergencies (symbols and color)
H9 Community groups in various geographic areas can begin to inform public
H10 Department of Education (DOE) train children every quarter on how to be ready for emergency – when working with “deaf-blind” person write “XX” on back means it is emergency and need to follow them now and it will be explained later
H11 “Making Your Own Connections for Notification of Emergency”
•For people with communication difficulties
•Don’t wait – go now (if any questions, go now)
•”Planning, planning, planning” (with practice)
H12 How can a person send universal “S.O.S” if they are in trouble or need assistance?
•Personal signaling device ($30/mo)(Lifesaver program)
H13 Include alternative format
•Simple language or graphics
•If you know someone who needs alternate format, do this.. . (go to website, radio, etc)
H14 If you are okay, check on your neighbor
H15 Message – send to workers who work with PWD or kids with disabilities to help family to figure out needs – develop, practice, implement plan
O1 Use identifiable personality
O2 Private/public partnership
•Phone book information (ensure information is accessible and page number, update what’s in phone book) used to provide information in Braille – not now; include phone number to have information provided on tape
•Use “Katrina” to get information out (“Remember Katrina – Are you prepared?”
•Cable TV – emergency evacuation information – provide in large print and spoken (accessibility)
O3 County and State Civil Defense
•Use city bus and cab to advertise/post information
O4 Get to blind consumers – National Federation of the Blind (NFB), American Federation of the Blind (AFB)
O5 Channel – how to reach blind community, wheelchair users and general population
O6 Footnote – add accessibility for people who are blind
•Medium – Braille, large print, print, electronic (ensure it’s available to deaf-blind people)
O7 Mascot (contest to select one) – age appropriate
O8 Motto “Always be prepared”
O9 Include “gum”, “squeeze ball”, “worry beads” in kits for stress relief
Objective 4.2
K1 Challenge agencies to ensure clients have individual plans
H1 Good to continue to work with all agencies – Hawaii Waiver Providers Association
•Working with consumers with disabilities
•Do collaboration with them at DOH
H2 Home health care collaborate
•Hawaii Health Care Association
•Primary Care Association
H3 People with mental health issues – include in education and planning (DOH –Adult Mental Health Division (AMHD), Child & Adolescent Mental Health Division (CAMHD), private organizations) – *information on support services Mental Health (MH) Transformation Grant available
O1 Clarify purpose for listing of agencies (what will be done with list)
•Agencies on list – what can do during emergency and after disaster (Hawaii VOAD group)
•Add Hawaii Centers for Independent Living (HCIL), Honolulu Police Department (HPD), Honolulu Fire Department (HFD)
O2 Develop one phone number for emergency information (211, 711, etc.)
O3 Provide accessible information form at phone company, electric company, gas company (for cooking purposes)
O4 One-stop-shop for emergency evacuation needs
O5 Assistance for people with cognitive disorders to assemble kits
•Sylvia Yuen – Center on the Family (UH). Scatter gram to look at cluster of PWD (census data)
O7 Kupuna Program
O8 Number itself detracts from objective
O9 Delete “form the foundation of”, and replace with “information dissemination” (Keep language simple)
•Making list of organization serving persons with special needs
O10 Definition section
O11 Ok way it was
O12 Deaf information hotline / emergency alert (free) – text
O13 Comic book
O14 Be sensitive to Health Insurance Portability and Accounting Act (HIPAA) confidentiality requirements
O15 Include Department of Education (DOE), University of Hawaii (UH) & Community Colleges (CC)
Objective 4.3
K1 Change the wording
•“individuals who need level II shelters.”
•Use people first language through out the document and label Shelters Level II not Level II individuals
M1 Each agency working with PWD / SHN – have agency emergency preparedness plan
M2 Use agency email lists to send out emergency info (i.e. Special Olympics)
M3 Designate agency to order /assemble / distribute disaster kits
•*Use civic organizations (Lions, Rotary, etc.) to fundraise to purchase kits
M4 Educate Foodbank staff – will need to distribute food during emergency
M5 Collect water – catchments
KON1 Check about National Emergency Preparation Month (September – annually)
•October 21, 2007 Is the `Ohana Outreach Fair
•Outreach and counseling to earthquake victims [from a year ago]
KON2 Include Hawai`i Disability Rights Center in interagency work group
KON3 Communication disconnect at various stages of government
•State and County
•Agencies: development of materials (example Hawai`i Disability Rights Center [developed] forms in isolation)
KON4 Use plan in other places
•Plans [should] have outcomes
•This is not a “vision” – it is on-going
•Designate lead agencies to work with clients; [this is] occurring
KON5 Who explains 20 shelters but only two are operational?
KON6 Who is the point of contact for involvement in this plan? How can they be involved?
KON7 Communication, even across [this] island about plans can be severe disconnect; often exclude persons with
H1 Evening trainings – families and friends and PWD – Churches who may be responsible for various areas
H2 Need money to purchase kits – grants / money from civic organizations to buy and assemble kits (kits with wheels)
H3 Ace Hardware – at Christmas – asks for money donations and assembled kits for people who are homeless
H4 Offer evening trainings to families and friends
H5 Anxiety and stress levels increase during and after event
H6 Use video for some information – already developed – online version of training – distance learning
H7 Make available on public access channel
H8 Resource -Mental Health Division
H9 Educate state employees with family members with disabilities about emergencies
H10 Hawaii Visitors Bureau
•Train the trainers on critical stress management
•Volunteer de-briefing
H11 Include “calming” foods / techniques in disaster kits (teas but no coffee or chocolate)
O1 Multilingual and in accessible format
O2 Broaden into agencies providing services
O3 Include QUEST – Aged, Blind & Disabled (ABD) population
O4 Simplify language
•Use one term (defined at beginning of plan) for who the target population is and use one term throughout the Plan
•At beginning – include that we must have the ADA in the forefront of our minds
O5 Maintain multilingual wording (separate objective) (demographic on language – use information from that)
O6 Where is cultural aspect addressed?
O7 Define “agency” “everybody”
O8 Status on work with people who are elderly
O9 Report on status of clients served by state agencies (which populations completed)
Objective 4.4
K1 Challenge agencies to ensure clients have individual plans
H1 Developmental Disabilities Division (DDD) – attached with ISP
•Done as annual planning process
•Clients have plans / kits (encourage families to have plans and kits also)
H2 ??Department of Human Services (DHS) Progress on Big Island
H3 ??DOH AMHD and CAMHD – status on Big Island
KON1 Can we get some emergency kits for care home clients?
KON2 Where are the nearest shelters?
KON3 How can we get to the shelters? [For Goal 7]
KON4 Neighborhood readiness: in case of emergency, focus [will be on the provision of] water, sewage [service provision]
KON5 Care facilities dilemma – know what need to do but cannot people who need care get there
KON6 Rural areas – longer wait for service
•Infrastructure missing (ex., Lack of building inspectors). No registry of building inspectors.
•Two county building inspectors – need to increase the number. This is a county issue. [However] the county call the state for a solution
KON7 Communication between the government liaison and city and count and state systems – need to identify these breakdowns in responsibility and where to create change.
KON8 Make system more responsive
KON9 Get information out – county training communities – (CERT contact Ralph Yawata) to be self-sufficient. Take care of their own. Needs to be incorporated into this plan. – Take care of self and own, especially in isolated rural areas
•Do this with neighborhoods (as they do in Hana)
•South Kona, Puna, and Kohala also examples
•Sub-divisions off feeder highways with their own community center such as Cove, Oceanview Estates
KON10 [Create] own registry in [these more isolated] communities
KON11 Personal information doesn’t appear to be concern – not overriding concern. Should this be expanded?
KON12 [The federal] Department of Justice suggested a registry for agencies serving people with disabilities
KON13 People at the Mayor’s Committee for Persons with Disabilities discussed [the idea and implementation of a registry] and were unanimously opposed to it.
KON14 How does one create a registry that does not collect dust [and remains in] use?
KON15 [The] DD Council [has been] discussing this [the idea of a registry] for some time
O1 Adult Mental Health Division (AMDH) working in education of clients
O2 Partner with Health Insurance Companies
O3 Have a guide, checklist, clearinghouse of information (211)
O4 Department of Health (DOH), Developmental Disabilities Division – case managers working first with individuals (statewide) – follow up doing now
O5 Delete “clients” use “customers” or “consumers”
O6 By case managers / providers – put in deadline
Objective 4.5
K1 Combine Objectives 4.4 All state clients needs plan and 4.5 All students need plan
M1 More detail
M2 Make emergency ID for children with disabilities and teach student how to put on during emergency – include one
M3 Parents involved with developing evacuation plan
M4 Department of Education (DOE) – parent / teacher meeting
M5 Train DOE staff – for all students (Public Health Nurses to train DOE staff)
M6 Safety fair – annually at each school – *can make interactive for participants
M7 Involve fire/police departments with planning -*have “Emergency Preparedness Week”
M8 Include disability awareness information at safety fairs – pass out standardized information
M9 *Block watch programs – “Help Your Neighbor Campaign”
M10 Include Department of Hawaiian Home Lands (DHHL) in educational efforts
M11 Include all tenants / community / realtor associations – develop “Aloha Kits” to distribute
M12 Red Cross – Information on “How to Find Each Other After a Disaster”
M13 Use churches -meetings – work to educate – Office of Social Ministry – Catholic Church
M14 “Aloha Network” -meeting 1/mo – Education Emergencies
•Med Quest -mailing
•”This is where your shelter is…”
M15 ”Make sure you have enough medication.”
M16 Include phone book.. . indicate which shelter is Level II
M17 National Oceanic Atmospheric Administration (NOAA) website
•Hana
•Everyone knows each other
•Everyone know who PWD are
M18 Help each other during crisis
M19 Have emergency kit in car – water & food
M20 Have insurance companies hand out emergency information to members to put together evacuation plan
M21 What are plans for beyond DOE? [University of Hawaii (UH) & Maui Community College (MCC)]
O1 Emergency preparedness in schools – Gene Kaneshiro, DOE; Rodney Iwaski, Department of Education (DOE).
O2 Special Education – has bathrooms and possible generator. Include private schools.
Other Comments
H1 Message needs to be multi-language and culturally appropriate
H2 Need registry on Big Island
H3 Many people living in remote areas have equipment they need to take during evacuation
Goal 5
M1 Health care providers – transporting people – keep emergency kit in car
M2 Why aren’t Adult Residential Care Home (ARCH) plans monitored?
M3 ARCH clients have “direct plan” for Power of Attorney for decisions during disaster
M4 Require disaster kits for each consumer with a disability (Make it standard)
M5 Shelter in place needs:
•Stove
•Water (purification / catchments)
•Medication
•Refrigeration
KON1 Not sure if civil defense procedures are in place
KON2 Check care homes in operation to ensure if they receive state dollars, [assure that they] are accessible
KON3 Improve monitoring and inspections of ICF/SNF
KON4 Who decides if the person wants to stay in place?
KON5 Who is responsible when decision is made [for person with disability to] stay in place?
•Who is liable?
KON6 DDD Case manager doesn’t make decision. Leans toward a person with an informed consent
•May need to pursue further
KON7 If [who hears?] allegations of abuse and neglect, contact state ombudsman’s office
O1 Hawaii Health Systems Corp – Tom Driskill
O2 More comfortable – shelter-in-place
O3 Facility inspection / hardening
O4 Shelter-in-place – staffing needs (short and long term planning)
O5 “Evacuation” not appropriate wording – Disaster mitigation
O6 Add definition of” health care providers”
O7 Remove “evacuation” from 5.1 and 5.2
Objective 5.1
M1 Follow up on dissemination of county guidelines
KON1 Agencies [should] work together
KON2 Add the County Civil Defense
KON3 New technology should be integrated into the plan, for example GPS
KON4 Project Lifesaver – bracelet triangulation monthly battery check. Only effective on Big Island. May be good for very vulnerable population. (Cost is $30 a year, expense of a battery replacement, the county has this technology.)
O1 Remove “evacuation”
Objective 5.2
M1 Follow up on dissemination of county guidelines
H1 County Civil Defense works with individual agencies to develop plan
H2 Need to identify the homes (apartments) with PWD (under Housing and Urban Development – HUD) but not licensed by State – have night managers but no one there 24/7
H3 3,600 students with DA identified by DOE in county of Hawaii
O1 Remove “evacuation”
August 3, 2008 at 4:40 pm
I agreed with you