Want feedback to this plan – tell the working group what you think. There will be presentation abut the plan and then make small groups.

Thank you to people who created the forum and invited people. The community decided who to invite.

Also thank Debbie Jackson from DCAB who is coordinating the meetings.

Robin Brandt will free float and check all the sessions – to aggregate comments and come up with all the plans. Take comments and synthesize them.

Two people (Danny and Ina) from State Civil Defense.

People from different agencies introduce selves in small groups, then ask for representatives to Oahu October 22nd meeting.
•Debbie provides flow of today’s meeting.
How we will move forth:
• Overview in powerpont
• Break into three groups (count off by three)
• Remember numbers – direct to group area
• Handouts: agenda, plan and evaluation sheet
• Timelines on agenda are guidelines – zip through this to bring ideas to us
• Each group will select recorder and share information from group with larger group
• Ground rules:
   o Silence your phones
   o Respect each other
   o Be open andhonest with the group
   o Give feedback on ideas
   o Don’t hurt the messenger – feel safe
   o Listen to understand
   o Raise your hand to be acknowledged
   o Speak one at a time
   o Respect the process (start and end on time)
   o Ask why questions to assumptions
   o Express your ideas here – to help us.
•Set up blog – so you can log in and express ideas later on
•Money provided for the workshop includes two round trip tickets to Honolulu so people from the county of Kauai can participate. If agreeable with the group,leave with Mayor’s committee on equal access to select the candidates. Let Larry or Kristina know if you would like to come.

On with the show – Francine will start the powerpoint

• How many people know about this document on line? (very few hands go up)
• Discussion of impact of Hurricane Kristina and need to address emergency situations to be inclusive of persons with disabilities
• Focus on state agencies that were included in a discussin here in Hawaii:
   o Department of Educaiton
   o Dept of Health
   o DCAB
   o Executive Office on Aging (aging population)
   o Emergency response – Civil Defense at state and county levels
   o American Red Cross
   o Healthcare Association of Hawaii – coordinate response from hospitals
   o Advocacy agencies: Mayor’s Cmmittes on Persons with Disabilities and Hawaii Association of the Blind and Hawaii Services on Deafness
   o Lacked input from the community

Developed plan and went to the Legislature for a number of initatives
How to improve and tweek the plan
This is a planning meeting – not to teach you about emergency preparedness
When develop 2008 and 2009 plan, can see the objectives and move objectives off as they are accomplished.
Every year see what needs to be improved
Please speak up and tell us – even if you object to just one work (derogatory, incorrect, expanded, etc.)

Debbie will discuss how we got to this stage of the plan
     Why is the issue important – recent experiences with Hurricanes Rita, Katrina and other disasters include the entire population, so the most vulnerable people should be included.
     One of the biggestdiscussions was “who are people with disabilities”?
     Can’t just use ADA because some people can function independently with a care giver. Level 2 – may not need those

Give list of who is included in the plan:

As we all age, it includes all of us.

Generally think that about 20% of the people might need assistance, but 10-13% might need assistance in this state. Harris Poll for National Organization on Disability

General statistics
58% of the do not know who to contact in emergency
61% have no plans to safely and quickly evacuate
50% have no plans to safely evacuate from the workplace

Where are the people located – see on last page of the plan – they are registered in care facility. There are others who are not living in care facilities and identified in other ways.

End of October will send out a survey to know where the pockets of people with disabilities are to recommend to State Civil Defense where to locate next phase of Level 2 shelters

Focus of plan
Includes in 2007 – transportation, communities without mass transit, people without own cars have no way to get to and from a shelter

Planning for people by level of care needed (not disability) Staff different shelters with different kinds of people needed

Danny discuss levels of care and shelters
Hurricane planner for State of Hawaii is the planner for shelters – lack of shelters, types of shelters. Are behind, hope to be on track in 2007

Level 1 is regular (220 statewide) staffed by Red Cross – need 600 – 700 statewide Staffed by Red Cross. If have person with arthritis, artificial limbs, insulin pumps, etc. Shelters are segregated. Single males and females are in different corners. Families in different corner. People with special needs in another corner. Regular self care.

Level 2 – more stringent – need care for feeding, changing clothes, going to the bathroom, taking medications. Must have caregiver come with you. Heard horror stories from Katrina. Only one medical person – not care at level 2 shelters. If people need care, they must bring the caregiver.

Level 3 – ready to give birth, had a major operation – acute medical care required and under the care of a physician.

Francine
Assumptions or Basic Principles
First – emergency readiness is foremost a personal responsibility You must be ready and prepared – it is a personal responsibility. The government will not be coming to get you.

People with special needs should be kept with their families and not separated from them. Remain as a unit. Will try to keep units together because the more a unit is together, the more they can provide care and attention to each other.

Second –
Plan for pwd and special needs must be part of the overall planning for the entire community.
Although want to know where people are located and the Dept of Health and Human Services with databases on their clients, not supporting registeration of all people with disabilities.

Danny
Must have own personal disaster kit – must have individual and family disaster kit to help self.

Goal 1 – all pre-designated communit emergency management shelters Objectives:
• Upgrade existing shelters
• Locate new accessible spaces and hard to increase capacity
• Train shelter workers to response appropriately to pwd

Goal 2 the capacity to “shelter in place” shall be increased – alleviate the demand on level 1 shelters and allow individuals to remain in place
• Establish tax credits or other incentives for “shelter in place” renovations
• Assist in long term care facialites to upgrade
• Retrofit homes to allow people to stay in place

Goal 3 Increase number of level 2 shelters Long term goal all
Objectives:
• Id and designate – Level I
• Level 2
• Level 3

Goal 4 accessible public and emergency readiness campaign developed and implemented Objectives:
• Develop and conduct statewide public and professional outreach programs
• Conduct emergency planning with State case managers
• Purchase emergency kits – sold by Red Cross with basic items in kit (clothing, medication to be added)

Goal 5 Health care providers shall have appropriate emergency guidelines in place
• Develop appropriate county evacuation guidelines – what do different agencies do?
• Strengthen licensing and oversight of health care facilities to include emergency evacuation

Goal 6 (notification) Individuals with disabilities or special health needs shall receive equivalent notification of evacuation in accessible formats
• Media broadcast
• TTYs
• Accessible websites
• Reverse 911 system

Goal 7 Each county shall have a plan for providing transportation for pwd or people with special health needs who have no transporation to get to and from shelters
• Develop operational transit service plans for pwd in each county
• Inform pwd of transporation options available in the county if an emergency occurs.

Yes, transit system or service may need to be activated but not available in regular times.

Questions?

Instead of giving registered names – you are looking at where people live – discussed with Debbie –
Plot out where people live so know where to place shelters.

Question – what about the homeless people?
Answer – that’s a good questions. Maybe include agencies that provide access to people who are homeless. In Katrina – got a lot of people who were homeless. The hardest people to work with were people who are homeless because now had a place to go (shelter), so the problem is getting them to leave the shelter after the disaster is over.

Question – Gene Ota, DOE, everybody on break. Asked to attend yesterday at last minute. On State Task force for the Schools. Medicaid Fragile students – may be tied in – these are the students with oxygen or other things. Are we going to be prepared at the schools? When Medicaid fragile students are at school, their needs during a disaster needs to be addressed.
Answer – There is database of all the children served – but not all the children existing. Public health nurses know all those in their delivery system and creating an individualized plan for these families. People don’t get all services in one place. Sometimes they get no service – may not be on anyone’s case services. Maybe just Meals on Wheels and a child checking in. It doesn’t hurt to have all agencies helping pwd be prepared.

Question – Personal attendant caregivers – is there a guarantee that the caregiver will stay with the child at the school. Have tough time finding caregivers or will they go home and care for own famlies. That is a real concern.
Answer – No guarantee – gut reactions when an emergency occurs. Worry about own family first – then hope that personal care attendant will return. But we do not know if personal care attendant will do that.
 

Question – Will AmericanRed Cross train people to be able to provide this care?
Answer – not specifically in the plan
Danail – RedCross does not have enough staff to man all the shelters. Will be asking – if something were to happen next week and do have the shelters open (all 200) even if we don’t have a MOU but have guidelines established, we will open Level 2 Shelter. Maybe won’t have all the caregivers. But will find the volunteers that we can use to help the people who need it. Whatever the role – babysit, registration, security, take out of the garbage – whoever goes to the shelter will be asked to do their part, and asked about their skills. People tend to pull together in an emergency. It will happen. We have a plan and working toward the completion of the plan. Don’t have people trained to provide all the care needed right now. We may need to change the objectives, make the wording stronger. Asked for $8 million dollars (153,000 spaces short) last year to retrofit more DOE schools. No money was appropriated.  Need your help with the legislators.

We can finish this plan before the legislative session and talk with the key legislators to provide the funds to help in all the areas. Need infusion of money and human capital to come up to a standard we would all like to see before a tragedy occurs.

Instructions:

Think as big a system as possible but knowing you will respond as an individual.

For example, I live in a condo and we have a buddy system. That’s fine for evacuating in a fire and at the time of a fire if we are both there.

At the same time I have an elderly father in single wall constructed home . I have a sister with severe disabilities and visual disability. Also have responsibility for acting in the disaster response. We must all make very quick decisions, when the emergency hits.  What will the streets will look like? Just run through as many scenarios as possible and make good decisions as possible.

Break into groups.

Nov 3, 7:51 AM
Vanessa Fletcher wrote:
As a disable person I feel safer knowing that there is a plan and people that are really considering alternatives. I want a mirror and a flash light because I live in a rural island area. Thankyou.

Goal 6

K1          In background statement, second line:
               ● Premise that equivalent notification should be provided may need to be modified for [persons with] cognitive disabilities who need to depend on [social service] agencies and or care givers

K2         Spell [out] acronyms

K3         Emphasize that redundancy of notification is important (in background statement)

K4         No one system works for all and people may not pay attention until they hear the message the third or fourth time

K5          Long term care facilities need same advances, lead time as hospitals – general comment

K6          Would like to have more specifics on contacting populations with developmental disabilities and who are Deaf – general comment

K7          Reword Goal 6 to read: SCD mechanisms will make available information in accessible formats

M1          Shelters – can they charge cell phones, black berries, etc.

M2          Notification based on use of electricity – need alt. power
                ● Radio stations need backup generator
                ● People need battery radio

M3          Stations need updates at 15 minute intervals – many stations not ‘live’ – list which station to turn to

KON1     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.)

KON2     Ensure each agency with client caseload has an “emergency tree [phone] system” [to contact clients in the case of an emergency]

KON3     Sirens [are] nonfunctioning [currently] – some don’t go off. Need multiple level system [of emergency notification]. For [example, in the case of a] local tsunami, there is no enough time to alert [residents].

KON4     [Sirens] Differentiate [among tsunami] near ocean versus others – different sounds mean different action
                ● Need to educate tourists on [the different sounds and type of emergency]

KON5     Ensure all radio, television, utility have back-up generators and stay operational

KON6     Satellite communication systems? Status?

KON7     Develop a symbol which means “take action” for [an] emergency
                ● Different for each emergency, adapt from Department of Labor and Natural Resources signs

KON8     “Symbol” [would] pop up on cell phone, Department of Transportation road signs, [and in] laser light shows, [as well as] computers

KON9     Lifeline service – notify people [who use this services as a] “reverse Lifeline”

KON10   All providers – cell and regular phones and pagers

KON11    Loudspeaker for tsunami – trucks in neighborhoods (low tech)

KON12    Networking – CERT teams, caregivers, postal carriers, care-homes, homeowner subdivisions – condo associations, service club

KON13    Cognitive disability – work through caregiver or family

H1            Expand wording to reflect notification of emergency in addition to evacuation.

How to warn people (other than relying on friend) who are deaf or blind?

O1            Draw “X” on person’s back

O2            Buddy system – COBWEB image

O3            Sprint – notify in emergency (have program to subscribe – on trial now for people who are deaf & hard of hearing

O4            SNAP – Video Relay Service (VRS) – relay video

O5            HOVRS

O6            Civil Defense
                 ● Use flag & hoist at various location (store, mall, school – Red Alert)
                 ● System & strobe with own power

O7            Weather service – self subscribe; need to promote – NOAA.gov

O8            Layer from: no-tech, low-tech, hi-tech

O9            Remember notification in middle of night – most systems not in place
                 ● Flares in night – use military

O10          Notification system in condos

O11          S.O.S.

O12          Need to ensure that siren system is working, especially at night

O13          Use neighborhood watch system

O14          HPR used to give out info (statewide)
                 ● Based on geographic area

O15          Neighborhood notification board

O16         Crime stoppers – Emergency Watch

O17          Town crier / block watch – depend on human

O18          Reverse 911 – self subscribe

O19          Encourage use of old (wired, plug into telephone jack) phones

O20         Back up generator for Oceanic Cable vision for phone.
                ● If power goes down, no phone

O21         Satellite phones – will they work?

O22         Manual Siren – tsunami

O23         Sprint notification system when developed will reach all subscribers

Objective 6.1

K1         State Civil Defense (SCD) should monitor TV captioning and crawl as it is aired

K2         Note that purpose of TV alert is only warning to direct person to alternate source for more specific information

K3         Need to differentiate ALERT NOTIFICATION from INFORMATION

M1        Please identify ‘all broadcast media’

H1         Radio in Kona only caught Maui. If emergency on one island, all islands should broadcast.

Objective 6.2

M1        Explain Blog

M2        Teach people to register for emergency notification

O1         Add video relay at SCD

O2         Back up generator for radio station

O3         Video Relay Service (VRS) – if it is faster to get. DSL, then teletypewriter for the deaf (TTY) not best choice

O4         Notify agencies (residential services) that serve PWD in advance – how long in advance

Objective 6.3

K1          Add universal pictures or pictograms or symbols for emergency on website – some people may not read words but would understand pictures.

K2         Add other sites such as Kauai.gov, Hawaii.gov to list

Objective 6.4

K1        Add cognitive

K2        Check emergency email.org as possible alert paging system

K3        Health insurance company (HMSA, Kaiser, Medicare, Medicaid)

K4        Initiate system with ISP to post notice on website as soon as you log in

K5        Put “Flash” audio warning on Kauai.gov website (check with ISPs) other websites

Objective 6.5

K1        Reverse 911 – problem to keep up list. Therefore system should be self-register or subscribe and unsubscribe

K2        First responders and persons with special needs are target but system can be open to all

K3        Kauai.gov ensure staff 24/7 and link to fire and police

K4        Do not limit objective to reverse 911 (instant messaging or other systems may be as appropriate as reverse 911)

Objective 6.6

M1        Teletypewriters (TTYs) for the deaf – low on list

M2        Look at text messaging

M3        Get text message from cell phone company

M4        Repetition, duplication

M5        Lifeline systems – activate call

M6        Maui County status of Reverse 911?

M7        Different sounds with sirens

M8        Educate public to use phone books

M9        HAM radios – still being used?

M10      Molokai & Lanai – check re: notification

M11       Advanced (before general public) notice
               ● Agencies, senior housing, home care, long term care
               ● How much advance notice depends on type of emergency?
               ● (Legality?) Case managers in state

M12       Town bulletins (Paul Revere)

M13       E-mail good in some situations

M14       Warning signs on roads

M15       Flashing strobe

M16       Individual Service Plans (ISP) – Developmental Disabilities Division (DDD) for notification

M17       Check fire department – people on ventilators
               ● Durable medical equipment – liability?
               ● Public libraries – handouts
               ● Amber Alert – not on Maui

M18       School can give out emergency card to parents (shelter info)

M19       TV commercials

M20       Have a designated radio station – (KMVI) – Maui

M21        List of providers – add to 1st responders

M22        Register with system where people get benefits (social worker, to then go out) – Social Security or welfare

M23        Radio

New Objective

K1            Initiate Statewide public service campaign on siren system, especially to information visitors

K2            Have Hawaiian’s Tel Relay Service initiate calls to all TTY users for notification. Have Oceanic, etc. text messages to subscribers

Other Comments

H1            Plan should take into account what will work in an emergency – especially in earthquake (Radio station no back up power)

H2            Distinguish hurricane from earthquake because amount of notification.

H3            Updated interpreter list – make sure they can go to a TV station

H4            People who are Deaf just don’t get information

H5            Need to plan for no electricity or communication system

H6            Reverse 911 – phone, cell, pager, voice & text
                 ● Who will be contacted?
                 ● Will it be self-registry?

H7            Many DD clients live alone – can’t read or speak

H8            Develop symbols for those who are high visual or can’t read/understand symbols exist but not used in notification (county has new signs for tsunami areas)

H9            Police – can they go out and flash lights?

H10          Big Island word of mouth (rural)

                  ● Text will work longer than voice on phones

H11           Reverse 911 – 1st responders then general public until system shuts down

H12           AM / FM station ok. HAM radios ok

H13           E-net (Hawaiian Paradise Park) – bullhorn within the community – very local level; use CERT or neighborhood (police) watch citizens’ corps.

H14          Community Association President is called during emergency. Include condo association in Kona.

H15          Check with other places – Safe place – Austin, TX

H16          In Flossie – DOH notified DDD and all OHCA facilities of impending disaster.

H17          In reverse 911, priorities to TTY users text msg.

H18          Use informal support (neighbors) through large agencies to notify people

H19          Register database. Use Office on Aging – vans used for evacuation; for notification?

H20         Reverse Life Alert implement (waiver can pay)

H21          Neighborhood notification system

H22          Develop program for HAM radios

H23          Ensure all sirens are functional. *DD priority

H24          DOH says that if you experience earthquake, get out. 20 minutes

H25          Puna – lava outbreaks alert now

H26          Alert PAs and caregivers to tell their clients – top priority for reverse 911

H27          Habitat for Humanity – include safe room in their projects

H28          Pre-taping generic announcements with captioning or interpreting

H29          Neighbors – 1st line of redundancy. Set up notification system at local level -community based phone tree / network

H30          Rebates for purchase of HAM radio and flashlights manual or not dependent on electricity / battery

H31          Alert sticker on home / business

H32          Federal Communication Commission (FCC) regulation limits local stations change regulations?

H33          Green Harvest – drop info / bullhorn

H34          Homeless disabled – care-a-van notification and outreach workers (private non-profit) and police

H35          Establish announcements on road signs

H36          Program street lights – flashing light (code lights)

H37          Link flashers with tsunami warnings (code lights)

H38          Utility company to contact those dependent on electricity – check with medical supply companies.

Goal 7

K1            Comments on evacuation – general
                 ● The amount of time is a factor in providing transportation
                 ● Hurricanes may have days warning notice to allow for transportation and evacuation
                 ● Tsunami generated elsewhere may be a matter of a few hours notice
                 ● Tsunami generated locally may be as little notice as half an hour
                 ● In the case of a tsunami, there can be no evacuation for isolated or hard to reach areas (Ha`ena to Hanalei, as example) due to lack of time. Evacuation with transportation is only realistic with a hurricane due to advanced notice.
                 ● Emphasize that mass transit is the preferred means instead of private automobile to get to shelter
                 ● Resolve liability issue

M1           Maui Economic Opportunity (MEO) and Roberts both in inundation zone. Need to move their assets if tsunami as top priority

M2          Time of day affects where you move people (work to home, home to shelter)

M3          Tsunami vs. hurricane (most severe) affects response

M4          Frail elderly – many cannot use buses

M5          Need central dispatch for Kaunoa

M6          Identify gas stations operable

M7          How soon after evacuate?

M8          Shelters – when full can or should you transport to the shelters?

M9          Maui County Transportation will respond to County Civil Defense (CD) for “unique transport situations. Keep mass transit operating as long as possible. Then revert to on-call to CD. Cannot respond to any individual public request.

M10        Emphasize personal plan

M11        County to take over all buses in disaster

M12        Set up an ohana (neighbor) response to provide transportation to PWD and elderly who are isolated. – CERT is limited to specific emergency.

M13        Use of rental cars, taxi

KON1     Realities showed that trying to move people is more of a risk than people staying in place

KON2     Question whether there is any realistic option in Kona – keep in the plan so that issue is not lost

KON3      All buses must be lift accessible

KON4      Rural Kona – difficulty in getting in and out of client’s home due to isolation and poor [road or travel] conditions [therefore] shelter in place

KON5      Alternate arterial roadway system

H1            MOA to use vehicles – not county has authority to take private vehicles or facilities

H2            County Transportation needs to respond to a voluntary list of people with disabilities to transport. (County Office of Aging will activate for their clients)

H3            Activate the school buses and develop a registry of drivers who are able to drive a bus or van. Create incentive for those with Commercial Drivers License (CDL) to be activated.

H4            Tax incentive to trucking companies whose drivers would be activated in emergency.

O1            TheBus – Oahu – buses will have notice to transport to shelter

O2            Maile Alert System – electricity

O3            Electronic system on highways

O4            TTY is not a good way – because it is becoming obsolete

O5            Transportation depends on amount of advance notice

O6            Handi Van will not transport if emergency announced. Will try to pick up clients, if possible

O7            Roberts, Gomes – bus has capability to transport – van pool? Agencies servicing PWD have vans.

O8            Military – active duty, reserve – limited use for transportation in flood, might evacuate

O9            Agreements to use school buses and tourist buses

O10          Transport to shelter ahead of time? Need to open Level II

O11          Direct service workers – protect families first

New Objective

K1            Tie transportation registries into “neighborhood evacuation” group or CERT teams

K2            The paratransit list is too limited

K3            Coordinate with utility companies to notify people of emergency, include if they have transportation needs. Kauai utility company has a registry already. [Notify the following groups by phone:]

                 ● Special needs
                 ● Medical
                 ● Elderly

K4            Establish County agreements to share use of private vehicles (e.g. with long term facilities) to increase [transportation] capacity

K5            Coordinate with transportation services for medical trips

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”

The current Plan is found on the home page of the Disability and Communication Access Board at www.hawaii.gov/health/dcab/interagencyplan/index.htm.