FLOOD INCIDENT ANNEX Arizona Department of Health Services
←
→
Page content transcription
If your browser does not render page correctly, please read the page content below
FLOOD INCIDENT ANNEX
Arizona Department of Health Services
September 2021[This page intentionally left blank] Flood Incident Annex Page | 1 September 2021
Table of Contents Record of Changes .................................................................................................................. 3 Purpose .................................................................................................................................... 4 Scope ........................................................................................................................................ 4 Situation Overview ................................................................................................................. 5 Planning Assumptions ........................................................................................................... 5 At-Risk Populations .........................................................................................................................5 Concept of Operations ........................................................................................................... 6 Preparedness Activities ..................................................................................................................6 Activation and Initial Response .....................................................................................................7 Ongoing Response ..........................................................................................................................7 Demobilization/Recovery ...............................................................................................................7 Public Health Impacts/Indicators and Potential Actions ........................................................... 8 ADHS HEOC Operations in a Flood Response .......................................................................... 10 Organization and Assignment of Responsibilities ........................................................... 12 Direction, Control, and Coordination ................................................................................ 14 Authority to Initiate Actions ........................................................................................................ 14 Incident Command System ......................................................................................................... 14 Information Collection, Analysis, and Dissemination ..................................................... 15 SEOC Coordination ....................................................................................................................... 15 Public Information and Joint Information Systems ................................................................. 15 Common Sources of Information .............................................................................................. 15 Communications .......................................................................................................................... 16 Administration and Finance................................................................................................ 17 Emergency Procurement............................................................................................................. 17 Expedited Hiring of Contract Staff ............................................................................................. 18 Plan Development and Maintenance ................................................................................ 18 Authorities............................................................................................................................. 18 Appendix A: HEOC PHIMS Template .................................................................................. 21 Appendix B: Flood Response Message Map ...................................................................... 22 Appendix C: Arizona County Flood Control Districts....................................................... 23
Record of Changes
Date Change Page(s)
• Aligned position titles to current PHIMS structure
• Created plan activation levels for scalability
• Further defined response activities through the
phases (Preparedness, Response, Recovery)
July 2016 Throughout
• Added potential public health impacts from flood
incidents
• Updated external partner list
• Added County Flood District contacts
November 2016 Updated layout and format Throughout
Updated format and grammar Throughout
Added At-Risk Populations section P. 5-6
May 2021 New Plan Development and Maintenance section P. 18
Updated Authorities section P. 18-20
Updated County Flood Control Districts Appendix C
Added Emergency Procurement sub-section P. 17-18
September 2021 Added Expedited Hiring of Contract Staff sub-section P.18
Updated HEOC PHIMS Template Appendix A
Flood Incident Annex Page | 3
September 2021Purpose
This document serves as a hazard-specific annex to the Arizona Department of Health
Services (ADHS) Emergency Response Plan (ERP), and to any applicable roles of ADHS
defined in the State Emergency Response and Recovery Plan (SERRP). The overall goal of
this annex is to identify and limit the adverse public health effects from a flood, and to
protect the public from sources of contaminated food and water.
This annex provides guidance to ADHS, describing the operational and organizational
coordination required for a response to flooding in Arizona. With the development of this
annex, ADHS will:
• Identify and limit the adverse public health effects of flooding
• Identify conditions and/or events that would trigger activation of the Flood Incident
Annex
• Provide a framework for coordinating the efforts of divisions within ADHS, counties,
tribes, cities, and other stakeholders and agencies that provide services to support
the citizens of Arizona. This includes necessary considerations for the special
populations of Arizona, including but not limited to the:
o Homeless
o Seniors
o Medically “at-risk”
o People with access and functional needs
o Reduce the health risks associated with flooding and get information out to
these populations in a timely manner
• Provide a list of prevention and educational resources that may mitigate adverse
effects and/or deaths from flooding
• Coordinate the sharing of critical information with state and local partners as
described in the ADHS Crisis and Emergency Risk Communication (CERC) Plan
Scope
This annex describes how ADHS will use the Public Health Incident Management System
(PHIMS) to manage a flood response impacting the public health and medical sector
through the concept of operations, roles and responsibilities, information sharing and
supporting operations, such as environmental health, behavioral health, and hospital and
healthcare systems.
PHIMS uses concepts from the National Incident Management System (NIMS) as set forth
by Homeland Security Presidential Directive (HSPD)-5. The PHIMS structure has been
developed to support scalability to adapt to expanding incidents of all sizes. PHIMS has
been developed to be compliant to those guidelines mandated by NIMS.
Flood Incident Annex Page | 4
September 2021Situation Overview
Despite its generally dry climate, many places in Arizona are at risk of flooding. As heavy
rainfall drains off steep terrain, flash flooding downstream is common. In the deserts, the
heavy rainfall hits dry, hardened ground and quickly runs off into normally dry washes that
are generally un-bridged. An example of a flood risk would be the summer monsoon
season thunderstorms. These storms drop large volumes of rain in 30 minutes or less
statewide. (Situation Overview excerpt from the Vulnerability Assessment for Flooding in
Arizona, 2016, ADHS Climate and Health Program)
There are multiple strategies that ADHS uses to identify and provide support for vulnerable
critical facilities (e.g., nursing homes, schools, childcare centers, hospitals, long-term care
centers and other healthcare facilities). Primarily, ADHS uses a licensed facility interactive
map that shows a street-level view of all ADHS-licensed facilities and gives key facility
information.
Planning Assumptions
• ADHS will coordinate ESF 8 Health and Medical Operations for the State Emergency
Operation Center (SEOC).
• The Arizona Department of Emergency and Military Affairs (DEMA) will be the lead
agency for statewide flood response.
• The roles and responsibilities described in this plan are designed to support the
SERRP, maintained by DEMA.
• This incident annex supports the ADHS ERP and the ADHS Health Emergency
Operations Standard Operating Procedures (HEOC SOP).
• ADHS personnel will support statewide operations by activating the Health
Emergency Operation Center (HEOC).
• ADHS will provide support to local health departments providing public health and
medical support to their local communities.
• Activation of this annex will occur when local public health capabilities are exceeded
during a flood response.
• This plan applies to all flood types (e.g., flash flood, over bank (river/stream)
flooding, urban, ground failures/dam breaks, and fluctuating lake levels) as well as
all severity of floods (e.g., localized flash flooding, 100-year floods, and 500-year
floods).
• ADHS will coordinate the developing and disseminating of crisis and emergency risk
communication (e.g., educational resources that may mitigate adverse effects
and/or deaths from flooding) with federal, state, county and tribal flood response
partners through a Joint Information System.
At-Risk Populations
Planning for at-risk individuals occurs on several levels within Arizona. The U.S. Department
of Health and Human Services (HHS) and the Arizona Department of Health Services
Flood Incident Annex Page | 5
September 2021(ADHS) use the Communication, Maintaining Health, Independence, Support and Safety,
and Transportation (CMIST) framework to identify and understand at-risk individuals with
access and functional needs (AFN) when planning for, responding to, and recovering from a
disaster. The CMIST Framework provides a useful and flexible framework for emergency
planning and response that emphasizes a person’s needs without having to define a
specific diagnosis, status, or label.
During a disaster, it has been observed that certain at-risk individuals, specifically those
with AFN, have required additional response assistance before, during and after an
incident. These additional considerations for at-risk individuals with AFN are vital towards
inclusive planning for the whole community, and have been mandated for inclusion in
federal, state, territorial, tribal, and local public health emergency plans by the Public
Health Service (PHS) Act. In addition, the Arizona Health Care Coalition (HCC) will be called
upon during an emergency event to share information throughout their members to
ensure that the needs of at-risk individuals are addressed.
Concept of Operations
The activities and steps listed in this annex will be used to support statewide public health
and medical response efforts for flooding. This document may be used in whole or in part
to guide smaller non-declared flood responses, as well as large declared disasters. Under
this plan, the Department will use its NIMS compliant incident command system called the
PHIMS to manage the incident. See the ADHS ERP, the ADHS HEOC SOP, and the ADHS
CERC Plan for more information on public health emergency operations.
As a support agency for statewide flood response, ADHS will work with local, tribal, and
public health and emergency management partners to determine the need for HEOC
activation and the activation of public health support systems (e.g., medical supplies and
materiel, volunteer health professionals, environmental health measures, and non-
pharmaceutical interventions).
This concept of operations (CONOPS) section provides an overview of the public health and
medical response to flooding based on the following phases 1) Preparedness, 2) Activation
and Initial Response, 3) On-Going Response, and 4) Demobilization.
Preparedness Activities
• ADHS preparedness personnel regularly monitor reports and receive alerts for
severe weather from the National Weather Service (NWS), Arizona Department of
Transportation (ADOT), and other sources.
• ADHS preparedness staff regularly monitors WebEOC for events related to flooding
hazards.
• The ADHS Office of Environmental Health continuously works with state, local, tribal,
and community partners to promote extreme weather and flood preparedness.
Flood Incident Annex Page | 6
September 2021• The ADHS Bureau of Public Health Emergency Preparedness maintains situational
awareness with county, tribal, and healthcare partners during extreme weather
events.
• The ADHS Hospital Preparedness Program (HPP) works with the state HCC, including
hospitals, clinics, long-term care facilities and other healthcare access points, to
improve preparedness and response capabilities for all types of hazards (including
flooding).
• ADHS maintains a cache of durable medical equipment that can be used to support
persons with basic to moderate healthcare needs in a general population shelter.
Activation and Initial Response
• The ADHS Director or designee may activate all or part of this annex based on input
from local health departments, emergency management, or other partners.
• Activation may be triggered by a county or tribal health department request for
support, or a healthcare coalition partner request for resources.
• The HEOC may be activated physically or virtually to support the response based on
the scale and scope of the incident.
• Notification and activation procedures for HEOC staff are documented in the HEOC
SOP.
Ongoing Response
• HEOC staff will maintain situational awareness with emergency management, public
health, emergency medical services, and healthcare coalition partners.
• Healthcare facility capacity and capability (i.e., medical surge) will be monitored
throughout the response.
• Environmental health staff in the HEOC will work with partner agencies (e.g.,
environmental quality) to assess health impacts and develop public messaging.
• ADHS will coordinate with state, tribal, and local partners to address considerations
for access and functional needs populations affected by flooding.
• HEOC staff will work with the Arizona Health Care Cost Containment System
(AHCCCS) to coordinate behavioral health services.
Demobilization/Recovery
• HEOC demobilization may coincide with SEOC demobilization or may occur when
local public health and healthcare system capacity is restored.
• Certain response components (e.g., environmental health, behavioral health) may
continue after the HEOC is demobilized. These activities will become part of the
recovery phase (see the ADHS Recovery Plan for more information).
• Once the life safety and public health concerns have been resolved, recovery
operations will become the primary focus.
• The HEOC Manager, in consultation with the ADHS Director, will initiate
demobilization of the HEOC staff and resources.
Flood Incident Annex Page | 7
September 2021• Efforts will focus on the restoration of public health infrastructure and healthcare
system capacity and capability including monitoring and coordinating responses to
ongoing public health, medical and mental/behavioral health system recovery
needs.
• Recovery efforts may continue long after demobilization of the HEOC.
Public Health Impacts/Indicators and Potential Actions
Three levels have been created to describe the increasing complexity and severity of a
public health and medical flood response.
Each level includes indicators for public health, healthcare system, environmental health,
sheltering operations, and behavioral health impacts (see Table 1). The indicators listed
below are intended for response escalation and may serve to prompt some of the action
and tactics included in Table 1, below.
Plan
Activation Indicators/Impact Potential Actions/Tactics
Level
• Reported flood watch • No activation
(conditions are favorable for • Local, tribal and state public health
flooding and flooding is monitoring for any increase in
possible) flood-related illness or injury
• Public health staff on standby for
possible activation of HEOC
Level 1
• Healthcare facilities on standby for
shelter-in-place or evacuation
• Establish situational awareness for
healthcare facilities in the impacted
areas
• Local and state sheltering staff (ESF
6) on standby to activate shelters
• Shelters on standby for evacuees
Flood Incident Annex Page | 8
September 2021Plan
Activation Indicators/Impact Potential Actions/Tactics
Level
• Reported flood warning • Activate annex
(flooding is imminent or • Virtually activate HEOC
occurring) • Provide liaison to SEOC, if activated
• Transportation systems • Provide PIO for SEOC Joint
disrupted (specifically EMS) Information Center (JIC), as
• Increase in flood-related requested
illness/injury • Assess need for durable medical
• A single well or water system equipment
contaminated (sewer or • Coordinate and disseminate public
Level 2
drinking water) health messaging
• Healthcare facility evacuation
occurring
• Local/tribal health requested
state support for flooding
impacts (medical surge,
sheltering, others)
• Activation of shelters
• Need for behavioral health
support services
• Reported flood warning • Activation of annex
• Multiple facility • Virtual/physical HEOC activation
evacuations/shelter in place (dependent on incident scope)
plans activated
• Evacuations of AFN/Serious
Level 3
Mental Illness (SMI)/medically
fragile populations
• Disruption of transportation
systems (specifically EMS)
• Multiple systems (sewer or
drinking water) impacted
Flood Incident Annex Page | 9
September 2021Plan
Activation Indicators/Impact Potential Actions/Tactics
Level
• Immediate life safety and • Reduce HEOC staffing and response
public health concerns have • Inform, staff, media and public that
been resolved emergency no longer poses a
significant threat to public health or
safety
Demobilization/Recovery
• Verify all systems, technology and
communications systems are
accounted for
• Ensure any resources deployed to
support response operations are
tracked and returned
• Conduct after-action conferences
and follow up with partner agencies
and organizations (local public
health, hospitals, healthcare
facilities, behavioral health
systems/providers and emergency
management).
ADHS HEOC Operations in a Flood Response
A variety of PHIMS chart positions are detailed in the HEOC SOP, along with job action
sheets. The positions listed below provide an overview of some of the roles and
responsibilities for HEOC staff in a flood response with a public health impact:
PHIMS Position/Title Responsibilities
• Drafts environmental and public health messages
Epidemiology Branch Director for the public and healthcare practitioners
• Tracks epidemiological data
• Provides technical advice and consultation to local
health departments, healthcare providers, ADEQ,
food and water entities and others for the
following environmental and public health issues:
o general sanitation
Environmental Health Branch
o safe food
Director
o water supply
o re-entry
o mold/contamination issues
o carbon monoxide poisoning
• Provides public health information related to
public health issues, such as maintaining sanitary
Flood Incident Annex Page | 10
September 2021PHIMS Position/Title Responsibilities
conditions, a source of potable water and
decontaminating food
• Gives guidance and recommendations on food
storage and food safety to the State Prison
kitchens, as well as Assisted Living and Group
Homes
• Assists the local health departments for shelters,
restaurants, retail food establishments and
application of vector control measures, as needed
• Ensures inspection of various shelters for
sanitation and cleanliness
• Provides support to the Arizona Department of
Environmental Quality (ADEQ) and the local health
departments to advise on safe drinking water and
community water systems
Epidemiology Branch Director
• Provides technical advice on vectors and animals
Human/Zoonotic Surveillance
as they relate to public health
Supervisor
• Provide technical advice and consultation to local
health departments, healthcare providers, first
responders and the general public regarding
Immunization Branch Director tetanus and other vaccine administration
• If requested by the county public health
department(s), assists in the ordering and
receiving of necessary vaccine
• Coordinates messaging to healthcare providers
and the public
• Develops provider messaging to be distributed
through the Health Alert Network
• Develops public messaging to be distributed
through the JIC
• Develops fact sheets and talking points for
Public Health Messaging Branch internal ADHS staff and for external use by local
Director health
• May develop other materials, such as letters,
toolkits, social media messaging, etc.
• Coordinates Spanish translation of materials, as
needed
• Provides news and media updates
• Provides guidelines as they are updated by CDC
and other agencies
Flood Incident Annex Page | 11
September 2021PHIMS Position/Title Responsibilities
Local/Tribal Health Branch • Helps to coordinate support of local and tribal
Director health departments for resources and staff time
• Provides coordination and guidance to the
Hospital and Healthcare Branch Licensing Supervisor
Director • Acts as the liaison to other PHIMS to ensure
consistency and continuity as appropriate
• Support group homes, assisted living facilities,
Hospital and Healthcare Branch
hospitals, community health centers, and other
Director/Licensing
healthcare providers regarding environmental,
Supervisor
public health and evacuation issues
Organization and Assignment of Responsibilities
Primary Agencies Roles and Responsibilities
State
• Activates HEOC to provide emergency
operations coordination of health and
medical services
• Provides liaison to SEOC for public
health representation if needed
Arizona Department of Health Services • Assists county and tribal public health
(ADHS) organizations in identifying additional
emergency medical services
• Health Emergency Operations Center • Identifies licensed care facilities in
affected and/or evacuated areas
o Division of Public Health • Provides epidemiologist and laboratory
Services (PHS) support
o Bureau of Public Health • Identifies and shares EMS support
Emergency Preparedness resources
(PHEP) • Provides interpretation of water quality
o Bureau of Epidemiology and data relating to public health
Disease Control (EDC) • Provides ESAR VHP/Volunteer
o Bureau of Emergency Coordination
Medical Services and Trauma • Provides a Public Information Officer
System (PIO) to craft (in conjunction with the
o Bureau of State Laboratory local health departments) various
Services health messages for the SEOC JIC
o Public Health Licensing • Coordinates with the Centers for
Disease Control and Prevention (CDC)
• Coordinates resource requests from
local and tribal and healthcare system
partners
Flood Incident Annex Page | 12
September 2021• Liaison with AHCCCS and provide a
connection with RHBAs and TRHBAs
and local/tribal health departments to
coordinate behavioral health services
• Coordinates flood response
Arizona Division of Emergency and Military • Coordinates operations of JIC/JIS
Affairs (DEMA) • Coordinates information sharing to
maintain a common operating picture
Secondary/Support Agencies Roles and Responsibilities
State
• Environmental impact assessment
Arizona Department of Environmental
(activated through HEOC)
Quality (ADEQ)
• Provides data on water quality
• Infrastructure Assessment (activated
through HEOC)
• Provides status reports and reporting
Arizona Department of Transportation
on road closures, bridge issues, loss of
(ADOT)
transportation routes
• Damage assessment of critical
infrastructure organizations
• Identifies access and functional needs
Arizona Department of Economic Security
populations
(DES)
• Social services assistance
• Assesses and coordinates critical flood
Arizona Department of Water Resources
data from various federal, state and
(ADWR)
local agencies
• Additional information and state agency
support may be requested from various
Other State Agencies
agencies depending in the size, scope
and nature of the incident
Local
• Assesses need for shelter
• Coordinates resource requests from
County and Tribal Emergency Management local public health
• Work with ARC to coordinate shelter
operations
• Monitors the medical and behavioral
County and Tribal Public Health health needs of the community,
including those in shelters
• Flood plain data and projections
Flood Control Districts
• Floodplain management
Flood Incident Annex Page | 13
September 2021• Storm water quality and management
Federal
Assistant Secretary for Preparedness and • Fulfills Strategic National Stockpile (SNS)
Response (ASPR) requests if needed/requested
• Provides weather data and future
forecasting as well as Incident
Meteorologist
National Weather Service (NWS) • Issues hydromet forecasts, watches and
warnings.
• Only NWS can issue official flood
watches and warnings
Non-Governmental Organizations (NGOs)
• Provides situational awareness on
infrastructure status
Utility Companies • Assists in responder/public safety and
health through deactivation of utilities
to affected areas
• Provides sheltering support (ESF #6
American Red Cross (ARC)
Mass Care)
• Healthcare systems monitoring/HEOC
AzCHER Healthcare Coalition
Liaison
Arizona Volunteer Organizations Active in • Provides personnel and resource
Disaster (AzVOAD) support as needed
Regional Behavioral Health Authority/Tribal • Provides behavioral health outreach
Regional Behavioral Health Authority and identification of behavioral health
(RBHA/TRBHA) populations
Direction, Control, and Coordination
Authority to Initiate Actions
1. The ADHS Director, or designated appointee, holds primary responsibility for
activation of the HEOC and PHIMS. This power is also vetted to the Assistant
Director of Public Health Preparedness Services and the Chief of the Bureau of
Public Health Emergency Preparedness.
2. Implementing the Flood Incident Annex will come from the HEOC Manager or
appointed official.
Incident Command System
As an agency that receives federal funding, ADHS incorporates elements of NIMS into
emergency operations. The Department’s incident command structure, PHIMS, is NIMS
compliant. PHIMS integrates multiple department-wide program activities into a cohesive,
modular emergency response structure capable of expanding or contracting to fit the size
Flood Incident Annex Page | 14
September 2021of the emergency or disaster. ADHS uses after action items and lessons learned from real- world emergencies, drills and exercises to continually improve response direction and operations coordination. PHIMS follows the basic ICS with five distinct operational sections: Administrative, Operations, Logistics, Planning, and Finance. Information Collection, Analysis, and Dissemination Information will be collected, analyzed, and disseminated through the HEOC. The Planning Section is primarily responsible for information collection. Subject matter experts across the HEOC will perform information analysis. The Logistics Section and the joint information system (JIS) are responsible for information dissemination. In keeping with ICS guidelines, a number of standard reports, meetings, and systems are used to manage information. These include the incident action plan, situation reports, command staff meetings, and joint information systems. SEOC Coordination ADHS and the HEOC will coordinate with the SEOC and the JIC, if activated, through WebEOC and with the Health and Medical Branch Director for all response needs and to maintain situational awareness of the incident. Public Information and Joint Information Systems During a response, ADHS will be working with partner agencies to coordinate a joint information system (JIS), either virtual or in person. The JIS will work closely with the ADHS Public Information Officer (PIO) and the Information Dissemination Lead to develop and disseminate public messaging related to the health and medical components of the response. (See Appendix B for the Flood Response Message Map) Additionally, the information gathering and media monitoring functions of the JIS will be very important for all response partners, including public health and medical responders. Information from the media and the general public (including online sources) will help HEOC personnel and public information officers tailor messaging and response strategies to address hot-topic issues in a timely manner. See the ADHS CERC Plan for additional information on public information and messaging. Common Sources of Information During a flood response, ADHS will access various sources of information to maintain situational awareness throughout the response and into recovery. Some of those sources of information include: Flood Incident Annex Page | 15 September 2021
System/Information Source Capability
Arizona Department of Transportation Infrastructure awareness and resources
(ADOT)
Arizona Flood Warning System Coordinated flood data between federal,
(http://www.afws.org/) state and local agencies
Statewide healthcare system statuses and
EMResource™
surge capacity
Local/Tribal Emergency Management Situational awareness updates
National Weather Service (NWS) Weather and alert information
Allows for information sharing between
SEOC – WebEOC™ jurisdictions and maintaining situational
awareness with statewide partners
Provides HEOC with real-time information
SEOC – Liaison from SEOC briefings; Faster collaboration
with partner agencies
Provides ADHS a direct link to hospitals
(Central Region) and Phoenix and Mesa
700/800 MHz Radio System
Fire Alarm centers in the event of
telephone and cellular systems failure
Communications
ADHS will use these means to disseminate information to the media, the public and
stakeholder groups. The table below lists various systems and platforms along with the
target audiences reached.
Communication System/Platform Media Public Stakeholder
WebEOC™ X
Arizona Emergency Information Network
X X X
(AzEIN)
Arizona Health Alert Network (AzHAN) X
Call center X
Conference calls X X
Email X X
Emergency Alert System (Phone, Radio, TV) X
EMResource™ X
Low tech (e.g., flyers, door-to-door) X
News conferences, briefings X
Press Releases x
Social media (Twitter, Facebook, etc.) X X X
Flood Incident Annex Page | 16
September 2021Communication System/Platform Media Public Stakeholder
State Emergency Call Center X
Telephone X X X
Town halls & community meetings X X X
700/800 MHz Radio System
X
(base and handheld)
24-hour Information Line (ADHS)
X
(800) 314-9243
Administration and Finance
ADHS staff from operations, information technology, human resources, finance, and
accounting will be called upon to assist with emergency operations. Participation from
these groups will occur within the HEOC Finance Section and within the COOP Policy Group
(see PHIMS Chart for more information). Specific roles identified in the Finance Section
include the Finance Section Chief, the Procurement Branch Director, Services/Contracts
Supervisor, Cost Reimbursement Supervisor, and Overtime Coordination Supervisor.
Finance and administration will be instrumental during the resource request process.
Following traditional emergency management and response practices, all incidents begin at
the local level. Local governments may request technical assistance from the state. Finance
and administrative staff will be needed to track costs associated with technical assistance,
including any staff deployments to local health departments.
Finance and administrative staff will also be involved in tracking and cost reimbursement
associated with deploying medical countermeasures or other medical materiel allocated to
local health departments. Medical countermeasures and materiel may originate from
different federal and state agency programs and funding streams. These assets may have
varying specifics regarding federal request processes, administrative and fiduciary policies,
and legal limitations.
Emergency Procurement
Resources needed for a response will be handled by the HEOC Logistics Section while
working with the Finance Section. The Finance Section will be staffed with personnel from
the Agency’s Finance office who will be able to conduct emergency purchases for the
HEOC.
During any emergency response, there may be a need for the procurement of goods and
services to further response efforts. Therefore, ADHS has developed a Standard Work for
Emergency Procurement and an Emergency Checklist to address situations that pose a threat
to the public health system and the welfare of the public’s safety through the utilization of
statewide procurement contracts and state purchasing cards (P-Cards). This procurement
process gives ADHS the authority to respond to procurement needs in a fast and flexible
Flood Incident Annex Page | 17
September 2021way during a declared disaster. Refer to the Continuity of Operations-Executive Management
Plan (COOP-EMP) for the emergency procurement process (page 14).
Expedited Hiring of Contract Staff
In the event of an emergency, the HEOC Manager can authorize the emergency hiring of
contract staff to supplement needed operations. The fast-tracking of hiring contract staff is
coordinated by the HEOC Logistics Section through the ADHS Procurement Office. Refer to
the COOP-EMP for the steps involved in accelerating the hiring of contract staff (page 14).
Plan Development and Maintenance
ADHS plan review and revision involves three types of edits—1) Minor Technical Revisions,
2) Major Technical Revisions, and 3) Complete Plan Overhaul. In collaboration with
stakeholders, PHEP takes the lead in reviewing and revising the plan to ensure:
1. Plan revision will occur through review by ADHS and stakeholders every year.
Revision of the plan can be accomplished by communicating through email,
telephone, or in-person meetings. Plan revision will include a new plan date.
2. The plan will be evaluated through exercises or real-world events. ADHS and
stakeholder participation will vary and is dependent on the scope of the exercise or
event. The associated corrective actions, lessons-learned, and best practices will be
integrated as appropriate.
3. All plans will be shared with leadership for review and approval.
• Plans not classified as “Confidential” will be posted on the ADHS website to
allow for public feedback prior to the finalization of the plan.
• Plans that are classified as “Confidential” will be shared with the planning
team to allow for feedback prior to finalization of the plan.
4. The revised plan will be posted to the ADHS public-facing website and the agency’s
secure information sharing portal.
5. PHEP will notify ADHS, stakeholders, and other partners through email when
significant changes are made to the plan. The plan will be shared with stakeholders
to promote alignment between local and state-level emergency response planning.
Authorities
Applicable authorities include, but are not limited to those listed below. For a
comprehensive guide to Arizona Revised Statutes, visit https://www.azleg.gov/arstitle/.
Under ARS § 26-303, the Governor:
During a state of emergency, shall have complete authority over all state agencies and the
right to exercise all police power vested in the state by the constitution and the laws of the
state; and may direct all state agencies to use and employ state personnel, equipment and
facilities for the performance of activities designed to prevent or alleviate damage due to
the emergency.
Flood Incident Annex Page | 18
September 2021During a state of war emergency, shall have all authorities as with a state of emergency;
may suspend the provisions of any statute prescribing the procedure for the conduct of
state business if the governor determines strict compliance with provisions of any statute
would hinder mitigation of the effects of the emergency; may commandeer and use any
property or personnel deemed necessary in carrying out the responsibilities of the
governor and thereafter the state shall pay reasonable compensation.
May confer to the Adjutant General the powers of the Governor prescribed under a state of
emergency.
ARS § 36-104 - Powers and Duties (of the Department) This section is intended to be a
statement of powers and duties in addition to the powers and duties granted by section
ARS § 36-103. The director shall:
1. Administer the following services:
b) Public health support services, which shall include at a minimum:
i. Consumer health protection programs that include at least the
functions of community water supplies, general sanitation, vector
control and food and drugs
ii. Epidemiology and disease control programs that include at least the
functions of chronic disease, accident and injury control,
communicable diseases, tuberculosis, venereal disease and others
iii. Laboratory services programs
iv. Health education and training programs
4. Determine when a healthcare emergency or medical emergency situation exists or
occurs within the state that cannot be satisfactorily controlled, corrected or treated
by the healthcare delivery systems and facilities available. When such a situation is
determined to exist, the director shall immediately report that situation to the
legislature and the governor. The report shall include information on the scope of
the emergency, recommendations for solution of the emergency and estimates of
costs involved.
ARS § 36-132 - Department of health services; functions, contracts
17. License and regulate healthcare institutions according to chapter 4 of this title.
19. Participate in the state civil defense program and develop the necessary
organization and facilities to meet wartime or other disasters.
ARS § 36-136 - Powers and duties of director; compensation of personnel
H. Notwithstanding subsection I, paragraph 1 of this section, the director may define
and prescribe emergency measures for detecting, reporting, preventing and
controlling communicable or infectious diseases or conditions if the director has
reasonable cause to believe that a serious threat to public health and welfare exists.
Emergency measures are effective for no longer than eighteen months.
I. The director, by rule, shall:
1. Define and prescribe reasonably necessary measures for detecting,
reporting, preventing and controlling communicable and preventable
Flood Incident Annex Page | 19
September 2021diseases. The rules shall declare certain diseases reportable. The rules shall
prescribe measures, including isolation or quarantine, reasonably required
to prevent the occurrence of, or to seek early detection and alleviation of,
disability, insofar as possible, from communicable or preventable diseases.
The rules shall include reasonably necessary measures to control animal
diseases transmittable to humans.
Flood Incident Annex Page | 20
September 2021Appendix A: HEOC PHIMS Template Flood Incident Annex Page |21 September 2021
Appendix B: Flood Response Message Map
Scenario: Flood Preparedness Stakeholder: General public Concern: What can we do to prepare for a flood?
Key Message 1 Key Message 2 Key Message 3
Identify and talk with neighbors, friends,
Follow the guidance provided in Prepare a family plan, and have
and family that may be especially at risk
broadcasted flood warnings. emergency telephone numbers available.
during a flood.
Support Point 1.1 Support Point 2.1 Support Point 3.1
Obtain a National Weather Service (NWS) Assemble a disaster supply kit with
enough non-perishable food, water, Some people may face extra challenges
Emergency Band Radio or portable radio.
and other supplies for at least 72 during a flood.
Have extra batteries.
hours.
Support Point 1.2 Support Point 2.2 Support Point 3.2
Within your plan, identify points of Those living alone may be isolated and
Visit www.azein.gov for updated
contact outside of the flood zone that unaware of the dangers posed by
information on flooding.
you can check in with. flooding
Support Point 1.3 Support Point 2.3 Support Point 3.3
Be sure to follow evacuation orders for
Encourage others to make an
your area even if water levels haven’t
emergency plan and disaster kit.
reached you.
Flood Incident Annex Page |22
September 2021Appendix C: Arizona County Flood Control Districts
Apache County, Engineering Department Apache County Annex Building
75 West Cleveland Street
PO Box 238
St. Johns, AZ 85936
(928) 337-7528
https://www.apachecountyaz.gov/Engineering
Coconino County, Engineering 2500 N. Fort Valley Rd. Building #1
Department Flagstaff, AZ 86001
(928) 679-8850
(800) 559-9289
Cochise County, Highway and 1415 Melody Ln. Building F
Floodplain Department Bisbee, AZ 85603
(520) 432-9300
highways@cochise.az.gov
floodplain@cochise.az.gov
Gila County Flood Control District 107 W. Frontier St. Suite A
Payson, AZ 85541
(928) 474-1076
dderoulhac@gilacountyaz.gov
Graham County, Engineering General Services Building, 2nd Floor
Department 921 Thatcher Blvd.
Safford, AZ 85546
(928) 428-0410
https://www.graham.az.gov/251/Engineering
Greenlee County, Engineering Greenlee County Government
Department 253 5th St.
Clifton, AZ 85533
(928) 865-2072
https://www.co.greenlee.az.us/departments/engi
neering/
La Paz County, Community Development 1112 S Joshua Ave. Suite 202
Department Parker, AZ 85344
(928) 669-6138
http://www.co.la-paz.az.us/346/Community-
Development
Flood Control District of Maricopa 2801 W. Durango St.
County Phoenix, AZ 85009
(602) 506-1501 (Main)
(602) 506-2419 (Floodplain Information)
(602) 506-6762 (Media Inquiries)
(602) 506-4723 (Citizen Advocate)
Flood Incident Annex Page | 23
September 2021Mohave County Flood Control District 3250 E. Kino Ave.
Kingman, AZ 86409
(928) 757-0925
MCFloodInfo@mohavecounty.us
https://mohave.onerain.com/
https://www.mohavecounty.us/ContentPage
.aspx?id=124&cid=392
Navajo County, Department of Public Navajo County Governmental Complex in
Works, Flood Control Holbrook
(928) 524-4100
flood@navajocountyaz.gov
https://www.navajocountyaz.gov/Departments
/Public-Works/Flood-Control
Pima County Regional Flood Control 201 North Stone Ave. 9th Floor
District Tucson, AZ 85701
(520) 724-4600
Pinal County Flood Control District 85 N. Florence St.
Florence, AZ 85132
(520) 509-3555
FloodControl@pinal.gov
https://www.pinalcountyaz.gov/publicworks/fl
oodcontrol/pages/home.aspx
Santa Cruz County Flood Control Gabilondo-Zehentner Building
District 275 Rio Rico Dr.
Rio Rico, AZ 85648
(520) 375-7830
jhays@santacruzcountyaz.gov
https://www.santacruzcountyaz.gov/238/Flood
-Control
Yavapai County Flood Control District 1120 Commerce Dr.
Prescott, AZ 86305
(928) 771-3197
WEB.FLOOD.CONTROL@YAVAPAI.US
weather.ycflood.com
Yuma County Flood Control District Department of Development Services
2351 W. 26th St.
Yuma, AZ 85364
(928) 817-5000
contact.dds@yumacountyaz.gov
https://www.yumacountyaz.gov/government/
development-services/development-services
Flood Incident Annex Page | 24
September 2021You can also read
