5_04_2.ppt

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Emergency Management Strategies:Emergency Management Strategies: Lessons Learned in Developing Lessons Learned in Developing

Specifications, Procuring, Housing Specifications, Procuring, Housing and Maintaining a 100-Bed Mobile and Maintaining a 100-Bed Mobile

HospitalHospital

Jenny Atas MDJenny Atas MDAssociate ProfessorAssociate Professor

Wayne State UniversityWayne State University

Medical DirectorMedical Director

Region 2 South MedicalRegion 2 South Medical

Bio-Defense NetworkBio-Defense Network

Mark SparksLogistics/Planning Officer

Region 2 South Medical

Bio-Defense Network

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Presentation OverviewPresentation Overview

Project BackgroundProject Background Acquisition Process and Specifications Acquisition Process and Specifications Durable and Non-Durable Equipment Durable and Non-Durable Equipment

Acquisition ProcessAcquisition Process Storage & Deployment ConsiderationsStorage & Deployment Considerations

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PROJECTPROJECTBACKGROUNDBACKGROUND~ Organization ~~ Organization ~

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Project Background ~ OrganizationProject Background ~ Organization

Pre 9-11: District OrganizationPre 9-11: District Organization

88 Emergency Management Emergency Management Districts Districts covering 83 covering 83 CountiesCounties

4545 Public Health Public Health DepartmentsDepartments

65 65 Medical Control Medical Control Authorities (oversight of Authorities (oversight of pre-hospital system) pre-hospital system) with with no seat at the tableno seat at the table

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Post 9-11: New Paradigm of PlanningPost 9-11: New Paradigm of Planning

Health Health CareCare

Public Public HealthHealth

Emergency Emergency ManagementManagement

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Medical Control AuthoritiesMedical Control AuthoritiesHospital/Pre-hospitalHospital/Pre-hospital

HRSAHRSA((now HHS now HHS

ASPRASPR))CDCCDC

Local Health DepartmentsLocal Health DepartmentsOther Local/Regional Other Local/Regional

PartnersPartners

Coordinated State/Local/Regional PlanningCoordinated State/Local/Regional Planning

Project Background ~ Organization

Post 9-11: HHS Grant Programs

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Project Background - OrganizationProject Background - Organization

Post 9-11: Regional OrganizationPost 9-11: Regional Organization

8 Medical Bio-Defense 8 Medical Bio-Defense RegionsRegions Mirror of 8 E.M. DistrictsMirror of 8 E.M. Districts Incorporates 65 Incorporates 65 MCAs MCAs Bioterrorism CoordinatorBioterrorism Coordinator Medical DirectorMedical Director Emergency Preparedness Coordinator Emergency Preparedness Coordinator

(Local Health Department)(Local Health Department)

EpidemiologistEpidemiologist SNS Technical AdvisorSNS Technical Advisor

Seat at the tableSeat at the table

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Region 2 South (R2S) OverviewRegion 2 South (R2S) Overview

3 Counties; 97 local political jurisdictions; 2.6 million people

14 P.A. 390 Emergency Management/Homeland Security Programs (4 with Public Health authority)

6 Public safety mutual aid organizations

4 Public Health Authorities 4 Medical Control Authorities 37 Hospitals 69 Fire/EMS agencies 11 Private/EMS agencies

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Regional Partnership with Emergency Regional Partnership with Emergency Management is CriticalManagement is Critical

Development of surge plans, procedures and Development of surge plans, procedures and resources must involve all disciplinesresources must involve all disciplines

Take full advantage in the ability Take full advantage in the ability to leverage to leverage other federal funding streams (restrictions / other federal funding streams (restrictions / allowances)allowances)

Allows you to mitigate duplication of effort on Allows you to mitigate duplication of effort on all frontsall fronts

Project Background ~ Organization

Lessons Learned

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PROJECTPROJECTBACKGROUNDBACKGROUND~ Foundation ~~ Foundation ~

DHHS NBHPP Program Guidance for Fiscal 2006 DHHS NBHPP Program Guidance for Fiscal 2006 dictates that states have the ability to surge outside dictates that states have the ability to surge outside

hospitals and healthcare systemshospitals and healthcare systems

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Project Background ~ FoundationProject Background ~ Foundation

SituationSituation

Hospitals in Michigan Hospitals in Michigan have incorporated the ability have incorporated the ability toto surge 20%surge 20% above the average daily census. above the average daily census.

Even with these additional 7,000 beds Even with these additional 7,000 beds there stillthere still exists insufficient surge response capabilityexists insufficient surge response capability to to address the needs that a medium level pandemic address the needs that a medium level pandemic

MEMSMEMS remains the primary method of addressing remains the primary method of addressing

Medical Surge Capacity and Capability (MSCC)Medical Surge Capacity and Capability (MSCC) Hurricane KatrinaHurricane Katrina demonstrated the utility of surge demonstrated the utility of surge

facilitiesfacilities

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Situation Situation Pandemic FluPandemic Flu

Outbreak of a moderately severe pandemic flu would exhaust Outbreak of a moderately severe pandemic flu would exhaust surge capacity within the first two weekssurge capacity within the first two weeks

Natural and Man-Made DisastersNatural and Man-Made Disasters Trauma victims immediately exhaust surge capacityTrauma victims immediately exhaust surge capacity Non-urgent health problems are exacerbated and further Non-urgent health problems are exacerbated and further

increase healthcare demandsincrease healthcare demands

Local Healthcare EmergenciesLocal Healthcare Emergencies International air-traveler quarantine International air-traveler quarantine

2003 SARS: 3,017,496 international passengers thru DTW2003 SARS: 3,017,496 international passengers thru DTW

““All hazards” response capabilityAll hazards” response capability

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SituationSituation

In light of these factors a decision was made to In light of these factors a decision was made to utilize HRSA/ASPR funding to develop two utilize HRSA/ASPR funding to develop two self-contained all-weather mobile field hospitals self-contained all-weather mobile field hospitals or “surge facilities”or “surge facilities” Initially Initially develop and equip a 100-bed unitdevelop and equip a 100-bed unit

Lay the groundworkLay the groundwork Based on available funding, develop a 50-bed Based on available funding, develop a 50-bed

unitunit Extension of 100-bed unitExtension of 100-bed unit Rapid acquisition; rely on established specificationsRapid acquisition; rely on established specifications

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Project Background ~ Foundation Project Background ~ Foundation

Patient and Staff Planning AssumptionsPatient and Staff Planning Assumptions

The Mobile Field Hospital would be designed…The Mobile Field Hospital would be designed… For patients suffering from For patients suffering from COPD, asthma, congestive COPD, asthma, congestive

heart failure (no C-PAP or vent), chronic pain syndrome, heart failure (no C-PAP or vent), chronic pain syndrome, and behavioral conditions, and needing IV hydration and behavioral conditions, and needing IV hydration and IV antibiotic therapy and IV antibiotic therapy

With With a 4:1 ratio of adult to pediatric patientsa 4:1 ratio of adult to pediatric patients With With a planned admission/discharge rate of 23 hoursa planned admission/discharge rate of 23 hours To be To be operated by a core team of medical professionalsoperated by a core team of medical professionals

augmented by volunteers (Michigan Volunteer Registry)augmented by volunteers (Michigan Volunteer Registry)

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Lessons LearnedLessons Learned

Don’t recreate the wheelDon’t recreate the wheel Patient profile from the Katrina disaster Patient profile from the Katrina disaster

experienceexperience Patient demographics from Michigan CensusPatient demographics from Michigan Census Staff profile from existing Michigan plans for Staff profile from existing Michigan plans for

Alternate Care Facilities/MEMS ModelAlternate Care Facilities/MEMS Model

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Transportable Emergency Transportable Emergency Surge Assistance Medical Surge Assistance Medical

UnitUnit( TESA)( TESA)

~ Facility Acquisition Process ~~ Facility Acquisition Process ~

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TESA Project ~ Facility Acquisition ProcessTESA Project ~ Facility Acquisition Process

Grant ApplicationGrant Application

Region 2 South was selected to develop the 100-Bed Region 2 South was selected to develop the 100-Bed TESA UnitTESA Unit

The project was outlined in Region 2 South’s FY 06-07 The project was outlined in Region 2 South’s FY 06-07 HRSA Grant ApplicationHRSA Grant Application Statewide resourceStatewide resource; housed in S.E. Michigan and ; housed in S.E. Michigan and

operated by “strike teams” from across the stateoperated by “strike teams” from across the state Complete project within the grant yearComplete project within the grant year Establish a Task Force to:Establish a Task Force to:

Research the different platforms Research the different platforms and associated planning, and associated planning, operational, administrative and logistical considerationsoperational, administrative and logistical considerations

Recommend Recommend how to best configure and develop the how to best configure and develop the facility within budgetary constraintsfacility within budgetary constraints

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Project was approved; Project was approved; $1,000,000 budget$1,000,000 budget Task ForceTask Force formed in October 2006. formed in October 2006. Agencies represented:Agencies represented:

Region 2 South Medical Bio-Defense NetworkRegion 2 South Medical Bio-Defense Network Michigan Department of Community Health, Office of Michigan Department of Community Health, Office of

Public Health PreparednessPublic Health Preparedness Michigan Department of State Police, Emergency Michigan Department of State Police, Emergency

Management/Homeland Security DivisionManagement/Homeland Security Division Michigan-1 Disaster Medical Assistance TeamMichigan-1 Disaster Medical Assistance Team

TESA Project ~ Facility Acquisition ProcessTESA Project ~ Facility Acquisition Process

Grant Approval / Initial StepsGrant Approval / Initial Steps

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TESA Project - Facility Acquisition ProcessTESA Project - Facility Acquisition Process

Task Force DeterminationsTask Force Determinations

The recommended The recommended basic platformbasic platform for the for the facility would be a facility would be a “soft-walled”“soft-walled” shelter shelter structure.structure.

To account for cost uncertainties, the platform To account for cost uncertainties, the platform (and invitation to submit proposals) would be (and invitation to submit proposals) would be designed around:designed around: A core 50-bed facility (to include areas for triage, A core 50-bed facility (to include areas for triage,

supply, admin, and staff support)supply, admin, and staff support) 25-bed add-on patient wards25-bed add-on patient wards..

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TESA Project - Facility Acquisition Process TESA Project - Facility Acquisition Process

Task Force RequirementsTask Force Requirements

Basic Requirements for the 50-Bed CoreBasic Requirements for the 50-Bed Core Separate staff and patient entrancesSeparate staff and patient entrances Separate areas for facility administration, facility Separate areas for facility administration, facility

supplies, staff lounge and staff hygiene, and patient care supplies, staff lounge and staff hygiene, and patient care wardswards

a. Staff hygiene must have a changing area, sink, shower and a. Staff hygiene must have a changing area, sink, shower and toilet, cold and hot water, an on-board potable water toilet, cold and hot water, an on-board potable water supply with a water distribution system and a gray water supply with a water distribution system and a gray water containment systemcontainment system

Each patient ward must be equipped with a private field Each patient ward must be equipped with a private field toilettoilet (the Brief Relief (the Brief ReliefTMTM system, or equivalent) system, or equivalent)

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TESA Project – Facility Acquisition ProcessTESA Project – Facility Acquisition Process

Task Force RequirementsTask Force Requirements

Basic Requirements for the Entire Shelter SystemBasic Requirements for the Entire Shelter System Completely self-containedCompletely self-contained Trailer-mounted generatorsTrailer-mounted generators Maximum component size (98”w, 50”d, 50”h)Maximum component size (98”w, 50”d, 50”h) Man-portableMan-portable components (maximum 75lb per workercomponents (maximum 75lb per worker)) Rapidly erected without the use of tools or equipmentRapidly erected without the use of tools or equipment Must provide all-weather climate controlled Must provide all-weather climate controlled

environmentenvironment Materials must meet NFPA StandardsMaterials must meet NFPA Standards Must be interoperable with existing FEMA-NDMS Must be interoperable with existing FEMA-NDMS

assetsassets

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Task ForceTask Force DeterminationsDeterminations

Proposal/Bid Quotation RequirementsProposal/Bid Quotation Requirements Must provide a comprehensive description of:Must provide a comprehensive description of:

Proposed system componentsProposed system components Warranties, manuals, parts availability guaranteesWarranties, manuals, parts availability guarantees Where requirements are met or exceededWhere requirements are met or exceeded Where requirements are not met and why a variance should be Where requirements are not met and why a variance should be

consideredconsidered How it will be packaged w/container dimensionsHow it will be packaged w/container dimensions

Must include diagrams (50-bed core, 75-bed and 100-bed Must include diagrams (50-bed core, 75-bed and 100-bed configurations)configurations)

Must identify single POC for notices and inquiresMust identify single POC for notices and inquires Must be submitted by e-mail (formatted in MS Word Must be submitted by e-mail (formatted in MS Word

and Adobe PDF.and Adobe PDF.

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TESA Project - Facility Acquisition Process TESA Project - Facility Acquisition Process

Task ForceTask Force DeterminationsDeterminations

Parameters establishedParameters established to select potential shelter to select potential shelter sources:sources: Identify potential sources known by the Task Force Identify potential sources known by the Task Force

to manufacture shelters thatto manufacture shelters that Generally met platform requirementsGenerally met platform requirements Were in common use as mobile medical facilitiesWere in common use as mobile medical facilities

To maximize practical competition, limit the To maximize practical competition, limit the minimum number of potential sources to 3minimum number of potential sources to 3

To minimize the procurement process, limit the To minimize the procurement process, limit the maximum number of potential sources to 6maximum number of potential sources to 6

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Six potential platform sourcesSix potential platform sources were identified were identified 4 4 that generally met shelter requirements and had been used that generally met shelter requirements and had been used

by members of the Task Forceby members of the Task Force 1 1 that generally met shelter requirements but was unknown to that generally met shelter requirements but was unknown to

members of the Task Forcemembers of the Task Force 11 that manufactured “hard-walled” shelters, was unknown to that manufactured “hard-walled” shelters, was unknown to

members of the Task Force but was a Michigan-based members of the Task Force but was a Michigan-based companycompany

These These 6 potential vendors6 potential vendors were e-mailed the were e-mailed the Invitation to Submit a Combined Proposal/Bid Invitation to Submit a Combined Proposal/Bid Quotation Quotation

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…that would be e-mailed to pre-selected vendors.

Task Force Task Force determinations determinations were reduced to a were reduced to a 3-page invitation 3-page invitation to submit a to submit a combined combined Proposal/Bid Proposal/Bid Quotation…Quotation…


The RFP/RFQ PackageThe RFP/RFQ Package

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…that would be e-mailed to pre-selected vendors.

Task Force Task Force determinations determinations were reduced to a were reduced to a 3-page invitation 3-page invitation to submit a to submit a combined combined Proposal/Bid Proposal/Bid Quotation…Quotation…


The RFP/RFQ PackageThe RFP/RFQ Package

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Vendor 5Vendor 4

Vendor 3Vendor 2

Vendor 1


Evaluating Proposals/QuotesEvaluating Proposals/Quotes

All invitees respondedAll invitees responded Hundreds of pagesHundreds of pages

Each with unique formatEach with unique format Some highly detailed and well Some highly detailed and well

organizedorganized Some lacked detail and Some lacked detail and

organizationorganization

All were printed, bound All were printed, bound and distributed to each and distributed to each member of the Task member of the Task ForceForce

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COMPARABLESCOMPARABLES Quote DurationQuote Duration CostCost Max Size ContainerMax Size Container AssemblyAssembly # Basic Units# Basic Units Access DoorsAccess Doors Area (sq. ft.)Area (sq. ft.) FurnitureFurniture PowerPower LightingLighting OutletsOutlets HVACHVAC NDMS Interop?NDMS Interop? Trailer BootTrailer Boot WarrantyWarranty FramingFraming FabricFabric InsulationInsulation Hygiene CenterHygiene Center FlooringFlooring TrainingTraining

Vendor 1 Vendor 2 Vendor 3 Vendor 4 Vendor 5 Vendor 6


Evaluating Proposals/QuotesEvaluating Proposals/Quotes

THE EVALUATION MATRIXTHE EVALUATION MATRIX

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Awarding the ContractAwarding the Contract

2 vendor’s RFP/RFQ met specs, the other 4 2 vendor’s RFP/RFQ met specs, the other 4 were eliminated from competition were eliminated from competition

Task Force members to NDMS conference to Task Force members to NDMS conference to inspect both shelter systemsinspect both shelter systems Gained experience - revised specificationsGained experience - revised specifications Requested final quote on revised specificationsRequested final quote on revised specifications

Reviewed final quotesReviewed final quotes Unanimous agreement to award contractUnanimous agreement to award contract

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Need Need experienced and knowledgeable teamexperienced and knowledgeable team to avoid pitfalls when expediting a complex to avoid pitfalls when expediting a complex projectproject

Need Need comparison matrixcomparison matrix to efficiently deal to efficiently deal with variable specificationswith variable specifications

No substitute for getting your hands dirtyNo substitute for getting your hands dirty (in-person inspection and assembly) (in-person inspection and assembly)

No substitute for face-to-face discussionNo substitute for face-to-face discussion with vendor representativeswith vendor representatives

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TESATESAPROJECTPROJECT

~ ~ Facility Specifications ~Facility Specifications ~

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10,000 Sq. Ft. Enclosed 10,000 Sq. Ft. Enclosed AreaArea

20,000 Sq. Ft. Footprint 20,000 Sq. Ft. Footprint (125’ x 158’)(125’ x 158’)

5 Generators 5 Generators (4 @ 36kW (4 @ 36kW and 1 @ 56 kW)and 1 @ 56 kW)

16 HVAC16 HVAC 15 @ 42K BTU heat/3.5 ton 15 @ 42K BTU heat/3.5 ton

cool/29K heat stripcool/29K heat strip 1 @ 60K BTU 1 @ 60K BTU

heat/cool/HEPA positive or heat/cool/HEPA positive or negative pressure)negative pressure)

4 Hygiene Centers4 Hygiene Centers Each with sink, shower, toilet, Each with sink, shower, toilet,

hot Hhot H22O, 500-gallon fresh and O, 500-gallon fresh and gray water holding tanksgray water holding tanks

16 Interconnected Shelters16 Interconnected Shelters 1 each for Administration, 1 each for Administration,

Staff, Supply (w/boot) and Staff, Supply (w/boot) and Intake/Triage/TreatIntake/Triage/Treat

1 ten-bed Patient Ward 1 ten-bed Patient Ward (isolation)(isolation)

7 ten-bed Patient Wards7 ten-bed Patient Wards 4 five-bed Patient Wards4 five-bed Patient Wards

DesignDesign 4:1 ratio of adult to pediatric 4:1 ratio of adult to pediatric

patientspatients Admit/Discharge Rate: 23 Admit/Discharge Rate: 23

hours (= 100 patients hours (= 100 patients per day)per day) Over Over 1,0001,000 Separate Separate

PiecesPieces

TESA Project – Facility SpecificationsTESA Project – Facility Specifications

Quick SpecsQuick Specs

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The DesignThe Design

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Tactical LabelingTactical Labeling

The components of each The components of each individual shelter are:individual shelter are: Color-coded & labeledColor-coded & labeled Packaged togetherPackaged together

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TESA Project - Facility SpecificationsTESA Project - Facility Specifications

Tactical StorageTactical Storage

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As Built (40-Bed Unit)As Built (40-Bed Unit)

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Color-code and label individualColor-code and label individual shelter components shelter components Facilitates handlingFacilitates handling Has limitationsHas limitations

Only so many distinct colorsOnly so many distinct colors Correlates only to complete 100-bed layoutCorrelates only to complete 100-bed layout

Because it is a Because it is a white vinyl tent labor intensivewhite vinyl tent labor intensive for for cleaning before repackagingcleaning before repackaging

Setup and tear down takes expertiseSetup and tear down takes expertise Requires the development of specialized teamsRequires the development of specialized teams

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~ ~ Equipment & Supply Acquisition~ Equipment & Supply Acquisition~

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TESA Project ~ Equipment/Supply Acquisition ProcessTESA Project ~ Equipment/Supply Acquisition Process

Patient & Staff ProfilePatient & Staff Profile

The Mobile Field Hospital would be designed…The Mobile Field Hospital would be designed… ForFor patients suffering from COPD, asthma, congestive patients suffering from COPD, asthma, congestive

heart failure (no C-PAP or vent), chronic pain syndrome, heart failure (no C-PAP or vent), chronic pain syndrome, and behavioral conditions, and needing IV hydration and behavioral conditions, and needing IV hydration and IV antibiotic therapy and IV antibiotic therapy

With aWith a 4:1 ratio of adult to pediatric patients4:1 ratio of adult to pediatric patients With aWith a planned admission/discharge rate of 23 hoursplanned admission/discharge rate of 23 hours To be operated by a core team of medical professionalsTo be operated by a core team of medical professionals

augmented by volunteers (Michigan Volunteer Registry)augmented by volunteers (Michigan Volunteer Registry)

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The stakeholder Task Force determined to The stakeholder Task Force determined to utilize sole-utilize sole-source provider of medical supplies and equipment source provider of medical supplies and equipment to outfit the facilityto outfit the facility Previously qualified sourcePreviously qualified source Current source of ACC and NEHC facilities for MEMS Current source of ACC and NEHC facilities for MEMS

components. components. Demonstrated abilityDemonstrated ability

Medical expertise to identify and meet needs (based on expected Medical expertise to identify and meet needs (based on expected patients and healthcare staff)patients and healthcare staff)

Professional packagingProfessional packaging Competitive pricingCompetitive pricing

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Comprehensive Comprehensive questionnaire was questionnaire was used to refine the used to refine the patient profile and patient profile and then determine then determine whatwhat level of service would level of service would be provided over a be provided over a given period of time given period of time

TESA TESA Project ~ Project ~ Equipment/SupplyEquipment/Supply Acquisition Process Acquisition Process

Patient Profile QuestionnairePatient Profile Questionnaire

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Capability WorksheetCapability Worksheet

X X XEmergency Care

X X XMedication Admin

X X XGastrointestinal

X X XGenitourinary

X X XEENT

X X XOrtho Care

X X XIV Therapy

X X XWound Treatment

X X XAirway

InfantPEDSAdult Function (sample)

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TESA Project ~ Equipment/Supply Acquisition Process TESA Project ~ Equipment/Supply Acquisition Process

Master TemplateMaster Template

Master Template Master Template was used to generate was used to generate the type of treatment the type of treatment which could be which could be offered and the type offered and the type and quantity of and quantity of equipment and equipment and supplies needed. supplies needed.

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TESA Project – Equipment/Supply Acquisition Process TESA Project – Equipment/Supply Acquisition Process


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TESA Project ~ Equipment/Supply Acquisition Process TESA Project ~ Equipment/Supply Acquisition Process


Patient ProfilesPatient Profiles will define the treatment modalities will define the treatment modalities necessarynecessary

Establish a cacheEstablish a cache which is broadly used so that which is broadly used so that replenishment is easier and can be integrated into a local replenishment is easier and can be integrated into a local healthcare system healthcare system

Establish Establish Augmentation SetsAugmentation Sets to supplement specialty areas to supplement specialty areas OB-GYNOB-GYN PEDSPEDS IsolationIsolation O2 TherapyO2 Therapy NurseryNursery

Establish and procure Establish and procure basic equipment listsbasic equipment lists which do not which do not require long training sessionsrequire long training sessions

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~ ~ Storage & Deployment Storage & Deployment Considerations ~Considerations ~

MAXIMIZEMAXIMIZEDEPLOYMENT AND RECOVERY DEPLOYMENT AND RECOVERY

SPEEDSPEED

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TESA Project ~ Storage/Deployment Considerations TESA Project ~ Storage/Deployment Considerations

Tactical Containerization & LabelingTactical Containerization & Labeling

Color-coded labelsColor-coded labels Color-coded packagesColor-coded packages Color-coded containers Color-coded containers

and augmentation setsand augmentation sets Modules which are Modules which are

color-coded and color-coded and containerizedcontainerized

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ContainersContainers

StorageStorage Pallet sizePallet size WeightWeight

DeploymentDeployment On or off pallets?On or off pallets? Storage of shipping Storage of shipping

materialsmaterials Re-packingRe-packing SustainmentSustainment

HVAC UNITHVAC UNIT

COT RACKSCOT RACKS

HEPA HVACHEPA HVAC

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Transporting & HandlingTransporting & Handling

Transport VehicleTransport Vehicle Semi-trailersSemi-trailers

Flat bedFlat bed Dry boxDry box

Box truckBox truck Material HandlingMaterial Handling

EquipmentEquipment Fork LiftsFork Lifts Pallet JacksPallet Jacks

FLAT BED SEMI-TRAILERFLAT BED SEMI-TRAILER

BOX TRUCKBOX TRUCK

CONSTRUCTIONCONSTRUCTIONHI-LOHI-LO

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Trailer-Mounted GeneratorsTrailer-Mounted Generators

ShippingShipping Flat BedFlat Bed - loading & - loading &

unloadingunloading Need loading dockNeed loading dock Need material handling Need material handling

equipmentequipment

IndividualIndividual Multi tow-vehicles Multi tow-vehicles

and drivers and driversGEN-SETS IN STORAGEGEN-SETS IN STORAGE

SHIPPING GEN-SETSSHIPPING GEN-SETS

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Storage SpaceStorage Space

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Storage SchemeStorage Scheme

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Color-coding Color-coding simplifies storage, “picking”, simplifies storage, “picking”, shipping and sustainment planning and shipping and sustainment planning and executionexecution

Consider the storageConsider the storage of shipping materials of shipping materials (pallets, containers, etc.) in deployment plans(pallets, containers, etc.) in deployment plans

Know your material handling equipment Know your material handling equipment needsneeds Field (e.g. parking lot) vs. fixed facility (e.g. Field (e.g. parking lot) vs. fixed facility (e.g.

conference/exhibition center) conference/exhibition center)

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Emergency Management Strategies: Emergency Management Strategies: Lessons Learned in Developing Specifications, Procuring, Lessons Learned in Developing Specifications, Procuring,

Housing and Maintaining a 100-Bed Mobile HospitalHousing and Maintaining a 100-Bed Mobile Hospital

Jenny Atas MDR2S Medical Director

e-mail: [email protected]

Mark SparksR2S Planning & Logistics Officer

e-mail: [email protected]

Health & Medicine

5_04_2.ppt