Annex H: Health & Medical Services

The purpose of this annex is to coordinate the health and medical resources needed to respond to public health and medical care needs at a LSCS facility prior to, during and following a significant natural disaster or manmade event. Assistance provided under this annex is coordinated between the Public Health Authority or designee and the LSCS OEM. LSCS does not have a physician on staff to provide medical services to students, employees or guests. Health and medical services are limited to first aid and CPR support as offered by volunteers. LSCS relies upon the local public health authority for leadership and guidance for public health and medical care needs at a LSCS facility in support of an emergency event or disaster. Coordination of assistance is provided by the LSCS OEM in partnership with the local office of emergency management and State of Texas Operations Center for significant events. For all other health and medical needs the LSCS OEM will coordinate directly with the public health authority within the jurisdiction of the affected facility.

This annex outlines the organization, operational concepts, responsibilities and procedures of LSCS and other responsible entities during public health and medical emergencies. Bioterrorism, infectious diseases and other public health emergencies are complex health threats the LSCS community must prepare for. It is the responsibility of the responding public health authority and the appropriate LSCS President, CEOs, or OEM to detect, investigate, respond to, and implement measures to prevent illnesses.

Concept of Operations

This annex is based upon the concept that the emergency functions of public health, mental health, medical, and mortuary services will generally parallel their normal day-to-day functions of the responding public health authority.

The county public health authority (Harris County Public Health and Environmental Services (HCPHES), City of Houston Health and Human Services Department (HHSD), Montgomery County Hospital District (MCHD)) will assist in a coordinated response with other county/city agencies and organizations during an emergency within its jurisdiction. The Texas Department of State Health Services (DSHS) will assist in a coordinated response on behalf of other jurisdictions without a county public health authority and with other agencies and organizations during an emergency within the State of Texas and the LSCS service area.

Veterinary public health and emergency public health risks are managed through animal control for the jurisdiction(s) affected. All mortuary services for the LSCS service area are managed through the Harris County Institute of Forensic Science (Harris County) or the county medical examiners within the LSCS service area. Harris County‘s Mental Health and Mental Retardation Authority (MHMRA) serves as the primary agency for assistance with disaster mental health concerns for the LSCS service area.

This annex involves identifying and meeting the health and medical needs of actual and potential victims of a major emergency or disaster at a LSCS facility. The responsibilities of the public health authority include the establishment of a health and medical command and control; situational awareness for illness and injury, environmental public health, mosquito control, veterinary public health and emergency public health risk communications; coordinating all- hazards prevention and response activities for illness and injury, environmental public health, mosquito control, veterinary public health and emergency public health and risk communications.

Harris County Hospital District (HCHD) and Montgomery County Hospital District (MCHD) will assist in a coordinated health and medical response by serving as the lead agencies for emergency department trauma and inpatient medical and services during emergency events with significant health and medical impact for their jurisdictions within the LSCS service area.

Harris County‘s Mental Health and Mental Retardation Authority (MHMRA) will assist in a coordinated health and medical response by serving as the lead agency for ensuring the delivery of disaster mental health services during an emergency for the LSCS service area. Harris County Institute of Forensic Science, Montgomery County Medical Examiner, or other county medical examiner/coroner, will assist in a coordinated health and medical response by serving as the lead agency for investigation and management of fatalities from emergency events that result in deaths from accident, homicide, suicide, undetermined causes, and certain naturally occurring circumstances.

References