Speakers:  Irina Sharkova, Senior Geographic Research Manager, WA State Department of Social and Health Services, Research and Data Analysis Division  Sue Bush, Director of Office of Emergency Management, WA State Department of Social and Health Services  Sheri Badger, Public Information Officer/Planning, Mitigation and Recovery Supervisor, Pierce County Emergency Management Integrating functional needs support services into emergency planning and response is essential to making sure that all members of disaster impacted communities have equal access to services. State and local authorities need information regarding the numbers of people with functional needs that reside in each community and what capabilities must be addressed to meet those needs. This session will present two efforts underway in Washington: the statewide Emergency Management Geographic Information Systems (EM-GIS) Project and the Pierce County Community Assessment. The WA State Dept. of Social and Health Services (DSHS) is developing the EM-GIS as a decision support system for emergency planning and response. The system will bring together data on people with functional needs served by DSHS; all persons served by DSHS comprise nearly a third of WA state residents. The system will provide capabilities for analysis, mapping, and secure sharing of the information for emergency planning and response. Sue Bush will provide brief background of WA state-level ESF 6 planning efforts. Irina Sharkova will describe the EM-GIS project, demonstrate what kind of information it will provide, and discuss some challenges and how the project team will address them. Sheri Badger will discuss Pierce County‟s community assessment of access and functional needs and demonstrate a tool that others may employ now in their community planning efforts.

1. Washington State Department of Social and Health Services
Emergency Management
Geographic Information System
2011 Partners in Emergency Preparedness Conference
Data into Action: Developing Technology to Integrate Functional Needs Support Services
Irina Sharkova, PhD
Senior Geographic Research Manager, DSHS Research and Data Analysis Division
Sue Bush
Director, DSHS Office of Emergency Management
APRIL 26, 2011
1DSHS | Planning, Performance and Accountability ● Research and Data Analysis Division ● April 2011

2. Acknowledgments:
DSHS Research and Data Analysis Division
including
Elizabeth Kohlenberg, PhD, Director
Sharon Estee, PhD
David Mancuso PhDDavid Mancuso, PhD
Barbara Lucenko, PhD
Rebecca Yette
Maija Sandberg
b lBarbara Felver
Laura Killian
Jane Zerbe
Joshua Sjoding
Thomas Williams
2DSHS | Planning, Performance and Accountability ● Research and Data Analysis Division ● April 2011

3. Lessons of Hurricane Katrina
The White House The federal response to Hurricane Katrina: Lessons learnedThe White House, The federal response to Hurricane Katrina: Lessons learned
• An estimated 1,330 people were dead as a result of the storm
• Many of the dead were elderly or infirm:
—In Louisiana, 71% of the victims were older than 60 years, and 47 % of
those were over 75 years old
• At least 68 victims were found in nursing homes, some of whom were allegedly
abandoned by their caretakersabandoned by their caretakers
• Six months later, there were 2,096 people from the Gulf Coast area still
reported missing (now the number is 138 people)
Who is vulnerable?
Individuals in need of additional response assistance may include those who have
disabilities; who live in institutionalized settings; who are elderly; who aredisabilities; who live in institutionalized settings; who are elderly; who are
children; who are from diverse cultures; who have limited English proficiency or
are non‐English speaking; or who are transportation disadvantaged (FEMA, 2008).
3DSHS | Planning, Performance and Accountability ● Research and Data Analysis Division ● April 2011

4. Disaster Response in Washington
• Since 2000 FEMA has made 46 emergency or major disaster declarations for• Since 2000, FEMA has made 46 emergency or major disaster declarations for
Washington, including earthquakes in 2001 and 2003
• Every county in the state has been affected at least once between 2000 and 2011
FEMA Major Disaster Declarations for Washington since 2000
Year Date Disaster TypesYear Date Disaster Types
2011 25‐Mar Severe Winter Storm, Flooding, Landslides, and Mudslides
2009 2‐Mar Severe Winter Storm and Record and Near Record Snow
2009 30‐Jan Severe Winter Storm Landslides Mudslides and Flooding2009 30 Jan Severe Winter Storm, Landslides, Mudslides, and Flooding
2007 8‐Dec Severe Storms, Flooding, Landslides, and Mudslides
2007 14‐Feb Severe Winter Storm, Landslides, and Mudslides
2006 12‐Dec Severe Storms Flooding Landslides and Mudslides2006 12 Dec Severe Storms, Flooding, Landslides, and Mudslides
2006 17‐May Severe Storms, Flooding, Tidal Surge, Landslides, and Mudslides
2003 7‐Nov Severe Storms and Flooding
2001 1‐Mar Earthquake
4DSHS | Planning, Performance and Accountability ● Research and Data Analysis Division ● April 2011
2001 1 Mar Earthquake

5. Department of Social and Health Services
Serves state’s most vulnerable residents
• Persons with physical and developmental disabilities (344,000 clients)
• Seniors (94 500 clients)• Seniors (94,500 clients)
• Foster children (11,000 clients)
• Persons with limited English proficiency (at least 130,600 clients)
• Most clients are low‐income
Lead state agency for planning related to special needs populations
• Governor’s Directive to DSHS:
“Assist affected jurisdictions as they identify special needs populations
in the potentially affected areas and plan for the care of special needs p y p p
populations.”
5DSHS | Planning, Performance and Accountability ● Research and Data Analysis Division ● April 2011

6. DSHS provides services to . . . .
Percent served by DSHS
Every 4th Washington resident*
• Every 2nd child (706,200 clients)
• Every 5th adult (762 450 clients)
Percent served by DSHS
SFY 2007
Persons with disabilities
100%
• Every 5 adult (762,450 clients)
• Every 8th senior (94,500 clients)
Every 2nd resident with disabilities** All persons
• All children (63,600 clients)
• Every 2nd adult (232,300 clients)
• Every 6th senior (47,300 clients)
55%
44%
47%
16%
18%
12%
25%
NOTES
* Excluding DSHS clients receiving Child Support Enforcement services only.
**DSHS clients with a disability: All clients meeting one or more of the following conditions:
a) At least one month of medical coverage in SFY 2007 in any of the following coverage categories: Medicaid Disabled; Healthcare for workers with disabilities; GA‐U; ADATSA.
b) R i d f th f ll i i i SFY 2007 A i d Ad lt S i i h it id ti l i h DD DVR MHD
0‐17 18‐64 65+ All ages
6DSHS | Planning, Performance and Accountability ● Research and Data Analysis Division ● April 2011
b) Received any of the following services in SFY 2007: any Aging and Adult Service in‐home, community residential, or nursing home; any DD; any DVR; any MHD.
Population data: 2008 American Community Survey.

7. GIS Support to DSHS during Major Emergencies
Counties Receiving FEMA and DFSP Assistance
Flood Stages on WA Rivers
7DSHS | Planning, Performance and Accountability ● Research and Data Analysis Division ● April 2011

8. GIS Support to DSHS for Emergency Planning
Lower Green River Valley, 2009
• We used Geographic Information• We used Geographic Information
System (GIS) to determine which DSHS
clients with access and functional
needs, service providers, facilities, and
staff are inside the area potentially
affected by the flood
• We prepared maps and tables for
distribution to DSHS emergency
planners
8DSHS | Planning, Performance and Accountability ● Research and Data Analysis Division ● April 2011

9. DSHS Long‐term Care Facilities
Lower Green River Valley, 2009
• In inundation area: 345 beds in 8
long‐term care facilities (1 nursing
home 2 boarding homes and 5 adulthome, 2 boarding homes and 5 adult
family homes)
• In nearby area: 2,137 beds in 200
long‐term care facilitieslong‐term care facilities
Long‐Term Care Facilities
Depth of Potential Flooding
9DSHS | Planning, Performance and Accountability ● Research and Data Analysis Division ● April 2011

10. DSHS Clients with Limited English Proficiency
Lower Green River Valley, 2009
• In the inundation area: 1,950 clients
speaking 36+ languages
Top 10 languages:
SPANISH 1,345
RUSSIAN 209
SOMALI 107
VIETNAMESE 48
UKRAINIAN 23UKRAINIAN 23
CHINESE 20
CAMBODIAN (KHMER) 16
SAMOAN 16
ARABIC 15ARABIC 15
TAGALOG 14
Depth of Potential Flooding
10DSHS | Planning, Performance and Accountability ● Research and Data Analysis Division ● April 2011

11. DSHS Clients with Functional Needs in the Lower Green
River Valley, 2009y
Inundation Area Nearby Area Total
Type of Needs Facilities Persons Facilities Persons Facilities Personsyp
Nursing Homes 1 125 5 430 6 555
Boarding Homes 2 196 17 726 19 922
Adult Family Homes 5 24 178 981 183 1,005y
Foster Care Homes 1 2 67 127 68 129
Medical Risk Factors 222 1,364 1,586
Transportation Need: High 142 634 776
Transportation Need:
Medium
1,266 6,525 7,791
Developmental Disabilities 267 1,385 1,652
Vocational Rehabilitation 41 547 588Vocational Rehabilitation 41 547 588
Deaf and Hard of Hearing 40 234 274
Clients with Access and
Functional Needs
2,325
8.6%
12,953
5.9%
15,278
6.1%
11DSHS | Planning, Performance and Accountability ● Research and Data Analysis Division ● April 2011
Total Population in Area 27,105 221,410 248,515

12. The Lower Green River Valley Project: Lessons Learned
h j li dThe project was complicated
• The flow of data and information was arduous
• Data came from multiple sources, at different times and in different formats
• Issues of confidentiality of personal information when used for emergency
planning are complex, unclear
W h d 3 4 th i d t f t ti l iWe had a 3‐4 months window to prepare for a potential emergency in
the Green River Valley
• Most emergencies occur with little or no advance warning
• Vulnerable populations are all over the state, many in rural or otherwise
hard‐to‐reach areas
• The state needs:
—A central repository of timely, accurate and well‐integrated data about its
vulnerable populations
—Tools to turn the data into information for decision‐makers
12DSHS | Planning, Performance and Accountability ● Research and Data Analysis Division ● April 2011

13. Our Long‐Term Goal
d l hi f i S ( S)To develop a Geographic Information System (GIS) on
• Residential location and functional needs of people served by DSHS
• Location of DSHS offices and critical staff‐service providers
• Areas prone to natural and man‐made disasters
To be ready to provide necessary information to DSHS and EMD
• Whenever a disaster happens and for planning purposes
• Anywhere in the state
• Close to real timeClose to real time
• In accordance with applicable privacy laws
First step: to develop and build a preliminary statewide GIS
13DSHS | Planning, Performance and Accountability ● Research and Data Analysis Division ● April 2011

14. Client Functional Needs
and Residential Addressesand Residential Addresses
Communication, Maintaining Independence,
Medical Care, Supervision, and Transportation
Needs
WASHINGTON STATE
Department of Social and Health Services
Known and Potential
Hazards
Department of Social and Health Services
EMERGENCY MANAGEMENT GIS
EM‐GIS
DSHS Offices
and Staff
Places Of Residential Care
• City and County
Boundaries
• Roads and Other
InfrastructurePlaces Of Residential Care
and Service Delivery • Shelters
Nursing Homes, Boarding Homes, Adult Family Homes,
Assisted Living Facilities, Other Group Homes and Community
R id i l F ili i
14DSHS | Planning, Performance and Accountability ● Research and Data Analysis Division ● April 2011
Residential Facilities

15. Communication
DSHS Clients with Access and Functional Needs
Communication
• Speaking
• Hearing
• Seeing
Transportation
& Movement
Assistance in
Daily Living
• Understanding
• Walking • Bathing
• Using stairs
• Driving
• Eating
• Dressing
• Toileting
Medical NeedsSupervision
• Managing health conditions
with needed equipment
and medications
• Due to cognitive,
behavioral, or mental
health conditions
15DSHS | Planning, Performance and Accountability ● Research and Data Analysis Division ● April 2011

16. The EM‐GIS will support:
• Real‐time disaster response and assistance to DSHS clients with access
and functional needs
• Planning and preparation for disasters potentially affecting DSHS clients
with access and functional needs
The EM‐GIS will provide information about DSHS clients with access and
functional needs for:
—All Washington State’s jurisdictions (cities, counties)
—Custom‐defined geographic areas (neighborhoods, health planning areas,
travel zones)
16DSHS | Planning, Performance and Accountability ● Research and Data Analysis Division ● April 2011

17. Questions? Suggestions?Questions? Suggestions?
Contact Irina Sharkova
Department of Social and Health Services, Research and Data Analysis Division
360.902.0743
Irina.Sharkova@DSHS.WA.GOV
17DSHS | Planning, Performance and Accountability ● Research and Data Analysis Division ● April 2011