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Meta-Leadership Summit for Preparedness

COASTAL GEORGIA

The Meta-Leadership Summit for Preparednesswas a national initiative designed to empower business, government and nonprofit leaders to work together during a public health or safety crisis.

Local Hosts

Mayor Bryan Thompson, City of Brunswick

Commissioner Jerome Clark, Glynn County Board of

Commissioners

AT&T

Brunswick Downtown Development Authority

Chatham County Safety Net Planning Council

College of Coastal Georgia

Georgia Coastal Health District

Georgia Emergency Management Area 5 All Hazards

Council

Georgia Power

Georgia Public Health Association

Glynn County Local Emergency Planning Council

Medical College of Georgia's Southeast Georgia Clinical

Campus

Southeast Georgia Health System

Local Sponsors

Georgia Power

Georgia-Pacific Professional

Glynn County Board of Health

AT&T

Georgia Public Health Association

The Summits were launched by the CDC Foundation, Centers for Disease Control and Prevention, the National Preparedness Leadership Initiative – Harvard School of Public Health and the Robert Wood Johnson Foundation.

Summit

• December 1 - 2, 2009, St. Simons Island, GA

• Total Local Participants: 130

• 100% of respondents rated the overall quality of the Summit as “Good” or “Outstanding” (n=37).

Post-Summit

• July 21, 2010, Brunswick, GA

• Total Local Participants: 98

• 91% indicated that the Post-Summit Activity was successful (n=38).

Additional Information

Success Story

Summit Orientation Agenda

Summit Agenda

“Gaps, Gives & Gets” – the Sector Breakout

Sessions

Top “Gaps, Gives & Gets”

Post-Summit Activity Agenda

Coastal Georgia

Meta-Leadership Summit for

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Coastal Georgia

Meta-Leadership Summit for Preparedness

SUCCESS STORY

“The Summit was a wakeup call,” describes Jay Wiggins. “It highlighted the need to take a microscope to the short and long-term recovery aspect of emergency planning.” Wiggins is describing the Coastal Georgia Meta-Leadership Summit for Preparedness held on St. Simons Island in December 2009. Following the Summit, Wiggins, along with other leaders, made a concerted effort to continue the discussion started at the Summit about their community recovery following a massive hurricane. They made “recovery” the focus of their annual hurricane table-top exercise in Glynn County.

Planning for a Hurricane – After it has passed

The hurricane exercise was held shortly after the Summit in May 2010 and included the usual participants in an Emergency Operation Center (EOC) such as police, fire and public works. The influence of the Summit led to the inclusion of a broader audience, however. Wiggins encouraged additional community members such as those representing the legal and faith-based community to participate and noted that it was essential to bring many different types of community members together – not just traditional responders - to tackle issues of recovery long after a hurricane has passed. Issues that can affect the whole community in the days, weeks, and months following an event include ensuring the community has access to food, clean drinking water, sanitation services, and the re-opening of schools and other essential services.

Community Re-Entry Plans

Following the exercise, Emergency Management worked closely with public works and businesses such as Georgia Power to pull together a comprehensive plan for re-entry into the community. The information has been made accessible to the public and can be found on the Glynn County Emergency Management Agency homepage:

http://glynncounty.org/index.aspx?NID=557.

The Meta-Leadership

Summit Leads to a More

Thorough Plan for

Recovery

Contributor: Jay Wiggins

“{The Summit} highlighted the

need to take a microscope to the

short and long-term recovery

aspect of emergency planning.”

The Meta-Leadership Summit for Preparedness empowered business, government and nonprofit leaders to act together in times of crisis. The five-year initiative connected 5,000 business, government and nonprofit leaders in 36 communities. For resources and more information about meta-leadership visit,

www.cdcfoundation.org/meta-leadership.

Jay Wiggins, Police Captain and Emergency Management Director for Glynn County, Georgia

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Pre-Summit Orientation

Meta-Leadership Summit for Preparedness | Coastal Georgia

Tuesday, December 1, 2009

5:00 – 5:10 p.m. Introductions and Objectives Charles Stokes

President and CEO CDC Foundation

5:10 – 5:20 p.m. Welcome to the Summit J. Patrick O'Neal, MD

Director, Division of Emergency Preparedness and Response, Georgia Department of Community Health

5:20 – 5:50 p.m. Expectations and Overview Leonard J. Marcus, Ph.D.

Co-Director, National Preparedness Leadership Initiative, Harvard School of Public Health, Department of Health and Policy Management

Fred M. Rosa, Jr.

Rear Admiral, United States Coast Guard (Retired)

5:50 – 6:00 p.m. Call to Action Valerie A. Hepburn, Ph.D.

President, College of Coastal Georgia

Networking Reception 6:00 – 8:00 p.m.

As a leader in your community and state, you need to know how to coordinate with others when disaster strikes. The Networking Reception provides you with an opportunity to make connections with other leaders who may be critical to you and your organization in a crisis. Learn who your counterparts are in other organizations. Discuss organizational and state preparedness planning. Get to know the right people to call for information, resources and expertise. Exchange business cards with other “meta-leaders” who want to collaborate on disaster planning.

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Summit Agenda

Meta-Leadership Summit for Preparedness | Coastal Georgia

Wednesday, December 2, 2009

Presenters: Leonard J. Marcus, Ph.D., Co-director, National Preparedness Leadership

Initiative, Harvard School of Public Health, Department of Health and Policy Management

Fred M. Rosa, Jr., Rear Admiral, United States Coast Guard (Retired) 7:30 – 8:30 a.m. Registration/Continental Breakfast

8:30 – 8:50 a.m. Welcoming Remarks

Charles Stokes, President and CEO, CDC Foundation Honorable Mayor Bryan Thompson, City of Brunswick 8:50 – 10:00 a.m. Core Concepts of Meta-Leadership

Unprecedented events demand unique leadership. Learn the challenges leaders face when working through a crisis: Going to and getting out of the emotional “basement” – the fight, flight, freeze state. Moving beyond the “silo mentality” to build connectivity across organizations and sectors. Using whole image negotiation to collaboratively solve problems.

10:00 – 10:15 a.m. ~ BREAK ~

10:15 – 10:20 a.m. Kathryn Martin, Ph.D., MPA, Assistant Dean of the Southeast Georgia

Campus of the Medical College of Georgia

10:20 – 11:45 a.m. The Five Dimensions of Meta-Leadership

In this session, you will learn the five dimensions of meta-leadership and how to put them into practice. You will explore how to confront your fears and lead yourself and others out of the emotional “basement.” You will learn how to effectively assess a situation – creating a broad frame of reference to determine what is happening and chart a course of action. And you will examine the behaviors and tools needed to effectively lead your

organizational unit as well as to lead up (manage your boss) and across traditional silos.

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11:45 – 1:00 p.m. ~ NETWORKING LUNCH ~

1:00 – 1:05 p.m. Cathy Hill, Vice President, Coastal Region, Georgia Power Company 1:05 – 1:25 p.m. Charge to Sector Groups

1:25 – 2:30 p.m. Building the Meta-Leadership Network

You will move to sector-specific groups to discuss the possible gaps in your communities' preparedness, what your sector needs to improve its

preparedness, and what you can contribute to promote an effective, comprehensive response and quick recovery for your community.

2:30 – 2:50 p.m. ~ BREAK ~

2:50 – 3:50 p.m. Sector Specific Reports

Groups will share their most pressing needs and most significant potential contributions with the other summit participants.

3:50 – 4:25 p.m. Closing the Gaps

Based on the reports, participants will begin to articulate collaborative interactions that can meet needs and make use of available resources.

Participants will develop, share and discuss suggestions to continue the day’s momentum after the summit. As leaders, you will be encouraged to step forward to contribute to the implementation of these ideas.

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Coastal Georgia Breakout Session Notes

Introduction to “Gaps, Gives & Gets”

The purpose of the “Gaps, Gives & Gets” session was for each sector to brainstorm to

identify “Gaps, Gives and Gets” (see definition below) in response to a community-specific

mass casualty crisis scenario. Business, government and nonprofit – were separated into

sector-specific breakout rooms. Each breakout session contained a facilitator and note taker

and lasted for one hour. A local leader was pre-selected to serve as the reporter from each

sector. When the brainstorming was complete each sector identified the most concerning

“Gaps, Gives & Gets” for their sector, referred to as the “top Gaps, Gives & Gets.” The top

Gaps, Gives & Gets were reported out when the three sectors were convened again.

This list represents all of the ideas from the Illinois “Gaps, Gives & Gets” brainstorming

session.

Definitions:

GAPS - From the perspective of your sector, what deficiencies do you believe will

occur in this mass casualty crisis in your community?

GIVES - What can your sector GIVE to the overall operation and to other sectors

to ensure community preparedness and a prompt and appropriate response?

GETS - What does your sector need to GET from others that would assist your

preparedness and response and your capacity to contribute to the overall effort?

Business Sector GAPS:

Communications systems are not fully in place. - Affects partnerships

- The general public – info on infrastructure readiness - Who or where to look for information

At risk populations who never evacuated may have unexpected needs

Information Sharing

Re-entry/access protocols

- Information needs to be shared ahead of time

Knowledge of Local Emergency Plans and involvement in planning/drilling

If bridges are out, recovery will be impossible

Airstrip at Brunswick is also critical for recovery.

Trees – sheer numbers will pose recovery issues. What’s the plan for priority tree removal?

How is supply chains affected?

The partners to organize initial recovery are not involved with plans.

Personnel availability to make decisions/determine whether facilities are safe to resume operations i.e.: nursing homes

Lack of preparedness mitigation training with the general public (they are true 1st responders)
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Coastal Georgia Breakout Session Notes

Critical medication availability and dispensing.

LEPC Needs better coordination

Business Sector GIVES

Philanthropy – Personnel and Financial expertise

Cross-purposing existing assets-transportation resources, as an example

Distribution-trucks, people, knowledge of community

Media-distribution of information via web& print (without power utilities) T.V. (with power utilities

Business Sector GETS

Credentialing- Re-entry procedures - National level as well as local

Confident from community – trust in leaders

Information from NPOs and government to better serve the community

Training on risk communication = how to convey a message with confidence to instill trust

Legal immunity or state of limitations

Establish communication systems with trust community leaders i.e. faith-based prior to disaster

Trained manpower to assist with critical infrastructure needs

Reliable transportations systems for community r-entry

Better plans for families/employees to evacuate/re-enter

Reassurance of law and order

Government Sector GAPS

Health care support/infrastructure especially for non-evacuating special needs population

Transportation for people who can’t get back

Flooding will make bridges impassable for returnees, critical infrastructure must be a priority

Communication systems need improvement – whole spectrum

Do we have a way to tell people how and when to come back

Correct GIS is essential and all must have the same maps

Brunswick and Savannah don’t work together (maybe none of the 6 counties do)

Limited resources – we lack the equipment we need for repairs/timing of available

resources is not what is needed-locals have increased responsibility but authority goes upwards in many channels

Where is what we need??

Recovery of all waterways (getting channels open again)

People needing care degrade due to temporary immediate care – what to do between?

Immediate response and next step-includes medical records transfer

What temporary shelters will be available for returnees and responders

Can we assess water safety
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Coastal Georgia Breakout Session Notes

Government Sector GIVES

DCH Emergency Prep can coordinate the healthcare support the region needs

Coast Guard can coordinate F-S1 resources to recover waterways

Courts/judiciary can focus on serious issues, handle problems with some flexibility to facilitate recovery

Stockpile has experts, connections, product

Coastal Regional Commission willing to coordinate a Coastal Georgia regional GIS system (with federal/state partners)

Coast Guard can provide IM teams to set up a response

Brunswick could help with law enforcement/movement of supplies, clearing debris etc. IF they’ve moved their equipment well

Environment Health can prioritize assurance of a safe environment for those returning first

Fort Stewart has a lot of medical and transport resources (as well as people if not deployed)

Savannah EOC/PIO promotes coordinated communication

College of Coastal GA has stable/high facilities and staging agreements for some – could extend facilities (police force, clinic, etc.)

Federal law enforcement training – if federal government could help with law enforcement

Co HD – nurses could vaccinate people preventatively

Government Sector GETS

Formal agreement and dollars committed to getting GIS up and other services

Cross-jurisdictional commitment to communication and evaluation of existing system

(could start with judiciary)

Accurate and honest gap analysis

Commitments from non-coastal communities

Clear lines of responsibility and redundancy

Good logistics – ordering system in advance (might be a priority for EOCs)

Real Estate

Funding – pertain people to keep proper records so reimbursement will be easier

Key people need to know what is available so they can contribute/plan/respond

appropriately

Communication – cell phones (note: we have a good group of HAM radio buffs and all hospitals have Ham communication

Good system for coordination of volunteer work and exit

Nonprofit Sector GAPS

Food & Shelter

- Homes destroyed

- Shelter for 1st responders

Communication

- Telephone - Broadcasting

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Coastal Georgia Breakout Session Notes

- Radio compatibility

- How to asses with needs (healthcare)

Water and sewer

Healthcare

- What’s left

- What can be put together - Assessment

- Supplies

- People need shots

Transportation

- Destroyed Road

Electricity

Environmental Impact

Social Order

- Support for 1st Responders

Pet Care – Burials

Childcare – People

Grief Counseling – Mental Health

Burials for those that died

Jurisdictional Coordination – How to Make things happen regionally

Road signs – How to get to there you can assist/help

- No routes planned

- Routes need to pre-planned don’t rely on bridges

Collection of left behind fire arms

Fuel (propane and gas)

Disabled/Elderly

Access to Monies – Immediate Need

Displaced People with No Records to Prove History (employment) – complete loss of identity

Distribution of volunteers, money, etc... physical supplies to critical needs

Credentialing

MOUSs between sectors

Identify high ground locations-designated bases of operation

Educate people

Nonprofit Sector GIVES

Facilities/shelters

Coordination of Volunteers/Services

Goodwill—Fleet of vehicles

Provide Childcare

Knowledge and skills to run shelter

Access to Information – via 211

Organized website that connects people

Ham Radio

Can register pets through Red Cross Pet ID

Financial Resources
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Coastal Georgia Breakout Session Notes

Could give out water for bathing/cleaning – YWCA/YMCA

Nursing Homes shelters that survived storm

Healthcare providers/professionals to assist

Distribute of National Stockpile

Databases of people-facilitators

Food bank – USDA product available

Police housed by health system in return for protection

OVAD

Provide mental health – AC has immediate psychology. 1st aid

Distribute clean-up kits

Identifying donors and getting monies

Create a cohesive plan between nonprofits

Nonprofit Sector GETS

Credentialing/critical access passes (by counties) pre-planning

MOUs

Need utilities brought back (water and sewer)

Need to be part of regional coordination – planning

Figure out if plans cross/sector

- comprehensive/cohesive plan - Mutual response plan

Seat at Emergency Operations Center

Education and Information on Plan/Process in Place

Supplies

Security Presence
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Coastal Georgia Meta-Leadership Summit for Preparedness

December 1 - 2, 2009

TOP GAPS

Business

Communications, information sharing

Trusted Sources

Expand networks

Critical infrastructure – tree removal, bridges intact, airport functioning, supply

chains affected, enough personnel, critical medications

Local Emergency Planning Committee needs more robust coordination

Government

Public health and health care

Communication – whole spectrum, including coordination of GIS maps so that all

have the same info

Infrastructure recovery must be a priority

Resources – both availability and coordination of people, supplies, equipment

Nonprofit

Infrastructure Restoration

Meeting Basic Needs (emphasis on 1st responders)

-

Food and Shelter

-

Healthcare provision

Coordination of volunteers, donations, supplies for those that want to assist

Safety/Environmental Impact

TOP GIVES

Business

Philanthropy & Expertise – personnel and financial

Cross-purposing existing assets, ex: transportation resources

Distribution – trucks, people, knowledge of community

Media – distribution of information via web and print

Government

Sharing resources - medical personnel, law enforcement officers, equipment from

cities, real estate

Repurposing facilities

Sharing expertise, Incident Command structure, training in advance

Clearance and recovery of waterways

Nonprofit

Facilities/Shelter

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-

Vehicles (buses, semis)

-

Childcare

-

Organized website that connects people

-

Database of people

-

Foodbank

Facilitation of Key Services

Knowledge/Expertise

Creation of a cohesive plan for nonprofits

TOP GETS

Business

Credentialing – local and national with re-entry procedures

Training on risk communications on how to create and convey a message with

confidence to instill trust

Legal immunity

Re-assurance of law & order

Government

Cross jurisdictional commitments to improving communication and coordination,

and yielding MOAs and resource exchange

Formal agreements and financial support for coordinated GIS and other

communication methods (e.g.,HAM radios)

Clear lines of responsibility and redundancy (including coordination of volunteers)

Nonprofit

Involvement in pre-planning

Be a part of the regional pre-planning

Have a seat at the EOC

Education on plans/process already in place

Restoration of Utilities

Security

Credentialing

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AGENDA

Continuing the Coastal Georgia Region

Meta-Leadership Momentum

Wednesday, July 21, 2010

Location and Time

College of Coastal Georgia

Southeast Georgia Conference Center 3700 Altama Avenue Brunswick, GA 31520 9:30 a.m. – 2 p.m.

Sponsors

Georgia Power Georgia-Pacific Professional Glynn County Board of Health AT&T

Georgia Public Health Association

Hosts

Coastal Health District College of Coastal Georgia

Medical College of Georgia Southeast Clinical Campus Glynn County Health Department

Southeast Georgia Health System United Way of Coastal Georgia YWCA of Coastal Georgia

Speakers

Dr. Valerie Hepburn, President

College of Coastal Georgia

Dr. Douglas Skelton, District Health Director

Coastal Health District

Mr. Russ Toal, Board Chair

McIntosh County Board of Health

Clinical Associate Professor, Health Policy and Management,

Jiann-Ping Hsu College of Public Health, Georgia Southern University

Dr. Kathryn Martin, Assistant Dean

Medical College of Georgia Southeast Clinical Campus

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COASTAL HEALTH DISTRICT

Speakers (cont’d)

Captain Patricia Pettis, Regional Emergency Coordinator

Health & Human Services, Asst. Secretary for Preparedness & Response

Dr. J. Patrick O’Neal, Director

Emergency Preparedness and Response

Georgia Department of Community Health

Lt. Adam Lofton, Public Health Advisor

Strategic National Stockpile, Centers for Disease Control and Prevention

Ms. Susan Malone, RN, BSN Public Health Liaison

Coastal Health District

Ms. Annette Neu, RN, MHS, CIC

Director, Emergency Preparedness & Response

Coastal Health District

Mr. Mark Crews, Director

Camden County Emergency Management Agency

Moderator

Dr. Douglas Skelton, District Health Director

Coastal Health District

Overview

The purpose of the meeting is to discuss the state of public health and to learn more about the role of public health as first responders. Participants will be provided an overview of meta-leadership; engage in an interactive discussion session focused on being better prepared for a public health emergency; continue building public private partnerships for an ESF8 response; and improve overall communications. Participants will also be given the opportunity to register on site to be a partner for ESF8 response.

Objectives

At the end of the sessions, participants will have:

 An expanded network of cross-sector contacts within the Coastal Georgia Region.

 An increased awareness of preparedness efforts from a public health prospective and an ESF 8

response.

 A summary of the status of commitments made at the Coastal Georgia Summit in December.

 An increased awareness of and access to cross-sector resources in the Coastal Georgia Region for

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COASTAL HEALTH DISTRICT

AGENDA

9:30-10:00 a.m. Networking Session/Registration

10:00 – 10:05a.m. Welcoming Remarks Dr. Valerie Hepburn

10:05 – 10:15a.m. Why Are We Here? Dr. Douglas Skelton

10:15-10:35a.m. The State of Public Health Mr. Russ Toal

10:35-10:50 a.m. Introduction & Overview of Meta-Leadership

Ms. Rosalind D. McGinnis

10:50-12:00p.m. Panel Discussion

Overview of ESF 8: The role of Public Health as First Responders.

Public/Private Partnerships

Strategic National Stockpile Overview Local Perspective of Strategic National Stockpile

Practical Applications of ESF 8

Dr. Kathryn Martin, Facilitator Captain Patricia Pettis

Dr. Patrick O’Neal Lt. Adam Lofton Ms. Susan Malone Ms. Annette Neu 12:00-1:00p.m. 12:30 p.m. Networking Luncheon

The Need for Urgency: “A Historical Overview of Hurricanes Impacting Coastal Georgia and the Forecast for 2010”

Mr. Mark Crews

1:00-1:45p.m. Building Cross Sector Resources in Coastal

Georgia – Fulfilling Your Commitments – Discussion and Audience Participation

Dr. Douglas Skelton and Panel

1:45-1:50p.m. Thank You Ms. Rosalind D. McGinnis

http://glynncounty.org/index.aspx?NID=557.

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