This Guidance is no longer in effect and is for historical purposes only.
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After attempts to purchase personal protective equipment (PPE) from regular suppliers are exhausted, health care providers can request resources through the Medical Health Operational Area Coordination Program (MHOAC).
Standardized Emergency Management System (SEMS)
The California Emergency Services Act requires SEMS to be utilized for managing multi-agency & multi-jurisdictional responses to emergencies/disasters in California:
Medical/Health Resource Requesting*
*Note: The MHOAC and RDMHC/S programs only deal with medical/health resources. Non-medical/health resources are normally handled through the OA/state Office of Emergency Services (OES). If necessary, the MHOAC Program can assist field level providers in connecting with applicable OES entities to request non-medical/health resources.
Medical Health Operational Area Coordination Program Overview
In order to ensure adequate resources are available to meet the needs of your county/jurisdiction's operational area (OA) medical and health response system, the MHOAC coordinates all medical and health resources within, into, and out of your county/jurisdiction OA consistent with the California Public Health and Medical Emergency Operations Manual (EOM). The MHOAC uses the EOM as a guide to coordinate response among multiple jurisdictions and to access disaster medical and health service response at all levels of government and the private sector.
The MHOAC is responsible for managing disaster medical resources, including personnel, equipment, and supplies. Resource management includes assessing disaster medical response needs, tracking available resources, and requesting or providing mutual aid. The status of local available resources within the OA is assessed before requesting outside resources or submitting a resource request to the Region Disaster Medical Health Coordination/Specialist Program (RDMHC/S). Following an assessment of local resources, the MHOAC may request or provide mutual aid as conditions warrant. The MHOAC acts as the single-point ordering authority for OA medical health mutual aid requirements. If necessary, the MHOAC may also request the public health and medical Department Operations Center (DOC) or OA Emergency Operations Center (EOC) to be activated to support the public health or medical event.
If the MHOAC cannot fulfill a request using local sources, they may request public health and medical resources from outside of the OA via your RDMHC/S. If regional resources are inadequate or delayed, the RDMHC Program will forward the request to the State. If in-State resources are unable to fill the request in a timely manner, the State will request Federal assistance through the California Office of Emergency Services (Cal OES). Acting through Cal OES, the Governor will request Strategic National Stockpile (SNS) via the Department of Homeland Security. Please be aware that while every effort will be made to obtain resources as quickly as possible, requesting entities should anticipate that time from acceptance of a request to actual receipt of the resource may be 48-96 hours or longer, depending on the type and scope of the incident.
Please see the Medical Health Operational Area Coordination (MHOAC) Manual (PDF) for more information.
Originally Published on May 7, 2020