Risk Management

2018 AHCA/NCAL Annual Convention

RM-4 - Understanding the Value of the Long Term Care Community’s Engagement Within a Healthcare Coalition

Tuesday, October 9
9:30 AM - 11:00 AM
CE: NAB: 1.5 | Nurses 1.5

Health care coalitions (HCCs) bring together diverse and often competitive health care organizations with differing priorities and objectives to work together by collaborating to ensure that each member has the necessary medical equipment and supplies, real-time information, communication systems, and trained health care personnel to respond to an emergency. Healthcare coalitions are regional efforts to help each community develop healthcare system preparedness and response capabilities. Attend this session to hear from two different states—Florida and North Dakota. Their presentation will describe the rationale, processes, and tools within their models to highlight the specific benefits to long-term care in the context of a healthcare coalition.

Learning Objectives:

Timothy W. Wiedrich

Section Chief
North Dakota Department of Health

Tim Wiedrich is the Section Chief for the Emergency Preparedness and Response Section of the North Dakota Department of Health. This section is dedicated to creating and promoting a state of readiness and prompt response to protect the health of North Dakota’s during catastrophic events, large-scale disasters and emergencies. The Emergency Medical Services section of the Health Department was recently folded into Tim’s responsibilities.

Since the development of this section within the North Dakota Department of Health in September 2002, Tim has been instrumental in creating a regional response network throughout the State. Through the cooperation of eight public health units within the State and key personnel within the North Dakota Department of Health, regional emergency response coordinators, public information officers, and environmental health practitioners have been hired to coordinate emergency planning and preparedness within the eight regions of North Dakota and our state’s bordering communities.

Prior to being appointed to the Emergency Preparedness and Response Section, Tim served as the Director of the Division of Emergency Health Services. Pursuant to his leadership, the division established a distance learning system, implemented an electronic ambulance run reporting system, and created professional emergency medical services training levels by seeking legislation and implementing administrative rules.

Tim’s prior history also includes being the Chief Investigator for the Consumer Fraud Division of the Office of the Attorney General, Chief Deputy for the Mercer County Sheriff’s department, and Police Officer for the Minot Police Department.

He is a past president of the National Association of State Emergency Medical Services Directors. He served as the first president of the Directors of Public Health Preparedness, which is a national organization of state officials organized under the allocation of state and territorial public health officers.
Tim holds a Master of Science Degree in Management and A Bachelor of Science Degree in Business Administration. He is also certified in the National Registry as an Emergency Medical Technician-Intermediate (EMT-I). As adjunct faculty for The University of Mary, Tim conducts courses in Strategic Decision Making, Executive Leadership and Transitional Leadership.


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Raymond Runo, B.S. /M.P.A

Program Manager
Big Bend Healthcare Coalition

Mr. Raymond Runo has an undergraduate degree in Criminology and a Masters Degree in Public Administration from Florida State University. He is the President of Preparedness & Response Partners, LLC, and has over 30 years of local, state, and private sector emergency management experience. Among his selected experience and achievements are:
• From 2014 - 2018 serving as the Program Manager for the the Big Bend Healthcare Coalition (BBHCC)
• Co-Authored Strategic Business Plan – Florida Division of Emergency Management
• Consultant (State of Florida) – Public Assistance Performance and Systems Manager (TS Debby, Hurricane Isaac). Developed qualitative and
quantitative measurements for Public Assistance Recovery Operations.
• 2004 - 2011 - Managed Florida’s public health and healthcare system response to 12 hurricanes, 18 tropical storms, wildfires, flooding, and other all-
hazards response events.
• 2010 - Incident Commander – State of Florida’s response to H1N1 Flu Epidemic
• Partnered with the Florida Healthcare Association to integrate the needs of Florida’s long term care system into the state and local ESF 8
public health and medical response system. Contributor to Florida Health Care Association, Disaster Guide: 2004, 2005 rev.
• Co-developer of Incident Command System for Long Term Care facilities.
• Co-developer with FHCA for the development of software for developing a comprehensive emergency management plan for long term care facilities.
• Serving on Florida Healthcare Association’s Disaster Preparedness Committee
• Served on American Healthcare Association’s Disaster Planning Committee for Long Term Care Transportation Issues.
• Managed the development of a comprehensive and integrated public health and healthcare emergency management response system. Recognized
as best practice throughout the country.
• Initiated the Unified Planning Coalition for interstate public health and medical emergency management preparedness and response for FEMA Region
IV states. Evolved as a national model for public health and healthcare coalition response systems.
• Key Note speaker/panel member on public health and healthcare emergency management response issues. (approximately 33 different states)
• Key note panel speaker at the National Biodefense Science Board sponsored by the U.S. Department of Health and Human Services on interstate
management of disasters.
healthcare surge demands, augmented staffing systems, AMTS, FMS sites, and patient movement
• Conducted numerous training/exercise sessions in the areas of: all hazards emergency management, EOC operations, management/supervision,
occupational health and safety, human resources, and law enforcement related topics,


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Paul E. Kovary

Seven Hills Health and Rehabilitation Center / Big Bend Health Care Coalition

Paul E. Kovary, NHA - Administrator at Seven Hills Health and Rehabilitation Center, Tallahassee, Florida; board of director at Big Bend Healthcare Coalition.

Paul is a licensed nursing home administrator in the State of Florida for the past 29 years, 19 of them have been at Seven Hills Health and Rehabilitation Center. Seven Hills is a Joint Commission accredited and has received the Bronze and Silver Awards from the American Health Care Association. Paul has been active with Florida Health Care Association during his career, serving as district president at the local level, as conference committee chairman and a member of the board of directors at the state level.
Community involvement include board of directors/chairman of the North Florida Workforce Development/Career Source North Florida, a private, non-profit organization that brings together businesses, elected officials, educators and other collaborative partners to build and enhance a workforce to meet the needs of a demand driven economy in six counties of the big bend area of Florida. Also, board of directors/vice-chairman of the Health Care Advisory Committee - Lively Tech, and board of directors of the Big Bend Health Care Coalition, and organization with the focus on coordniation of resources and capabilities of all healthcare and support providers in preparing, responding and recovering from disasters for an eight-county region.

Paul graduated with a Bachelor's of Science degree in gerontology.


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RM-4 - Understanding the Value of the Long Term Care Community’s Engagement Within a Healthcare Coalition

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