The Medical Health Operational Area Coordinator (MHOAC) Program is authorized by the California Health and Safety Code Section 1797.153.  The MHOAC position represents the single point of contact for the MHOAC program and is responsible for monitoring and ensuring adequate medical and health resources are in place during a local emergency.  The MHOAC is authorized to make and respond to requests for mutual aid from out of Madera County.

During non-emergency operations and the initial phases of an emergency, the MHOAC Program operates in a duty officer mode and is on-call 24/7. Once the County Health Agency Department Operations Center (CHADOC) is activated, the MHOAC Program functions are distributed to various CHADOC positions. The MHOAC may also be at the County EOC as the Medical Health Branch Director.

If you are a first responder or medical/health organization representative and need to talk to a public health representative regarding an emergency situation, such as multi-casualty incidents (MCIs), MHOAC requests, threats to the medical and public health system or medical and mutual aid requests, call 1-805-380-3411.

This is a 24/7 phone number for the EMS Duty Officer which functions as the MHOAC Program until the County Health Agency Department Operations Center (CHADOC) is activated.

For all other public health emergency calls, such as communicable disease, call (559) 675-7893 during regular business hours.

If you are a first responder or medical/health organization representative and need to talk to a public health representative regarding an emergency situation, such as multi-casualty incidents (MCIs), MHOAC requests, threats to the medical and public health system or medical and mutual aid requests, call (559) 675-7893.

This is a 24/7 phone number for the EMS Duty Officer which functions as the MHOAC Program until the County Health Agency Department Operations Center (CHADOC) is activated.

You can also email terrance.carter@maderacounty.com  to submit HICS 251 Form Facility System Status Report, MHOAC Resource Requests and situational awareness updates.**Please follow up with a call to (559) 675-7893 to confirm receipt of email**

For all other public health emergency calls, such as communicable disease, call (559) 675-7893.

If you are a medical/health organization representative and are experiencing an unusual event, you must notify the MHOAC to inform them of the situation.  An unusual event is defined as an incident that significantly impacts or threatens public health, environmental health or emergency medical services.  An unusual event may be self-limited or a precursor to an emergency system activation.  Criteria for an unusual event may include any of the following:

• The incident significantly impacts or is anticipated to impact public health or safety
• The incident disrupts or is anticipated to disrupt the public health and medical system;
• Resources are needed or anticipated to be needed beyond the capacity of your medical/health organization (including resources available through existing agreements)
  • Examples include Multi Casualty Disaster, Power Outage anticipated to last more than 3 hours, loss of HVAC system, loss of water supply, facility evacuation, activation of the Emergency Command Center for any reason, and staff shortages due to medical surge.

The MHOAC may also request medical/health organizations to complete a Situation Status Report for situational awareness purposes.

The report may be a Flash Report (short and simple) or a more detailed and complete Situation Status Report.

Contact the MHOAC and complete a Medical/Health Resource Request if you are a medical/health organization representative and are in need of a resource (or the need is imminent) from within or beyond Madera County and you have exhausted all other resource options, such:

• Internal / corporate supply chain
• Mutual assistance agreements with other agencies
• Alternative resources are not available
• The resource is not available through the commercial supply chain / vendors