enhancing hospital emergency preparedness and response utilizing online tools
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Enhancing Hospital Emergency Preparedness and Response Utilizing Online Tools. Mitchell Brown MPH Candidate University of Florida Spring 2014. Mass Casualty Incidents and Surge Capacity. Mass Casualty Incident or Event (MCI/MCE) - PowerPoint PPT PresentationTRANSCRIPT
Enhancing Hospital Emergency Preparedness and Response
Utilizing Online Tools
Mitchell BrownMPH Candidate
University of FloridaSpring 2014
Mass Casualty Incidents and Surge Capacity
Mass Casualty Incident or Event (MCI/MCE)› “A situation in which a hospital receiving
multiple casualties does not have the resources to deal with the patients simultaneously.”
McAlister, 2011
Surge Capacity› “A health facility’s ability to rapidly expand
beyond normal services to meet increased demand for bed space, qualified personnel, medical services and public health programs in the event of a large scale disaster.”
Norman et al, 2012
Literature Review
Hospital emergency preparedness and response was “inadequate.”› Lack of comprehensive plans› Lack of training› Evolution of MCEs
“Learn from the mistakes of others. You can’t live long enough to make them yourselves.”
Eleanor Roosevelt
Relationship to Public Health Values
“There is a quantitative relationship between increasing casualty load and gradual degradation of the level of trauma care in multiple casualty incidents”
Norman, 2012
EM HICS
Set up EM HICS› Owned by Intermedix
Provides technology support to connect heathcare providers, public health agencies, and emergency management
› Funded by CDPHE OEPR Requires participation in a healthcare
coalition for integrated, coordinated, and organized response
Objectives
Emergency preparedness follows the EOP and HICS
Enhance the EOP
Improve hospital emergency preparedness
Ensure quality of care
H
Hypothesis
Improve hospital emergency preparedness for Saint Anthony Hospital › Quicker response› Staff is more comfortable with Hospital
Incident Command (HICS)› Better management of the event
Methods
Evaluate EM HICS
Survey HICS during debriefing
Implement EM HICS
Used during an active shooter exercise
Provide staff trainingProvided during routine emergency preparedness meetings
Set up EM HICS database
Contact database Assign HICS positions
Set up initial job actions
Insert files into IRGs
Incident Commander
Operations Section Chief
Staging Area Manager
Security Branch Director Medical Director
Nursing Services Director
Planning Section Chief
Logisitics Section Chief
Communication Unit Leader
Facilities Unit Leader
Admin/Finance Section Chief
Scribe Public Information Officer
Safety Officer Liaison Officer
St. Anthony Hospital Hospital Incident Command Org Chart
EM HICS
Required as part of the health care coalition
Mostly data entry which is time consuming
No stakeholders
Results
Data entry completed
Results following implementation and evaluation
Interpretation
Databases entered into EM HICS
No data collected
Strengths
Enhance EOP› Notification› Guidance› Organization
Communication
Limitations Funding canceled further development
Time and effort
Web based
Acceptance
Generalizability
Adopted throughout all Colorado hospitals
Required for the Foothills Health Care Coalition
Implications
Relationship experience› Application to my workplace
Contribution to Public Health› Improve emergency preparedness and
response› Assure quality health care
Competencies Core competencies strengthened
› Development of plans to support health efforts
› Assurance of the provision of health care› Evaluation of effective, accessible, and
quality health services
Concentration competencies strengthened› Application of programming planning principles› Monitor and evaluation of program effectiveness
Competencies
Other competencies› Environmental Health› Public Health Management› Biostatistics/Epidemiology
Lessons Learned
“Learn from the mistakes of others. You can’t live long enough to make them yourselves.”
Auf der Heide, E. (2006). The Importance of Evidence-Based Disaster Planning. Annals of Emergency Medicine, 47(1), 34-49. doi:10.1016/j.annemergmed.2005.05.009
Barbisch, D.F., and Koenig, K.L. (2006). Understanding Surge Capacity: Essential Elements. Society for Academic Emergency Medicine, 13(11), 1098-1102. doi:10.1197/j.aem/2006.06.041
Bayram, J.D., Sauer, L.M., Catlett, C., Levin, S., Cole, G., Kirsch, T.D., … Kelen, G. (2013). Critical Resources for Hospital Sure Capacity: An Expert Consensus Panel. PLOS Current Disasters, (1). doi:10.1371/currents.dis.67c1afe8d78ac2ab0ea52319eb119688
Djalali, A., Castren, M., Hosseinijenab, V., Khatib, M., Ohlen,G. and Kurland, L. (2012). Hospital incident command system (HICS) performance in Iran; decision making during disasters. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 20, 14. doi:10.1186/1757‑7241‑20‑14
McAlister, V.C. (2011). Drills and exercises: the way to disaster preparedness. Canadian Journal of Surgery, 54 (1), 7-8. doi:10.1503/cjs.036910
Norman, I.D., Aikins, M., Binka, F.N., and Nyarko, K.M. (2012). Hospital All-Risk Emergency Preparedness in Ghana. Ghana Medical Journal, 46(1), 34-42.