Community PanFlu Planning : Healthcare

1. Community PanFlu Planning: Healthcare

2. Objectives • Review PanFlu Planning Checklist • Facilitate development of your Internal Disaster Plan: • Surveillance • Communications • Surge Capacity • Vaccine/antiviral Dispensing • Communicate needs to KCHD for our Metro Plan

3. Pandemic Flu Checklist • Specific to each area in HealthCare • Used in conjunction with guidance from HHS Pandemic Influenza Plan • Can be adapted to meet unique needs of each facility

4. Establishing a Planning Structure • PanFlu Committee • PanFlu Coordinator • Point of Contact • Written Plan

5. Surveillance: Populations Served • Educate staff • Signs/symptoms pandemic vs seasonal flu • Infection control measures • Community response plan • Track patients/staff with panflu • Have system in place to report unusual flu-like illness/pan flu to local HD: 215-5093

6. Infection Control • Signage to educate personnel and patients • Adequacy of surgical masks for patient contact not involving aerosolization procedures • Possibility of using surgical masks over reusable N95s as well as goggles/face shields for high-risk procedures • Establishing regularly scheduled environmental cleaning

7. Surge Capacity: Not for hospitals only! • Emergency Responders • Medical Offices • Ancillary Health • Dentists • Pharmacists • Physical Therapists • Veterinarians • Etc

8. Surge Capacity:Staffing Shortages • Identify minimum number employees and categories required for essential operations • Temporary help • Cross train employees • MOAs with other facilities

9. Staffing Shortages • Develop strategy for housing staff on-site for prolonged periods if needed • Staff encouraged to develop personal family care plans for their absence from home

10. Surge Capacity: Volunteers • Volunteer Coordinating Center being developed • Private Health Providers • Ancillary Health • Dentists • Pharmacists • Physical Therapists • Veternarians

11. Integrating Volunteers Medical vs Non-medical needs: • Triage • Phone banks • On-Off site locations • Assisted Living/Nursing homes • Home Health • Home-bound

12. Integrating Volunteers, cont’… • Non-medical • Phone triage • Housekeeping • Food Service • Clerical support • ??Just in Time Training for RN assistant positions

13. Volunteers- How Will You Use Them? • Without your input…

14. Surge Capacity: Supplies • Estimate needs for consumable resources • Primary Plan & Contingency Plan • Detailed procedures for supply acquisition • Normal channels exhausted: have a back-up

15. Triage • Phone banks: to prioritize patients • In-house • 211 • Establishing boundaries for “non-flu” vs “flu sick” • Signage • Different areas vs different times • Alternate sites • In-house: “remote” area not normally intended for triage use • Outside of facility: different entrance than regular ER

16. Sick Leave policy • Liberal and non-punitive • Staff who become ill at work • Recovering staff- when to return • Symptomatic but functional staff-allowed to work? • Reassignment of personnel at increased risk for flu complications • Offer annual flu vaccine

17. Communication:Keeping it Consistent • Point of Contact identified to communicate with KCHD • Broadcast FAX • Email • Media

18. Vaccine/Antiviral Distribution • Prioritization of personnel : based on level of patient contact • PanFlu Coordinator: to develop and provide list of First and Second tier personnel • Prioritization determined by Feds and may change

19. Secondary Distribution Center • SNS warehouse SDCYour Facility • Here at KCHD or • KCHD off-site warehouse or • Other location • Either distribute directly to your staff or have facility point person pick up and administer Important to be flexible

20. Supplies • One weeks worth of consumable supplies • Primary and contingency plans to address supply shortages • Arrange in advance with suppliers

21. Breakout Group Meetings • Hospitals, Medical Offices, First Responders: June 27 8:00 am- Auditorium • Charity Menefee & Larry Hutsell • Charity.menefee@knoxcounty.org • Larry.hutsell@knoxcounty.org • Home Health, Assisted Living, Nursing homes, Ancillary medical, Inpatient facilities: June 27 10 am- Auditorium • Maria Hurt maria.hurt@knoxcounty.org • Ancillary: Dental, Pharmacy, PT, Vets, etc: June 23 10 am- Auditorium • Drs. Karen Eschman & Steve Keeton • Knoxpanflu@knoxcounty.org • Charity Menefee & Larry Hutsell charity.menefee@knoxcounty.org larry.hutsell@knoxcounty.org • Home Health, Assisted Living, Nursing homes, Ancillary medical, Inpatient facilities: June 27 10 am - Auditorium • Maria Hurt maria.hurt@knoxcounty.org • Ancillary: Dental, Pharmacy, PT, Vets: June 23 8:30 am- Auditorium • Drs. Karen Pershing and Steve Keeton knoxpanflu@knoxcounty.org

22. Attending Other Meetings… • Business Meeting: June 13, 7:30 am- Auditorium • Internal Disaster/Continuity of Operations planning • Occupational Health planning

23. WHAT WE NEED FROM YOU • POC: Position, phone number, fax, etc • RSVP to next meeting 215-5093 • Feedback re: using volunteers, triage, any other suggestions

24. Questions?