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Hospital Preparedness & Epi’s as partners in support of Public Health Preparedness

Hospital Preparedness & Epi’s as partners in support of Public Health Preparedness. Richard Bartlett, B.S., M.Ed. Emergency Preparedness & Trauma Coordinator Kentucky Hospital Association Kentucky Hospital Research & Education Foundations. ASPR HPP & CDC PHEP.

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Hospital Preparedness & Epi’s as partners in support of Public Health Preparedness

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  1. Hospital Preparedness & Epi’sas partners in support ofPublic Health Preparedness Richard Bartlett, B.S., M.Ed.Emergency Preparedness & Trauma CoordinatorKentucky Hospital AssociationKentucky Hospital Research & Education Foundations

  2. ASPR HPP & CDC PHEP • In response to the National Preparedness Goals ASPR (Assistant Secretary for Preparedness and Response) aligned the Hospital Preparedness Program (HPP) with CDC’s Public Health Emergency Preparedness (PHEP) program. • Defined a set of Healthcare Preparedness Capabilities to assist healthcare systems, Healthcare Coalitions, and healthcare organizationswith preparedness and response. • 1. Healthcare System Preparedness • 2. Healthcare System Recovery • 3. Emergency Operations Coordination • 5. Fatality Management • 6. Information Sharing • 10. Medical Surge • 14. Responder Safety and Health • 15. Volunteer Management

  3. Sub-Capabilities • Interoperable Communications Systems • Tracking Bed Availability (HAvBED) • ESAR-VHP (KHELPS in KY) • Medical Evacuation/Shelter in Place • Alternate Care Sites (ACS) • Mobile Medical Assets • Pharmaceutical Caches • Personal Protective Equipment • Decontamination • Medical Reserve Corps (MRC) • Critical Infrastructure Protection (CIP)

  4. Healthcare Coalitions • Collaborative network of HC organizations, and their respective public and private sector response partners, within a defined region. • Coalitions serve as a multi-agency coordinating group • Participating agencies include, but are not limited to: • Hospitals, Urgent Care Centers and FQHC • Local/district Health Departments • EMS, coroners, medical societies • Mental Health and crisis response groups • Long-Term Care • Red Cross & NGO’s • Assists with Emergency Management, ESF-6 and ESF-8 • Partner specific and regional HVA development • Coordinates preparedness, response, recovery and mitigation related to HC disaster operations. • Jointly plan, exercise and train as a region • Regional information sharing & information development • Provides situational awareness

  5. Severe Weather Lessons Learned

  6. Example HVA

  7. Joint Commission requires a hospital to have an alternate site outside the hospital setting in case of evacuation Very few facilities have actually had to implement these types of plans.

  8. Statewide Mobile Treatment Center

  9. Medical Evacuation

  10. Trust for America’s HealthReady or Not 2012 http://healthyamericans.org/assets/files/TFAH2012ReadyorNot10.pdf

  11. Cumberland Valley Outbreak • Started with reports of some unusual deaths, some involving people who had been in jail • Regional EPIs worked with local hospital ICP and ED staff to build/refine case definition • Coordinate access and review of current and past medical records • Worked with MDs in private practice and localcoroners • Worked with state PH in adjoining states • Confluence of circumstances, but not necessarily a new disease.

  12. BECKY • Long range effort to collaboratively build EPI capacity throughout the state • Encourage academic programs, and internships • Recent question: Can BECKY help create the next generation of Hospital ICP’s? • Discussions about create working sub-committee of the regional HCC of local and regional EPIs and ICPs from regional HCO • Networking, education, partnerships for outbreak investigations

  13. What can you do? • Become engaged with the regional coalitions • Find and get to know the key hospital POCs • Emergency preparedness coordinator • Hospital ICP & ED managers • Work within the regional JIS to coordinate messaging and information sharing • HD, hospital, EMS, coroner and other PIOs • Consistency with State PH and CDC

  14. Richard Bartlett, B.S., M.Ed.Emergency Preparedness & Trauma CoordinatorKentucky Hospital Association(rbartlett@kyha.com)

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