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Pandemic Influenza Planning Medical Surge - Hospitals. Barbara Pletz EMS Administrator San Mateo County. Our Mission. Health Department directed by County Manager to complete Pandemic Flu Plan for San Mateo County by December 31, 2005

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pandemic influenza planning medical surge hospitals

Pandemic Influenza PlanningMedical Surge - Hospitals

Barbara Pletz

EMS Administrator

San Mateo County

our mission
Our Mission
  • Health Department directed by County Manager to complete Pandemic Flu Plan for San Mateo County by December 31, 2005
  • Mission for our group – by December 31st complete Pandemic Flu Hospital Surge Plan(s) for all hospitals in San Mateo County
assumption
Assumption
  • We will basically be “on our own” as far as providing healthcare goes
  • Planning now will pay off
  • Doing this together will be helpful
slide9

Hospital Surge Capacity Components

  • Staffing
  • Bed capacity
  • Consumable and durable supplies
  • Continuation of essential medical services
other components in progress by health department
Other Components In Progress by Health Department
  • Mass Vaccination
  • Mass Prophylaxis
  • SNS Distribution
  • Surveillance
  • Laboratory
  • Institutional control
  • PPE
slide11

Other Components In Progress by Health Department (cont.)

  • Legal Issues/Authority
  • Disease Control
  • Risk Communication
  • Self-sufficiency
  • Vulnerable populations
short term outcome for hospital surge planning group
Short Term Outcome for Hospital Surge Planning Group
  • County “Umbrella” Plan (Health Dept. responsible) – using template addressing staffing, bed capacity, consumable and durable supplies, continuation of essential medical services
  • Individual plans for each hospital (using a standard template for these same components)
process structure
Process Structure
  • Health Department Pandemic Flu Plan Committee – Chair Brian Zamora, Director Public Health Division
  • Members include Health Officer, PIO, BT Coordinator, Epidemiologist, DCPU Nurse Manager, OES, EMS, Public Health Lab Director
surge planning assigned to ems
Surge Planning – Assigned to EMS
  • Convened Steering Committee
    • Don Cheu, M.D., Disaster Consultant
    • Barbara Harrelson, Hospital Council
    • Jeanne Lindquist, M.D., Infectious Disease
    • Barbara Pletz, EMS
    • Francine Serafin-Dickson, Hospital Consortium
    • Glen Youngblood, EMS
how did we decide on the components template
How did we decide on the components/template?
  • Have reviewed many reference documents
    • Medical Surge Capacity and Capability (CNA Corp., ASTHO Summary of HHS Plan, HHS Pandemic Influenza Plan)
    • Numerous articles
why the hhs plan
Why the HHS Plan?
  • Seems very complete
  • Sufficient detail
  • HHS appropriate authority
  • Logical benchmark
slide17

Planning Process

  • Initial meeting December 1st
  • Each hospital to participate – CEO’s, VP Nursing, Infection Control Nurse/Infectious Disease Physician, Safety Officer, ED Nurse Manager, Materials Management Director
  • Each hospital will go back to facility to do the plan
slide18

Process (cont.)

  • Stick to components identified in HHS “Surge Capacity: S3-11
    • Staffing, bed capacity, consumable & durable supplies
  • Encourage peer-to-peer communication between facilities
  • December 16th follow-up meeting
  • Plans due December 31st
hospital planning
Hospital Planning
  • HHS recommends membership of internal, multidisciplinary committee (see Appendix 2)
  • Convene committee as appropriate for specific components – staffing, bed capacity, consumable & durable supplies (will need broader membership later for rest of the plan)
hospital planning20
Hospital Planning
  • Call with questions – EMS will coordinate: (650) 573-2564
  • Encourage consulting each other (between facilities)
  • Follow-up meeting – December 16th
  • Completed plans by December 31st (earlier would be great)
slide21

Next Steps for Hospital Planning (complete remainder of S-3)

  • Hospital Surveillance
  • Hospital Communications
  • Education & Training
  • Triage, clinical evaluation, and admission procedures
  • Facility access
  • Occupational Health
slide22

Next Steps (complete remainder of S-3)

  • Use of vaccines and antiviral drugs (in hospital)
  • Security
  • Mortuary Issues
december 16 th meeting 9 am
December 16th Meeting9 am
  • At least one participant from each hospital
  • Bring draft plan
  • Come with questions, ideas for best practices
some websites
Some Websites
  • http://www.hhs.gov/pandemicflu/plan
  • http://www.pandemicflu.gov/
  • http://www.smhealth.org/ems
  • http://http:www.smhealth.org/flu