Pandemic Influenza Planning Medical Surge - Hospitals

1. Pandemic Influenza PlanningMedical Surge - Hospitals Barbara Pletz EMS Administrator San Mateo County

2. 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

5. Are we in any particular risk here?

8. 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

9. Hospital Surge Capacity Components • Staffing • Bed capacity • Consumable and durable supplies • Continuation of essential medical services

10. Other Components In Progress by Health Department • Mass Vaccination • Mass Prophylaxis • SNS Distribution • Surveillance • Laboratory • Institutional control • PPE

11. Other Components In Progress by Health Department (cont.) • Legal Issues/Authority • Disease Control • Risk Communication • Self-sufficiency • Vulnerable populations

12. 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)

13. 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

14. 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

15. 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

16. Why the HHS Plan? • Seems very complete • Sufficient detail • HHS appropriate authority • Logical benchmark

17. 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

18. 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

19. 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)

20. 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)

21. 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

22. Next Steps (complete remainder of S-3) • Use of vaccines and antiviral drugs (in hospital) • Security • Mortuary Issues

23. December 16th Meeting9 am • At least one participant from each hospital • Bring draft plan • Come with questions, ideas for best practices

24. Some Websites • http://www.hhs.gov/pandemicflu/plan • http://www.pandemicflu.gov/ • http://www.smhealth.org/ems • http://http:www.smhealth.org/flu

25. Questions?