Alternate Care Facility Planning Strategy Northern Virginia Emergency Response System

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Alternate Care Facility Planning
StrategyNorthern Virginia Emergency Response
System

• Dan Hanfling, MD
• Director, Emergency Management and Disaster
  Medicine
• Inova Health System
• Richmond, VA
• December 2008

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NVHA
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From the files of Dr. David Goodfriend, Loudoun
County Health Dept.
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Planning ProcessInitial Steps

• Develop subcommittee under auspices of the MMRS
  (NVERS) Steering Committee
• Co-Chair, Northern VA Hospital Alliance
• Co-Chair, Loudoun County Health Director
• NVHA Planner
• Health Departments
• No VA EMS Council
• Emergency Management
• Legal/Regulatory
• Northern VA Medical Society

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Planning ProcessEstablish Basic Assumptions

• The most appropriate location for the delivery of
  acute medical care is in the hospital.
• A primary role will be to accept patients within
  the established scope of care so as to free up
  beds in the hospital for more critical patients.
• There will be a shortage of necessary health and
  medical resources and as a result standards of
  care will be altered across the health care
  spectrum.

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Surge Capacity Planning

• Conventional Surge Capacity

Conventional Standard of Care
Contingency Surge Capacity
Contingency Standard of Care
Crisis Surge Capacity
Crisis Standard of Care
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Creating a Systems Approach

• Proposed Taxonomy
• ACF Triage (Community Based)
• Telephone Triage
• Integration of Outpatient Resources
• ACF -T
• ACF Healthcare (ACF-HC)
• ACF-Isolation (ACF-Iso)
• ACF-Palliative Care (ACF-PC)

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NVERS
NVHA
Inova MAC
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Planning ProcessNext Steps

• Local versus Regional ACF-T, ACF-HC
• Emergency Management vetting process
• Scope of Services
• Site selection/Stuff procurement
• Staffing plan models (contractual?)
• Fiduciary/Regulatory/Legal requirements
• Test/Drill/Exercise

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Dan Hanfling, MD Inova Health System dan.hanfling
_at_inova.com 703-776-3002