Pandemic Influenza Planning Medical Surge - Hospitals

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Pandemic Influenza PlanningMedical Surge -
Hospitals

• Barbara Pletz
• EMS Administrator
• San Mateo County

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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

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Are we in any particular risk here?
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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

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Hospital Surge Capacity Components

• Staffing
• Bed capacity
• Consumable and durable supplies
• Continuation of essential medical services

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Other Components In Progress by Health Department

• Mass Vaccination
• Mass Prophylaxis
• SNS Distribution
• Surveillance
• Laboratory
• Institutional control
• PPE

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Other Components In Progress by Health Department
(cont.)

• Legal Issues/Authority
• Disease Control
• Risk Communication
• Self-sufficiency
• Vulnerable populations

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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)

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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

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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

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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

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Why the HHS Plan?

• Seems very complete
• Sufficient detail
• HHS appropriate authority
• Logical benchmark

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Planning Process

• Initial meeting December 1st
• Each hospital to participate CEOs, 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

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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

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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)

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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)

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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

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Next Steps (complete remainder of S-3)

• Use of vaccines and antiviral drugs (in hospital)
• Security
• Mortuary Issues

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December 16th Meeting9 am

• At least one participant from each hospital
• Bring draft plan
• Come with questions, ideas for best practices

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Some Websites

• http//www.hhs.gov/pandemicflu/plan
• http//www.pandemicflu.gov/
• http//www.smhealth.org/ems
• http//httpwww.smhealth.org/flu

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Questions?