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Enhancing Hospital Emergency Preparedness and Response Utilizing Online Tools

Enhancing Hospital Emergency Preparedness and Response Utilizing Online Tools. Mitchell Brown MPH Candidate University of Florida Spring 2014. Mass Casualty Incidents and Surge Capacity. Mass Casualty Incident or Event (MCI/MCE)

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Enhancing Hospital Emergency Preparedness and Response Utilizing Online Tools

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  1. Enhancing Hospital Emergency Preparedness and Response Utilizing Online Tools Mitchell Brown MPH Candidate University of Florida Spring 2014

  2. Mass Casualty Incidents and Surge Capacity • Mass Casualty Incident or Event (MCI/MCE) • “A situation in which a hospital receiving multiple casualties does not have the resources to deal with the patients simultaneously.” McAlister, 2011 • Surge Capacity • “A health facility’s ability to rapidly expand beyond normal services to meet increased demand for bed space, qualified personnel, medical services and public health programs in the event of a large scale disaster.” Norman et al, 2012

  3. Literature Review • Hospital emergency preparedness and response was “inadequate.” • Lack of comprehensive plans • Lack of training • Evolution of MCEs “Learn from the mistakes of others. You can’t live long enough to make them yourselves.” Eleanor Roosevelt

  4. Relationship to Public Health Values “There is a quantitative relationship between increasing casualty load and gradual degradation of the level of trauma care in multiple casualty incidents” Norman, 2012

  5. EM HICS • Set up EM HICS • Owned by Intermedix • Provides technology support to connect heathcare providers, public health agencies, and emergency management • Funded by CDPHE OEPR • Requires participation in a healthcare coalition for integrated, coordinated, and organized response

  6. Objectives • Emergency preparedness follows the EOP and HICS • Enhance the EOP • Improve hospital emergency preparedness • Ensure quality of care

  7. H

  8. Hypothesis • Improve hospital emergency preparedness for Saint Anthony Hospital • Quicker response • Staff is more comfortable with Hospital Incident Command (HICS) • Better management of the event

  9. Methods

  10. St. Anthony Hospital Hospital Incident Command Org Chart

  11. EM HICS • Required as part of the health care coalition • Mostly data entry which is time consuming • No stakeholders

  12. Results • Data entry completed • Results following implementation and evaluation

  13. Interpretation • Databases entered into EM HICS • No data collected

  14. Strengths • Enhance EOP • Notification • Guidance • Organization • Communication

  15. Limitations • Funding canceled further development • Time and effort • Web based • Acceptance

  16. Generalizability • Adopted throughout all Colorado hospitals • Required for the Foothills Health Care Coalition

  17. Implications • Relationship experience • Application to my workplace • Contribution to Public Health • Improve emergency preparedness and response • Assure quality health care

  18. Competencies • Core competencies strengthened • Development of plans to support health efforts • Assurance of the provision of health care • Evaluation of effective, accessible, and quality health services • Concentration competencies strengthened • Application of programming planning principles • Monitor and evaluation of program effectiveness

  19. Competencies • Other competencies • Environmental Health • Public Health Management • Biostatistics/Epidemiology

  20. Lessons Learned “Learn from the mistakes of others. You can’t live long enough to make them yourselves.”

  21. Auf derHeide, E. (2006). The Importance of Evidence-Based Disaster Planning. Annals of Emergency Medicine, 47(1), 34-49. doi:10.1016/j.annemergmed.2005.05.009 • Barbisch, D.F., and Koenig, K.L. (2006). Understanding Surge Capacity: Essential Elements. Society for Academic Emergency Medicine, 13(11), 1098-1102. doi:10.1197/j.aem/2006.06.041 • Bayram, J.D., Sauer, L.M., Catlett, C., Levin, S., Cole, G., Kirsch, T.D., … Kelen, G. (2013). Critical Resources for Hospital Sure Capacity: An Expert Consensus Panel. PLOS Current Disasters, (1). doi:10.1371/currents.dis.67c1afe8d78ac2ab0ea52319eb119688 • Djalali, A., Castren, M., Hosseinijenab, V., Khatib, M., Ohlen,G. and Kurland, L. (2012). Hospital incident command system (HICS) performance in Iran; decision making during disasters. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 20, 14. doi:10.1186/1757‑7241‑20‑14 • McAlister, V.C. (2011). Drills and exercises: the way to disaster preparedness. Canadian Journal of Surgery, 54 (1), 7-8. doi:10.1503/cjs.036910 • Norman, I.D., Aikins, M., Binka, F.N., and Nyarko, K.M. (2012). Hospital All-Risk Emergency Preparedness in Ghana. Ghana Medical Journal, 46(1), 34-42.

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