Pandemic Influenza PlanningMedical 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

• Mission for our group – by December 31st complete Pandemic Flu Hospital Surge Plan(s) for all hospitals in San Mateo County

Are we in any particular risk here?

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

Hospital Surge Capacity Components

• Staffing

• Bed capacity

• Consumable and durable supplies

• Continuation of essential medical services

Other Components In Progress by Health Department

• Mass Vaccination

• Mass Prophylaxis

• SNS Distribution

• Surveillance

• Laboratory

• Institutional control

• PPE

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

• 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

• 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

• 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?

• 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?

• Seems very complete

• Sufficient detail

• HHS appropriate authority

• Logical benchmark

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

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

• 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 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)

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

Next Steps (complete remainder of S-3)

• Use of vaccines and antiviral drugs (in hospital)

• Security

• Mortuary Issues

December 16th Meeting9 am

• At least one participant from each hospital

• Bring draft plan

• Come with questions, ideas for best practices

Some Websites

• http://www.hhs.gov/pandemicflu/plan

• http://www.pandemicflu.gov/

• http://www.smhealth.org/ems

• http://http:www.smhealth.org/flu

Questions?