Emerging Infectious disease 'go team' · HISTORY AND EVOLUTION The Ebola Impact The Road to Zero:...
Transcript of Emerging Infectious disease 'go team' · HISTORY AND EVOLUTION The Ebola Impact The Road to Zero:...
EMERGING INFECTIOUS DISEASE "GO TEAM"
WI Health Emergency Preparedness
Conference January 10, 2019
Tracey Froiland, MSN, RN
Tracy L Miller, MSN, RN
LEARNING OBJECTIVES
• Describe the importance of community resiliency surrounding
infectious disease
• Understand the concepts and operationalization of a
community Go Team
• Identify own community gaps and opportunities for an
infectious disease outbreak: past, present, and/or future
FOX VALLEY HEALTHCARE EMERGENCY READINESS COALITION
• 8 Counties
• 15 Hospitals
• 9 Public Health Departments
• ~45 LTC
• 85 CMS Partners
• 112 EMS
HISTORY AND EVOLUTION
The Ebola Impact
The Road to Zero: CDC’s Response to the West African Ebola
Epidemic, 2014–2015
KEY FACTS
• Ebola virus disease (EVD), formerly known as Ebola hemorrhagic fever
• Often fatal in humans
• Average fatality rate 50%
• Transmission via animals, then human to human
• Community engagement key in controlling outbreaks
• Case management, infection prevention and control, surveillance and contact
tracing, community education
• Early supportive care, symptomatic treatment
• Commercially licensed vaccine?
World Health Organization, 2018
THE BEGINNING
September 30, 2014
Airport Screening
State DPH Local PH Cat 2
Notification
PUBLIC HEALTH ROLE
Ebola Screening/Notification Process
• Gave ability to prepare and plan
• Will the next emerging infectious disease follow this process?
If not, then what….
HOSPITAL ROLE: SCREEN, IDENTIFY, ISOLATE
Cat 3
• Frontline hospitals
• Screen, identify, and isolate a high-risk patient
• Transfer to Cat 2 facility
Cat 2
• Assessment Hospitals
• Provide care for potential Ebola case up to 96 hours
• Initially: 20 in WI currently 2-4
Cat 1
• Treatment Hospitals
• Prepared to care for confirmed Ebola patient
• UW Madison/AFCH, MCOW Froedtert/CHOW
• University of Minnesota Medical Center (Minneapolis)
ADDRESSING A SERVICE GAP
Cat 3
• Frontline hospitals
• Screen, identify, and isolate a high-risk patient
• Transfer
Cat 2 • Facilities able to provide care for potential Ebola case up to 96 hours
• 2-4 in WI
Cat 1
• Pre-identified facilities prepared to care for confirmed Ebola patient.
• UW Madison/ AFCH, Froedtert/CHOW
• University of Minnesota Medical Center (Minneapolis)
REGIONAL INNOVATION
PROACTIVE VS REACTIVE
INFECTIOUS GO TEAM FOUNDATION
• HERC directed initiative
• Organizational support
• Time, compensation, liability and
workers compensation coverage
• Identify staff for participation
• Training with local PPE experts 3-4
times/year
• SME for program management
Goal:
Mobile response of trained staff
responding into the community to
assess, diagnose, and facilitate
transfer of high risk ID patients.
REGIONAL COLLABORATION
TRAINING TOGETHER= A REGIONAL APPROACH
Dr Michael Clark, Medical
Director
Infection Preventionist
RN
ED Tech
Respiratory Therapist
Public Health
EMS
Support Staff
PROGRAM DEVELOPMENT FROM A VISION TO REALITY
CLASSROOM PROCESS DEVELOPMENT
TECHNOLOGY
TRAINING FACILITY
TEAM DEPLOYMENT
ACTIVATION
Public Health Identification
RMCC
Dispatch
RMCC Activates Team
Team Deployment
Community Monitoring
Available team members report
Information to patient
Gather information for team
Situation analysis
Alerts team
DISPATCH & RMCC ACTIVATION
Public Health Identification
RMCC Dispatch
RMCC Activates Team
Team Deployment
DEPLOYMENT PROCESS
Trained Observer
Advance Team
Treatment Caregiver
ARRIVAL
Trained Observer
Advance Team
Treatment Caregiver
• Situational assessment
• Role assignments
• Don role specific PPE
ADVANCE TEAM DEPLOYMENT
Trained Observer
Advance Team
Treatment Caregiver
• Review instructions with patient
• Establish zones
• Equipment, kits & set up
• Caregiver preparation
PATIENT EVALUATION
• Mobile
evaluation
• Telemedicine
support
Treatment Caregiver
FVHERC MOBILE TEAM AT WORK
CHALLENGES AND OPPORTUNITIES
• Funding
• Equipment and resource management
•Maintaining team competency, growth planning
• Policy development and updates
•Addressing the “what if ’s”
NEXT STEPS
• Stakeholder event 12/6/18
•Public unveiling, awareness, education
•Exercise with partners
•NETEC evaluation
NOW WHAT?
TODAY, RIGHT NOW….
•Awareness- is your facility really ready?
•Policies and procedures up to date?
•Equipment and supplies ready?
• Strict PPE education?
C-SUITE ENGAGEMENT
September 4, 2015
Does Insurance Cover
Ebola Care? TIME 10/2014
NOT IF…WHEN THEY SHOW UP WHAT NEXT?
• Do you know the readiness level of your facility?
• Is an exposure/travel screening questions asked?
• If so, do you have a follow through process to take the next steps?
• How does your facility keep up on emerging and current infectious
diseases?
RESOURCES
• https://asprtracie.hhs.gov/
• Frontline Hospital Playbook: Special Pathogens
• Health Sector Resilience Checklist for High Consequence Infectious Diseases
• The World Health Organization: multi drug Ebola trial
• https://www.cdc.gov/vhf/ebola/hcp/ppe-training/index.html
• https://www.cdc.gov/vhf/ebola/healthcare-us/ppe/guidance.html
• 'Donning and Doffing' Ebola Protective Equipment PBS
YOUR TURN…
THANK YOU! [email protected]