Managing Diversion: Deck Chairs on the Titanic? Christopher W. Felton, MD, FACEP January 10, 2003...

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Page 1: Managing Diversion: Deck Chairs on the Titanic? Christopher W. Felton, MD, FACEP January 10, 2003 Illinois College of Emergency Physicians Illinois Department.
Page 2: Managing Diversion: Deck Chairs on the Titanic? Christopher W. Felton, MD, FACEP January 10, 2003 Illinois College of Emergency Physicians Illinois Department.

Managing Diversion:

Deck Chairs on the Titanic?

Christopher W. Felton, MD, FACEPJanuary 10, 2003

Illinois College of Emergency Physicians

Illinois Department of Health

Page 3: Managing Diversion: Deck Chairs on the Titanic? Christopher W. Felton, MD, FACEP January 10, 2003 Illinois College of Emergency Physicians Illinois Department.
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• ACEP Council

• AHRQ Crowding Study

• RWJ Urgent Matters

• Frontlines of Medicine• EMSystem®

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• Emergency Physicians

• Milwaukee, WI

• 12 Emergency Departments

• 220 employees

• 17 IT professionals• EMSystem®

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.Milwaukee

1997

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The Need

• The weakest link– Communication

• Requirements– Diversion– Disaster– Emergency preparedness

• Diversion Band-Aid???

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.Milwaukee

EMSystem®

April, 1998

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Melbourne

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Architecture: ASP Model

Central Servers

Internet

Local Access

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Internet Advantages

• Access• Cost• Flexibility• Reliability• Security

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Internet Disadvantages

• Reliability???

• Security???

Page 33: Managing Diversion: Deck Chairs on the Titanic? Christopher W. Felton, MD, FACEP January 10, 2003 Illinois College of Emergency Physicians Illinois Department.
Page 34: Managing Diversion: Deck Chairs on the Titanic? Christopher W. Felton, MD, FACEP January 10, 2003 Illinois College of Emergency Physicians Illinois Department.

Data Information

Knowledge

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Adding technology to a poor process just makes the bad things happen faster.

Page 36: Managing Diversion: Deck Chairs on the Titanic? Christopher W. Felton, MD, FACEP January 10, 2003 Illinois College of Emergency Physicians Illinois Department.

Change will not succeed unless

end-user

gain > pain

Page 37: Managing Diversion: Deck Chairs on the Titanic? Christopher W. Felton, MD, FACEP January 10, 2003 Illinois College of Emergency Physicians Illinois Department.

Pleasure > Pain

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Resource Management

• Resource – Status

• Emergency Preparedness

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• Prevention

• Early detection and warning

• Mitigation

Page 47: Managing Diversion: Deck Chairs on the Titanic? Christopher W. Felton, MD, FACEP January 10, 2003 Illinois College of Emergency Physicians Illinois Department.
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Syndromic Surveillance

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Syndromic Surveillance

• Manual data collection

• Drop-in surveillance

• Daily

• Automated data collection

• Lab

• Clinical

Page 51: Managing Diversion: Deck Chairs on the Titanic? Christopher W. Felton, MD, FACEP January 10, 2003 Illinois College of Emergency Physicians Illinois Department.

Syndromic Surveillance

• Data Standards

• Automated data collection

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Mitigation

• Established event / agent

• Communication

• Resource management

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Public Health

Emergency Management

Acute Care

Page 55: Managing Diversion: Deck Chairs on the Titanic? Christopher W. Felton, MD, FACEP January 10, 2003 Illinois College of Emergency Physicians Illinois Department.
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Emergency Preparedness

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Page 60: Managing Diversion: Deck Chairs on the Titanic? Christopher W. Felton, MD, FACEP January 10, 2003 Illinois College of Emergency Physicians Illinois Department.

Christopher W. Felton, MD, FACEP

414.350.8090

[email protected]

Discussion / Questions


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