Leading from Preparedness Through Recovery - The 2012 ...

THURsday, May 24, 2012Session Descriptionsexchange of medical records in the context of a disaster. It also proposesnew functions for the ESF#8 agencies to engage HIEs and other healthcaredata sources. During this session, members of the SERCH team will providean overview of the Health Information Exchange framework and how itapplies to disaster preparedness and response. They will also discuss theDisaster Planning Project in detail and use the session as an opportunity togather ESF#8 stakeholder feedback and input on next steps.Learning Objectives:u Describe the special needs/vulnerable population.u Analyze the current triage systems and demonstrate new approaches.u Explain the rapid assessment tool for identifying level of care needsand how this can be used to identify resources needed.u Discuss an integrated approach and how to put it all together.session DescriptionsLearning Objectives:u Describe the general Health Information Exchange (HIE) frameworkand environment and how it applies to disaster preparedness andresponse activities.u Explore Emergency Support Function (ESF#8) approaches to seamlessinterstate response before, during, and in the aftermath of a declareddisaster and how these practices can facilitate HIE.u Identify potential overlap between ESF#8 response and HIE activitiesand how this can be leveraged to improve patient care.Intended Audience: Certified counselors, dentists, emergencyphysicians, EMT/paramedics, healthcare executives, health educationspecialists, marriage & family therapists, medical administrators, nurses,physicians, social workersSession 34: Triage, Evaluation, and Care of SpecialNeeds/Vulnerable Populations: Putting It All TogetherPresenters: CAPT Steven Hirschfeld, MD, PhD;LCDR Tiffany Moore RN, BSNTime: 1015-1130 hrsRoom: Governor’s DFocus Area: Resource Management and Patient MovementThe care needs of clients entering a response care facility such as a Federalmedical station will have a direct impact on the resources required andthe resource allocation. During Hurricane Ike in 2008, a field medicalstation was opened to receive special needs medical evacuees from thehurricane evacuation zone. Upon arrival, evacuees were classified usingthe conventional triage system for acuity. Most were classified under theMinimal Needs–Green triage code. However, as the shelter populationgrew to include over 300 special needs/vulnerable population evacuees,this classification did not accurately represent the resources needed. TheU.S. Public Health Service Rapid Deployment Force-1 developed and fieldtestedduring deployment a rapid screening tool to assign clients during thetriage process to one of the five Center for Medicare and Medicaid Servicescare categories. Once the level of care was identified, discharge planningwas then able to focus on the discharge and/or transfer of the higher levelof care patients and additional resources needed could be identified. Thetool was validated using multiple assessors and was particularly valuable inallocating resources and prioritizing discharge planning. During this session,participants will be instructed on this new rapid assessment tool for use withspecial needs or vulnerable populations during situations when the level ofcare needs must be identified. The session will conclude with discussing anintegrated approach to this special population during disasters and how toput it all together.48Intended Audience: Certified counselors, dentists, emergencyphysicians, EMT/paramedics, healthcare executives, health educationspecialists, marriage & family therapists, medical administrators, nurses,physicians, respiratory therapists, social workersSession 35: Health System Response to Rapid Restorationof Medical Services after the Joplin TornadoPresenters: Paul Carlton, Jr, MD, FACS; Glenn Mitchell, MD, MPHTime: 1015-1130 hrsRoom: Delta BFocus Area: Response Integration/Operational MedicineThis session will describe the health system response to the total destructionof its 348-bed general hospital in Joplin, Missouri, on May 22, 2011. Athree-phased approach to immediate restoration of hospital services,including inpatient and outpatient behavioral health services, will bedescribed, and the strengths and weaknesses of the approach taken will bediscussed. An improved scheme for rapid setup of full-service hospital andclinic facilities based on lessons learned will be presented with significanttime and overall cost savings in return to full-service healthcare delivery in asuperior operational structure.Learning Objectives:u Describe the health system–level response to the Joplin tornado’sdestruction of the hospital.u Describe the sequential response for reinstitution of hospital servicesin Joplin.u Apply lessons learned in providing temporary hospital facilities toother field situations.Intended Audience: Emergency physicians, EMT/paramedics, healthcareexecutives, health education specialists, medical administrators, nurses,pharmacists, physicians, respiratory therapistsSession 36: Workforce Health ProtectionPresenters: Linda Cashion, RN; Joseph Cocciardi, PhD, MS, CSP;CAPT Timothy Davis, MD, MPH, USPHSTime: 1015-1130 hrsRoom: Governor’s BFocus Area: Response Integration/Operational MedicineThe National Disaster Medical System (NDMS) responds to public healthevents of consequence both nationally and internationaly. Challengesfaced during 2011 deployments included safety issues related to ionizingradiation, extreme heat events experienced during multiple field trainingexercises, and health- and safety-related airborne exposures in theaftermath of flood response activities. Evolving missions, novel requests2012 Integrated Training Summit