Pandemic Influenza Planning Medical 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 31 st 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 1 st 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 16 th follow-up meeting Plans due December 31 st

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) Encourage consulting each other (between facilities) Follow-up meeting – December 16 th Completed plans by December 31 st (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 16 th Meeting 9 am At least one participant from each hospital Bring draft plan Come with questions, ideas for best practices

Some Websites

Questions?