Jay Hamm, RN, FACHE, COO/Acute Care Executive Steve Shelton, MD, Medical Director EM Eric Brown, MD, Physician Executive

Preparedness Infrastructure Leadership Team  COO/System Executive  Physician Executive  Chief Nursing Officer  Medical Director, Emergency Preparedness  System Director, Emergency Preparedness  Safety Manager  Administrator on Duty  Infection Control  Hospital Epidemiologist

Steering Committee All Leadership Team as well as…  Education  Campus Executive Team Members  System VPs, Ancillary & Support Services  Outpatient Clinic Representatives  Emergency Management  Key Physician Leaders  Chief of Infectious Disease  Patient Placement  Medical Transport  Human Resources  Supply Chain  Regulatory Compliance Officer  Public Information Officer

Operational & Communication Strategy Daily morning briefing Daily leadership briefing Daily Hospital & System Safety Huddles Weekly Steering Committee Meetings Regular Participation in Community, Regional, and National Forums Additional Communication Strategies:  Town Hall Forums  Executive Briefings  Digital Updates and Announcements

Operational Plan Follow recommendations by CDC/SCDHEC Detect Protect Respond

Detect  Evaluating and protecting points of entry  Front line staff preparedness:  Emergency Department/ Urgent Care Centers  Alternate Points of Entry, Lab Draw Stations, Radiology etc  Physician Practices and Ambulatory Care Clinics  Screening tools:  EMR hard stops and prompts  Custom built ambulatory screening procedures  Appointment Screening for clinical criteria  Checklist For Patients being evaluated for Ebola Virus at PH  CDC algorithm for evaluation of Return traveler  Posters and Signage  All points of entry

Protect  Employees, patients, people in the community entering the hospital  Protocols for wearing Personal Protective Equipment (PPE) and having appropriate PPE available  Re-Training of Donning/Doffing of PPE  Standard, contact, droplet precautions  Educational Training Video  Team dedicated to respond  PPE deployed to all EDs, Urgent Care, Transport, Physician Practices, and Ambulatory Care Sites  Stockpiled PPE supply  System simulation exercises  Limiting number of HCW and visitors entering the room

Protect: Personal Protective Equipment

Protect: ED Isolation Rooms  Designated rooms/area for treating suspected/probable/confirmed case of Ebola

Protect: 9 West Isolation Unit

Protect  Limiting and protocols for transport of patient within hospital  Protocols for safe handling of patient specimen by laboratory personnel  Protocols for safe handling of contaminated/infectious material by waste management  Safety measures and protocols for EVS workers  Keeping up to date with recommendations by CDC/DHEC

Respond  Once suspected case is detected;  Patients will be masked and moved to the designated isolation room with door closed.  At the hospitals, contact:  AOD/Infection Control/Emergency Management  SC DHEC  Ambulatory Care and physician practices, contact:  AOD/Infection Control/Emergency Management/Transport  SC DHEC

Case Study Suspect patient Isolation Remote assessment DHEC / CDC PPE Flu swab & Lab tests? How much care? When do we move?

QUESTIONS ?