Preparing Your Go-Bag for Disaster-related Information Needs Elkhart General Hospital Report Out for NLM Disaster Award Sept 10, 2015

Introductions and Organization Description

Partnerships Elkhart General Hospital Medical Library Elkhart General Hospital Emergency Preparedness Committee Elkhart General Hospital Education Committee Elkhart Fire Department

Information Access Activities Needs Assessment Pre & Post Surveys Skills Development Education Session Practice Opportunity

Project Goals & Objectives Know where to find disaster and public health preparedness and response websites and apps with reliable and authoritative content. – DIMRC, WISER, CHEMM, REMM, VISUALDX Understand the value of portable equipment choices, and the key differences between web-based access and tools that provide stand alone content. Increase the functional literacy of health care professionals responsible for all-hazards scenarios and corresponding disaster literature, and achieve self reliance in selecting and searching disaster related literature.

CME Objectives Reflect the NLM Project Goals At the conclusion of this lecture the participants should be able to: Identify authoritative sources for information in a disaster or public health emergency by using the National Library of Medicine’s Disaster Information Management Research Center (DIMRC) focusing on: WISER Wireless Information System for Emergency Responders CHEMM Chemical Hazards Emergency Medical Management REMM Radiation Emergency Medical Management Explain the value of portable equipment choices, and the key differences between internet access, and tools that provide stand- alone content. Describe the types of questions these databases can answer and provide examples. Review the Elkhart County environment and potential disaster sources.

Instructors Chris McFarland Emergency Preparedness Coordination for EGH Elkhart Fire Department Battalion Chief David Van Ryn, MD Co-Director EGH Medical Education Committee Director EGH Emergency Department Clerkship Director/Faculty IUSM program Lori Harding Coordinator Library Services

Schedule

Overview of Education Session PowerPoint file Handouts PowerPoint slides NLM’s Disaster Health Information Resources cards Pre-survey assessment Lecture Group Exercises or Hands on Lab with iPads Post-session survey

Audience Assessment Which of the Following Describes Your Primary Job Function?

Technology Assessment Which Devices Do You Use? Answer ChoicesResponses ALL All dates Physician Resident Med Student All dates Fire Dept- Inhouse Mar30-Apr1 CME W Mich Univ Aug 5 Android27.16%9120% % %11 Blackberry0.00% Desktop Computer42.39% % % %11 iPhone58.81% % % %34 Laptop Computer66.27% % % %32 Smartphone Windows21.49% % % %6 Tablet/iPad48.06% % % %27 I don’t own any of these.30% %10.00%0 335 responses105 responses97 responses46 responses

Resources Assessment Which resources are useful for disaster health information?

Did this Project Increase Awareness and Utilization of NLM Disaster Resources?

WISER CHEMM or REMM Prior Do You Currently Have WISER CHEMM or REMM as an APP? Answer ChoicesResponses Before Education All Respondents All Dates Physician Resident Medical Student All dates Fire Depart In-house Mar30-Apr1 CME W Univ Mich Aug 5 Yes 13.48% % % %8 No 86.52% % % % Responses After Education Yes 29.20% % %6 Not interested at this time 20.44% %220.00%0 Planning to add 50.36% % % %76.84%100%

Which interactive resource would best help you identify an unknown chemical by its physical properties and symptoms of exposure? Pre-Test After Education

Technology Locations Elkhart Fire Department Command Truck Emergency Preparedness Charging Cart in the Emergency Department iPads also at the Elkhart Fire Department and EGH Medical Library, Pharmacy, ED Front Desk/Triage, ED Physician areas and Information Systems.

Examples of Impact

Organizations Represented Originally ProposedAdded Elkhart General HospitalBaugo Fire Department Elkhart Fire DepartmentBristol Fire Department Concord Fire Department Elkhart Township Fire Department Goshen Fire Department Harrison Township Fire Department Jackson Township Fire Department Nappanee Fire Department Osolo EMS Prompt Ambulance Tri-County Ambulance Wakarusa Fire Department Goshen Hospital Western Michigan Univ School of Med

David VanRyn, MD Project strengths/challenges Feedback from participants

Chris McFarland Project strengths/challenges Feedback from various sessions Saturday, Sept 12 Full Scale Drill

Ongoing/Post Award Presentation scheduled for EGH Managers/Directors Meeting next Tues, Sept 15 New Physician Orientations Beacon Marketing awaiting photo of drill for write-up in health system newsletter.