Mission of Public Health PREVENT disease, injury, disability PROMOTE health and well being PREPARE for and respond to disasters

EBOLA PREPAREDNESS: IP and HAIs 6/17/15 Kelly Nadeau, RN/Pat O’Neal, MD

Ebola Active Monitoring as of 6/1/ people being actively monitored by Georgia Department of Public Health (DPH) 1570 people actively monitored since Oct. 16, clinical inquiries to DPH Evaluated 33 travelers with symptoms Performed 6 Ebola tests

Traveler Monitoring Form Used by DPH to establish traveler record and create online account Detailed data related to travel and risk is captured Online account is established and login is sent to traveler

Temperature and Symptom Check

Ebola Active Monitoring Used by DPH to track symptoms and compliance of travelers being actively monitored

Ebola Active Monitoring Query Used by hospital to identify if patients being treated are being monitored Hospital partner logs in and enters basic patient information Records matching search criteria are returned providing limited information on monitoring period

Treat Diagnose Identify and Isolate Walk in to the Emergency Department 911 Call Monitored Case That Becomes Symptomatic 25 EMS zones Increased PPE, protocols and training Dedicated phone number for triage and EMS coordination PUB- HLTH Designated EMS Service Designated EMS Service Hospitals designated to treat EVD Hospitals have capability to manage suspect case of EVD Specimen collection for diagnostic testing Lab capacity complete for diagnosis Hospitals identify EVD symptoms Isolate patients if needed EMS transport to hospitals for diagnosis Tiered Hospital System for EBOLA

Tiered Hospital System for Ebola Ambulance Transport EMS services covering 25 areas of Georgia to transport patients Central dispatch PUB-HLTH coordinates transport

EBOLA PREPAREDNESS Has placed infection prevention for healthcare workers on par with that for patients

SPIN-OFF VALUES FROM EBOLA PREPAREDNESS SPOTLIGHTED role of hospital IPs IPs role in donning and doffing IPs sat with decision-makers for designations Relationship between Epi and hospital strengthened Reinforced importance of communication between hospitals and DPH

ADDITIONAL SPIN-OFFs Development of peer relationship among hospitals of same tier for sharing of best practices Designated hospitals will be required to participate in regular Ebola exercises to reinforce infection prevention activities and practices

RE-DESIGNATION VISITS Reinforce relationship of hospital and DPH Continues the emphasis on infection prevention and maintaining proficiency

Thank You Kelly Nadeau, RN Director, HPP Program Georgia Department of Public Health Patrick O’Neal, M.D. Director of Health Protection Georgia Department of Public Health