1. Community PanFlu Planning : Healthcare

2. Objectives Review PanFlu Planning Checklist Facilitate development of your Internal Disaster Plan: Surveillance Communications Surge Capacity Vaccine/antiviral Dispensing Communicate needs to KCHD for our Metro Plan

3. Pandemic Flu Checklist Specific to each area in HealthCare Used in conjunction with guidance from HHS Pandemic Influenza Plan Can be adapted to meet unique needs of each facility

4. Establishing a Planning Structure PanFlu Committee PanFlu Coordinator Point of Contact Written Plan

5. Surveillance: Populations Served Educate staff Signs/symptoms pandemic vs seasonal flu Infection control measures Community response plan Track patients/staff with panflu Have system in place to report unusual flu-like illness/pan flu to local HD: 215- 5093

6. Infection Control Signage to educate personnel and patients Adequacy of surgical masks for patient contact not involving aerosolization procedures Possibility of using surgical masks over reusable N95s as well as goggles/face shields for high-risk procedures Establishing regularly scheduled environmental cleaning

7. Surge Capacity: Not for hospitals only! Emergency Responders Medical Offices Ancillary Health Dentists Pharmacists Physical Therapists Veterinarians Etc

8. Surge Capacity:Staffing Shortages Identify minimum number employees and categories required for essential operations Temporary help Cross train employees MOAs with other facilities

9. Staffing Shortages Develop strategy for housing staff on-site for prolonged periods if needed Staff encouraged to develop personal family care plans for their absence from home

10. Surge Capacity: Volunteers Volunteer Coordinating Center being developed Private Health Providers Ancillary Health Dentists Pharmacists Physical Therapists Veternarians

11. Integrating Volunteers Medical vs Non-medical needs: Triage Phone banks On-Off site locations Assisted Living/Nursing homes Home Health Home-bound

12. Integrating Volunteers, cont’… Non-medical Phone triage Housekeeping Food Service Clerical support ??Just in Time Training for RN assistant positions

13. Volunteers- How Will You Use Them? Without your input…

14. Surge Capacity: Supplies Estimate needs for consumable resources Primary Plan & Contingency Plan Detailed procedures for supply acquisition Normal channels exhausted: have a back- up

15. Triage Phone banks: to prioritize patients In-house 211 Establishing boundaries for “non-flu” vs “flu sick” Signage Different areas vs different times Alternate sites In-house: “remote” area not normally intended for triage use Outside of facility: different entrance than regular ER

16. Sick Leave policy Liberal and non-punitive Staff who become ill at work Recovering staff- when to return Symptomatic but functional staff- allowed to work? Reassignment of personnel at increased risk for flu complications Offer annual flu vaccine

17. Communication: Keeping it Consistent Point of Contact identified to communicate with KCHD Broadcast FAX Email Media

18. Vaccine/Antiviral Distribution Prioritization of personnel : based on level of patient contact PanFlu Coordinator: to develop and provide list of First and Second tier personnel Prioritization determined by Feds and may change

19. Secondary Distribution Center SNS warehouse  SDC  Your Facility Here at KCHD or KCHD off-site warehouse or Other location Either distribute directly to your staff or have facility point person pick up and administer Important to be flexible

20. Supplies One weeks worth of consumable supplies Primary and contingency plans to address supply shortages Arrange in advance with suppliers

21. Breakout Group Meetings Hospitals, Medical Offices, First Responders: June 27 8:00 am- Auditorium Charity Menefee & Larry Hutsell Charity.menefee@knoxcounty.org Larry.hutsell@knoxcounty.org Home Health, Assisted Living, Nursing homes, Ancillary medical, Inpatient facilities: June 27 10 am- Auditorium Maria Hurt maria.hurt@knoxcounty.org Ancillary: Dental, Pharmacy, PT, Vets, etc: June 23 10 am- Auditorium Drs. Karen Eschman & Steve Keeton Knoxpanflu@knoxcounty.org Charity Menefee & Larry Hutsell charity.menefee@knoxcounty.org charity.menefee@knoxcounty.org larry.hutsell@knoxcounty.org Home Health, Assisted Living, Nursing homes, Ancillary medical, Inpatient facilities: June 27 10 am - Auditorium Maria Hurt maria.hurt@knoxcounty.orgmaria.hurt@knoxcounty.org Ancillary: Dental, Pharmacy, PT, Vets: June 23 8:30 am- Auditorium Drs. Karen Pershing and Steve Keeton knoxpanflu@knoxcounty.org

22. Attending Other Meetings… Business Meeting: June 13, 7:30 am- Auditorium Internal Disaster/Continuity of Operations planning Occupational Health planning

23. WHAT WE NEED FROM YOU POC: Position, phone number, fax, etc RSVP to next meeting 215-5093 Feedback re: using volunteers, triage, any other suggestions

24. Questions?