1. Ability to Respond by Health Services Plan before an eventual Pandemic CHILE MINISTRY OF HEALTH Dr María Brito April 2006

2. Components Considered in the Plan 1.- Organization: Organizational Chart Flows and Coordination Systems Parties Responsible Incorporation of other Players 2.- Functions: Definition of the functions of each one of the actors during the different Phases of the Pandemic I.- Organization and Functioning

3. EMERGENCY COMMITTEE Public Health Sub Secretary Network Sub Secretary Communications Legal DPI DIGERA Sanitary Coordination in Pandemic North Sanitary Coordination in Pandemic South Sanitary Coordination in Pandemic Center RRHH

4. Components Considered in the Plan 1.- Outpatient Care II.- Installed Capacity, Assignment of Resources: Number of establishments Assignment of available Human Resources Social, private organizations etc. Availability of : Drugs Supplies Equipment

5. Components Considered in the Plan 2.- Hospital Care II.- Installed Capacity, Assignment of Resources: Number of establishments (public and private) Number of total beds available (public and private) Number of critical beds available (public and private) Availability of equipment to support critical activity Availability of RRHH to support critical activity Hospital management indicators Availability of:   Drugs   Supplies   Equipment

6. Components considered within the en el Plan 1.- Outpatient Care Out fitting of additional services Availability of extra RRHH 2.- Hospital Attention Number of possible beds to reconvert RRHH that supports the increase in activity Installed physical capacity that allows an increase of beds Ability to establish strategic reserves (storage and distribution) II.- Potential Capacity

7. Theoretical Impact Study General Assumptions Attack Rate Population to be considered Lethality Corresponding periods and percentages (consultations and/or hospitalization) Assumptions Outpatient Care Percentage of consultations to be carried out Number of consultations per patient Output of consultations per hour III.- Establish the assumptions

8. Theoretical Impact Exercise 3.- Hospital Care Assumptions Hospitalization percentages according to groups Average length of stay of patients in critical beds Percentage of patients in critical beds Percentage of less complex hospitalizations III.- Establish the Assumptions

9. Bed requirements 88% of beds requested are for Special Care 12% of required beds are for Critical Care. Of the total critical beds 50% correspond to intensive care beds (Mechanical Ventilator and Invasive Monitoring) Example….

10. General Results of the Exercise

11. Components Considered in the Plan 1.- Outpatient Care RRHH Gap Gap supplies, medicine and equipment Valuation of the estimated Gaps 2.- Hospital Care Gap RRHH Gap supplies and reactive Gaps medicine Gap in equipment that provides critical activity support Valuation of the Gaps IV.- Gap Analysis

12. Estimate of the Gaps in Outpatient Care

13. Estimate of Gaps in Hospital Care (Beds) Special care beds were counted as new For the gap in critical beds, a real availability of adult critical beds of 10%, and 30% for pediatric was considered.

14. In conclusion Information must be available Information must be analyzed Indicators about the management of beds must be included as part of the analysis process Expert consensus is required

15. Components to be implemented Make the Health Services and Establishment’s Plan operational. Responsibly design the carrying out of preparatory exercises for a Pandemic at the local level Simulation exercises Inform authorities about the required adjustments for the implementation of the plan

16. THANK YOU