Slide 1

Slide 2

Mass Casualty Incident or Event (MCI/MCE) A situation in which a hospital receiving multiple casualties does not have the resources to deal with the patients simultaneously. McAlister, 2011 Surge Capacity A health facilitys ability to rapidly expand beyond normal services to meet increased demand for bed space, qualified personnel, medical services and public health programs in the event of a large scale disaster. Norman et al, 2012

Slide 3

Slide 4

Hospital emergency preparedness and response was inadequate. Lack of comprehensive plans Lack of training Evolution of MCEs Learn from the mistakes of others. You cant live long enough to make them yourselves. Eleanor Roosevelt

Slide 5

There is a quantitative relationship between increasing casualty load and gradual degradation of the level of trauma care in multiple casualty incidents Norman, 2012

Slide 6

Set up EM HICS Owned by Intermedix Provides technology support to connect heathcare providers, public health agencies, and emergency management Funded by CDPHE OEPR Requires participation in a healthcare coalition for integrated, coordinated, and organized response

Slide 7

Emergency preparedness follows the EOP and HICS Enhance the EOP Improve hospital emergency preparedness Ensure quality of care

Slide 8

H

Slide 9

Improve hospital emergency preparedness for Saint Anthony Hospital Quicker response Staff is more comfortable with Hospital Incident Command (HICS) Better management of the event

Slide 10

Evaluate EM HICS Survey HICS during debriefing Implement EM HICS Used during an active shooter exercise Provide staff training Provided during routine emergency preparedness meetings Set up EM HICS database Contact databaseAssign HICS positionsSet up initial job actionsInsert files into IRGs

Slide 11

Slide 12

Incident Commander Operations Section Chief Staging Area Manager Security Branch Director Medical Director Nursing Services Director Planning Section ChiefLogisitics Section Chief Communication Unit Leader Facilities Unit Leader Admin/Finance Section Chief Scribe Public Information Officer Safety OfficerLiaison Officer

Slide 13

Slide 14

Slide 15

Slide 16

Slide 17

Slide 18

Required as part of the health care coalition Mostly data entry which is time consuming No stakeholders

Slide 19

Data entry completed Results following implementation and evaluation

Slide 20

Slide 21

Slide 22

Slide 23

Slide 24

Slide 25

Slide 26

Slide 27

Slide 28

Slide 29

Slide 30

Slide 31

Slide 32

Slide 33

Slide 34

Databases entered into EM HICS No data collected

Slide 35

Enhance EOP Notification Guidance Organization Communication

Slide 36

Funding canceled further development Time and effort Web based Acceptance

Slide 37

Adopted throughout all Colorado hospitals Required for the Foothills Health Care Coalition

Slide 38

Relationship experience Application to my workplace Contribution to Public Health Improve emergency preparedness and response Assure quality health care

Slide 39

Core competencies strengthened Development of plans to support health efforts Assurance of the provision of health care Evaluation of effective, accessible, and quality health services Concentration competencies strengthened Application of programming planning principles Monitor and evaluation of program effectiveness

Slide 40

Other competencies Environmental Health Public Health Management Biostatistics/Epidemiology

Slide 41

Learn from the mistakes of others. You cant live long enough to make them yourselves.

Slide 42

Auf der Heide, E. (2006). The Importance of Evidence-Based Disaster Planning. Annals of Emergency Medicine, 47(1), 34-49. doi:10.1016/j.annemergmed.2005.05.009 Barbisch, D.F., and Koenig, K.L. (2006). Understanding Surge Capacity: Essential Elements. Society for Academic Emergency Medicine, 13(11), 1098-1102. doi:10.1197/j.aem/2006.06.041 Bayram, J.D., Sauer, L.M., Catlett, C., Levin, S., Cole, G., Kirsch, T.D., Kelen, G. (2013). Critical Resources for Hospital Sure Capacity: An Expert Consensus Panel. PLOS Current Disasters, (1). doi:10.1371/currents.dis.67c1afe8d78ac2ab0ea52319eb119688 Djalali, A., Castren, M., Hosseinijenab, V., Khatib, M., Ohlen,G. and Kurland, L. (2012). Hospital incident command system (HICS) performance in Iran; decision making during disasters. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 20, 14. doi:10.1186/1757 7241 20 14 McAlister, V.C. (2011). Drills and exercises: the way to disaster preparedness. Canadian Journal of Surgery, 54 (1), 7-8. doi:10.1503/cjs.036910 Norman, I.D., Aikins, M., Binka, F.N., and Nyarko, K.M. (2012). Hospital All-Risk Emergency Preparedness in Ghana. Ghana Medical Journal, 46(1), 34-42.