CAPT Allen Dobbs MD, HHS/National Disaster Medical System

Exchange Medical Records During DisastersImproving Patient Care Through Better Information

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MONDAY, 12:30 – 12:50PM

What is ESF8

Emergency Support Functions (ESF8)

• ESF #8 – Public Health and Medical Services

• Provides organizational structure to provide support, resources and services

• Coordinated by Secretary of HHS and Assistant Secretary for Preparedness and Response (ASPR)

• Preparedness and Response capabilities include: Public health and medical care capabilities, situational awareness of public health and medical infrastructure, supporting hospital and community preparedness and supporting the movement of patients before, during and after incidents

• Invoked in the event medical systems within a domestic/international disaster area are overwhelmed

HIMSS 2010 2

Who are the ESF8 Responders

» National Disaster Medical System with 7,000 clinical full-time intermittentFederal employees• 90% have ‘regular’ civilian jobs• May deploy for 2 weeks at a time• Limited training opportunities • Regional integrated training 2 weeks every other year• Limited team-based training (maybe a weekend once a quarter)

» United States Public Health Service with ~2000 Tier 1 and 2 personnel

» MRC with 100,000+ personnel with limited access to training (75 currently with Federal response team credentials & availability)

HIMSS 2010 3

Patient Movement and Information Sharing During an ESF8 Response

4HIMSS 2010

Point of Injury

POE POD

Destination Facility

NGSTATE

PRA

DOD / VA FCC

Hosp

Hosp

NHIN

NHIN

NHIN

Patient Movement

JPATS

EMR à JPATSINTERFACE

Patient location informationupdated with new HER info

FOUO

NHIN

NHIN

DoD / NG

HIR

Regulated in Trac2es

NHIN

Situational Awareness

Locationupdated in JPATS

on admission Patient Assessment

Teams

Originating Facility

POI

Shelters

NursingHome

HOME

JPATS access

Patient Movement

NHIN EHR Flow

Legend

CCP

JPATS

NHINNHIN

Disaster Medical Information Suite (DMIS)

» DMIS is a suite of applications that are used to manage patient encounter information and track patient movement during an ESF8 response

» Integrating the CONNECT gateways into the DMIS solution allows patient treatment records to be available for providers throughout the patients continuum of care

» The Applications in DMIS are:

• Electronic Health Record

• Joint Patient Assessment Tracking System (JPATS)

• Health Information Repository

HIMSS 2010 5

Disaster Medical Information Suite (DMIS)

HIMSS 2010 6

In Theater

Satellite dish

BOO #1

DMAT and RDF teams capture Medical Record in

EMR

Electronic MedicalRecord (EMR)

Health Information Repository

Joint Patient Assessment and Tracking (JPATS)

In Theater

Patient Movement Information captured in field

Internet connectivity

required . (Satellite or Air

Card )

Sites can search for patients treated at other sites using

CONNECT GatewayPatients transferred in EMR are passed to JPATS

Demonstration:Exchanging Medical Records During Disasters

This demonstration will highlight a hurricane

scenario in which people in high risk areas are

evacuated to remote locations.

This scenario will record the initial patient

encounter at the high risk location and illustrate

the ability for medical teams to access the

patient’s record once relocated

to the evacuation site.

HIMSS 2010 7

Exchanging Medical Records During Disasters

HIMSS 2010 8

Thank You

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The participation of any company or organization in the NHIN and CONNECT area within the HIMSS Interoperability showcase

does not represent an endorsement by the Office of the National Coordinator for Health Information Technology, the Federal

Health Architecture or the Department of Health and Human Services.