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Page 1: Managing Diversion: Deck Chairs on the Titanic? Christopher W. Felton, MD, FACEP January 10, 2003 Illinois College of Emergency Physicians Illinois Department
Page 2: Managing Diversion: Deck Chairs on the Titanic? Christopher W. Felton, MD, FACEP January 10, 2003 Illinois College of Emergency Physicians Illinois Department

Managing Diversion:

Deck Chairs on the Titanic?

Christopher W. Felton, MD, FACEPJanuary 10, 2003

Illinois College of Emergency Physicians

Illinois Department of Health

Page 3: Managing Diversion: Deck Chairs on the Titanic? Christopher W. Felton, MD, FACEP January 10, 2003 Illinois College of Emergency Physicians Illinois Department
Page 4: Managing Diversion: Deck Chairs on the Titanic? Christopher W. Felton, MD, FACEP January 10, 2003 Illinois College of Emergency Physicians Illinois Department
Page 5: Managing Diversion: Deck Chairs on the Titanic? Christopher W. Felton, MD, FACEP January 10, 2003 Illinois College of Emergency Physicians Illinois Department
Page 6: Managing Diversion: Deck Chairs on the Titanic? Christopher W. Felton, MD, FACEP January 10, 2003 Illinois College of Emergency Physicians Illinois Department
Page 7: Managing Diversion: Deck Chairs on the Titanic? Christopher W. Felton, MD, FACEP January 10, 2003 Illinois College of Emergency Physicians Illinois Department
Page 8: Managing Diversion: Deck Chairs on the Titanic? Christopher W. Felton, MD, FACEP January 10, 2003 Illinois College of Emergency Physicians Illinois Department
Page 9: Managing Diversion: Deck Chairs on the Titanic? Christopher W. Felton, MD, FACEP January 10, 2003 Illinois College of Emergency Physicians Illinois Department
Page 10: Managing Diversion: Deck Chairs on the Titanic? Christopher W. Felton, MD, FACEP January 10, 2003 Illinois College of Emergency Physicians Illinois Department
Page 11: Managing Diversion: Deck Chairs on the Titanic? Christopher W. Felton, MD, FACEP January 10, 2003 Illinois College of Emergency Physicians Illinois Department
Page 12: Managing Diversion: Deck Chairs on the Titanic? Christopher W. Felton, MD, FACEP January 10, 2003 Illinois College of Emergency Physicians Illinois Department

• ACEP Council

• AHRQ Crowding Study

• RWJ Urgent Matters

• Frontlines of Medicine• EMSystem®

Page 13: Managing Diversion: Deck Chairs on the Titanic? Christopher W. Felton, MD, FACEP January 10, 2003 Illinois College of Emergency Physicians Illinois Department

• Emergency Physicians

• Milwaukee, WI

• 12 Emergency Departments

• 220 employees

• 17 IT professionals• EMSystem®

Page 14: Managing Diversion: Deck Chairs on the Titanic? Christopher W. Felton, MD, FACEP January 10, 2003 Illinois College of Emergency Physicians Illinois Department
Page 15: Managing Diversion: Deck Chairs on the Titanic? Christopher W. Felton, MD, FACEP January 10, 2003 Illinois College of Emergency Physicians Illinois Department
Page 16: Managing Diversion: Deck Chairs on the Titanic? Christopher W. Felton, MD, FACEP January 10, 2003 Illinois College of Emergency Physicians Illinois Department

.Milwaukee

1997

Page 17: Managing Diversion: Deck Chairs on the Titanic? Christopher W. Felton, MD, FACEP January 10, 2003 Illinois College of Emergency Physicians Illinois Department
Page 18: Managing Diversion: Deck Chairs on the Titanic? Christopher W. Felton, MD, FACEP January 10, 2003 Illinois College of Emergency Physicians Illinois Department

The Need

• The weakest link– Communication

• Requirements– Diversion– Disaster– Emergency preparedness

• Diversion Band-Aid???

Page 19: Managing Diversion: Deck Chairs on the Titanic? Christopher W. Felton, MD, FACEP January 10, 2003 Illinois College of Emergency Physicians Illinois Department
Page 20: Managing Diversion: Deck Chairs on the Titanic? Christopher W. Felton, MD, FACEP January 10, 2003 Illinois College of Emergency Physicians Illinois Department
Page 21: Managing Diversion: Deck Chairs on the Titanic? Christopher W. Felton, MD, FACEP January 10, 2003 Illinois College of Emergency Physicians Illinois Department
Page 22: Managing Diversion: Deck Chairs on the Titanic? Christopher W. Felton, MD, FACEP January 10, 2003 Illinois College of Emergency Physicians Illinois Department

.Milwaukee

EMSystem®

April, 1998

Page 23: Managing Diversion: Deck Chairs on the Titanic? Christopher W. Felton, MD, FACEP January 10, 2003 Illinois College of Emergency Physicians Illinois Department

Melbourne

Page 24: Managing Diversion: Deck Chairs on the Titanic? Christopher W. Felton, MD, FACEP January 10, 2003 Illinois College of Emergency Physicians Illinois Department
Page 25: Managing Diversion: Deck Chairs on the Titanic? Christopher W. Felton, MD, FACEP January 10, 2003 Illinois College of Emergency Physicians Illinois Department

Architecture: ASP Model

Central Servers

Internet

Local Access

Page 26: Managing Diversion: Deck Chairs on the Titanic? Christopher W. Felton, MD, FACEP January 10, 2003 Illinois College of Emergency Physicians Illinois Department
Page 27: Managing Diversion: Deck Chairs on the Titanic? Christopher W. Felton, MD, FACEP January 10, 2003 Illinois College of Emergency Physicians Illinois Department
Page 28: Managing Diversion: Deck Chairs on the Titanic? Christopher W. Felton, MD, FACEP January 10, 2003 Illinois College of Emergency Physicians Illinois Department
Page 29: Managing Diversion: Deck Chairs on the Titanic? Christopher W. Felton, MD, FACEP January 10, 2003 Illinois College of Emergency Physicians Illinois Department
Page 30: Managing Diversion: Deck Chairs on the Titanic? Christopher W. Felton, MD, FACEP January 10, 2003 Illinois College of Emergency Physicians Illinois Department
Page 31: Managing Diversion: Deck Chairs on the Titanic? Christopher W. Felton, MD, FACEP January 10, 2003 Illinois College of Emergency Physicians Illinois Department

Internet Advantages

• Access• Cost• Flexibility• Reliability• Security

Page 32: Managing Diversion: Deck Chairs on the Titanic? Christopher W. Felton, MD, FACEP January 10, 2003 Illinois College of Emergency Physicians Illinois Department

Internet Disadvantages

• Reliability???

• Security???

Page 33: Managing Diversion: Deck Chairs on the Titanic? Christopher W. Felton, MD, FACEP January 10, 2003 Illinois College of Emergency Physicians Illinois Department
Page 34: Managing Diversion: Deck Chairs on the Titanic? Christopher W. Felton, MD, FACEP January 10, 2003 Illinois College of Emergency Physicians Illinois Department

Data Information

Knowledge

Page 35: Managing Diversion: Deck Chairs on the Titanic? Christopher W. Felton, MD, FACEP January 10, 2003 Illinois College of Emergency Physicians Illinois Department

Adding technology to a poor process just makes the bad things happen faster.

Page 36: Managing Diversion: Deck Chairs on the Titanic? Christopher W. Felton, MD, FACEP January 10, 2003 Illinois College of Emergency Physicians Illinois Department

Change will not succeed unless

end-user

gain > pain

Page 37: Managing Diversion: Deck Chairs on the Titanic? Christopher W. Felton, MD, FACEP January 10, 2003 Illinois College of Emergency Physicians Illinois Department

Pleasure > Pain

Page 38: Managing Diversion: Deck Chairs on the Titanic? Christopher W. Felton, MD, FACEP January 10, 2003 Illinois College of Emergency Physicians Illinois Department
Page 39: Managing Diversion: Deck Chairs on the Titanic? Christopher W. Felton, MD, FACEP January 10, 2003 Illinois College of Emergency Physicians Illinois Department
Page 40: Managing Diversion: Deck Chairs on the Titanic? Christopher W. Felton, MD, FACEP January 10, 2003 Illinois College of Emergency Physicians Illinois Department
Page 41: Managing Diversion: Deck Chairs on the Titanic? Christopher W. Felton, MD, FACEP January 10, 2003 Illinois College of Emergency Physicians Illinois Department
Page 42: Managing Diversion: Deck Chairs on the Titanic? Christopher W. Felton, MD, FACEP January 10, 2003 Illinois College of Emergency Physicians Illinois Department
Page 43: Managing Diversion: Deck Chairs on the Titanic? Christopher W. Felton, MD, FACEP January 10, 2003 Illinois College of Emergency Physicians Illinois Department
Page 44: Managing Diversion: Deck Chairs on the Titanic? Christopher W. Felton, MD, FACEP January 10, 2003 Illinois College of Emergency Physicians Illinois Department
Page 45: Managing Diversion: Deck Chairs on the Titanic? Christopher W. Felton, MD, FACEP January 10, 2003 Illinois College of Emergency Physicians Illinois Department

Resource Management

• Resource – Status

• Emergency Preparedness

Page 46: Managing Diversion: Deck Chairs on the Titanic? Christopher W. Felton, MD, FACEP January 10, 2003 Illinois College of Emergency Physicians Illinois Department

• Prevention

• Early detection and warning

• Mitigation

Page 47: Managing Diversion: Deck Chairs on the Titanic? Christopher W. Felton, MD, FACEP January 10, 2003 Illinois College of Emergency Physicians Illinois Department
Page 48: Managing Diversion: Deck Chairs on the Titanic? Christopher W. Felton, MD, FACEP January 10, 2003 Illinois College of Emergency Physicians Illinois Department
Page 49: Managing Diversion: Deck Chairs on the Titanic? Christopher W. Felton, MD, FACEP January 10, 2003 Illinois College of Emergency Physicians Illinois Department

Syndromic Surveillance

Page 50: Managing Diversion: Deck Chairs on the Titanic? Christopher W. Felton, MD, FACEP January 10, 2003 Illinois College of Emergency Physicians Illinois Department

Syndromic Surveillance

• Manual data collection

• Drop-in surveillance

• Daily

• Automated data collection

• Lab

• Clinical

Page 51: Managing Diversion: Deck Chairs on the Titanic? Christopher W. Felton, MD, FACEP January 10, 2003 Illinois College of Emergency Physicians Illinois Department

Syndromic Surveillance

• Data Standards

• Automated data collection

Page 52: Managing Diversion: Deck Chairs on the Titanic? Christopher W. Felton, MD, FACEP January 10, 2003 Illinois College of Emergency Physicians Illinois Department
Page 53: Managing Diversion: Deck Chairs on the Titanic? Christopher W. Felton, MD, FACEP January 10, 2003 Illinois College of Emergency Physicians Illinois Department

Mitigation

• Established event / agent

• Communication

• Resource management

Page 54: Managing Diversion: Deck Chairs on the Titanic? Christopher W. Felton, MD, FACEP January 10, 2003 Illinois College of Emergency Physicians Illinois Department

Public Health

Emergency Management

Acute Care

Page 55: Managing Diversion: Deck Chairs on the Titanic? Christopher W. Felton, MD, FACEP January 10, 2003 Illinois College of Emergency Physicians Illinois Department
Page 56: Managing Diversion: Deck Chairs on the Titanic? Christopher W. Felton, MD, FACEP January 10, 2003 Illinois College of Emergency Physicians Illinois Department
Page 57: Managing Diversion: Deck Chairs on the Titanic? Christopher W. Felton, MD, FACEP January 10, 2003 Illinois College of Emergency Physicians Illinois Department

Emergency Preparedness

Page 58: Managing Diversion: Deck Chairs on the Titanic? Christopher W. Felton, MD, FACEP January 10, 2003 Illinois College of Emergency Physicians Illinois Department
Page 59: Managing Diversion: Deck Chairs on the Titanic? Christopher W. Felton, MD, FACEP January 10, 2003 Illinois College of Emergency Physicians Illinois Department
Page 60: Managing Diversion: Deck Chairs on the Titanic? Christopher W. Felton, MD, FACEP January 10, 2003 Illinois College of Emergency Physicians Illinois Department

Christopher W. Felton, MD, FACEP

414.350.8090

[email protected]

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