Children’s Hospitals and Preparedness Webinar

Thursday, February 23, 2017, at 2:00pm ET/1:00pm CT

Say What? The Ins and Outs of Communicating

in a Disaster

CREDITS STATEMENT

The American Academy of Pediatrics (AAP) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The AAP designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This activity is acceptable for a maximum of 1.0 AAP credits. These credits can be applied toward the AAP CME/CPD Award available to Fellows and Candidate Members of the American Academy of Pediatrics.

The American Academy of Physician Assistants (AAPA) accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by ACCME. Physician assistants may receive a maximum of 1.0 hours of Category 1 credit for completing this program.

This program is accredited for 1.0 NAPNAP CE contact hours of which 0 contain pharmacology (Rx) content, (0 related to psychopharmacology) (0 related to controlled substances), per the National Association of Pediatric Nurse Practitioners (NAPNAP) Continuing Education Guidelines.

OBJECTIVES

1. Identify models and strategies for internal communications in the children’s hospital during an emergency situation.

2. Describe lessons learned and best practices for external communications from the children’s hospital to state-wide and regional partners during an emergency situation.

3. Address how the disaster preparedness coordinator in a children’s hospital can start improving communications planning both internally and externally.

National Center for School Crisis and Bereavement

• Valuing communication with partners

– It isn’t all about communication

• The worst time to reach out to partners is during a disaster; a close second is immediately after

• Crafting the message – intent content

• Identifying the appropriate spokesperson

• Monitoring and managing other/conflicting messages

• Creating an effective and efficient mechanism for communication

Principles involved in communicatingduring a disaster

FACULTY

Bridget M. Berg, MPH, FACHEManager, Pediatric Disaster Resource CenterChildren’s Hospital Los Angeles

FACULTY

Aaron Gardner, MD, MS, FAAPPediatric IntensivistEastern Idaho Regional Medical Center

Ohio AAP ChapterDisaster Preparedness Chapter Contact

“Say What? The Ins and Outs of

Communicating in a Disaster”

Bridget M. Berg, MPH, FACHE

Emergency Management

Disclosures

Bridget M. Berg, MPH, FACHE

• Have the following financial relationship with the US Department

of Health and Human Services. My salary and the App is funded by

the Hospital Preparedness Program.

• Do not intend to discuss an unapproved/investigative use of a

commercial product/device in my presentation.

8

Topics

• Communications – what do we know?

• Current Situation – training and response

• App Overview and Application

• Questions

9

Communication –Theory

Three general theories

• Linear

• Interactive

• Transactional

Examples

• Aristotle

(Sender – Message – Receiver)

• Shannon-Weaver model for

Bell Laboratories, 1948

• Transactional Model of

Communication – Berlo 1960

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Sender Message Channel Receiver

Image by Jason S Wrench, Dec, 25 2009

Communication – in practice

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Communication and Disasters

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PubMed Google Scholar Our Gut / AAR

“Communicating with staff in disasters” n= 12- Mass notification system

implementation- Healthcare system capacity

“Communication” and “disasters” and “Command centers”n = 1Bundy et. al. Transfusion service disaster planning. Immunohematology .

2008;24(3):93-101.

“Communication” and “disasters” and “Command centers”n = 719

• People didn’t get the message• People received different

messages• Decisions weren’t

coordinated• Right-hand didn’t know what

the left-hand was doing• May not have structured

improvement

Often an issue, not documented in academic literature

Searches conducted on February 6 and February 9, 2017

The Concept

The “App” formerly known as Incident Command

•Leadership

•Communication

•Decision-making

•Teamwork

The process to play

(image of previous play test)

• 5 people to play

• Download the app

• Watch tutorial or explain

• Play (12 minutes)

• Debrief

How to:

Process and Next Steps

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Late 2016- June 2017

• Initial concept

and

development

• Specifications

• Paper prototype

• Finalization of

user

experience

• Visual updates

• Delivery and

submission to

App store

Late 2015 2016

• Alpha and

Beta Versions

• Play testing

The “App”

Purpose • Quick and easy way to engage• Stimulate discussion• Peds-based issues

Method • iOs – iPhone 5 and above• iPad• Download App• Connect to wireless network

Time ~12 minutes45-60 for prep and full debrief

# of people 4-5

Use • Adjunct to tabletop exercise• Stand-alone• Engage new learners

The App - Overview

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ENGAGE

PREPARE

FUN

Thank you

This Project was sponsored by the Los Angeles County Emergency Medical Services

Agency and funded in whole by the Hospital Preparedness Program, U.S. Department

of Health and Human Services (HHS), Assistant Secretary for Preparedness and

Response (ASPR) grant funding. This award has been assigned the Federal Award

Identification Number (FAIN) U90TP000516.

Thank you and Acknowledgements

• Cedars-Sinai Medical Center

• Emergency Managers– LA County Disaster Resource Centers

• Henry Mayo Newhall Hospital

• Long Beach Memorial Medical Center

• Los Angeles County – Harbor/ UCLA Medical Center

• Northridge Medical Center

• Providence Tarzana Medical Center

• Ronald Reagan UCLA Medical Center

Bridget M. Berg, MPH FACHEDisaster Resource Center Manager

bberg@chla.usc.edu323-361-7159

Aaron Gardner, MD, MS, FAAPPediatric Intensivist

Eastern Idaho Regional Medical Center

DISCLOSURES

• I have the following financial relationships with the manufacturer(s) of any commercial product(s) and/or provider(s) of commercial services discussed in this CME activity:

• Member of the Mednax National Medical Group

• Supervisory Medical Officer, National Disaster Medical System

• Paid Consultant for the Centers for Disease Control and Prevention

• I do not intend to discuss an unapproved/investigative use of a commercial product/device in my presentation.

HISTORY

GEOGRAPHY

CHALLENGES

• Distance and Geography

• Different Stages of Development

• Common Language

• Awareness of Capability & Capacity

• Situational Awareness

• Communication

• Time and staff

CONNECTING

Start Talking!

• Go Meet the Neighbors

• Conference Calls

• Email Updates

• Face-to-Face Meetings

• Invite the right people to the party

All of this was free!

COMPROMISING

• Find the funding

• Leverage existing resources

• Develop a web-based resource management solution--implement across the coalition• Pediatric-specific

• Compile available hospital data

• Bed tracking

• Status reporting

• Available capabilities

• Near real-time situational awareness

• Common Language

COMMUNICATING

EVENT REPORTING

• Day-to-Day Operations

• Exercises & Drills

• Planning & Research

• Pandemics & Public Health

• Disasters & Mass Casualty Incidents

REACHING OUT

STRATEGY

• Lead

• Start with what you have

• Speak the same language

• Keep it simple

• Keep after it

NEXT STEPS

• Keep talking

• Continue training

• Work out the kinks

• Test the system

• Expand our reach

THANK YOU

Never doubt that a small group of

thoughtful, committed people can change the world; indeed, it’s the only thing that ever

has.

QUESTIONS?

• Dial *1 on your phone to ask a live question.

• Phone: 844-216-1726

• Conference ID: 18985179

• You may also ask a question through the chat box in the lower left hand corner. The AAP staff or presenters will address unanswered questions via e-mail after the call.

• Please e-mail DisasterReady@aap.org to follow-up as needed.

THANK YOU!

Questions?

E-mail DisasterReady@aap.org