The Content of Pandemic Influenza Plans in Ontario Acute Care Hospitals: Implications for a Pandemic

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The Content of Pandemic Influenza Plans in
Ontario Acute Care Hospitals Implications for
a Pandemic Influenza Planning Portal

• DE Zoutman, BD Ford,
• M Melinyshyn, B Schwartz
• Queens University

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See Our Poster Also

• The State of Pandemic Influenza Planning in
  Ontario Acute Care Hospitals
• June 3rd, Poster 8

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European National Pandemic Plans Study (Mournier,
Coker 2006)

• 21 national plans were included in analysis
• Preparation for surveillance, planning and
  coordination, and communication were good
• Maintenance of essential services, putting plans
  into action, and public-health interventions were
  probably inadequate
• Plans for the timely distribution of available
  medical supplies are notably absent

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Association of State Health Officials in the U.S.
Survey

• 49 states, territories or districts were surveyed
  in November 2005
• Only a minority had plans in place for antiviral
  stockpiling, and over one third did not have a
  prioritization scheme for distributing antivirals
• 29 had not named a pandemic influenza
  coordinator
• Most had not quantified the personal or fiscal
  resources necessary for an effective state-wide
  response to an outbreak or pandemic of influenza

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Key Elements of OHPIP and CPIP Plans
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Purpose

• The purpose was to examine the content of
  pandemic plans in acute care hospitals in
  Ontario.
• The findings will aid in designing a web portal
  to help hospitals plan effectively for future
  pandemics of severe respiratory infections such
  as influenza.

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Methods

• A comprehensive survey was sent in early 2007 to
  all acute care hospitals in Ontario.
• Respondents had the option of completing the
  survey on-line
• The survey was completed by the person most
  responsible for the hospitals pandemic influenza
  plan.

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Survey Instrument

• The survey assessed components of pandemic plans
  deemed important
• Command and control roles and responsibilities
• Human resources
• Surge capacity
• Equipment and supplies
• Infection control / Occupational health
• Triage and clinical care
• Security / Transportation
• Mortuary plan
• Business continuity of non-clinical services
• Training / Exercises
• Communications

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Response Rate

• 77, 97 of the126 acute care hospitals in Ontario
  completed the survey
• 87, 84 of 97 respondents chose to complete the
  survey online

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ON Hospitals with Pandemic Influenza Plan in 2006
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Documents Consulted in Developing Pandemic
Influenza Plan
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Command and Control Roles and Responsibilities
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Key Human Resource Components Addressed in
Pandemic Plans I
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Key Human Resource Components Addressed in
Pandemic Plans II
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Plan Identifies Surge Capacity for
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4 Week Stockpile of Supplies Identified in
Pandemic Plan I
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4 Week Stockpile of Supplies Identified in
Pandemic Plan II
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Does the Infection Control/Occupational Health
Section of Plan Address?
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Does Pandemic Influenza Plan Address these
Antiviral Issues?
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Does Influenza Plan Address these Pandemic
Influenza Vaccination Issues?
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Does the Clinical Care Section of the Pandemic
Plan Address I?
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Does the Clinical Care Section of the Pandemic
Plan Address II?
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Does the Business Continuity Section of the
Pandemic Plan Address?
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Does the Security/Transportation Section of the
Pandemic Plan Address?
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Does the Mortuary Section of the Pandemic Plan
Address?
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Does the Communications Section of the Pandemic
Plan Address?
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Conclusions

• The vast majority of the pandemic influenza plans
  of acute care hospitals in Ontario had shortfalls
  in many key areas.
• A web-based educational initiative, the Being
  Prepared is Being Protected Pandemic Learning
  Portal Project, is currently being developed by
  the authors to address these important areas and
  will assist hospitals to plan effectively for
  future pandemics.