Pandemic Flu Planning: Hospital Surge Capacity Part II

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Pandemic Flu PlanningHospital Surge
CapacityPart II

• December 16, 2005

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Our Mission

• Mission for our group by December 31st complete
  Pandemic Flu Hospital Surge Plan(s) for all
  hospitals in San Mateo County

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Surge Plan

• Staffing
• Bed Capacity
• Consumable and Durable Supplies
• Continuation of Essential Medical Services

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Format

• Umbrella Plan for County
• Plans for each hospital in county
• Use HHS Pandemic Influenza Plan as the template

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Structure Lets Break our Plan Down Into Stages

• Green Pre-Event Normal to beginning Stage
• Yellow Epidemic
• Red Pandemic
• Black - Catastrophic

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Stage I - GreenPre-event

• We are in this stage now
• Time for planning
• As you do your plans, lets identify in which
  stages you do the various strategies
• E.g. In stage one you identify bed spaces,
  staffing procedures

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Stage 2 - YellowEpidemic

• Our systems will be stressed
• Need to implement some strategies (e.g., cancel
  elective surgery, open beds/patient spaces,
  recruit retirees, cohort patients)

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Stage 3 RedPandemic

• Hospitals will be maximally stressed
• Implement all major strategies (e.g., may need to
  ration care ventilators)

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Stage 4Catastrophic

• Shelter at home
• Austere care only

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Catastrophic Event Possible

• Scenario for San Mateo may be 15,000 seeking
  hospitalization over 9-12 months (in peaks)

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Umbrella Plan Structure

• Alert Levels Green, Yellow, Red, Black
• Alert levels will be determined by Health Officer
• For each element considerations and strategies
• Will break down strategies into Stages

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Structure Umbrella Plan (cont.)

• Will identify at what stage the strategy should
  be done
• Will try to include information on
  notifications/communication

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Brief Update on Planning Process by Each Entity

• County Plan
• Kaiser (RWC SSF)
• Mills-Peninsula
• San Mateo Medical Center
• Sequoia
• Seton (including Coastside)
• PAVA

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Staffing

• Group Discussion
• Red, Green, Yellow, Black

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Bed Capacity
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Discussion Bed Capacity

• Green, Yellow, Red, Black

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Discussion Consumable Durable Supplies

• Purchased or being purchased through Grants
• Green, Red, Yellow, Black

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Continuation of Essential Medical Services

• HHS Plan does not have much detail!
• Green, Yellow, Red, Black

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www.ahrq.gov/research/altstand/index.html
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www.smhealth.org/ems/disaster
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Next Steps

• By facility
• In larger group