Managing Complex Patients in Times of Disaster

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Managing Complex Patients in Times of Disaster

• Scott Russell, D.O.
• Coastal Family Health Center, Biloxi, MS

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Problems Encountered

• communication
• coordination
• mobilization

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Glaring Deficiencies

• planning with patients
• patient knowledge
• data backup
• plan among staff

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Preparing for the next Disaster
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Patients

• make sure they know their meds
• discuss using computer linked pharmacies
• discuss their DZ state and potential problems
• encourage people to develop a plan with similar
  dz state

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Co-workers

• Get up to date contact info (primary and
  secondary contacts)
• Discuss beforehand a contact person and place
• Give a timeline for contact

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ADAP Programs

• Know the local people
• know the state and regional people
• Make sure you discuss with patients to contact
  other HDs

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Data

• Have several offsite data backup sites
• Consider EHR

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Dialysis Patients

• The Kidney Community Emergency Response Coalition
• http//www.kidney.org/help/index.cfm

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Other DZ States

• Discuss with the patient where the regional
  centers are located (i.e.. MD Anderson for CA
  patients)
• and to make plans to present to those centers

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Contact Info

• Scott Russell, D.O.
• 282 Lameuse St
• Biloxi, MS 39530
• scottru_at_cableone.net