enhancing the ability of ems to transport patients with ... · • nasemso medical director’s...
TRANSCRIPT
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Enhancing the Ability of
EMS to Transport Patients
with Confirmed or
Suspected Ebola and
other High Consequence
Infectious DiseasesASPR Cooperative Agreement
EP-IDS-16-004
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Project Overview
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Project Objectives
Prepare a “State EMS Ebola and High Consequence
Infectious Disease Transport Plan Template”
Changed HCID to “Special Pathogens”
Develop three exercises that can be used to evaluate a
state’s Ebola and High Consequence Infectious Disease
Transport Plan
Provide an assessment of each state’s capacity and
capabilities for the interfacility transport of patients
with Ebola and other High Consequence Infectious
Diseases
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Collaborating National
Organizations NASEMSO will call upon several national organizations
throughout the engagement including:
Expert Panel Members
• NETEC
• EMS Biosafety Transport Consortium
• American Ambulance Association
• Association of Air Medical Services
• Association of Critical Care Transport
• National Association of EMTs
• EMSC Innovation and Improvement Center (EIIC)
• Association of State and Territorial Health Officials
• National Association of County and City Health Officials
• National Association of EMS Physicians
• NASEMSO Medical Director’s Council
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Subject Matter Expert Partners
Health and Human Services Region IV Ebola
Preparedness and Response Working Group
Health and Human Services Region VI Ebola
Preparedness and Response Working Group
U.S. Department of Hazardous Materials Safety
Administration.
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Project Organizational Structure
NASEMSO Executive Director
Project Execution
Group
Transport Plan Group
Exercise Design Group
Capabilities Assessment
Group
Ebola and HCID Transport
Expert Panel
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Project Execution
Group
Transport Plan Group
Exercise Design Group
Capabilities Assessment
Group
Ebola and HCID Transport
Expert Panel
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Project Execution Group
NASEMSO Executive Director
Project Manager
Strategic Partners
o Emory
o NETEC
Chairs of the 3 Work Groups & Expert Panel
NASEMSO support staff
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Project Execution
Group
Transport Plan Group
Exercise Design Group
Capabilities Assessment
Group
Ebola and HCID Transport
Expert Panel
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Ebola and HCID Transport Expert
Panel
12 members- Chair Joe Schmider (Texas) Lynn White, MD - AAA David Thomson, MD - AAMS Robbie Tester - ACCT Teresa Ehnert - ASTHO Alex Isakov, MD - Emory Brent Kaziny - EIIC Oscar Alleyne, MD - NACCHO Craig Manifold, MD - NAEMT Gerry "Wook" Beltran, MD - NAEMSP Nick Cagliuso - NETEC Ken Williams, MD - NASEMSO Med
Directors Council
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Ebola and HCID Transport Expert
Panel
Provide guidance about the project's design and
approach, assess the findings from the literature
review to inform recommendations, and provide
expert opinion and improvement advice as products
are developed.
Ultimately the Panel will achieve consensus about
the suitability of products for presentation to the
states, national associations, and federal partners.
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Project Execution
Group
Transport Plan Group
Exercise Design Group
Capabilities Assessment
Group
Ebola and HCID Transport
Expert Panel
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Transport Plan Group
4 members – Chair Alisa Williams (Mississippi)
Terry Schenk – Florida Department of Health
Sam Shartar - Emory
Wade Miles - Grady EMS)
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Transport Plan Group
Develop a State EMS Ebola and High Consequence
Infectious Disease (HCID) Transport Plan Template
Work closely with the Expert Panel to receive
guidance and insight on template development
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Transport Plan
Comprehensive Preparedness Guidelines 101 was used
20 sections = template
Brief description of the sections purpose
Information and considerations that states should add
Appendices contains resources and supporting documents
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Transport Plan Template
Template identifies the following
Transport between frontline hospitals, assessment hospitals, state
designated treatment centers and/or Regional Ebola and Special
Pathogen Treatment Centers
Included are both ground and fixed wing air ambulance transport
Identified transport routes that crosses jurisdictional and state
lines.
Adult and pediatric considerations
Responsibilities for key stakeholder agencies i.e. State Health
Department, State EMS Office, federal partners, sending and
receiving facilities, law enforcement agencies, crew change
locations and impacted airports
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Transport Template Sections
Executive Summary
Introduction and Overview
Promulgation Document and Signatures
Approval and Implementation
Record of Changes
Record of Distribution
Plan Purpose
Planning Scope
Situation Overview
Planning Assumptions
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Transport Template Continued
Concept of Operations Trigger points for activation
Process for determining patient placement
Ground transport
Transport logistics
Staffing
Crew change locations and logistics
Personal Protective Equipment (PPE) considerations
Equipment requirements
Patient treatments
Security/Law Enforcement
Air transport
Pediatrics
Management of a PPE breach
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Transport Template Continued
Waste Management
Decontamination
Mortuary affairs
Post-transport medical monitoring of crew
Patient privacy
Assignment of Responsibilities
Direction, Control, Coordination
Communications
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Transport Template Continued
Education, Training, Exercises
Logistics and Resources
Administration and Finance
Plan Development and Maintenance
Authorities and References
Appendices
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Project Execution
Group
Transport Plan Group
Exercise Design Group
Capabilities Assessment
Group
Ebola and HCID Transport
Expert Panel
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Exercise Design Group
5 members – Chair Mel House (Ohio)
John Donohue – Cecil County, MD Department
of Emergency Services
David Edwards – Wyoming Dept. of Health
Nick Cagliuso - NETEC
Mike Flueckiger - Phoenix Air
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Exercise Design Group
Exercises can be used by states with large urban or rural
populations or a combination of the two
Develop three (3) exercises and associated toolkits that
can be used to evaluate Ebola and High Consequence
Infectious Disease Transport Plans
2 tabletop/discussion based exercises
1 function exercise
Exercises will follow the HSEEP model
Qualitative evaluation tools to assist evaluators with
capturing information that is not easily quantifiable
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Exercise Work Group Results (TTX) The HSEEP was used as a model to structure the exercises.
This allows states to use DP grant finding to plan and execute their exercises
Two TTX are organized into 3 modules
Mobilization
Transport
Demobilization
The TTX contains required objectives and a list of optional objectives
Each module has scenario info and a list of required and optional discussion questions used to meet objectives.
One exercise is Interstate; one is intrastate; one includes the transport of a child
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Exercise Work Group Results Cont.(FUNC)
Three modules
Operational Coordination
Public Information Coordination
EMS Logistics and Resources
There are required and optional objectives
First two modules should be in an EOC or JIC
Third module at a location where personal and vehicle/equipment decon can be conducted
Modules can be conducted independently or simultaneously
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Exercise ToolKit
EEG’s for those required
Controller/Evaluator Handbook
Participant evaluation form template
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Project Execution
Group
Transport Plan Group
Exercise Design Group
Capabilities Assessment
Group
Ebola and HCID Transport
Expert Panel
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Capabilities Assessment Group
5 members – Chair Kyle Thornton (New Mexico)
Joe House - Kansas Board of EMS
Kevin Wickersham – Washington State
Department of Health
Karen Owens – Office of Emergency Medical
Services, Virginia
John Lowe – University of Nebraska Medical
Center
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Capabilities Assessment Group
Develop a capabilities assessment tool
Target audience = State EMS Directors
Conduct an assessment of each state's EMS capacity and
capabilities for the transportation of patients with EVD
and/or HCID
Document assessment findings via a report
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Capability Assessment
A 44 question assessment was developed with many
questions being multi-part
Questions organized into 6 categories
Intro
Scope of Plan
Concept of Operations
Direction, Control and Coordination
Communications
Finance and Administration
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Capability Assessment Cont. The target group was the 50 states, 6 territories and 3
cities directly funded by ASPR
Assessment first sent to small group of EMS Directors for pilot
A PDF version of the Assessment was then emailed to the target audience for time to research answers.
The assessment survey, using Survey Monkey tool was then emailed out.
Follow up emails and phone calls were made to EMS Directors to finish the assessment.
50 of the 59 (85%) states, territories and funded cities completed the survey
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Next Steps…