it takes a healthcare village presentation objectives show attendees that the hospitals cannot take...
TRANSCRIPT
It Takes a Healthcare Village
Presentation Objectives
• Show attendees that the hospitals cannot take care of all patients in a disaster
• Identify key decision makers in Kitsap County related to planning of patient care during disasters
• Discuss Kitsap County Continuum of Patient Care During Disasters
• Identify how general and medical sheltering needs can be tiered to meet the needs of the community
• Describe how medical sheltering is different from Alternate Care Facilities
• Define process for developing and roll out of Disaster Ready Clinic curriculum
Licensed Bed Count
Harrison Medical CenterBremerton 253Silverdale 44
Naval Hospital Bremerton 100
Hospital Beds 397
Kitsap County Population
According to US Census data for 2012, Kitsap County has:
254,991 Residents
Do the Math!
The Three Legged Stool
Kits
ap P
ublic
Hea
lth
Kits
ap D
EMHarrison M
edical Center
Kitsap Continuum of Patient Care Coordination
* Includes Clinics and Urgent Cares represented in KCHD NDC plan Revised 12/08/11
Telephone Triage
Family Home Care
Professional Home Care
Triage & Treatment Centers *
• Major Clinics
• Urgent Care Centers
Alternate Care Facilities
(Acute Care)
Harrison Medical Center
Navy Hospital Long Term Care
Home
Coroner/Funeral Homes
Tier 1 Tier 2 Tier 3 Tier 4
LTC Sheltering (Stage 1)
Alternate Care Sheltering
(Chronic Care – Stage 2)
Other Medical Sheltering (e.g., ARC,
KMHS)
Tier 1
Telephone Triage
Family Home Care
Professional Home Care
LTC Sheltering (Stage 1)
Other Medical Sheltering (e.g., ARC,
KMHS)
Tier 2Triage & Treatment Centers *
• Major Clinics
• Urgent Care Centers
Tier 3
Alternate Care Facilities
(Acute Care)
Harrison Medical Center
Navy Hospital
Alternate Care Sheltering
(Chronic Care – Stage 2)
Tier 4
Long Term Care
Home
Coroner/Funeral Homes
Disaster Ready Clinics/Triage and Treatment Sites
• Because of geography, discussions began in 2010 with Evergreen Earthquake exercise to ready Peninsula Community Health Services (PCHS), only federal community health center in Region 2.
• Local Disaster Medical Assistance Team trained PCHS in triage and treatment.
• 136 volunteers were utilized to practice this new skill during Evergreen Earthquake.
• Biggest lesson learned was that clinic staff did not know how to lift and move patients.
January 2012
Held joint meeting for major clinic leadership in Kitsap County to include:
• Group Health Cooperative
• Harrison Urgent Care and Primary Care Centers
• Kitsap Children's’ Clinic
• Pacific Surgery Center
• Peninsula Community Health Services
• Silverdale Surgery Center
• Sound Family Health
• The Doctors’ Clinic
• Virginia Mason – Winslow
February – May 2012
Public Health was able to engage an intern to develop Disaster Ready Clinic curriculum components to include:
• Triage & Treatment using the START algorithm
• Incident Command System
• Patient Lifting and Moving
• Disaster Mental Health
June 2012
Virginia Mason Clinic on Bainbridge Island stepped forward to volunteer to pilot the curriculum
• Set aside 2 hours for entire staff to be trained in four modules
• Provided feedback on curriculum
Staff suggested basic preparedness information be included
It was clear that the patient movement module is best trained in a hands-
on environment
Fall 2012
• Developed fifth module to include basic preparedness for staff with introduction of Joplin video to grab everyone’s attention.
• Discussion with EMS at MCI planning meeting about the future of triage and treatment in Kitsap County.
Winter 2013
• Brought clinic leadership back together to describe program roll-out , including different teaching modalities for curriculum.
• All original clinic leaders plus more were in attendance at the meeting and have agreed to have their clinics trained by year end 2013.
April 2013
• Train-the-trainer course conducted.
Trainers can be from clinic staff or volunteers.
Trainers can be part of Medical Reserve Corps.
Remainder of 2013
• Coordinate training with clinics
• Communicate progress with EMS
• Identify and engage clinics that will participate in future MCI exercises
The Future
• Maintain clinic engagement to remain Disaster Ready
Final Curriculum Modules
• Introduction including Joplin Video and Basic Preparedness for staff
• Triage and Treatment
• Incident Command System
• Patient Lifting and Moving
• Disaster Mental Health
What’s in it for the clinics?
• Understand that during disasters, patients are coming whether they are
ready or not. They agree—It’s better to be ready.
• Clinics understand that the hospital resources need to be kept for those who
need them most.
• Clinics will receive triage kits through ASPR funding.
• Once trained, DEM will provide clinics with signage that indicates they are a
Disaster Ready Clinic.
• Media discussions to highlight clinic engagement.
• Closer linkage with the hospitals, public health, and DEM.
• Better able to provide Kitsap County residents with the right type of patient care during times of disaster.
• Curriculum being utilized throughout the region.
What’s in it for the community?
“The role of the Community Health Center is to protect the surge
capacity of hospitals so they can see the most critical patients. We
should be seeing the walking wounded and worried well.”
Zena Kinne, Director – QualityPeninsula Community Health Services
Kitsap Continuum of Patient Care Coordination
* Includes Clinics and Urgent Cares represented in KCHD NDC plan Revised 12/08/11
Telephone Triage
Family Home Care
Professional Home Care
Triage & Treatment Centers *
• Major Clinics
• Urgent Care Centers
Alternate Care Facilities
(Acute Care)
Harrison Medical Center
Navy Hospital Long Term Care
Home
Coroner/Funeral Homes
Tier 1 Tier 2 Tier 3 Tier 4
LTC Sheltering (Stage 1)
Alternate Care Sheltering
(Chronic Care – Stage 2)
Other Medical Sheltering (e.g., ARC,
KMHS)
Review of Presentation Objectives
• Show attendees that the hospitals cannot take care of all patients in a disaster
• Identify key decision makers in Kitsap County related to planning of patient care during disasters
• Discuss Kitsap County Continuum of Patient Care During Disasters
• Identify how general and medical sheltering needs can be tiered to meet the needs of the community
• Describe how medical sheltering is different from Alternate Care Facilities
• Define process for developing and roll out of Disaster Ready Clinic curriculum
Thank you!