Preparing Your Go-Bag for Disaster-related Information Needs

Elkhart General Hospital

Report Out for NLM Disaster Award Sept 10, 2015

Introductions and

Organization Description

Partnerships

• Elkhart General Hospital Medical Library• Elkhart General Hospital Emergency

Preparedness Committee• Elkhart General Hospital Education Committee• Elkhart Fire Department

Information Access Activities

Needs Assessment Pre & Post Surveys

Skills Development Education SessionPractice Opportunity

Project Goals & Objectives

• Know where to find disaster and public health preparedness and response websites and apps with reliable and authoritative content.– DIMRC, WISER, CHEMM, REMM, VISUALDX

• Understand the value of portable equipment choices, and the key differences between web-based access and tools that provide stand alone content.

• Increase the functional literacy of health care professionals responsible for all-hazards scenarios and corresponding disaster literature, and achieve self reliance in selecting and searching disaster related literature.

CME Objectives Reflect the NLM Project Goals

•At the conclusion of this lecture the participants should be able to: Identify authoritative sources for information in a disaster or public health emergency by using the National Library of Medicine’s Disaster Information Management Research Center (DIMRC) focusing on:

WISER Wireless Information System for Emergency Responders CHEMM Chemical Hazards Emergency Medical Management REMM Radiation Emergency Medical Management

•Explain the value of portable equipment choices, and the key differences between internet access, and tools that provide stand-alone content. •Describe the types of questions these databases can answer and provide examples. •Review the Elkhart County environment and potential disaster sources.

Instructors

Chris McFarland• Emergency Preparedness Coordination for EGH• Elkhart Fire Department Battalion ChiefDavid Van Ryn, MD• Co-Director EGH Medical Education Committee• Director EGH Emergency Department• Clerkship Director/Faculty IUSM programLori Harding• Coordinator Library Services

Schedule

Overview of Education Session

• PowerPoint file• Handouts

PowerPoint slides NLM’s Disaster Health Information Resources cards

• Pre-survey assessment• Lecture • Group Exercises or Hands on Lab with iPads • Post-session survey

Audience AssessmentWhich of the Following Describes Your Primary Job Function?

Technology Assessment Which Devices Do You Use?

Answer Choices ResponsesALL All dates

Physician Resident Med Student All dates

Fire Dept-InhouseMar30-Apr1

CME W Mich UnivAug 5

Android 27.16%

91 20% 21 24.74% 24 23.91% 11

Blackberry 0.00% 0 0.00% 0 0.00% 0 0.00% 0

Desktop Computer 42.39% 142 43.81% 46 25.77% 25 23.91% 11

iPhone 58.81% 197 75.24% 79 51.55% 50 73.91% 34

Laptop Computer 66.27% 222 76.19% 80 58.76% 57 69.57% 32

Smartphone Windows 21.49% 72 12.38% 13 18.56% 18 13.04% 6

Tablet/iPad 48.06% 161 51.43% 54 49.48% 48 58.70% 27

I don’t own any of these

.30% 1 0 0 1.03% 1 0.00% 0

335 responses 105 responses 97 responses 46 responses

Resources AssessmentWhich resources are useful for disaster health information?

CDC

CHEM

M

DIM

RC

EAI

Goo

gle,

Saf

ari,

Bing

Inde

xes P

ubM

ed e

tc

Mic

rom

edex

Med

lineP

lus

Pers

onal

subs

crip

tions

Prof

essi

onal

Ass

oc

REM

M

Sum

mar

ies/

UpT

oDat

e

ToxN

et

Visu

alD

X

WIS

ER

0

50

100

150

200

250

300

Currently Use

Not Aware of

Interested in Learning

Did this Project Increase Awareness and Utilization

of NLM Disaster Resources?

WISER CHEMM or REMM PriorDo You Currently Have WISER CHEMM or REMM as an APP?

Answer Choices Responses Before Education

All RespondentsAll Dates

Physician Resident Medical StudentAll dates

Fire DepartIn-houseMar30-Apr1

CMEW Univ MichAug 5

Yes 13.48% 43 13.13% 13 25.26% 24 18.60% 8

No 86.52% 276 86.87% 86 74.74% 71 81.40% 35

319 99 95 43

Responses After Education

Yes 29.20% 80 56.86% 54 16.22% 6

Not interested at this time

20.44% 56 23.16% 22 0.00% 0

Planning to add 50.36% 138 20.00% 19 83.78% 31

274 95 37

79.56% 76.84% 100%

Which interactive resource would best help you identify an unknown chemical by its physical properties and symptoms of exposure?

Pre-Test

After Education

Technology Locations

• Elkhart Fire Department Command Truck

• Emergency Preparedness Charging Cart in the Emergency Department

iPads also at the Elkhart Fire Department and EGH Medical Library, Pharmacy, ED Front Desk/Triage, ED Physician areas and Information Systems.

Examples of Impact

Organizations RepresentedOriginally Proposed Added Elkhart General Hospital Baugo Fire Department

Elkhart Fire Department Bristol Fire Department

Concord Fire Department

Elkhart Township Fire Department

Goshen Fire Department

Harrison Township Fire Department

Jackson Township Fire Department

Nappanee Fire Department

Osolo EMS

Prompt Ambulance

Tri-County Ambulance

Wakarusa Fire Department

Goshen Hospital

Western Michigan Univ School of Med

David VanRyn, MD

• Project strengths/challenges• Feedback from participants

Chris McFarland

• Project strengths/challenges• Feedback from various sessions• Saturday, Sept 12 Full Scale Drill

Ongoing/Post Award

• Presentation scheduled for EGH Managers/Directors Meeting next Tues, Sept 15

• New Physician Orientations• Beacon Marketing awaiting photo of drill for

write-up in health system newsletter.