What are we planning for? What are we planning for? Office and - - PDF document

▶
what are we planning for what are we planning for
SMART_READER_LITE
LIVE PREVIEW

What are we planning for? What are we planning for? Office and - - PDF document

Jan 28, 2024 191 likes •287 views

5/18/2016 What are we planning for? What are we planning for? Office and Personal Preparedness May 14, 2016 Michele Cheung, MD MPH, FAAP Deputy Medical Director, Epidemiology Physician Specialist, Infectious Disease Preparedness Health

slide-1
SLIDE 1

5/18/2016 1

May 14, 2016

Michele Cheung, MD MPH, FAAP Deputy Medical Director, Epidemiology Physician Specialist, Infectious Disease Preparedness Health Disaster Management

Office and Personal Preparedness

What are we planning for? What are we planning for?

What What will your role be du will your role be during or ng or a after a ter a d disaster? ster?

 Providing continuity of medical care for your patients  Being a trusted source of reliable health information and care  Promoting community resilience – ability to bounce back after a

disaster

 Providing outpatient care to decompress hospitals/EDs/triage

centers

 Volunteering

  • at local hospital
  • at Point of Dispensing clinics
  • in a shelter
  • at alternate care/triage sites

Plans to go to work during a disaster

Preliminary survey results as of 5/13/16

Peds in Training (N=43) Practicing (N=29) Yes, in primary practice

  • ffice

34% Yes, wherever Residency sends me 63% Yes, at the hospital 9% 14% Yes, as a volunteer 2% 14% No 2% 0% I don’t know 23% 38%

Have a personal and/or family preparedness plan

If you and your family are prepared

 You can focus on patient care or critical issues  You will have better understanding of issues staff and

clients may face

 You can better encourage and guide families you serve

to develop their own disaster plans

slide-2
SLIDE 2

5/18/2016 2 AAP Disaster Prep Survey Responses

 Preliminary results as of 5/13/16  Disaster Plan

  • 0% (of 43) pediatricians‐in‐training
  • 43% (13/30) “practicing” respondents

► [20 Peds, 2 Family Practice, 7 School Nurses, 1 Unknown]

 Disaster Supply Kit

  • 2% (1/43) pediatricians‐in‐training
  • 50% (15/30) “practicing” respondents

 Office Disaster Kit

  • 24% (7/29; 6 I don’t know) “practicing” respondents

► 3/7 with Disaster Kit were school nurses

Personal Preparedness Resources

 Orange County: http://readyoc.org  CDC: http://www.cdc.gov/phpr/readywrigley/index.htm  Department of Homeland Security ‐ www.ready.gov  Save the Children: www.SavetheChilden.org/getready  Red Cross: www.redcross.org

Readyoc.org

www.SavetheChilden.org/getready

Family resources

 Downloadable Emergency Contact Card – fill in on‐line then

print

  • https://secure.savethechildren.org/site/c.8rKLIXMGIpI4E/b

.9292307/k.E461/Get_Ready_Get_Safe_Emergency_Conta ct_Cards/apps/ka/ct/contactcustom.asp

slide-3
SLIDE 3

5/18/2016 3

http://www.cdc.gov/phpr/readywrigley/index.htm http://www.cdc .gov/phpr/read ywrigley/index. htm

http://readyoc.org/prepare/kit.html http://readyoc.org/prepare/kit.html http://readyoc.org/prepare/kit.html http://readyoc.org/prepare/kit.html

slide-4
SLIDE 4

5/18/2016 4

http://readyoc.org/prepare/kit.html http://www.getreadyforflu.org/clocksstocks/clocksinfographic.htm

http://www.getreadyforflu.org/images/GetReadyStocksInfographic.gif

http://www.getreadyforflu.org/clocksstocks/clocksinfographic.htm

Ready Wrigley

http://www.cdc.gov/phpr/rea dywrigley/index.htm

www.ready.gov/kids

Ready.gov / FEMA

slide-5
SLIDE 5

5/18/2016 5 Other Personal Preparedness Items

 Back‐up arrangements for child care, other dependent care  Know your school/child care evacuation and disaster plans

  • Make sure at least 3 contacts are on your release form.

 Make a list of contacts and locations for evacuation  Review home and property insurance coverage http://www.redcross.org/get-help/prepare- for-emergencies/be-red-cross-ready https://www.aap.org/en‐us/advocacy‐and‐policy/aap‐health‐initiatives/Children‐and‐ Disasters/Documents/PedPreparednessChecklist1b.pdf

AAP Disaster Prep Survey Responses

 In a large‐scale disaster, local, state and federal

authorities may not be able to deliver assistance for days. A medical office should have enough fundamental supplies to ensure self‐sufficiency for at least 72 hours.

  • 73% (19/26) peds in training; 87% (20/23)

“practicing” respondents answered 72 hours

 Office Disaster Kit

  • 24% (7/29; 6 I don’t know) “practicing” respondents

►3/7 “Yes” were school nurses

Office Disaster Kit Supplies ‐ examples

 Disaster preparedness / shelter‐in‐place

  • Copies of credentials, license, essential business documents,

computer/records back‐ups; copied to flash drive (also stored elsewhere)

  • Spare clothes, shoes, toiletries, blanket, own

eyeglasses/prescription meds

  • Food, water
  • Hand sanitizer, toilet paper, towel, trash bags
  • Duct tape, pocket knife, flashlight, cell phone charger, radio,

batteries

  • Toys, diapers, baby wipes, baby food, formula
  • Pens/pencils

AAP Preparedness Checklist for Pediatric Practices

Office Disaster Kit Supplies ‐ continued

 Evacuation

  • Rain gear, sunscreen, insect repellent

 Basic medical care

  • Stethoscope, otoscope, ophthalmoscope, calculator
  • Reference handbook, prescription pad, tape measure
  • Gloves, masks, alcohol wipes, bandages
  • Antibiotic ointment, topical steroid
  • Albuterol MDI/nebulizer, ibuprofen, acetaminophen,

diphenhydramine

  • 1% lidocaine, ceftriaxone, saline, po/iv steroids
  • Syringes, needles, sharps container

AAP Preparedness Checklist for Pediatric Practices

slide-6
SLIDE 6

5/18/2016 6 Office Disaster Kit Supplies ‐ continued

 Easily transportable containers  Store in safe, accessible location  Tell employees  List of supplies, checklist, schedule for checking

expiration date (assign someone to this)

 Could be used for even smaller disruptions –

  • ffice fire, power failure…..

AAP Preparedness Checklist for Pediatric Practices

Mitigate damage to equipment or office space

 Identify essential, high value or irreplaceable items

  • Store where could minimize risk and how/where to move during a

disaster

  • Assign staff to be responsible
  • Copy warranties, model numbers, receipts, servicers

 Assess office/space facility issues

  • Investigate structural issues, needed repairs
  • Record contact information for utilities, shutoff

procedures/locations for water, electricity, gas

► Priority list for restoration ► Ensure all staff know utility shutoff procedures/locations

  • Develop contingency plans for repairs
  • Research options for generators
  • Research potential alternate practice sits, agreements

AAP Preparedness Checklist for Pediatric Practices

Records and files

 Patient records  Vital business documents

  • Bank statement, tax return, business permit, insurance policy

numbers

 Back‐up records/documents

  • Scan documents, back‐up files

►At least one copy at another physical location or on‐line

  • Consider automatic back‐up system
  • Examples

►Online storage, remote server ►Portable hard drive, flash drive/memory card

Insurance

 Review policies and coverage, exclusions, deductibles

  • Vaccines and spoilage
  • Business interruption/income replacement
  • Civil disruption
  • Unique hazards (e.g. earthquake, floods)

 Prepare paper or video office inventory  Store info with vital business documents

AAP Preparedness Checklist for Pediatric Practices

Preparing staff

 Review disaster plan and office disaster kit details with staff  Assign roles, responsibilities, procedures, priorities during a

disaster

 Collect and share staff personal contact information and store

where readily accessible

 Conduct practice drills to test plan details  Encourage staff to develop own personal preparedness plans  Address human resource issues of absences, pay, benefits during

a disaster

AAP Preparedness Checklist for Pediatric Practices

Evacuation plans

 Determine what services might be provided under increasingly

severe conditions – tiered response

 Determine who will be notified in disaster situations and how  Consult local hospitals where you have privileges about disaster

plan procedures

  • Expected responsibilities as medical staff

 Integrate plans with other health care professionals AAP Preparedness Checklist for Pediatric Practices

slide-7
SLIDE 7

5/18/2016 7 Patients with special health care needs

 Identify patients with access and functional needs  Technology dependent – share information with utilities  Work with families to complete emergency information form

  • Review and update every 6 months
  • http://www2.aap.org/advocacy/blankform.pdf

 Discuss contingency plans with family, school  Encourage sharing of information/planning with emergency

management

AAP Preparedness Checklist for Pediatric Practices http://www2.aap.org/advocacy/blankform.pdf http://www2.aap.org/advocacy/blankform.pdf

Continuing Operations

A disaster or pandemic can significantly impair your revenue, billing, and collections and affect your ability to pay staff and vendors

 Keep with essential business documents

  • List of vendors, account numbers, contact information
  • Contact information and provider numbers for payers with which

you are contracted including health insurance companies

  • Payroll information

 Back‐up payroll and employee W‐9 forms  Consider alternate billing and collection procedures  Consider line of credit, second business account with different bank  Plan for paper checks or other methods if electronic payments

disrupted

AAP Preparedness Checklist for Pediatric Practices

Infection Control

 Implement day‐to‐day practices and plans for infection control  Get vaccinated for seasonal influenza and encourage staff to  Develop an office respiratory protection plan delineating use of

PPE, etc

  • Provide fit testing for staff for N‐95 respirators
  • Annually train staff on respiratory protection plan, review

infection control, standard precautions

 Pandemic planning  Collaborate with other practices, building personnel on sharing of

staff, supplies, office space during times of staff illness or absenteeism

AAP Preparedness Checklist for Pediatric Practices

Vaccine issues

 Develop and follow a written emergency vaccine storage and

handling plan

  • Required by CDC for VFC providers

 Ensure backup energy source (generator) and fuel for ≥ 72 hours  Designate alternate site with 24‐hour access for storage of

vaccine and diluents; develop MOU/MOA

 Maintain adequate supply of insulated boxes and gel packs for

transport

 Record contact info for vaccine manufacturers, distributors, VFC

coordinators, refrigerator/freezer vendor/repair shop

 Review vaccine storage, handling, transport plan with staff AAP Preparedness Checklist for Pediatric Practices

slide-8
SLIDE 8

5/18/2016 8

2oC ‐ 8oC ≤ ‐15oC

http://www.cdc.gov/vaccines/recs/storage/default.htm

2oC ‐ 8oC ≤ ‐15oC

http://www.cdc.gov/vaccines/recs/storage/default.htm

Self‐care strategies

 Identify mechanisms to allow staff to attend to personal/family

needs during a disaster

  • Supplemental staffing
  • Collaborative agreements with other practices to share staff or

resources

  • Cross‐training of staff

 Address mental health issues

  • Establish employee assistance program or list of local mental health

resources

  • Identify handouts, videos, educational materials about self—care
  • Identify resources and techniques to minimize compassion fatigue
  • Provide training in psychological first aid to all office staff
  • Form liaisons with mental health professionals to support staff

 Let staff known you are supportive of their personal and family

needs!

AAP Preparedness Checklist for Pediatric Practices

Questions?

Michele Cheung, MD MPH, FAAP Deputy Medical Director, Epidemiology Physician Specialist, Infectious Disease Preparedness Orange County Health Care Agency mcheung@ochca.com 714‐834‐7729