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Managing Practitioners During and after a Disaster VA’s Experiences from Hurricane Katrina

Managing Practitioners During and after a Disaster VA’s Experiences from Hurricane Katrina. Kathryn W. Enchelmayer, MS MHSA Director, Credentialing and Privileging Office of Quality and Performance Veterans Health Administration. Hurricane Katrina. Landfall August 29th.

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Managing Practitioners During and after a Disaster VA’s Experiences from Hurricane Katrina

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  1. Managing Practitioners During and after a DisasterVA’s Experiences from Hurricane Katrina Kathryn W. Enchelmayer, MS MHSA Director, Credentialing and Privileging Office of Quality and Performance Veterans Health Administration

  2. Hurricane Katrina Landfall August 29th

  3. Prior to Hurricane Katrina there were 2,269 hospital beds Post-Katrina Emergency Care is available 456 Hospital Beds 19 City Clinics for indigent care Cost to rebuild LSU’s Charity Hospital and University Hospital estimated at $360M Source: CNN March 29, 2006 State of NOLA Hospitals

  4. Veterans Integrated Service Network 16

  5. Part or all of 8 states (LA, MS, AK, OK, TX, MO, AL, FL) 10 Hospitals 35 Community Based Outpatient Clinics (CBOCs) 3 Mobile clinics for emergency care and first aid in post Katrina areas VISN 16

  6. Biloxi VAMC - During

  7. Gulfport VAMC - Before

  8. Gulfport VAMC - After

  9. New Orleans VAMC - Before

  10. VA Medical Center

  11. All VAMCs continued to operate with compromised communications in some Satellite phones in Biloxi T1 – line in Jackson – phone cards issued to employees who needed outside communication Command Center established in Jackson MS Coordination of evacuees, employees and responders Credentialing of responders VA’s Response

  12. Successfully evacuated September 2, 2005 Convoy from Little Rock to facilitate evacuation 650 patients, staff, and family members evacuated by air and land No loss of life No community hostility New Orleans VAMC Evacuation

  13. Toll-free number for Veterans established 10 mobile clinics dispatched Computerized Patient Record System (CPRS) within 1 day access to pharmacy, laboratory, and radiology information New Orleans records installed at Michael E DeBakey Medical Center Houston using back-up tapes Numerous public service announcements and brochures on how to obtain health care and benefits Armed Forces Retirement Veterans Home (282 veterans) moved to Washington DC and immediately enrolled for care and follow-up at VA Medical Center Washington Served all who appeared at VA sites regardless of eligibility to VA Care Displaced Veterans

  14. Established a Toll-Free number for employees Reestablished contact with over 1,000 employees of New Orleans and Gulf Coast VA medical centers Detailed over 1,400 employees from VA medical center New Orleans to other VAMCs Displaced Employees

  15. MS.4.110 The CEO or president of the medical staff or their designee(s) may grant disaster privileges upon presentation of any of the following: ● A current picture hospital ID card ● A current license to practice and a valid picture ID issued by a state, federal, or regulatory agency ● Identification indicating that the individual is a member of a Disaster Medical Assistance Team (DMAT) ● Identification indicating that the individual has been granted authority to render patient care, treatment, and services in disaster circumstances (such authority having been granted by a federal, state, or municipal entity) ● Presentation by current hospital or medical staff member(s) with personal knowledge regarding practitioner’s identity JCAHO Disaster Privileges

  16. Credentialing of VA providers completed VetPro, VA’s electronic credentialing system Verbal communication with staff at Jackson confirming VA medical staff appointments and complete, current, credentials. VHA C&P staff verified current licensure VHA C&P staff queried NPDB-HIPDB Documented credentials verification for submission to Jackson Non-VA staff utilized in accordance with credentialing requirements of VA facility disaster plan Activation of Providers to Disaster Area

  17. VA staff evacuated, but wanted to continue to serve Staff contacted closest VA facility to evacuation location Credential (electronic) files were shared with receiving facility by VHA C&P staff Providers immediately put to work VHA C&P staff assisted with verifications from entities that could not easily verify 151 LIPs placed in service Displaced Providers

  18. Education Training Licensure Louisiana Medical Board not functioning FSMB assumed responsibility for verifications based on data transmitted to them VA subscribes to FSMB Disciplinary Alert Service References DEA and ABMS Personal History NOLA Medical Staff Office acknowledged for completeness of files Complete Credentials

  19. Hospital closed – offices scattered MSO moves to Outpatient Clinic, Baton Rogue Sharing a cubicle Personal loss and destruction Change in mission Outpatient First Aid in some instances Where is the Credentials Committee Who is on the ECMS Medical Staff Issues

  20. Reorganization of ECMS Privileges for ambulatory care/outpatient Reappraisal on return for those who were displaced for an extended period of time Electronic credentialing file in place of paper files that were not removed Medical Staff Functions

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