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Pandemic Flu Planning: Hospital Surge Capacity Part II

Pandemic Flu Planning: Hospital Surge Capacity Part II. December 16, 2005. Our Mission. Mission for our group – by December 31 st complete Pandemic Flu Hospital Surge Plan(s) for all hospitals in San Mateo County. Surge Plan. Staffing Bed Capacity Consumable and Durable Supplies

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Pandemic Flu Planning: Hospital Surge Capacity Part II

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  1. Pandemic Flu Planning:Hospital Surge CapacityPart II December 16, 2005

  2. Our Mission • Mission for our group – by December 31st complete Pandemic Flu Hospital Surge Plan(s) for all hospitals in San Mateo County

  3. Surge Plan • Staffing • Bed Capacity • Consumable and Durable Supplies • Continuation of Essential Medical Services

  4. Format • Umbrella Plan for County • Plans for each hospital in county • Use HHS Pandemic Influenza Plan as the template

  5. Structure – Let’s Break our Plan Down Into Stages • Green – Pre-Event Normal to beginning Stage • Yellow – Epidemic • Red – Pandemic • Black - Catastrophic

  6. Stage I - GreenPre-event • We are in this stage now • Time for planning • As you do your plans, let’s identify in which stages you do the various strategies • E.g. In stage one you identify bed spaces, staffing procedures

  7. Stage 2 - YellowEpidemic • Our systems will be stressed • Need to implement some strategies (e.g., cancel elective surgery, open beds/patient spaces, recruit retirees, cohort patients)

  8. Stage 3 – RedPandemic • Hospitals will be maximally stressed • Implement all major strategies (e.g., may need to ration care – ventilators)

  9. Stage 4Catastrophic • Shelter at home • Austere care only

  10. Catastrophic Event Possible • Scenario for San Mateo may be 15,000 seeking hospitalization over 9-12 months (in peaks)

  11. Umbrella Plan Structure • Alert Levels – Green, Yellow, Red, Black • Alert levels will be determined by Health Officer • For each element – considerations and strategies • Will break down strategies into Stages

  12. Structure Umbrella Plan (cont.) • Will identify at what stage the strategy should be done • Will try to include information on notifications/communication

  13. Brief Update on Planning Process by Each Entity • County Plan • Kaiser (RWC & SSF) • Mills-Peninsula • San Mateo Medical Center • Sequoia • Seton (including Coastside) • PAVA

  14. Staffing • Group Discussion • Red, Green, Yellow, Black

  15. Patient Spaces Cots, Mattresses & Gurneys Total Beds Unlicensed Licensed Beds Unavailable Physically Available Beds Unstaffed Staffed Beds Vacant Occupied Bed Capacity

  16. Discussion Bed Capacity • Green, Yellow, Red, Black

  17. Discussion Consumable & Durable Supplies • Purchased or being purchased through Grants • Green, Red, Yellow, Black

  18. Continuation of Essential Medical Services • HHS Plan does not have much detail! • Green, Yellow, Red, Black

  19. www.ahrq.gov/research/altstand/index.html

  20. www.smhealth.org/ems/disaster

  21. Next Steps • By facility • In larger group

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