Exchange Medical Records During Disasters

1. MONDAY, 12:30 – 12:50PM Exchange Medical Records During Disasters Improving Patient Care Through Better Information CAPT Allen Dobbs MD, HHS/National Disaster Medical System

2. What is ESF8 Emergency Support Functions (ESF8) • ESF #8 – Public Health and Medical Services • Provides organizational structure to provide support, resources and services • Coordinated by Secretary of HHS and Assistant Secretary for Preparedness and Response (ASPR) • Preparedness and Response capabilities include: Public health and medical care capabilities, situational awareness of public health and medical infrastructure, supporting hospital and community preparedness and supporting the movement of patients before, during and after incidents • Invoked in the event medical systems within a domestic/international disaster area are overwhelmed HIMSS 2010

3. Who are the ESF8 Responders • National Disaster Medical System with 7,000 clinical full-time intermittentFederal employees • 90% have ‘regular’ civilian jobs • May deploy for 2 weeks at a time • Limited training opportunities • Regional integrated training 2 weeks every other year • Limited team-based training (maybe a weekend once a quarter) • United States Public Health Service with ~2000 Tier 1 and 2 personnel • MRC with 100,000+ personnel with limited access to training (75 currently with Federal response team credentials & availability) HIMSS 2010

4. Patient Movement and Information Sharing During an ESF8 Response HIMSS 2010 4

5. Disaster Medical Information Suite (DMIS) • DMIS is a suite of applications that are used to manage patient encounter information and track patient movement during an ESF8 response • Integrating the CONNECT gateways into the DMIS solution allows patient treatment records to be available for providers throughout the patients continuum of care • The Applications in DMIS are: • Electronic Health Record • Joint Patient Assessment Tracking System (JPATS) • Health Information Repository HIMSS 2010 5

6. Disaster Medical Information Suite (DMIS) Health Information Repository Sites can search for patients treated at other sites using CONNECT Gateway Patients transferred in EMR are passed to JPATS In Theater Internet connectivity . required ( Satellite or Air Patient Movement Card ) Information captured in field Electronic MedicalRecord (EMR) Joint Patient Assessment and Tracking (JPATS) HIMSS 2010 6

7. Demonstration:Exchanging Medical Records During Disasters This demonstration will highlight a hurricane scenario in which people in high risk areas are evacuated to remote locations. This scenario will record the initial patient encounter at the high risk location and illustrate the ability for medical teams to access the patient’s record once relocatedto the evacuation site. HIMSS 2010 7

8. Exchanging Medical Records During Disasters HIMSS 2010 8

9. The participation of any company or organization in the NHIN and CONNECT area within the HIMSS Interoperability showcase does not represent an endorsement by the Office of the National Coordinator for Health Information Technology, the Federal Health Architecture or the Department of Health and Human Services. Thank You