Module 4: Hospital Preparedness for MCI (Hospital Emergency Response Plan- HERP)

Transcription

1 Module 4: Hospital Preparedness for MCI (Hospital Emergency Plan- HERP) Session 2: Situational Analysis of Hospital Emergency Plan (Patient Surge Preparedness Plan) (Surge Capacity) Session 1 Key Points: Hospitals concerns in MCM Patient surge Surge capacity Need for ALL hospitals to have patient surge preparedness plan to constantly and continually improve its surge capacity to be ready for MCM!

2 Patient Surge Surge Capacity The key word in our ability to respond to patient surge is surge capacity. Surge capacity can only be enhanced through proper and adequate planning!

3 Hospital s capacity building for patient surge during MCI Our ability to respond to patient surge is preparedness. Preparedness can only be achieved through adequate planning. Hospital s capacity building for patient surge during MCI Adequate planning can only be achieved if it is rooted on existing context of involved facility and surrounding environment. DON T T JUST COPY PLANS OF OTHER HOSPITALS! Perform a SITUATIONAL ANALYSIS of country s hospitals!

4 Hospital s capacity building for patient surge during MCI Capacity Building Planning System development Health Emergency Managers Managerial Functions Situational analysis Preparedness plan Policies and procedures Training Training plan Why do a situational analysis? preparedness audit? To know where we are! identify GAPS! identify priority areas for planning for development and improvement!

5 Session 2 Objectives: At the end of the session, you the participants must be able to: Perform a self-assessment of your country hospitals preparedness for patient surge during MCI. (Assess your hospital s surge capacity.) Session 2 Objectives (Secondary): At the end of the session, you the participants must be able to: Identify the essential activities that should be included in hospitals patient surge preparedness plan. Identify the development and training needs for patient surge preparedness in your country hospitals.

6 Situational Analysis of Country Hospitals Patient Surge Preparedness Plan Primary Expected Outputs Country Level (your country) Status of Country Hospitals Patient Surge Preparedness Identification of Areas for Development and Improvement Situational Analysis of Country Hospitals Patient Surge Preparedness Plan Primary Expected Outputs Hospital Level (you are familiar with) Status of One Selected Hospital s Patient Surge Preparedness Identification of Areas for Development and Improvement

7 Hospital s Patient Surge Preparedness (Surge Capacity) Self-assessment Result [ ] Total absence of preparedness plan [ ] Presence but only some components [ ] Presence of comprehensive plan Situational Analysis of Country Hospitals Patient Surge Preparedness Plan NOTES on Self-Assessment or Audit Aim 1 = just to get general picture of hospitals preparedness for patient surge during MCI. *****t to compare preparedness level of participating countries Aim 2 = to highlight importance of doing audit prior to preparedness planning.

8 Situational Analysis of Country Hospitals Patient Surge Preparedness Plan NOTES on Self-Assessment or Audit Results of audit will be used as baseline for the next session (HERPlanning)! Situational Analysis of Country Hospitals Patient Surge Preparedness Plan Are there any questions on the session objectives and outputs?

9 Situational analysis - Self-assessment Preparedness audit Instructions Hospital s Patient Surge Preparedness Self-assessment Checklist (From Toolkit on HERP, Component 2, p.8) Refer to the Toolkit on Hospital Emergency Plan if you have any question on the essential activities. Preparedness Audit Instructions Form yourself into groups by country. Identify one existing real hospital in your country all of you are familiar with.

10 Preparedness Audit Identify and then describe hospital to audit on! Government or private? Urban or rural? Secondary or tertiary? Bed capacity? Number of staff (total / doctors / nurses / allied medical / support / others) Specializations? Departmentalized? Emergency department? Preparedness Audit Start work on the self-assessment checklist! Individual Group Work Reminder: Identify Essential components of a plan! Development and training needs!

11 Are there existing documents describing the normal functioning of the hospital (especially the key services: ED, surgery, blood bank, etc.)? If yes, please check: ( ) ED ( ) Surgery ( ) Blood Bank ( ) others Are there existing mechanisms (or indicators) in place in the routine activity of the hospital for alerting when there is an emergency?

12 Are there existing documents on vulnerabilities and risks? Was there an attempt in the past to develop a hospital emergency response plan (HERP)?

13 If there was an attempt in the past to develop a hospital emergency response plan (HERP). Is there any existing alert mechanism? If there was an attempt in the past to develop a hospital emergency response plan (HERP). Is there any emergency management structure in place?

14 If there was an attempt in the past to develop a hospital emergency response plan (HERP). Is there a special command room? In the case of an internal emergency.. Is there any existing alert mechanism? Is there a mechanism for mobilizing people?

15 In the case of an internal emergency.. Are there standard operating procedures (SOPs)? Have the main care lines and services lines special SOPs? In the case of an internal emergency.. Are exercises conducted for safety procedures?

16 If there is already an existing HERP.. Has the plan been tested, validated (when, how, by whom)? If there is already an existing HERP.. Is there a revision under way? Who, what, when, regular mechanisms, etc.?

17 If there is already an existing HERP.. Are there provisions for training staff? If there is already an existing HERP.. Are there provisions for exercising components of the plan?

18 Are there mechanism for communicating and sharing information with the service line executives and the care line executives? Are there policies adopted by the hospital for promoting the activities of emergency planning in order to get support? - From all staff? - From key informant and key staff? - From the community outside the hospital?

19 Hospital s Patient Surge Preparedness (Surge Capacity) Self-assessment Result [ ] Total absence of preparedness plan [ ] Presence but only some components [ ] Presence of comprehensive plan Hospital s Patient Surge Preparedness (Surge Capacity) Self-assessment Result [ ] Total absence of preparedness plan written document at all Presence of written document but not used at all

20 Hospital s Patient Surge Preparedness (Surge Capacity) Self-assessment Result [ ] Presence of comprehensive plan Presence of a written document Essential components present and expanded Plan being practiced Hospital s Patient Surge Preparedness (Surge Capacity) Essential components of response plan based on checklist Policies and procedures (SOPs) Communication and information Alert system Mobilizing people Emergency management structure Training and exercises

21 Hospital s Patient Surge Preparedness (Surge Capacity) Self-assessment Result [ ] Presence but only some components Presence of a written document Only some components present Hospital s Patient Surge Preparedness (Surge Capacity) Self-assessment Result [ ] Total absence of preparedness plan [ ] Presence but only some components [ ] Presence of comprehensive plan

22 Session 2 Module 4: Hospital Emergency Plan Ticklers Synthesizers Which of the following objective evidences must be present in order to say that a hospital has a certain degree of preparedness for patient surge? 1. Written hospital-wide preparedness plan 2. Training program for the staff on disaster preparedness 3. Essential infrastructure needed for mitigation and response during a disaster 4. Review and evaluation of the preparedness program Situational Analysis of Country Hospitals Patient Surge Preparedness Plan Insights / observation Processing while doing the activity and listening to the group reports?

23 Situational Analysis of Country Hospitals Patient Surge Preparedness Plan Processing Able to determine the status of your country hospital s patient surge preparedness plan using the checklist? Situational Analysis of Country Hospitals Patient Surge Preparedness Plan Processing Able to identify the essential activities that should be included in hospitals patient surge preparedness plan? Can you recall some?

24 Hospital s Patient Surge Preparedness (Surge Capacity) Essential components of response plan based on checklist Policies and procedures (SOPs) Communication and information Alert system Mobilizing people Emergency management structure Training and exercises Situational Analysis of Country Hospitals Patient Surge Preparedness Plan Processing Able to identify the development and training needs for patient surge preparedness in your country hospitals? Identify some!

25 Development and Training Needs Areas of improvement Policies and procedures (SOPs) Communication and information Alert system Mobilizing people Emergency management structure Training and exercises Others? Remarks Situational Analysis of Country Hospitals Patient Surge Preparedness Plan Do you have any additional questions? Anything you want clarified? Did we achieve the objectives and expected outputs of the Session 2?

26 Situational Analysis of Country Hospitals Patient Surge Preparedness Plan Session 2 Key Points Planning starts with situational analysis, WHERE we are - Level of preparedness for patient surge Hospital s surge capacity for MCM GAPS and PRIORITIES for improvement Situational Analysis of Country Hospitals Patient Surge Preparedness Plan Session 2 Key Points Use of worksheet / checklist facilitates self-assessment and audit.

27 END OF Session 2: Situational Analysis of Hospital Emergency Plan (Patient Surge Preparedness Plan) Module 4: Hospital Preparedness for MCI