Say What? The Ins and Outs of Communicating in a Disaster

Transcription

1 Say What? The Ins and Outs of Communicating in a Disaster Children s Hospitals and Preparedness Webinar Thursday, February 23, 2017, at 2:00pm ET/1:00pm CT

2 CREDITS STATEMENT The American Academy of Pediatrics (AAP) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. The AAP designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credit(s). Physicians should claim only the credit commensurate with the extent of their participation in the activity. This activity is acceptable for a maximum of 1.0 AAP credits. These credits can be applied toward the AAP CME/CPD Award available to Fellows and Candidate Members of the American Academy of Pediatrics. The American Academy of Physician Assistants (AAPA) accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit from organizations accredited by ACCME. Physician assistants may receive a maximum of 1.0 hours of Category 1 credit for completing this program. This program is accredited for 1.0 NAPNAP CE contact hours of which 0 contain pharmacology (Rx) content, (0 related to psychopharmacology) (0 related to controlled substances), per the National Association of Pediatric Nurse Practitioners (NAPNAP) Continuing Education Guidelines.

3 OBJECTIVES 1. Identify models and strategies for internal communications in the children s hospital during an emergency situation. 2. Describe lessons learned and best practices for external communications from the children s hospital to state-wide and regional partners during an emergency situation. 3. Address how the disaster preparedness coordinator in a children s hospital can start improving communications planning both internally and externally.

4 National Center for School Crisis and Bereavement Principles involved in communicating during a disaster Valuing communication with partners It isn t all about communication The worst time to reach out to partners is during a disaster; a close second is immediately after Crafting the message intent content Identifying the appropriate spokesperson Monitoring and managing other/conflicting messages Creating an effective and efficient mechanism for communication

5 FACULTY Bridget M. Berg, MPH, FACHE Manager, Pediatric Disaster Resource Center Children s Hospital Los Angeles

6 FACULTY Aaron Gardner, MD, MS, FAAP Pediatric Intensivist Eastern Idaho Regional Medical Center Ohio AAP Chapter Disaster Preparedness Chapter Contact

7 Say What? The Ins and Outs of Communicating in a Disaster Bridget M. Berg, MPH, FACHE Emergency Management

8 Disclosures Bridget M. Berg, MPH, FACHE Have the following financial relationship with the US Department of Health and Human Services. My salary and the App is funded by the Hospital Preparedness Program. Do not intend to discuss an unapproved/investigative use of a commercial product/device in my presentation. 8

9 Topics Communications what do we know? Current Situation training and response App Overview and Application Questions 9

10 Communication Theory Three general theories Linear Interactive Transactional Sender Message Channel Receiver Examples Aristotle (Sender Message Receiver) Shannon-Weaver model for Bell Laboratories, 1948 Transactional Model of Communication Berlo 1960 Image by Jason S Wrench, Dec,

11 Communication in practice 11

12 Communication and Disasters Often an issue, not documented in academic literature PubMed Google Scholar Our Gut / AAR Communicating with staff in disasters n= 12 - Mass notification system implementation - Healthcare system capacity Communication and disasters and Command centers n = 1 Bundy et. al. Transfusion service disaster planning. Immunohematology. 2008;24(3): Communication and disasters and Command centers n = 719 People didn t get the message People received different messages Decisions weren t coordinated Right-hand didn t know what the left-hand was doing May not have structured improvement Searches conducted on February 6 and February 9,

13 The Concept

14 The App formerly known as Incident Command Leadership Communication Decision-making Teamwork

15 5 people to play The process to play Download the app (image of previous play test) Watch tutorial or explain Play (12 minutes) Debrief How to:

16 Process and Next Steps Late Late June 2017 Initial concept and development Specifications Paper prototype Alpha and Beta Versions Play testing Finalization of user experience Visual updates Delivery and submission to App store 16

17 The App Purpose Quick and easy way to engage Stimulate discussion Peds-based issues Method ios iphone 5 and above ipad Download App Connect to wireless network Time # of people 4-5 The App - Overview ~12 minutes for prep and full debrief Use Adjunct to tabletop exercise Stand-alone Engage new learners

18 ENGAGE FUN PREPARE 18

19 Thank you

20 Thank you and Acknowledgements Cedars-Sinai Medical Center Emergency Managers LA County Disaster Resource Centers Henry Mayo Newhall Hospital Long Beach Memorial Medical Center Los Angeles County Harbor/ UCLA Medical Center Northridge Medical Center Providence Tarzana Medical Center Ronald Reagan UCLA Medical Center This Project was sponsored by the Los Angeles County Emergency Medical Services Agency and funded in whole by the Hospital Preparedness Program, U.S. Department of Health and Human Services (HHS), Assistant Secretary for Preparedness and Response (ASPR) grant funding. This award has been assigned the Federal Award Identification Number (FAIN) U90TP

21 Bridget M. Berg, MPH FACHE Disaster Resource Center Manager

22 Aaron Gardner, MD, MS, FAAP Pediatric Intensivist Eastern Idaho Regional Medical Center

23 DISCLOSURES I have the following financial relationships with the manufacturer(s) of any commercial product(s) and/or provider(s) of commercial services discussed in this CME activity: Member of the Mednax National Medical Group Supervisory Medical Officer, National Disaster Medical System Paid Consultant for the Centers for Disease Control and Prevention I do not intend to discuss an unapproved/investigative use of a commercial product/device in my presentation.

24 HISTORY

25 GEOGRAPHY

26 CHALLENGES Distance and Geography Different Stages of Development Common Language Awareness of Capability & Capacity Situational Awareness Communication Time and staff

27 CONNECTING Start Talking! Go Meet the Neighbors Conference Calls Updates Face-to-Face Meetings Invite the right people to the party All of this was free!

28 COMPROMISING Find the funding Leverage existing resources Develop a web-based resource management solution-- implement across the coalition Pediatric-specific Compile available hospital data Bed tracking Status reporting Available capabilities Near real-time situational awareness Common Language

29 COMMUNICATING

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34 EVENT REPORTING Day-to-Day Operations Exercises & Drills Planning & Research Pandemics & Public Health Disasters & Mass Casualty Incidents

35 REACHING OUT

36 STRATEGY Lead Start with what you have Speak the same language Keep it simple Keep after it

37 NEXT STEPS Keep talking Continue training Work out the kinks Test the system Expand our reach

38 Never doubt that a small group of thoughtful, committed people can change the world; indeed, it s the only thing that ever has. THANK YOU

39 QUESTIONS? Dial *1 on your phone to ask a live question. Phone: Conference ID: You may also ask a question through the chat box in the lower left hand corner. The AAP staff or presenters will address unanswered questions via after the call. Please DisasterReady@aap.org to follow-up as needed.

40 THANK YOU! Questions?