Courses & Speaking Engagements: Maintaining Hospital Operations During Disasters

Synopsis:  This course will outline the steps necessary to fortify the healthcare organization’s infrastructure, staff and support systems to continue providing healthcare services during “All Hazards” disasters.

Who should attend?

  1. Chief Executive Officers
  2. Chief Financial Officers
  3. Chief Operating Officers
  4. Infection Control Officers
  5. Plant Engineers
  6. Directors of Environmental Services
  7. Directors of Biomedical Equipment Repair and Maintenance
  8. Healthcare Emergency Managers / Disaster Preparedness Coordinators
  9. Director, Healthcare Continuity of Service
  10. Risk Manager
  11. Directors of Medical Materials Management, Lead Medical Materials Purchasers
  12. Public Health Officers

Objectives: The attendees will become proficient as measured through exercises and workshops in the following areas:

  1. Pre-disaster contracting for critical infrastructure sustainability services
  2. Enhanced Infection Control procedures required during and after a disaster
  3. Supplier/prime vendor relationships during disasters
  4. Enlisting all community healthcare providers/practices and organizations
  5. Management of General, Hazardous, and Regulated Medical Waste (RMW)

Course Modules:

1. Maintenance of Environment of Care and Infection Control Standards During All Operational Conditions

  • TJC standards
  • Purpose/goal
  • HAI – prevalence; fatalities; cost
  • Potential compromise of EC or IC standards
  • Liability

2. Facilities

  • Emergency power – generators and fuel
  • Emergency power – distribution in facility
  • Potable water – back-up wells; bottled water; mobile water treatment
  • Grey water systems – cleaning; toilet flushing; plumbing issues
  • Wastewater – limited facilities; port-a-pots; septic/holding tanks; public systems

EXERCISE 1:  Hospital groups “A” “B” and “C” will be given a scenario associated with the top 3 hazards (as prioritized using the HVA). The groups will list the facility infrastructure requirements that need to be addressed and list advantages and disadvantages of solutions.

1. Waste Management

  • General wastes – regular pick-up; storage onsite; onsite treatment
    • Hazardous wastes – segregation; secured (?); compatibility; “cradle to grave” management; documentation; Federal regulations
    • RMW – segregation from general wastes; isolation from staff and patients; red bags; storage and accessibility; pick-up vs. temporary storage; state/local requirements
    • Radiological wastes – facility license; sources; limited/absent during emergency operations
    • Interim storage
    • Pick-up of accumulated wastes after incident
    • Roles of facility personnel – ES; techs; lab

EXERCISE 2:  Using the facility and scenarios provided in Exercise 1, identify concerns/considerations regarding waste management and handling throughout the incident.

1. Facility Assessment During Response/Recovery

  • Structural
  • “Healthy” environment – wet; mold; interior water lines; pooling; status of HVAC; etc
  • Responsible personnel

2. What Support Will Be Necessary?

  • Use experience and exercises to compile data
  • Inventory and compile types and numbers of personnel, supplies, and equipment necessary (use HVA scenarios)
  • Identify internal capabilities – stockpiles; availability of local personnel, etc.
  • Identify the “delta” – what must be obtained from external sources?

3. What Types of Support Agreements Do We Need?

  • Mutual aid
  • MOUs
  • MOAs
  • Contracts

4. Development, Maintenance, and Evaluation of Support Agreements

  • Examples of specific language or objectives
  • Scheduled reviews/revisions – annually; when structural, personnel, or procedural changes occur
  • Inclusion in exercises – every two years; test capability and willingness to participate

EXERCISE 3:  Hospital groups “A” “B” and “C” will develop two basic support agreements as assigned, based on the scenarios and facilities previously described.  Include the commercial, non-governmental, and government organizations selected; the reasons why; and the type of agreements (with expectations) developed.

 
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