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 Continuation of Essential Medical Services

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

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

Stage I - Green Pre-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

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

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

Stage 4 Catastrophic • Shelter at home • Austere care only

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

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

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

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

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

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

Discussion Bed Capacity • Green, Yellow, Red, Black

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

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

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

www. smhealth. org/ems/disaster

Next Steps • By facility • In larger group