10
UMC NEW ORLEANS JEFFREY ELDER, MD MEDICAL DIRECTOR OF EMERGENCY MANAGEMENT DAVID BERAN, DO, MPH MEDICAL DIRECTOR UMC EMERGENCY DEPT.

UMC NEW ORLEANS...2017/12/06  · UMC NEW ORLEANS JEFFREY ELDER, MD MEDICAL DIRECTOR OF EMERGENCY MANAGEMENT DAVID BERAN, DO, MPH MEDICAL DIRECTOR UMC EMERGENCY DEPT. FORCED ISOLATION

  • Upload
    others

  • View
    0

  • Download
    0

Embed Size (px)

Citation preview

Page 1: UMC NEW ORLEANS...2017/12/06  · UMC NEW ORLEANS JEFFREY ELDER, MD MEDICAL DIRECTOR OF EMERGENCY MANAGEMENT DAVID BERAN, DO, MPH MEDICAL DIRECTOR UMC EMERGENCY DEPT. FORCED ISOLATION

UMC NEW ORLEANSJEFFREY ELDER, MD

MEDICAL DIRECTOR OF EMERGENCY

MANAGEMENT

DAVID BERAN, DO, MPH

MEDICAL DIRECTOR UMC EMERGENCY DEPT.

Page 2: UMC NEW ORLEANS...2017/12/06  · UMC NEW ORLEANS JEFFREY ELDER, MD MEDICAL DIRECTOR OF EMERGENCY MANAGEMENT DAVID BERAN, DO, MPH MEDICAL DIRECTOR UMC EMERGENCY DEPT. FORCED ISOLATION

FORCED ISOLATION ORDER

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

35.0%

0

50

100

150

200

250

300

350

AD

MIT

RA

TE

DA

ILY

PA

TIEN

T V

OLU

ME

Daily Volume And Admit Rate

Total ED Arrivals # Admits % Admit

Page 3: UMC NEW ORLEANS...2017/12/06  · UMC NEW ORLEANS JEFFREY ELDER, MD MEDICAL DIRECTOR OF EMERGENCY MANAGEMENT DAVID BERAN, DO, MPH MEDICAL DIRECTOR UMC EMERGENCY DEPT. FORCED ISOLATION

INTERVENTION TIMELINE

Page 4: UMC NEW ORLEANS...2017/12/06  · UMC NEW ORLEANS JEFFREY ELDER, MD MEDICAL DIRECTOR OF EMERGENCY MANAGEMENT DAVID BERAN, DO, MPH MEDICAL DIRECTOR UMC EMERGENCY DEPT. FORCED ISOLATION

Successes Morale

Communication

Telemedicine

System leveraging

UMC support

Incident Command

Challenges Data

Communication

Brain drain

Structure

Page 5: UMC NEW ORLEANS...2017/12/06  · UMC NEW ORLEANS JEFFREY ELDER, MD MEDICAL DIRECTOR OF EMERGENCY MANAGEMENT DAVID BERAN, DO, MPH MEDICAL DIRECTOR UMC EMERGENCY DEPT. FORCED ISOLATION

UMC EMERGENCY MANAGEMENT

Pandemic Planning

ED PUI Evaluation Process

Initial Evaluation – January 26, 2020

SARS-CoV-2 specific workgroup

Page 6: UMC NEW ORLEANS...2017/12/06  · UMC NEW ORLEANS JEFFREY ELDER, MD MEDICAL DIRECTOR OF EMERGENCY MANAGEMENT DAVID BERAN, DO, MPH MEDICAL DIRECTOR UMC EMERGENCY DEPT. FORCED ISOLATION

26-Jan26-Jan26-Jan

29-Jan26-Jan

10-Mar10-Mar10-Mar10-Mar

11-Mar10-Mar10-Mar

11-Mar11-Mar11-Mar

12-Mar12-Mar

10-Apr6-Apr

13-Apr6-Apr

10-Mar16-Mar

11-Mar16-Mar

10-Mar10-Mar

12-Mar18-Mar

12-Mar9-Apr

12-Mar17-Apr

1-Apr9-Apr9-Apr

86861

11

142421

414242

413030

329

1115

815

422

4136

4242

2534

408

264

201212

1/5 1/25 2/14 3/5 3/25 4/14 5/4

Project Overview

Emergency Management Preparation

Begin Preparation

First Patient Testing

Patient Flow

First Positive Patient

LCMC System Preparation

Incident Command

Command Creation

Command Implementation

Liason to LCMC IC

Liason to UMC IC

Lab Testing (PCR)

OPH Test Logistics

Commercial Testing

BioFire Testing

Roche Receiving Preparation

Roche In-House Testing

Lab Testing (Antibody)

ObtainTesting

LDH State Lab Task Force

Emergency Mgt Clinical Pathways

ED Tent

LCMC COVID Lab results coordination

Media / Public Relations

PPE / Logistics

Morgue Capacity Coordination

Coodinate with CNO - Drive Thru Testing

Liason with Convention Center

Clinical Pathways

Planning Surgery Escalations

Employee Health Testing

Outpatient Testing

COVID Transfers to UMC - Planning /…

Community COVID Testing

Coordination of communtiy testing

Page 7: UMC NEW ORLEANS...2017/12/06  · UMC NEW ORLEANS JEFFREY ELDER, MD MEDICAL DIRECTOR OF EMERGENCY MANAGEMENT DAVID BERAN, DO, MPH MEDICAL DIRECTOR UMC EMERGENCY DEPT. FORCED ISOLATION

SYSTEM WIDE INCIDENT

COMMAND

Page 8: UMC NEW ORLEANS...2017/12/06  · UMC NEW ORLEANS JEFFREY ELDER, MD MEDICAL DIRECTOR OF EMERGENCY MANAGEMENT DAVID BERAN, DO, MPH MEDICAL DIRECTOR UMC EMERGENCY DEPT. FORCED ISOLATION

INCIDENT COMMAND UMC | LCMC Incident Command Teams

Testing

Office of Public Health Lab

Commercial Testing and Delays

In House Testing

Clinical Workflows

Facilities

PPE Conservation

Page 9: UMC NEW ORLEANS...2017/12/06  · UMC NEW ORLEANS JEFFREY ELDER, MD MEDICAL DIRECTOR OF EMERGENCY MANAGEMENT DAVID BERAN, DO, MPH MEDICAL DIRECTOR UMC EMERGENCY DEPT. FORCED ISOLATION

CONVENTION CENTER

MEDICAL MONITORING

STATION

Page 10: UMC NEW ORLEANS...2017/12/06  · UMC NEW ORLEANS JEFFREY ELDER, MD MEDICAL DIRECTOR OF EMERGENCY MANAGEMENT DAVID BERAN, DO, MPH MEDICAL DIRECTOR UMC EMERGENCY DEPT. FORCED ISOLATION

MOVING

FORWARD