Transcript the Presentation

MONDAY, 12:30 – 12:50PM
Exchange Medical Records
During Disasters
Improving Patient Care Through Better Information
CAPT Allen Dobbs MD, HHS/National Disaster Medical System
1
What is ESF8
Emergency Support Functions (ESF8)
• ESF #8 – Public Health and Medical Services
• Provides organizational structure to provide support, resources and services
• Coordinated by Secretary of HHS and Assistant Secretary for Preparedness and
Response (ASPR)
• Preparedness and Response capabilities include:
Public health and medical care capabilities, situational awareness of public health and medical
infrastructure, supporting hospital and community preparedness and supporting the movement
of patients before, during and after incidents
• Invoked in the event medical systems within a domestic/international disaster area
are overwhelmed
HIMSS 2010
2
Who are the ESF8 Responders
» National Disaster Medical System with 7,000 clinical full-time intermittent
Federal employees
• 90% have ‘regular’ civilian jobs
• May deploy for 2 weeks at a time
• Limited training opportunities
• Regional integrated training 2 weeks every other year
• Limited team-based training (maybe a weekend once a quarter)
» United States Public Health Service with ~2000 Tier 1 and 2 personnel
» MRC with 100,000+ personnel with limited access to training
(75 currently with Federal response team credentials & availability)
HIMSS 2010
3
Patient Movement and Information Sharing
During an ESF8 Response
Patient Movement
Point of Injury
Destination Facility
POE
POD
Regulated in Trac2es
Shelters
CCP
Hosp
STATE
PRA
NG
Hosp
POI
NHIN
NHIN
DOD / VA
FCC
DoD / NG
Originating
Facility
Nursing
Home
JPATS
NHIN
NHIN
NHIN
HOME
NHIN
NHIN
HIR
NHIN
EMR àJPATS
INTERFACE
Legend
Patient Movement
JPATS access
NHIN EHR Flow
HIMSS 2010
Location
updated in JPATS
on admission
Patient location information
updated with new HER info
JPATS
Patient
Assessment
Teams
Situational Awareness
FOUO
4
Disaster Medical Information Suite (DMIS)
» DMIS is a suite of applications that are used to manage patient encounter
information and track patient movement during an ESF8 response
» Integrating the CONNECT gateways into the DMIS solution allows patient
treatment records to be available for providers throughout the patients
continuum of care
» The Applications in DMIS are:
• Electronic Health Record
• Joint Patient Assessment Tracking System (JPATS)
• Health Information Repository
HIMSS 2010
5
Disaster Medical Information Suite (DMIS)
Health
Information
Repository
Sites can search for patients
treated at other sites using
CONNECT Gateway
Patients transferred in EMR are
passed to JPATS
In Theater
In Theater
Satellite dish
BOO #1
DMAT and RDF teams
capture Medical Record in
EMR
Electronic Medical
Record (EMR)
HIMSS 2010
Patient Movement
Information captured in field
Internet
connectivity
required .
( Satellite or Air
Card )
Joint Patient Assessment and
Tracking (JPATS)
6
Demonstration:
Exchanging Medical Records During Disasters
This demonstration will highlight a hurricane
scenario in which people in high risk areas are
evacuated to remote locations.
This scenario will record the initial patient
encounter at the high risk location and illustrate
the ability for medical teams to access the
patient’s record once relocated
to the evacuation site.
HIMSS 2010
7
Exchanging Medical Records During Disasters
HIMSS 2010
8
Thank You
The participation of any company or organization in the NHIN and CONNECT area within the HIMSS Interoperability showcase
does not represent an endorsement by the Office of the National Coordinator for Health Information Technology, the Federal
Health Architecture or the Department of Health and Human Services.
9