Managing Diversion: Deck Chairs on the Titanic? Christopher W. Felton, MD, FACEP January 10, 2003 Illinois College of Emergency Physicians Illinois Department.

Managing Diversion:

Deck Chairs on the Titanic?

Christopher W. Felton, MD, FACEPJanuary 10, 2003

Illinois College of Emergency Physicians

Illinois Department of Health

• ACEP Council

• AHRQ Crowding Study

• RWJ Urgent Matters

• Frontlines of Medicine• EMSystem®

• Emergency Physicians

• Milwaukee, WI

• 12 Emergency Departments

• 220 employees

• 17 IT professionals• EMSystem®

.Milwaukee

1997

The Need

• The weakest link– Communication

• Requirements– Diversion– Disaster– Emergency preparedness

• Diversion Band-Aid???

.Milwaukee

EMSystem®

April, 1998

Melbourne

Architecture: ASP Model

Central Servers

Internet

Local Access

Internet Advantages

• Access• Cost• Flexibility• Reliability• Security

Internet Disadvantages

• Reliability???

• Security???

Data Information

Knowledge

Adding technology to a poor process just makes the bad things happen faster.

Change will not succeed unless

end-user

gain > pain

Pleasure > Pain

Resource Management

• Resource – Status

• Emergency Preparedness

• Prevention

• Early detection and warning

• Mitigation

Syndromic Surveillance

Syndromic Surveillance

• Manual data collection

• Drop-in surveillance

• Daily

• Automated data collection

• Lab

• Clinical

Syndromic Surveillance

• Data Standards

• Automated data collection

Mitigation

• Established event / agent

• Communication

• Resource management

Public Health

Emergency Management

Acute Care

Emergency Preparedness

Christopher W. Felton, MD, FACEP

414.350.8090

[email protected]

Discussion / Questions