Module 1: Safe Hospital Concepts
Jun 19, 2015
Module 1: Safe Hospital Concepts
Module 1 Sessions Session Number and Title Topics Time
AllotmentSession 1: Risk ManagementFramework
- 7 Fundamental Terms- Framework for Community Risk
Management- Risk Management Framework
~2 hours
Session 2: Role of Hospitals inEmergencies and Disasters
Roles of Hospitals in Different Contexts
~1 hour
Session 3: Concepts of Safe Hospitals
- Safe Hospital Campaign - Concepts of a Safe Hospital- Elements of a Safe Hospital
~2 hours
Session 4: Ensuring Safe Hospitals:Roles of Stakeholders
- Stakeholders’ Roles- Advocacy for Safe Hospitals
~1 hour
Mod 1 Session 2Links to Previous
Session (Session 1)
Topic 2: Risk Management Framework
Framework for Community Risk Management Risk Reduction or
Management
•Hazard Reduction Plans (reduce exposure)
•Vulnerability Reduction Plans (reduce consequences)
•Emergency Preparedness Plans (increase capacity for response and recovery)
Topic 2: Risk Management Framework
Framework for Community Risk Management Risk Reduction or
Management
•Hazard Reduction Plans (reduce exposure)
•Vulnerability Reduction Plans (reduce consequences)
•Emergency Preparedness Plans (increase capacity for response and recovery)
Session 1 Topic 2: Risk Management Framework
Risk Management Framework
Risk Reduction or Management
•Hazard Reduction Plans (reduce exposure)
•Vulnerability Reduction Plans (reduce consequences)
•Emergency Preparedness Plans (increase capacity for response and recovery)
Session 1 Topic 2: Risk Management Framework
Risk Management Framework
Risk Reduction or Management
•Hazard Reduction Plans (reduce exposure)
•Vulnerability Reduction Plans (reduce consequences)
•Emergency Preparedness Plans (increase capacity for response and recovery)
Session 1 Topic 2: Risk Management Framework
EXERCISE – Simulating Earthquake!Hazards, Vulnerabilities, Capacities and Risks
Session 1 Topic 2: Risk Management Framework
EXERCISE – Simulating Earthquake!Hazards, Vulnerabilities, Capacities and Risks
Mod 1 Session 2:Roles of Hospitals in
Emergencies and Disasters
Mod 1 Session 2 Objectives
Session 2 Objectives
At the end of the session, the participants will be able to: Clarify roles of hospitals:
a. Traditional roleb. During emergencies• Internal and external types of emergencies• Mass casualty management (pre-hospital
and hospital)• Surge capacity
Session 2 Objectives
At the end of the session, the participants will be able to:Clarify roles of hospitals:
c. During disastersd. Role in public health• Disease surveillance• Emerging and re-emerging diseases• Information management• Research and development
Main Theme /Topic: Roles of Hospitals in
Different Contexts(During Normal Times and During
Emergencies and Disasters)
Topic: Roles of Hospitals in Different Contexts (During Normal Times and During Emergencies and Disasters)
EXERCISE
Topic: Roles of Hospitals During Normal Times
EXERCISEInstructions:
•Maintain your session 1 grouping; identify your team leader and reporter.•Your group is to answer the following question,
“What are the roles of a hospital during normal times?”
•Discuss the question with your group members. Organize your outputs and write them on a flip chart or whiteboard.•Be ready to present your group’s outputs.
Topic: Roles of Hospitals During Emergencies and Disasters
EXERCISEInstructions:As a group, discuss the roles of a hospital in relation to :
Group 1 – Mass Casualty – Pre-hospital careGroup 2 - Mass Casualty – Hospital careGroup 3 – Disease Surveillance (including emerging and re-emerging diseases)Group 4 – Disaster within the areaGroup 5 – Disaster outside the area
During sharing and processingAsk each group to present their output.You may clarify but not question the roles presented by other groups.
Topic: Roles of Hospitals in Different Contexts (During Normal Times and During Emergencies and Disasters)
EXERCISE
Topic: Roles of Hospitals in Different Contexts (During Normal Times and During Emergencies and Disasters)
EXERCISE
Main Theme /Topic: Roles of Hospitals in
Different Contexts(During Normal Times and During
Emergencies and Disasters)
Main Theme /Topic:
Roles of Hospitals in Different Contexts
(During Normal Times and During Emergencies and Disasters)
Questions:
•Are there marked differences between traditional roles and roles during emergencies and disasters?•Have some of the hospitals played the roles identified in 2nd part of exercise (during emergencies and disasters)?
Topic: Roles of Hospitals
During Normal Times
Topic: Roles of Hospitals During Normal Times
Provider of
•Wellness / Health Promotion and Restoration Services to individual patients and community on a day-to-day basis
•Emergency medical services for patients with medical emergencies (brought to emergency department and occurring in inpatient departments)
Topic: Roles of Hospitals
During Emergencies and Disasters
Topic:
Roles of Hospitals During Emergencies and Disasters
Provider of
•Wellness / Health Restoration and Promotion Services to patients associated with mass casualty incidents in the community •Emergency medical services for patients with medical emergencies (brought to emergency department or to the hospital from MCI site)•Emergency medical services for patients with medical emergencies outside the hospital, in the MCI site
Topic 2: Risk Management Framework
Framework for Community Risk Management Risk Reduction or
Management
•Hazard Reduction Plans (reduce exposure)
•Vulnerability Reduction Plans (reduce consequences)
•Emergency Preparedness Plans (increase capacity for response and recovery)
Session 1 Topic 2: Risk Management Framework
Risk Management Framework
Risk Reduction or Management
•Hazard Reduction Plans (reduce exposure)
•Vulnerability Reduction Plans (reduce consequences)
•Emergency Preparedness Plans (increase capacity for response and recovery)
Session 2 Objectives
At the end of the session, the participants will be able to: Clarify roles of hospitals:
During emergencies and disasters• Internal and external types of emergencies
and disasters• Mass casualty management (pre-hospital
and hospital)• Surge capacity
Roles of Hospitals: Internal and External Types of Emergencies and
Disasters
Internal E/D - disrupts ability of hospital to provide normal services, but does not cause harm to community
External E/D - causes harm to community requiring increased health/medical services, but does not disrupt ability of hospital to provide medical services
Internal & External E/D - causes harm to community requiring increased medical services, and also disrupts ability of hospital to provide medical services
Roles of Hospitals: Emergencies and Disasters – Mass Casualty
Incidents – Surge Capacity
External E/D - Internal & External E/D
Roles of Hospitals: Emergencies and Disasters – Mass Casualty
Incidents – Surge Capacity
“health system’s ability to rapidly expand beyond normal services to meet the increased demand for qualified
personnel, medical care and public health in the event of large- scale public emergencies or disasters” (Agency for
Health Care Research and Quality, USA 2005)
SURGE CAPACITY
Roles of Hospitals: Emergencies and Disasters – Mass Casualty
Incidents – Surge Capacity
Essential components: trained and skilled staff, equipment, pharmaceuticals, supplies, and both physical structure and
management systems such as Incident Management System (WHO-WPRP, 2007)
SURGE CAPACITY
Session 2 Objectives
At the end of the session, the participants will be able to:Clarify roles of hospitals:
Role in public health• Disease surveillance• Emerging and re-emerging diseases• Information management• Research and development
Roles of Hospitals: Public Health
Provider of
Public Health Promotion and Restoration Services to the community – during normal times and during emergencies and disasters.
Disease surveillance (disease outbreaks post non-biological disasters; epidemics in biological emergencies and disasters – emerging and re-emerging diseases)
Roles of Hospitals: Public Health
Disease outbreaks post non-biological disasters (natural disasters)
•Water- and food-related communicable diseases – cholera, typhoid, hepatitis
•Diseases associated with crowding – measles, influenza
•Vector-borne diseases - malaria, dengue
Roles of Hospitals: Public Health
Emerging infectious diseases
•newly identified & previously unknown infectious agents •that cause public health problems either locally or internationally
INFLUENZA VIRUSES, MERS, etc.
Roles of Hospitals: Public Health
Re-emerging infectious diseases
Infectious agents that have been known for some timehad fallen to such low levels that they were no longer considered public health problems now showing upward trends in incidence or prevalence worldwide
INFLUENZA VIRUSES, EBOLA VIRUS, HIV/AIDS, etc.
Roles of Hospitals: Public Health
Roles of Hospitals: Public Health
Provider of
Public Health Promotion and Restoration Services to the community – during normal times and during emergencies and disasters.
Information management – before and during emergencies and disasters (public education; surveillance data monitoring, analysis and reporting; etc.)Research and development – causes, prevention, mitigation, treatment, surveillance strategies, etc.
Module 1 Session 2
Any questions?
Closing:Module 1 Session 2
Session 2 Objectives
At the end of the session, the participants will be able to: Clarify roles of hospitals:
a. Traditional roleb. During emergencies• Internal and external types of emergencies• Mass casualty management (pre-hospital
and hospital)• Surge capacity
Session 2 Objectives
At the end of the session, the participants will be able to:Clarify roles of hospitals:
c. During disastersd. Role in public health• Disease surveillance• Emerging and re-emerging diseases• Information management• Research and development
Mod 1 Session 2:Roles of Hospitals in Emergencies and Disasters
• Health Promotion and Restoration
• Emergency Med Mgt
• Public Health Mgt
NORMAL TIMES
• Emerg / Disaster Mgt
• Emerg Med Mgt
• Health Restoration and Promotion
• Public Health Mgt
EMERG / DISASTER TIMES
Preparedness
Mod 1 Session 2:Roles of Hospitals in Emergencies and Disasters
• Health Promotion and Restoration
• Emergency Med Mgt
• Public Health Mgt
NORMAL TIMES
• Emerg / Disaster Mgt
• Emerg Med Mgt
• Health Restoration and Promotion
• Public Health Mgt
EMERG / DISASTER TIMES
Preparedness
SAFE HOSPITAL
Mod 1 Session 2
Any questions?
Mod 1 Session 2:Roles of Hospitals in
Emergencies and DisastersThe End