The COVID-19 pandemic has challenged health care delivery systems
world-wide by straining scarce resources, such as critical care
therapeutics, hospital beds and clinical staff, necessitating
drastic public health measures. Cross-institutional
collaborations within communities offer unique opportunities to
prevent or mitigate health disparities in resource utilization
and access to care. In this session, San Francisco Department of
Public Health will present on their collaboration with health
systems that allowed them to do just that.
Presenters:
Tiffany Riviera, Deputy Director,
PHEPR, San Francisco Department of Public Health
Mary Mercer, MD, Clinical Health
Systems
Lukejohn Day, MD, Chief Medical
Officer, Zuckerberg San Francisco General Hospital
The ongoing COVID-19 pandemic has revealed weaknesses in the
health care system and how we deliver care. The Emergency
Department is often on the frontline when making difficult
decisions regarding care when resources become scarce. It is
important to address this with education on crisis standards of
care as well as scrutiny of existing models. This includes
challenging how they are best designed to meet our current needs,
where there might be crucial gaps in the assessment of need and
delivery of care, and when they must be implemented.
Presenter:
Martha Meredith Masters, Clinical
Assistant Professor, Stanford University School of Medicine
Between March 2020 and March 2021, Northern California
experienced three COVID-19 surges, each one sequentially larger
than the last. Each of these surges had the potential to strain
traditional physician staffing, and so a centralized physician
redeployment program was developed across the 21 medical centers
of Kaiser Permanente Northern California to address potential
shortages. The program developed and refined a number of
redeployment strategies, including leveraging the
interconnectedness of physicians within the KP Northern
California health care system. This presentation focuses on the
strategies used to redeploy physicians, as well as the training
and mental health support provided by the program.
UC Health Emergency Managers at all five UC Medical Centers were
front and center for COVID-19 response, even before it was a
leading news story. The EMs are often asked questions like: How
did we do this? Did we know this was coming? What are we thinking
about now? What is it that you do here, exactly? They would love
to share their experiences with you. Join us for a panel
presentation with the Emergency Managers from all five University
of California Medical Centers.
The CHA Hospital Preparedness Program has developed this
checklist for hospital CEOs. It can serve as a reference to
ensure appropriate planning is occurring within your
organization. The expanded checklist below is for hospital
planners.
This checklist is intended to be used as one of several tools to
assist in preparation for Seasonal Influenza and Pandemic.
The tool contains recommendations which are general in nature
with a purpose of prompting review and action. Public health is
the lead agency during these events, and every effort should be
made to remain up-to-date with rapidly changing local, state, and
federal guidance and regulations.
A joint effort by the U.S. Department of Transportation, the U.S.
Environmental Protection Agency, the U.S. Department of
Labor, the Centers for Disease Control and Prevention, and
Assistant Secretary for Preparedness and Response; this
Guidance is for safe handling of solid waste contaminated
with a Category A infectious substance and the proper management
of inactivated Category A waste materials in the United States.
Created by experts at Childrens Hospital Los Angeles as a
deliverable for the U.S. Department of Health and Human Services
Healthcare Facilities Emergency Care Partnership Program Grant,
the Information included in this document is based on learnings
from the 2009 H1N1 Influenza outbreak that began in early 2009.
The information is intended to provide supplementary
recommendations for pediatric pandemic influenza planning and can
be used as an addendum to a larger pandemic planning document.
The Emergency Medical Treatment & Labor Act (EMTALA), enacted by
Congress in 1986, guarantees public access to emergency services
without regard to the ability to pay. Under Section 1867 of the
Social Security Act, hospitals participating in Medicare and
providing emergency services are mandated to conduct a medical
screening examination (MSE) upon request for evaluation or
treatment of an emergency medical condition (EMC), including
active labor, irrespective of the individual’s financial status.
These hospitals must offer stabilizing treatment for patients
presenting with EMCs. In situations where a hospital cannot
stabilize a patient within its capacity, or at the patient’s
request, it is obligated to facilitate an appropriate transfer.
While the following resources provide EMTALA information in the
context of hospitals and disasters, these resources are not
intended to substitute for regulatory guidance or direct
communication with the Centers for Medicare & Medicaid Services
(CMS), which monitors EMTALA compliance.
The
guide “Mass Medical Care sith Scarce Resources: The Essentials”
is a tool for community planners to prepare for public health
emergencies, such as pandemic flu, when demand for medical
resources outweighs supply.
Developed by the CHA Hospital Preparedness
Program and is intended to be used as one of several tools to
assist in preparation for H1N1/Seasonal Influenza.
Utilization of alternative diagnostic sampling techniques during
an imported measles outbreak; resource includes background,
methods, specimen collection and conclusions.