Hospital and clinic emergency preparedness optimization system

• US 20050055245A1
• Filed: 09/03/2004
• Published: 03/10/2005
• Est. Priority Date: 09/05/2003
• Status: Abandoned Application

• Current Assignee: the united states of america as represented by the secretary of the navy
• Original Assignee: the united states of america as represented by the secretary of the navy
• Inventors: Chaffee, Mary W., Oster, Neill S.
• Application Number:
  US10/934,686
• Publication Number:
  US 20050055245A1
• Time in Patent Office: Days
• US Class Current: 705/2
• CPC Class Codes: G06Q 10/04 Forecasting or optimisation specially adapted for administrative or management purposes, e.g. linear programming or "cutting stock problem" market predictions or forecasting for commercial activities G06Q30/0202
• CPC Class Codes: G16H 40/20 for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms

Abstract

A method for analyzing medical facility'"'"'s emergency preparedness that includes determining whether the medical facility has at least one procedure used in the event of an emergency; if so, developing a strategy for improvement of the at least one procedure; in response to the determining and developing, providing a self-assessment tool to the medical facility for completion by the medical facility'"'"'s personnel, wherein the self-assessment tool is based on a plurality of factors relating to various aspects of the medical facility and addresses at least one area of the medical facility'"'"'s emergency preparedness; reviewing the self-assessment tool after completion from the medical facility'"'"'s personnel and reviewing the at least one procedure; evaluating the medical facility and the medical facility'"'"'s personnel based on the reviewing; and suggesting recommendations for the improvement of the at least one procedure based on the evaluating.

Claims

1. A method for analyzing medical facility'"'"'s emergency preparedness, comprising the steps of:

determining whether the medical facility has at least one procedure in an event of an emergency;

if so, developing a strategy for improvement of the at least one procedure;

in response to said determining and developing steps, providing a self-assessment tool to the medical facility for completion by the medical facility'"'"'s personnel;

said providing step further including developing the self-assessment tool based on a plurality of factors relating to operations and regulations of the medical facility and that addresses at least one area of the medical facility'"'"'s emergency preparedness;

reviewing the self-assessment tool after completion from the medical facility'"'"'s personnel and reviewing the at least one procedure;

evaluating the medical facility and the medical facility'"'"'s personnel based on said reviewing step; and

suggesting recommendations for the improvement of the at least one procedure based on said evaluating step.

2. The method of claim 1, wherein said developing a strategy step further comprises a step of discussing the at least one procedure and the improvement thereof with the medical facility'"'"'s executive personnel.

3. The method of claim 1, wherein the medical facility is a hospital.

4. The method of claim 1, wherein the medical facility is an ambulatory clinic.

5. The method of claim 1, further comprising scheduling a visit to the medical facility for observation;

and

wherein said providing of the self-assessment tool is based on the observation.

6. The method of claim 5, wherein said scheduling step further comprises scheduling the visit for a length of time, wherein the length of time depends on medical facility factors selected from the group consisting of:

a size of the medical facility, a number of patients in the medical facility, a size of personnel in the medical facility, and a trauma designation for the medical facility.

7. The method of claim 5, wherein said scheduling the visit further comprises identifying in advance of the visit at least one expert in emergency preparedness to be associated with at least one area of the medical facility'"'"'s emergency preparedness.

8. The method of claim 1, wherein the self-assessment tool includes information about medical facility'"'"'s capacities, leadership and governance, emergency management planning, clinical operations, safety, fire and security procedures, logistics, facilities, communications, warning and notification procedures, public information, media relations, risk communications, training, drills and exercise procedures, performance improvement and quality control procedures.

9. The method of claim 1, wherein said evaluating step further comprises:

examining the medical facility;

interviewing personnel at the medical facility;

discussing emergency preparedness with medical facility'"'"'s executive personnel; and

reviewing medical facility'"'"'s documents relating to emergency preparedness.

10. The method of claim 9, wherein said evaluating step further comprises performing said examining, interviewing, discussing, and reviewing steps based on the plurality of factors.

11. The method of claim 1, wherein said suggesting step further comprises compiling a report based on said evaluation step.

12. The method of claim 11, wherein the report further comprises a summary of medical facility'"'"'s emergency preparedness'"'"' strengths and weaknesses and a score, wherein the score is a numerical assessment of the medical facility'"'"'s emergency preparedness.

13. A system for analyzing medical facility'"'"'s emergency preparedness, comprising:

a medical facility'"'"'s emergency preparedness sub-system;

wherein said emergency preparedness sub-system is configured to respond to an emergency based on at least one emergency preparedness procedure;

a strategic development unit configured to improve said at least one emergency preparedness procedure;

wherein said strategic development unit is further configured to conduct a preliminary analysis of the medical facility and said at least one emergency preparedness procedure;

a self-assessment tool configured to assist said strategic development unit in analyzing the medical facility;

wherein said self-assessment tool is further configured to be completed by the medical facility'"'"'s personnel and developed based on a plurality of factors relating to operations and regulations of the medical facility and addresses at least one area of the medical facility'"'"'s emergency preparedness;

wherein said strategic development unit reviews and evaluates said completed self-assessment tool received from the medical facility'"'"'s personnel and said at least one emergency preparedness procedure.

14. The system of claim 13, wherein said strategic development unit is further configured to discuss the at least one procedure and the improvement thereof with the medical facility'"'"'s executive personnel.

15. The system of claim 14, wherein said strategic development unit is further configured to employ at least one expert in emergency preparedness to be associated with at least one area of concern within the medical facility.

16. The system of claim 15, wherein said expert analyzes the medical facility for problem areas in emergency preparedness.

17. The system of claim 13, wherein the medical facility is a hospital.

18. The system of claim 13, wherein the medical facility is an ambulatory field clinic.

19. The system of claim 13, wherein said self-assessment tool includes information about medical facility'"'"'s capacities, leadership and governance, emergency management planning, clinical operations, safety, fire and security procedures, logistics, facilities, communications, warning and notification procedures, public information, media relations, risk communications, training, drills and exercise procedures, performance improvement and quality control procedures.

20. The system of claim 13, wherein said strategic development unit is further configured to:

examine the medical facility;

interview personnel at the medical facility;

discuss emergency preparedness with medical facility'"'"'s executive personnel; and

review medical facility'"'"'s documents relating to emergency preparedness based on the plurality of factors.

21. The method of claim 13, wherein said strategic development unit is configured to provide a summary of medical facility'"'"'s emergency preparedness'"'"' strengths and weaknesses and a score, wherein the score is a numerical assessment of medical facility'"'"'s emergency preparedness.

22. A method to evaluate emergency preparedness of a facility, comprising:

based on a schedule, visiting the facility with a team and making observations;

preparing a self-assessment tool based on the observations and forwarding same to appropriate personnel at the facility to complete;

requesting the facility to identify primary points of contact to negotiate scheduling of interviews with personnel of the facility during a further visit to the facility;

conducting the further visit to the facility with a multi-disciplinary team of experts that includes at least one experienced individual having specific qualifications for various aspects of emergency preparedness and planning procedures;

the further visit including conducting of the scheduled interviews, reviewing information from the facility, examining physical structures at the facility; and

having the multi-disciplinary team of experts identify areas of strength and vulnerability within the facility based on their visiting of the facility, their review of the self-assessment tool after completion by the appropriate personnel at the facility; and

their review of information on emergency planning and procedures from the facility.

23. A method of claim 22, wherein the preparing of the self-assessment tool is based on research of the facility, extensive emergency preparedness experience of the team, and current health care factors and is structured to examine critical aspects of planning, process, structure and outcome of emergency management status of the facility.

24. A method of claim 22, wherein the multi-disciplinary team includes individuals selected from a group consisting of emergency medicine physicians, disaster medicine physicians, emergency nurses, healthcare executives, emergency medical services professionals, antiterrorism/law enforcement personnel, facilities engineers, and critical incident stress management specialists.

25. A method of claim 22, wherein the multi-disciplinary team provides the points of contact with material to educate the personnel scheduled to be interviewed about purposes of goals of the further visit with respect to enhancing emergency preparedness capacity.

26. A method of claim 22, further comprising having the multi-disciplinary team generate a report summarizing findings.

27. A method of claim 26, further comprising integrating the findings into an action report to contain recommendations for changes to existing emergency preparedness planning and procedures based on assessments of presence or absence of critical preparedness at the facility.

28. A method of claim 27, wherein the action report includes a scorecard whose scores represent a benchmark of the emergency preparedness status of the facility at one point in time.

29. A product useful to evaluate emergency preparedness of a facility, comprising:

an analysis tool for ambulatory care having queries to prompt responses with respect to facility profile, critical preparedness and facility readiness.

30. A product of claim 29, wherein the queries to prompt responses with respect to facility profile are selected from a group consisting of existing emergency management planning, existing safety fire and security, existing logistics and facilities, existing treatment readiness.

31. A product of claim 30, wherein the queries to prompt responses pertaining to emergency management planning are selected from a group consisting of patient capacity at the facility, patient volume threshold that triggers use of triage, patient isolation capacity, patient decontamination capacity.

32. A product of claim 30, wherein the queries to prompt responses pertaining to safety, fire and security are selected from a group consisting of number of drills conducted, emergency power duration and emergency power generation, identification of source of water supply and alternate water supply sources, identification of who tests water and frequency of water testing and to whom results are reported to, identification of fuel availability at the facility.

33. A product of claim 30, wherein the queries to prompt responses pertaining to treatment readiness are selected from a group consisting of respiratory protection equipment status available to personnel at the facility, immunization status of personnel at the facility, readiness training status of personnel at the facility.

34. A product of claim 29, wherein the queries to prompt responses with respect to critical preparedness are selected from a group consisting of leadership and governance, emergency management planning, clinical operations, logistics and facilities, communications, warning and notification, public information, media relations and risk communications, training, drills and exercise, performance improvement and quality,

35. A product of claim 34, wherein the queries to prompt responses with respect to leadership and governance are selected from a group consisting of leadership succession and continuity of operations, incident command systems, emergency operations center/command post, mutual aid agreements, emergency management/disaster preparedness committee.

36. A product of claim 34, wherein the queries to prompt responses with respect to emergency management planning are selected from a group consisting of emergency management plan, alternate care site, patient transportation, volunteer management.

37. A product of claim 34, wherein the queries to prompt responses with respect to clinical operations are selected from a group consisting of emergency medical services, emergency capacity, patient triage, patient tracking, patient isolation capacity, staff protection, patient decontamination, disease surveillance, radiation exposure, critical incident stress management, pharmacy services, facility-wide immunization and facility-wide chemophrophylaxis, fatality management, evidence collection and preservation.

38. A product of claim 34, wherein the queries to prompt responses with respect to logistics and facilities are selected from a group consisting of supplies to effectively respond to a mass casualty event, food services, emergency power, water supply, medical gasses, ventilation, fuel, waste disposal.

39. A product useful to evaluate emergency preparedness of a facility, comprising:

an analysis tool for a hospital facility having queries to prompt responses with respect to facility profile, critical preparedness and facility readiness.

40. A product of claim 39, wherein the queries to prompt responses with respect to facility profile are selected from a group consisting of patient care capacity, hospital capacities, existing emergency management planning, safety, fire and security existing logistics and facilities, existing treatment readiness.

41. A product of claim 40, wherein the queries to prompt responses pertaining to emergency management planning are selected from a group consisting of patient capacity at the facility, patient volume threshold that triggers use of triage, patient isolation capacity, patient decontamination capacity.

42. A product of claim 40, wherein the queries to prompt responses pertaining to safety, fire and security are selected from a group consisting of number of drills conducted, emergency power duration and emergency power generation, identification of source of water supply and alternate water supply sources, identification of who tests water and frequency of water testing and to whom results are reported to, identification of fuel availability at the facility.

43. A product of claim 40, wherein the queries to prompt responses pertaining to treatment readiness are selected from a group consisting of respiratory protection equipment status available to personnel at the facility, immunization status of personnel at the facility, readiness training status of personnel at the facility.

44. A product of claim 39, wherein the queries to prompt responses with respect to critical preparedness are selected from a group consisting of leadership and governance, emergency management planning, clinical operations, logistics and facilities, communications, warning and notification, public information, media relations and risk communications, training, drills and exercise, performance improvement and quality,

45. A product of claim 44, wherein the queries to prompt responses with respect to leadership and governance are selected from a group consisting of leadership succession and continuity of operations, incident command systems, emergency operations center/command post, mutual aid agreements, emergency management/disaster preparedness committee.

46. A product of claim 44, wherein the queries to prompt responses with respect to emergency management planning are selected from a group consisting of emergency management plan, alternate care site, patient transportation, volunteer management.

47. A product of claim 44, wherein the queries to prompt responses with respect to clinical operations are selected from a group consisting of emergency medical services, emergency capacity, patient triage, patient tracking, patient isolation capacity, staff protection, patient decontamination, disease surveillance, radiation exposure, critical incident stress management, pharmacy services, mass immunization and mass chemophrophylaxis, fatality management, evidence collection and preservation.

48. A product of claim 44, wherein the queries to prompt responses with respect to logistics and facilities are selected from a group consisting of supplies to effectively respond to a mass casualty event, food services, emergency power, water supply, medical gasses, ventilation, fuel, waste disposal.