CAPT Allen Dobbs MD, HHS/National Disaster Medical System Exchange Medical Records During Disasters...
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Transcript of CAPT Allen Dobbs MD, HHS/National Disaster Medical System Exchange Medical Records During Disasters...
CAPT Allen Dobbs MD, HHS/National Disaster Medical System
Exchange Medical Records During DisastersImproving Patient Care Through Better Information
1
MONDAY, 12:30 – 12:50PM
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 intermittentFederal 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
4HIMSS 2010
Point of Injury
POE POD
Destination Facility
NGSTATE
PRA
DOD / VA FCC
Hosp
Hosp
NHIN
NHIN
NHIN
Patient Movement
JPATS
EMR à JPATSINTERFACE
Patient location informationupdated with new HER info
FOUO
NHIN
NHIN
DoD / NG
HIR
Regulated in Trac2es
NHIN
Situational Awareness
Locationupdated in JPATS
on admission Patient Assessment
Teams
Originating Facility
POI
Shelters
NursingHome
HOME
JPATS access
Patient Movement
NHIN EHR Flow
Legend
CCP
JPATS
NHINNHIN
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)
HIMSS 2010 6
In Theater
Satellite dish
BOO #1
DMAT and RDF teams capture Medical Record in
EMR
Electronic MedicalRecord (EMR)
Health Information Repository
Joint Patient Assessment and Tracking (JPATS)
In Theater
Patient Movement Information captured in field
Internet connectivity
required . (Satellite or Air
Card )
Sites can search for patients treated at other sites using
CONNECT GatewayPatients transferred in EMR are passed to JPATS
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
9
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.