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