Health Provider Plan Mayo Clinic in Arizona

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Health Provider PlanMayo Clinic in Arizona

• Avian Influenza Preparing Arizona for a
  Potential Pandemic
• April 21, 2006

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Outline

• General Preparedness
• Communication
• Supplies/Equipment
• Staffing
• Transmission Prevention
• Continued Challenges

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General Preparedness

• Link with existing emergency planning process
• Plan Flexibility
• Same general plan for similar processes (Highly
  Pathogenic Respiratory Contagion HPRC Plan)
• Consideration for inpatient and outpatient
  services
• Ability to modify easily and rapidly with
  changing information

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General Preparedness

• Collaboration essential for planning
• State Health Department
• Local Health Department
• Area Healthcare Facilities
• Larger System
• (Mayo Clinic in Rochester and Mayo Clinic in
  Jacksonville)

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General Preparedness

• Respiratory Etiquette
• Signage for all facilities with ability to modify
  based on changing requirements
• Hand sanitizer dispensers in all waiting areas
• Patient isolation and co-horting plans
• Employee communication/education

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Employee Communication and Education Strategies

• Pre-Event Communications
• Planning Process
• Response Issues
• Disease/Process Facts

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Communication VehiclesPre-Event

• Newsletters
• Internal Publications
• Brown Bags

• Intranet Sites
• FAQs
• Communication Archives
• Prepared Scripts

Emergency
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Communication VehiclesDuring the Event

• Computer Alerts

• E-Mail Distribution Lists
• Mayo Arizona Intranet Emergency website

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Supplies and Equipment

• Challenges
• Just in Time inventories/limited storage space
• Competition among organizations using same vendor
• Current Strategies
• Establishment of emergency supply cache of
  critical need items

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Staffing

• Challenges
• 30 of the workforce will be out ill at any given
  time
• Additional percentage will remain home to care
  for ill family members
• Some workers will not report to work for fear of
  catching something
• At the same time, health care providers will be
• inundated with ill patients how can we be ready?

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Staffing

• Current Strategies
• On-going education on isolation practices and
  respiratory etiquette
• Dependent and elder care options
• Added option for sick care
• Staff redeployment plans
• Promotion of Family Emergency Planning

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Staffing

• Current Strategies
• Memorandums of Understanding (MOUs)/modified
  contracts with staffing agencies
• Identification of additional resources
• Employee significant others
• Retirees
• Licensed staff in non-patient care roles

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Transmission Prevention

• Current Strategies
• Screening process for pre-scheduled patients from
  affected areas
• Phone triage triggers
• Establishment of Evaluation Centers
• Patient Isolation/Cohorting
• Home Care instruction Sheets

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Continued Challenges

• Management of worried well
• Emergency supplies/medications storage,
  disbursement and rotation to avoid expiration
  issues
• Staffing

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Contact Information

• Beth Heinrich, R.N.
• Mayo Clinic
• 13400 East Shea Blvd
• Scottsdale, AZ 85259
• [phone]
• heinrich.beth_at_mayo.edu