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Managing Diversion
Deck Chairs on the Titanic?
Christopher W. Felton, MD, FACEP January 10,
2003 Illinois College of Emergency
Physicians Illinois Department of Health
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• ACEP Council
• AHRQ Crowding Study
• RWJ Urgent Matters
• Frontlines of Medicine
• EMSystem

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• Emergency Physicians
• Milwaukee, WI
• 12 Emergency Departments
• 220 employees
• 17 IT professionals
• EMSystem

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1997
.
Milwaukee
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The Need

• The weakest link
• Communication
• Requirements
• Diversion
• Disaster
• Emergency preparedness
• Diversion Band-Aid???

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EMSystem April, 1998
.
Milwaukee
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Melbourne
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Architecture ASP Model

• Central Servers

Internet
Local Access
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Internet Advantages

• Access
• Cost
• Flexibility
• Reliability
• Security

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Internet Disadvantages

• Reliability???
• Security???

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Data
Information
Knowledge
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• Adding technology to a poor process just makes
  the bad things happen faster.

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Change will not succeed unless end-user gain gt
pain
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Pleasure gt Pain
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Resource Management

• Resource Status
• Emergency Preparedness

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• Prevention
• Early detection and warning
• Mitigation

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Syndromic Surveillance
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Syndromic Surveillance

• Manual data collection
• Drop-in surveillance
• Daily
• Automated data collection
• Lab
• Clinical

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Syndromic Surveillance

• Data Standards
• Automated data collection

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Mitigation

• Established event / agent
• Communication
• Resource management

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Public Health
Acute Care
Emergency Management
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• Emergency Preparedness

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Discussion / Questions
Christopher W. Felton, MD, FACEP 414.350.8090 cfel
ton_at_emsystem.com