Office of Preparedness and Emergency Operations

1
Office of Preparedness and Emergency Operations

• Electronic Medical Records and Patient Tracking

2
Agenda

• Overview
• Background
• OPEO/NDMS Medical Deployment Systems Footprint
• Documentation of Medical Care EMR
• Overview of Electronic Medical Records (EMR)
• EMR Demo
• Health Information Repository
• Overview of Health Information Repository
• Patient Tracking - JPATS
• Overview of Joint Patient Assessment and Tracking
  (JPATS)
• JPATS Demo
• Questions

3
Overview - Background

• Triggers for ESF8 Support
• In the event medical systems within a domestic
  disaster area are overwhelmed, there may be a
  need for a system to move patients out of the
  disaster area, prior to and/or after an event.
• State and local authorities may operate Disaster
  Medical Units and Disaster Emergency Medical
  Personnel Systems housed within Federal Medical
  Stations.

4
Overview - Background

• Triggers for ESF8 Support (continued)
• If State or local authorities become overwhelmed,
  Federal assistance may be requested to deploy
  appropriate assets to assist at CCPs or REPs
  (e.g., DMATs, or DoD, VA or HHS Public Health
  Service medical assets).
• If State or local authorities determine that
  resources are inadequate to transport or care for
  all patients, a request for Federal medical
  evacuation assistance can be initiated.

5
Overview - Background

• Tracking of Disaster Patients
• ESF-8 is responsible for tracking disaster
  victims seeking care throughout the continuum of
  medical care
• Onsite care ? DMU teams, RDF(Rapid Deployment
  Force), FMS
• During Transport ? DoD
• Definitive Care ? NDMS Hospitals

6
Mission Vision

• Mission
• Temporarily supplement Federal, Tribal, State and
  Local capabilities by funding, organizing,
  training, equipping, deploying and sustaining a
  specialized and focused range of public health
  and medical capabilities
• Vision
• Serve the Federal response by providing disaster
  medical care and patient movement

7
Deployment System Footprint

• Deployment System Components
• Electronic Medical Record System (EMR)
• Health Information Repository
• Joint Patient Assessment and Tracking System
  (JPATS)

8
Deployment System Footprint
Health Information Repository
Future interface from JPATS to Repository
Electronic Medical Record (EMR)
Joint Patient Assessment and Tracking (JPATS)
9
Overview - EMR

• Background and Benefits of Electronic Medical
  Records
• NDMS implemented an electronic medical encounter
  documentation system for the hurricane seasons
• Drive Standardization across medical response
  teams
• Implement consistent, automated encounter
  tracking during disaster deployments
• Provide basic data elements for health
  surveillance during disasters
• Provides legible medical records

10
Overview EMR
11
Overview EMR

• Footprint
• (8) Panasonic CF-18 Toughbooks (NDMS EMR client)
• (4) Panasonic CF-29 Toughbooks (Server Pharmacy
  Station/Backup Server)
• (3) Wireless Access Point
• (2) Ethernet Switch

12
Demonstration

• Electronic Medical Record

13
Overview Health Information Repository

• Provides Situational Awareness Command
  Control
• Repository provides patient summary information
  to the Incident Response Command Teams (IRCT).
• Medical response teams transmit EMR records
  routinely throughout their 12 hour shifts.

14
Overview Health Information Repository
Data Being Pushed to the Repository
15
Overview Health Information Repository

• Health Surveillance Repository ? Overview of
  Response Stats

16
Overview - JPATS

• Joint Patient Assessment and Tracking System
  (JPATS)
• Used by patient tracking teams located at every
  major patient care and reception point
• System users are tied to a physical location
• Major response points include DMU, DMAT, FMS,
  Regional Evacuation Points, FCC Patient Reception
  Area (PRA)
• JPATS System
• Re-branded version of the DOD JPTA System
• Web based system providing capability for real
  time accountability of patients seen by ESF8
  personnel
• Requires connectivity to access JPATS web system

17
Overview JPATS
18
Demonstration

• Joint Patient Assessment and Tracking System
  (JPATS)

19
Questions

• Questions?