Coalition Building for a Mass Gathering – the MESH Coalition and … · 2012. 9. 5. · coalition that enables healthcare providers to effectively respond to emergencies and remain

2012 Emergency Management SummitBaltimore, MarylandSeptember 6, 2012

Dan O’Donnell, MDAssistant Professor of Clinical Emergency MedicineIndiana University School of MedicineDeputy Medical Director Indianapolis EMS & Indianapolis Fire Department

Chad Priest, RN, MSN, JDChief Executive Officer – MESHAdjunct Assistant ProfessorIndiana University School of Nursing

Coalition Building for a Mass Gathering –the MESH Coalition and Super Bowl XLVI

© Copyright 2010 MESH. All rights reserved

• MESH Overview• Super Bowl Operating Picture and Preliminary Threat

Analysis• Medical Surge Management Plan

o MedMACC Operational Periods and Functionalityo Downtown Fire/EMS Protocolso Super Care Clinic

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MESH is an innovative, non-profit, public-private coalition that enables healthcare providers to effectively respond to emergencies and remain viable through the recovery process.➡

Community-Based Planning

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Healthcare Intelligence and Coordination as Marion County Medical Multi-Agency Coordinating Center (MACC)

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Education & Training

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Policy Analysis

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Our Coalition…

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Common Operating Picture


• Indianapolis is hosting Super Bowl XLVI – in 69 days.

• We are expecting 100,000 – 150,000 visitors.

• Media attention will be focused sharply on Indianapolis.

• The ‘event’ is really multiple events spanning over 10 days.

o NFL Experience (Indiana Convention Center) –

o Super Bowl Village (Georgia St. Corridor)o Superbowl XLVIo Parties, parties, parties…

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INDIANAPOLIS IN JANUARY AND FEBRUARY

•Coldest months of the year – average temperature around 33 degrees. •Ice and snow are common. •High incidence of respiratory illnesses

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Risk Outlook

•Lots of respiratory illness, coughs and colds.•Restricted downtown traffic – perhaps no cars allowed in portions of downtown.•Visitors will default to emergency department for routine care if no other options are available.•Minimal downtown primary care infrastructure outside of emergency departments.•Some fans, visitors and residents engaged in risky activities.

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What Actually Happened

•Warmest February in recent history in Indianapolis.•Almost zero respiratory illness, coughs or colds.•Restricted downtown traffic – perhaps no cars allowed in portions of downtown.•Some fans, visitors and residents engaged in risky activities.

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Medical Surge Management Plan


• Reduce non-emergent (routine) volume in local Emergency Departments to provide adequate capacity to deal with any mass-casualty incident (MCI) during the operational period(s).

• Distribute emergent patients through the healthcare system so as to preserve access to critical functions in the event of an MCI.

• Coordinate among and between healthcare providers from all sectors to ensure that patients get the right care, at the right time and at the right place.

• Provide real-time intelligence in support of healthcare operations.

Medical Surge Management Plan

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Health Care Sector Partners

Marion County ESF-8

Indpls. EMS

Marion Co. Pub. Health Dept.

Other Agencies as Requested

Policy Grou p

D5 Rep

Situation Assessment

Incident Priority Determination

Critical Resource Acquisition

Interagency Activities

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MedMACC at Level 4 (Emergency Standby/Special Event) and on 24 hour operational cycle beginning January 26, 2012 and ending February 6, 2012.

Daily healthcare situational updates by conference call beginning on Thursday January 26, 2012. More info to follow.

Intelligence updates regularly and we anticipate the launch of our automated web-page by late December, 2011.

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Super Care Clinic


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Emergency Medical Services Protocols and

Plans


Goals

•Identify those patients who would be appropriate for transport to the SuperCare clinic

o Low acuity patientso Agreeable to transport to an alternative site

•Trial during Big Ten Championship (Dec 2011)

Alternative Destination Protocols

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Eligible Patients

• SOB/Wheezingo Improvement after 1 Albuterolo Exclude if O2 < 935

• Allergic Reactiono Rash Only

• Sprain/Straino No gross deformity, must be ambulatory

• Simple Burnso 1st degree < 10%TBSA

• Must agree to alternative transport

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Results

• During Trialo Approximately 20% of patients in the downtown area

command would qualify for transport to SuperCare Clinic

o Largest exclusion = EtOH Intoxicationo Nobody incorrectly chosen for SuperCare transport

• During Evento Small number of patients transported to SuperCareo Many did not fall within the protocol

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Dan O’Donnell, MDAssistant Professor of Clinical Emergency MedicineIndiana University School of MedicineDeputy Medical Director Indianapolis EMS & Indianapolis Fire Department

Chad Priest, RN, MSN, JDChief Executive Officer – MESHAdjunct Assistant ProfessorIndiana University School of Nursing

Coalition Building for a Mass Gathering –the MESH Coalition and Super Bowl XLVI

Slide Number 1Slide Number 2MESH is an innovative, non-profit, public-private coalition that enables healthcare providers to effectively respond to emergencies and remain viable through the recovery process.Our Coalition…Common Operating PictureSlide Number 6Slide Number 7Slide Number 8Slide Number 9Slide Number 10Slide Number 11Medical Surge Management PlanSlide Number 13Slide Number 14Slide Number 15Slide Number 16Slide Number 17Slide Number 18Super Care ClinicSlide Number 20Slide Number 21Slide Number 22Slide Number 23Emergency Medical Services Protocols and Plans Slide Number 25Slide Number 26Eligible PatientsResultsSlide Number 29

Documents

Coalition Building for a Mass Gathering – the MESH Coalition and … · 2012. 9. 5. · coalition that enables healthcare providers to effectively respond to emergencies and remain