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Rural Nebraska MedicalRural Nebraska MedicalResponse System Response System
PartnershipPartnership
Ginger Bailey, R.N., B.S.N.Ginger Bailey, R.N., B.S.N.Dave Glover*****Dave Glover*****
Justin Watson, B.A.Justin Watson, B.A.
PartnersPartners 51 Hospitals51 Hospitals
44 Critical Access (25 or fewer beds)44 Critical Access (25 or fewer beds) 4 Acute Care Hospital (larger than 25 beds)4 Acute Care Hospital (larger than 25 beds) 3 Designated Trauma Centers3 Designated Trauma Centers
13 Health Departments13 Health Departments 2 Federally Qualified Health Center2 Federally Qualified Health Center 1 Emergency Manager1 Emergency Manager 72 County area (93 counties in Nebraska)72 County area (93 counties in Nebraska) Built on the foundation established by the Nebraska Built on the foundation established by the Nebraska
Medical Response SystemMedical Response System
Nebraska MRS RegionsNebraska MRS Regions
Rural Nebraska Medical Rural Nebraska Medical Response System PartnershipResponse System Partnership
Rural Region One Medical Response SystemRural Region One Medical Response System Panhandle Region Medical Response SystemPanhandle Region Medical Response System Tri-Cities Medical Response SystemTri-Cities Medical Response System West Central Region Medical Response West Central Region Medical Response
SystemSystem
Rural Nebraska Medical Rural Nebraska Medical Response System Response System
Partnership: GoalsPartnership: Goals
Assist hospitals in adopting Assist hospitals in adopting NIMS at the organizational NIMS at the organizational
level for all appropriate level for all appropriate departments and business departments and business
unitsunitsHelp hospitals that are short staffed Help hospitals that are short staffed
more efficiently adopt NIMS.more efficiently adopt NIMS.
Providing a Monthly Newsletter
Volunteer Medical ProfessionalsVolunteer Medical Professionals
Working ESAR-VHP and Medical Reserve Corp Working ESAR-VHP and Medical Reserve Corp Using a Regional ApproachUsing a Regional Approach Large geographic area/sparse populationLarge geographic area/sparse population Similar needsSimilar needs Limited number of medical professionalsLimited number of medical professionals Ability to draw from other areas in disaster Ability to draw from other areas in disaster
situationssituations Sharing of expertise and resourcesSharing of expertise and resources
Develop a model for establishing alternative Develop a model for establishing alternative care sites in rural communitiescare sites in rural communities
Also purchasing Mobile Also purchasing Mobile Medical Assets which Medical Assets which are “Hospital Pods or are “Hospital Pods or Hospital-In-A-Box” for Hospital-In-A-Box” for each Medical Response each Medical Response SystemSystem
Influenza Outbreak 1918
Integrate emergency preparedness with hospital and Integrate emergency preparedness with hospital and region specific trauma care capabilitiesregion specific trauma care capabilities
Limited number of Level II Limited number of Level II and III trauma centersand III trauma centers
Most disasters involve Most disasters involve traumatrauma
Integrate preparedness Integrate preparedness planning with trauma planning with trauma planningplanning
Provide more educationProvide more education Provide rural sites Provide rural sites
additional assistance in additional assistance in caring for trauma patientscaring for trauma patients
Integrate emergency preparedness with hospital and Integrate emergency preparedness with hospital and region specific trauma care capabilitiesregion specific trauma care capabilities
ActivitiesActivities Expand teletrauma capabilities to Expand teletrauma capabilities to
additional facilitiesadditional facilities Over 100 sites in Nebraska Over 100 sites in Nebraska
connected via telehealth connected via telehealth (hospitals and public health (hospitals and public health departments)departments)
Telehealth is used for patient Telehealth is used for patient care, education and care, education and administrative meetingsadministrative meetings
Teletrauma: videoconferencing Teletrauma: videoconferencing placed in emergency departments placed in emergency departments allowing connection between allowing connection between rural hospitals and large centers, rural hospitals and large centers, including trauma centers and including trauma centers and burn centersburn centers
Integrate emergency preparedness with hospital and Integrate emergency preparedness with hospital and region specific trauma care capabilitiesregion specific trauma care capabilities
ActivitiesActivities Provide telehealth equipment to hospital partners interested in teletrauma capabilitiesProvide telehealth equipment to hospital partners interested in teletrauma capabilities Establish specific protocols for use of telehealth in emergency situations (such as in the Establish specific protocols for use of telehealth in emergency situations (such as in the
identification of unknown exposures, treatment of trauma patients with burns, etc…)identification of unknown exposures, treatment of trauma patients with burns, etc…) Train practitioners in the appropriate use of telehealth in emergency situationsTrain practitioners in the appropriate use of telehealth in emergency situations Assess the success of teletrauma adoptionAssess the success of teletrauma adoption Develop and implement specific training and educational uses for telehealth in Develop and implement specific training and educational uses for telehealth in
supporting emergency preparedness in multiple entitiessupporting emergency preparedness in multiple entities Help partners incorporate the use of telehealth as a source of communication, Help partners incorporate the use of telehealth as a source of communication,
surveillance, consultation, education and trainingsurveillance, consultation, education and training Research the potential for two way interactive video conferencing for sharing human Research the potential for two way interactive video conferencing for sharing human
resources in surge capacity situationsresources in surge capacity situations Work Team includes Statewide Trauma System Medical Director, Burn Center Medical Work Team includes Statewide Trauma System Medical Director, Burn Center Medical
Director and trauma nurse coordinators from all regionsDirector and trauma nurse coordinators from all regions
Could future grants be used to study the feasibility and effectiveness of placing mobile Could future grants be used to study the feasibility and effectiveness of placing mobile telehealth units at alternative care sites? We don’t know, but we want to find out!telehealth units at alternative care sites? We don’t know, but we want to find out!
Identification and establishment of MOUs Identification and establishment of MOUs and Medical Mutual Aid Agreements and Medical Mutual Aid Agreements
between entitiesbetween entities
Hospitals will have a toolbox that Hospitals will have a toolbox that will guide them through the will guide them through the establishment and maintenance of establishment and maintenance of appropriate MOUs and Medical appropriate MOUs and Medical Mutual Aid Agreements.Mutual Aid Agreements.
Partnership StrengthsPartnership Strengths
Number of PartnersNumber of Partners 65,000 + square miles 65,000 + square miles Strong system of accountabilityStrong system of accountability Use of the Nebraska Statewide Use of the Nebraska Statewide
Telehealth NetworkTelehealth Network A strong history of successful A strong history of successful
regional and statewide collaborationsregional and statewide collaborations
Questions?Questions?
Contact InformationContact Information
Ginger BaileyGinger [email protected]
Justin WatsonJustin [email protected]
Kathy NordbyKathy [email protected]
Dave GloverDave [email protected]@charter.net
Kim EngelKim [email protected]
Melody LeisyMelody [email protected]
Mark GrafMark [email protected]
Laura Meyers, CoordinatorLaura Meyers, [email protected]@charter.net
