Preparedness, Response, and Recovery Considerations for Children and Families Workshop Summary (2014) / Chapter Skim
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3 Leveraging Health Care Coalitions
3 Leveraging Health Care Coalitions
Pages 27-36
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From page 27... ...
Securing buy-in from important stakeholders and coordinating work across regions and sectors are a few of the challenges discussed, as well as highlighting the need for central coordination and broadening of stakeholders in coalitions past simply including pediatric providers. Giving an example of ways to augment pediatric surge capacity, Andrew Rucks of the University of Alabama at Birmingham noted that he also serves as director of the Southeastern Regional Pediatric Disaster Surge Network, which currently includes Alabama, Florida, Georgia, Louisiana, Mississippi, and Tennessee, and will soon include Kentucky, North Carolina, and South Carolina.
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From page 28... ...
, Rucks suggested that they are not as well prepared to deal with the smaller-scale issues that overwhelm the needs of one or more local pediatric specialty hospitals. FEDERAL PERSPECTIVE: THE HOSPITAL PREPAREDNESS PROGRAM Richard Hunt, senior medical advisor for the National Health Care Preparedness Programs at the Office of the Assistant Secretary for Preparedness and Response (ASPR)
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From page 29... ...
Per the ASPR guidance, the list of health care coalition essential partner memberships includes "specialty service providers (e.g., dialysis, pediatrics, women's health, stand-alone surgery, urgent care) ." It will be important moving forward for pediatrics to interface with coalitions, and for pediatric coalitions to interface with the health care preparedness program.
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From page 30... ...
Frost described the 2009 H1N1 influenza pandemic as a "pediatric disaster near miss" that helped launch the California Neonatal/Pediatric Disaster Coalition.2 The first challenge for the grassroots effort to 2 Frost referred participants to the coalition's GoogleSite, https://sites.google.com/site/ pedineonetwork and the Contra Costa Pediatric Disaster Preparedness Resources website,
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From page 31... ...
The state had never done a bed capacity analysis for neonatal and pediatrics, citing lack of funding. Frost found that California and the West Coast's pediatric "safety net" consists of about eight key regional centers that handle more than 55 percent of pediatric inpatient care.
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From page 32... ...
The bomb failed, but had it exploded, there would likely have been numerous children in the area. George Foltin, vice chair of clinical services at Maimonides Infant and Children's Hospital, described a study conducted by the New York City Pediatric Disaster Coalition to determine how many pediatric intensive care unit (PICU)
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From page 33... ...
A pediatric disaster tabletop exercise was also developed to help hospitals exercise their plans.4 Another resource the New York coalition developed for out-of-hospital pediatric disaster preparedness describes the elements of disaster planning and management for pre-hospital providers.5 The New York City Department of Health and Mental Hygiene also directed federal funds for a formalized Pediatric Disaster Coalition of hospitals, public health entities, municipal services, and community groups. The coalition is focused on "Major pediatric centers must be effectively matching critical assets able to surge as critically ill and resources to victim's needs children are best served at during and after a large-scale specialty centers." disaster affecting children, neonates, -- George Foltin and women in labor.
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From page 34... ...
oalition activi ities Foltin m mentioned in nclude pediatr ric tableto and full-sc exercises of PICU Sur Plans, ac op cale s urge ctivities focus sed on neo onatal and maternal heal m lth, and a wworking group to study t p the succes and gaps in the pediatr response t Hurricane S sses ric to Sandy. Proposed Ho ospital Triage Tiers for Pediat Disaster Victims tric Tier 1 Pediatric Hospital with PIC – Pediatric Trauma Center (n = 12)
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From page 35... ...
Primary transport should be to these centers, and inter-hospital transportation must be in place for children initially transported elsewhere. If this is not possible, general hospitals that are used to serving adults should have plans in place to properly take care of children.
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