Mission of Public Health

• PREVENT disease, injury, disability

• PROMOTE health and well being

• PREPARE for and respond to disasters

EBOLA PREPAREDNESS:IP and HAIs 6/17/15 Kelly Nadeau, RN/Pat O’Neal, MD

Ebola Active Monitoring as of 6/1/15

• 142 people being actively monitored by Georgia Department of Public Health (DPH)

• 1570 people actively monitored since Oct. 16, 2014

• 3000 clinical inquiries to DPH• Evaluated 33 travelers with symptoms• Performed 6 Ebola tests

Traveler Monitoring Form

• Used by DPH to establish traveler record and create online account

• Detailed data related to travel and risk is captured

• Online account is established and login email is sent to traveler

Temperature and Symptom Check

Ebola Active MonitoringUsed by DPH to track symptoms and compliance of travelers being actively monitored

Ebola Active Monitoring Query• Used by hospital

to identify if patients being treated are being monitored

• Hospital partner logs in and enters basic patient information

• Records matching search criteria are returned providing limited information on monitoring period

Treat

Diagnose

Identify and Isolate

Walk in to the Emergency Department911 Call

Monitored Case That Becomes Symptomatic

• 25 EMS zones• Increased PPE,

protocols and training

• Dedicated phone number for triage and EMS coordination

1- 866-PUB- HLTH

DesignatedEMS

Service

Designated EMS

Service

• Hospitals designated to treat EVD

• Hospitals have capability to manage suspect case of EVD• Specimen collection for diagnostic

testing• Lab capacity complete for

diagnosis

• Hospitals identify EVD symptoms• Isolate patients if

needed• EMS transport to hospitals for diagnosis

Tiered HospitalSystemfor EBOLA

Tiered Hospital System for EbolaAmbulance Transport

• EMS services covering 25 areas of Georgia to transport patients

• Central dispatch• 1-866-PUB-HLTH

coordinates transport

EBOLA PREPAREDNESS

• Has placed infection prevention for healthcare• workers on par with that for patients

SPIN-OFF VALUES FROM EBOLA PREPAREDNESS

• SPOTLIGHTED role of hospital IPs IPs role in donning and doffing IPs sat with decision-makers for designations

• Relationship between Epi and hospital strengthened

• Reinforced importance of communication between hospitals and DPH

ADDITIONAL SPIN-OFFs

• Development of peer relationship among hospitals of same tier for sharing of best practices

Designated hospitals will be required to participate in regular Ebola exercises to reinforce infection prevention activities and practices

RE-DESIGNATION VISITS

Reinforce relationship of hospital and DPH

Continues the emphasis on infection prevention and maintaining proficiency

Thank You

Kelly Nadeau, RNDirector, HPP Program

Georgia Department of Public Health

Patrick O’Neal, M.D.Director of Health Protection

Georgia Department of Public Health