265070 Pediatric surge planning in a large metropolitan county

Monday, October 29, 2012

Bridget Berg, MPH , Pediatric Disaster Resource and Training Center - Trauma Program, Children's Hospital Los Angeles, Los Angeles, CA
Millicent Wilson, MD , Disaster Services, Los Angeles County EMS Agency, Santa Fe Springs, CA
Kathleen Stevenson, RN , Disaster Resource Center, Children's Hospital Los Angeles, Los Angeles, CA
Roel Amara, RN , Disaster, Los Angeles County EMS Agency, Santa Fe Springs, CA
Claire Sobba , USC MHA program, Children's Hospital Los Angeles, Los Angeles, CA
Jeffery Upperman, MD , Pediatric Surgery, Childrens Hospital Los Angeles, Los Angeles, CA
Background/Purpose: A mega disaster involving large numbers of children will overwhelm pediatric resources in most communities. Thus, regions must plan for the surge in pediatric survivors following catastrophic events. We postulate that hospitals in a large urban county will have variable capacity and resources available to respond to a major natural or man-made disaster involving large numbers of children. To test this hypothesis, we examined pediatric surge capacity in Los Angeles County. Methods: A mixed methods approach was used to understand hospital capacity and capabilities. Hospitals were surveyed via Qualtrics on 48 questions regarding capacity, staffing, availability of pediatric supplies, and existing pediatric surge plans. Publically available inpatient capacity data supplemented hospital survey responses. This combined data set was analyzed for capacity, pediatric designations, and capabilities. Two stakeholder input sessions were held with a total of 84 participants. Results: Eighty-seven hospitals were included in the analysis. Forty-seven percent (41/87) of facilities provide inpatient pediatric services. Forty-four hospitals are designated as being an Emergency Department Approved for Pediatrics. Hospitals without pediatric services have varying levels of staff with pediatric training. The stakeholder groups recommended using existing supply lists and adding non-clinical supplies. The stakeholders requested advance and just in time training and reference guides to supplement the plan. Conclusions: These data support the hypothesis that pediatric surge capacity is variable. We believe that future planning should involve delineating hospitals by their capacity and capabilities to ensure a systems approach to pediatric disaster response.

Learning Areas:
Administration, management, leadership
Other professions or practice related to public health
Program planning
Provision of health care to the public

Learning Objectives:
Describe the methods for assessing pediatric surge capability. Discuss the training elements included in a county-specific basic disaster pediatric hospital preparedness Formulate a plan to assess pediatric surge capabilities in your organization

Keywords: Disasters, Planning

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been the lead project manager for the Pediatric Surge Program for Los Angeles (LA) County and am also the Trauma Surge Coordinator for Children's Hospital Los Angeles. Our Pediatric Disaster Resource and Training Center which I co-lead is a key resource for LA County as well as a regional and national resource for pediatric disaster preparedness.
Any relevant financial relationships? Yes

Name of Organization Clinical/Research Area Type of relationship
Los Angeles County EMS Agency Disaster Preparedness Sub contract with the County for this work

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.