Ebola healthcare coalition checklist

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [2]

Overview

The U.S.Department of Health and Human Services’ Centers for Disease Control and Prevention (CDC) and Office of the Assistant Secretary for Preparedness and Response (ASPR), in addition to other federal, state, and local members, aim to increase understanding of the Ebola virus disease (Ebola) and encourage community-level preparedness for U.S.Healthcare Coalitions and their members in managing patients with Ebola and other infectious diseases. We are encouraging healthcare coalitions to work with their members to ensure they can detect, protect, and respond to a person under investigation (PUI) for Ebola. Many of the signs and symptoms of Ebola are non-specific and similar to those of other common infectious diseases such as malaria, which is commonly seen in West Africa. Transmission of Ebola can be prevented by using appropriate infection control measures.This checklist is intended to enhance collective preparedness and response by highlighting key areas for healthcare coalitions to review in preparation for a PUI for Ebola at a coalition member’s facility.The checklist provides practical and specific suggestions to ensure healthcare coalition membersare able to detect possible Ebola cases, protect employees and patients, and respond appropriately.

Checklist for Healthcare Coalitions for Ebola Preparedness

Prepare to Detect

Determine if there is a role for the coalition to:	Yes	No
Review guidance about Active Monitoring and Direct Active Monitoring of passengers arriving from countries where Ebola is present. Stay informed about state and local public health implementation of this guidance.	Yes	No
Keep informed about the hospital tiered approach and guidance for preparing Ebola Frontline Healthcare Facilities, Ebola Assessment Hospitals and Ebola Treatment Centers.	Yes	No
Review current guidance and resources about identification of persons under investigation (PUI) for Ebola. Provide information to facilities so they can train staff.	Yes	No
Encourage coalition members to develop protocols for notifying the coalition’s identified points of contact,other member facilities, local and state public health officials,and community partners of any PUI for Ebola.	Yes	No
Regularly schedule meetings with members to assist Ebola response planning efforts that prepare and prioritize assets,and coordinate potential services of each partner.	Yes	No
Encourage coalition members to participate in exercises(e.g.,discussion tabletop, tracers) that detect gaps (e.g.,planning, staffing, training) in the coalition’s ability to respond to a possible or confirmed case or a cluster of Ebola cases and other infectious diseases.	Yes	No
Encourage facilities to conduct no-notice drills, spot checks and inspections of ED and triage staff to determine their ability to incorporate and practice screening procedures, and initiate notification, isolation, and PPE for their facilities.	Yes	No
Have regular meetings with coalition members to coordinate messaging around Ebola and ensure members are aware of the most recent CDC Ebola guidance.	Yes	No
Request that health departments share the latest guidance on infection control and case management.	Yes	No
Share best practices and information so members can support each other related to detection.	Yes	No

Prepare to Protect

Determine if there is a role for the coalition to:	Yes	No
Establish a protocol for coordinating situational awareness activities during a potential Ebola outbreak.	Yes	No
Promote consistent protocols for all members in waste management and hazardous material collection.	Yes	No
Encourage consistency among members for pathogen handling by laboratory personnel.	Yes	No
Promote consistency in human resource guidance and policies (e.g.,travel, furlough, monitoring, self-health screening) for all members.	Yes	No
Create, or update, a real-time, integrated inventory management system to help track available resources and PPE.	Yes	No
Update resource assessment of infection-control capabilities of every facility in the coalition.	Yes	No
Review and discuss your community’s protocols for handling a suspected or confirmed Ebola case.	Yes	No
Review and discuss Interim Guidance for Emergency Medical Services (EMS) Systems and 9-1-1 Public Safety Answering Points (PSAPs) for Management of Patients with Known or Suspected Ebola Virus Disease in the United States.	Yes	No
Review and discuss the need for inter-facility patient transfers, and develop inter-facility transfer protocols as needed.	Yes	No
Facilitate a coordination call with members to: Engage the members in reviewing protocols for pre-hospital and inter-facility transfer of patients, Review infectious disease procedures and reporting requirements, and Review protocols, coordination, and exercise/test the ability to share relevant health data between key stakeholders, coalition members, public health, emergency management, etc.	Yes	No

Prepare to Respond

Determine if there is a role for the coalition to:	Yes	No
Develop and/or test: Emergency functions, Incident management system, and Crisis communications that are coordinated among members and with local and state public health departments.	Yes	No
Share best practices and information so members can support each other related to responses.	Yes	No