2. Managing Diversion: Deck Chairs on the Titanic? Christopher W. Felton, MD, FACEP January 10, 2003 Illinois College of Emergency Physicians Illinois Department of Health

12. ACEP Council AHRQ Crowding Study RWJ Urgent Matters Frontlines of Medicine EMSystem ®

13. Emergency Physicians Milwaukee, WI 12 Emergency Departments 220 employees 17 IT professionals EMSystem ®

16. . Milwaukee 1997

18. The Need The weakest link –Communication Requirements –Diversion –Disaster –Emergency preparedness Diversion Band-Aid???

22. . Milwaukee EMSystem ® April, 1998

23. Melbourne

25. Architecture: ASP Model Central Servers Internet Local Access

31. Internet Advantages Access Cost Flexibility Reliability Security

32. Internet Disadvantages Reliability??? Security???

34. DataInformation Knowledge

35. Adding technology to a poor process just makes the bad things happen faster.

36. Change will not succeed unless end-user gain > pain

37. Pleasure > Pain

45. Resource Management Resource – Status Emergency Preparedness

46. Prevention Early detection and warning Mitigation

49. Syndromic Surveillance

50. Manual data collection Drop-in surveillance Daily Automated data collection Lab Clinical

51. Syndromic Surveillance Data Standards Automated data collection

53. Mitigation Established event / agent Communication Resource management

54. Public Health Emergency Management Acute Care

57. Emergency Preparedness

60. Christopher W. Felton, MD, FACEP 414.350.8090 cfelton@emsystem.com Discussion / Questions