1. Mass Casualty Incident Patient Tracking (MCI PT)
Knox County Health Department
Knoxville, Tennessee

2. Scope of Project
Implement a software system that included both fixed and mobile equipment to facilitate the effective tracking of patients from a mass casualty incident (MCI) or event until disposition at the treatment facility.
Project includes two phases: Pre-hospital and hospital

3. Overview Central Server-Internet Data Center
Dell Power edge 2850 Server
Windows 2003 Server with Raid 1 configuration
EMSware Enterprise Edition with MS SQL 2000 Server
Registered Domain, Secure site requiring authentication
MCI Equipment
Laptops, Handhelds, wireless access points
Transmits data from handheld to laptop to internet data center in real-time via wireless configuration or batch mode for downloading periodically.
Other satellite phone, cellular, and dialup

4. EMITS Disaster Management Solutions
EMSware Enterprise Edition software
Written in Microsoft’s Visual Basic (VB)
Can be operated in Access, SQL Server, Oracle, DB2 Databases
Securely export data in XML files or link data to systems via ADO, ODBC, XML, or flat file.
Enterprise Edition includes EMSware and Web Client software

5. EMITS Disaster Management Solutions EMSware Hardware
Handheld data terminal
Batch mode or b capable
Built in bar code scanner and takes grayscale photos
Microsoft Windows mobile software and scaled version of EMSware
EMSware compatible with other Pocket PC devices and scanners
Wireless access points (Warrior Pack)
Multiple triage or event sites for larger areas

6. EMITS
Data entered on the handheld is much of the same data written or transcribed during MCI

7. Warrior Pack

8. Access
Scanners with Warrior Packs are located throughout the county in key emergency response vehicles.
Knoxville Fire Department District Chiefs
Rural/Metro Fire Department (County) Battalion Chiefs (and some trucks throughout county)
Rural/Metro Ambulance Supervisor Vehicle
Knox Co. Volunteer Rescue Squad Mass Casualty Vehicle
Scanners have been purchased for each MMRS hospital Emergency Department.
Web-Based Access will be allowed for the following:
Regional Medical Communications Center
Knoxville/Knox County Emergency Management Agency
KCHD (RHC and ERC)
American Red Cross

10. *Patient – In addition to triage tag number, system provides fields for complete demographic information, DOB, gender, age, phone, and pager
*Incident and or Event and date
*Patient Status –Based on triage level
*EMS Carrier and Description
*Multiple Locations-MCI triage site or sites, Treatment Facilities (TF), and ultimate disposition
*Patient complaint and Description

12. Training
Phase I Training included an overview for key players from EMS prior to testing at Boomsday and the District II Homeland Security Exercise.
Phase II Training will involve Hospital Emergency Department Staff.
Discussions are being held about having a system like “Triage Tuesdays” where users can continue to practice/train using the system.

13. Ongoing Efforts Role based access policies built into EMSware.
Limit access to PHI based on role of user i.e. Red Cross
Phase II-Hospital Imp.
Training continued for hospital personnel
Continue efforts towards having EMSware and equipment at triage/registration points

14. Concerns/Questions Bob Cadorette – Emergency Preparedness IT - KCHD
Charity Menefee – Hospital Coordinator - KCHD
Colin Ickes – Knoxville/Knox County Emergency Management
Larry Hutsell – Emergency Response Coordinator -KCHD