A Corporate Perspective of Disaster Staffing & Credentialing

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A Corporate Perspective of Disaster Staffing & Credentialing Scott Cormier Director Emergency Preparedness & Management Slide: 1

HCA Overview W San San Jose Jose Southern California Anchorage Western W Idaho WW W Idaho Falls W Utah W Las Vegas Southwest Group Central Group National Group International Central London Northeast Kansas City Terre Haute No. VA C Denver Terre Wichita Kansas City Haute C C C Richmond SW VA WichitaW Frankfort SW VA Nashville C Oklahoma W City Chattanooga Augusta Grand Strand Oklahoma Central City NW NW GA GA Atlanta El Paso Dallas/FtW Louisiana Atlanta Trident/Charleston Dallas/FWW ColumbusE Columbus Middle GA Palmyra W Austin Austin Panhandle** E Jacksonville San Antonio San Antonio WHouston North Central Florida W W Panhandle Treasure Coast Lafayette Tallahassee W Corpus Christi Tampa Palm Beach Broward New Brownsville Orleans Dade C Accounted for approximately 5% of major hospital service in U.S.: Admissions > 1.5 million Patient Days > 7.6 million Deliveries > 0.23 million Total Surgeries > 1.3 million ED Visits ~ 6 million 164 hospitals, 106 freestanding surgery centers, and 400 physician practices in 20 states and England Hospitals range from complex tertiary referral & academic medical centers to urban and suburban community medical centers ~ 194,000 employees 35,000 affiliated physicians More than 38,000 licensed beds ~ 150,000 Health Care Workers 2 Slide: 2

West Florida Division HCA Florida Licensed Beds East Florida Division North Florida Division BLAKE MEDICAL CENTER 383 BRANDON REGIONAL HOSPITAL 398 CENTRAL FLORIDA REGIONAL HOSPITAL 226 DOCTORS HOSPITAL OF SARASOTA 155 EDWARD WHITE HOSPITAL 162 ENGLEWOOD COMMUNITY HOSPITAL 100 FAWCETT MEMORIAL HOSPITAL 238 LARGO MEDICAL CENTER 256 LARGO MEDICAL CENTER-INDIAN ROCKS 169 MEDICAL CENTER OF TRINITY 389 NORTHSIDE HOSPITAL 288 OAK HILL HOSPITAL 234 OSCEOLA REGIONAL MEDICAL CENTER 257 REGIONAL MEDICAL CENTER BAYONET POINT 290 SOUTH BAY HOSPITAL 112 ST. PETERSBURG GENERAL HOSPITAL 219 CAPITAL REGIONAL MEDICAL CENTER 198 FORT WALTON BEACH MEDICAL CENTER 257 GULF COAST MEDICAL CENTER 176 LAKE CITY MEDICAL CENTER 67 NORTH FLORIDA REGIONAL MEDICAL CENTER 349 OCALA REGIONAL MEDICAL CENTER 270 TWIN CITIES HOSPITAL 65 WEST FLORIDA HOSPITAL 513 AVENTURA HOSPITAL & MEDICAL CENTER 407 COLUMBIA HOSPITAL 250 JFK MEDICAL CENTER 460 KENDALL REGIONAL MEDICAL CENTER 412 LAWNWOOD REGIONAL MEDICAL CENTER 365 MERCY HOSPITAL 473 NORTHWEST MEDICAL CENTER 215 PALMS WEST HOSPITAL 175 PLANTATION GENERAL HOSPITAL 264 RAULERSON HOSPITAL 100 ST. LUCIE MEDICAL CENTER 229 UNIVERSITY HOSPITAL & MEDICAL CENTER 317 WESTSIDE REGIONAL MEDICAL CENTER 224 Slide: 3

Disaster Response 2001 - Amerithrax 2005 - Hurricane Katrina 2008 - Hurricanes Gustav and Ike 2009 - H1N1 Pandemic 2010 - Haiti Earthquake, Nashville, TN Floods 2011 - Hurricane Irene Slide: 4

Our Corporate Community Corporate Office Division Office Data/Administrative Centers Outpatient Centers Physician Offices Hospitals Supply Centers Slide: 5

Corporate EOC Model Slide: 6

HCA Code Ready: Virtual EOC Slide: 7

HCA Code Ready: Knowledge Exchange Slide: 8

HCA Code Ready: 3D Map Feature Slide: 9

HCA Code Ready: Facility Status Slide: 10

Parallon Workforce Management Solutions Division of Parallon Business Solutions and Subsidiary of HCA Providing Services to Over 387 Healthcare Facilities in 41 States Services Provided: Per Diem and Travel Staffing Rapid Response and Disaster Relief Staffing Healthcare Recruiting Staff Scheduling and Schedule Quality Training Staff Productivity Technology and Consulting Credentialing Technology and Program Support (DHP) Locations: Sunrise, FL - National Headquarters 10 Regional Sites Nationwide Slide: 11

Rapid Response Command Center Provides the Following Oversight and Support (cont.) Coordinates with State Governments to Assure Credentials and Licensure Requirements Are Met Coordinates Staff Orientation Pre Deployment and At Hospital Coordinates Ground Transportation To Hospitals Monitors Staffing Requirements Of Each Hospital and Moves Staff From Hospital To Hospital as Required Initiates Transportation Of Staff Back to Their Home Provide Pay Checks To Disaster Relief Staff and Disperse Expenses To The Appropriate Facility Slide: 12

Parallon Rapid Response and Disaster Relief Notables Hurricane Katrina August 2005 Assisted with Evacuation of Tulane Medical Center Provided Disaster Relief Staffing in Lafayette, LA for 2 months Provided Disaster Relief Staffing and Support to FEMA In South Florida Hurricane Wilma October 2005 Provided Disaster Relief Staffing and Support to FEMA In South Florida Savannah Sugar Refinery Explosion February 2008 Burn Patients Transferred to Burn Unit at Doctors Hospital - Augusta, GA Provided 24 ICU and Burn Unit RNs Hurricane Ike September 2008 24 Hours Prior to Landfall Houston Ordered 112 RNs 42 Reached Houston on Commercial Airlines before Airports Closed Remaining 70 Rerouted to DFW and Transferred to Love field Chartered a Commercial Jet Field to Private Airstrip 108 RNs Delivered Prior to Landfall Slide: 13

Joint Commission Credentialing Definition The process of assessing and validating the qualifications of a licensed independent practitioner (LIP) to provide health services. Slide: 14

Credentialing 3-Phase Process Each entity establishes the minimum requirements for medical staff membership. Each entity determines training & experience necessary to carry out procedures and/or treatments (usually by specialty). Each clinician s qualifications are assessed and validated against the established criteria and officially approved or denied membership and/or requested privileges. Slide: 15

Why credential? Ensure high-quality patient care Protect the public from incompetent providers Minimize the hospital s legal risk Fulfill Joint Commission and other regulatory requirements Slide: 16

CPC Locations 1 (1) Nashville CPC (3) Houston CPC 3 2 (2) Orange Park CPC Slide: 17

Disaster Research Slide: 18

At home. At your facility. At all times.

Emergency Preparedness Scott Cormier, Director Emergency Preparedness & Management HCA-Hospital Corporation of America One Park Plaza, Bldg. 2-2 West Nashville, TN 37203 (615) 344-5776 office scott.cormier@hcahealthcare.com Slide: 20