|Forwarding to the list....|
On Nov 7, 2012, at 10:58 AM, Fran Boon wrote:
A further point on this:
* I was asked to add a Facility Status of 'No Response'
- in addition to the existing: 'Normal', 'Compromised', 'Evacuating' & 'Closed'
This allows the volunteers to more easily track which facilities have
been interviewed on their status.
I'm not sure whether this Status is really the best place to track a
workflow, however note that some hospitals refuse to divulge this
information as policy.
Others were frustrated that we were asking them when they were passing
the info upstream already.
We need some way of easily differentiating the 'unknown, need to call'
from the 'we tried'
On 7 November 2012 15:39, Mark Prutsalis <email@example.com
Here's some further information I wanted to share with the EDXL-HAVE
committee some of our experiences in standing up a site to track hospitals
and medical facilities statuses in the post-Hurricane Sandy northeast. This
request came to us from David Black at Crisis Commons, based on a request
out of the White House, as Darrell referred to yesterday.
Our site is live at http://sandy.sahanafoundation.org but not yet public
pending WH approval, so only registered users can get access to the site.
I'd be glad to approve any requests from committee members so you can
explore the site.
The site is based on the Sahana Eden Hospital Management System registry
that we deployed during the Haiti Earthquake response and is based on the
HAVE 1.0 specification. We have not implemented any of HAVE 2.0 pending the
finalization of the specification and some use case demand.
But some of the following may be valuable validation for the work being done
on the EDXL-HAVE 2.0 specification or areas for discussion:
We needed to track not only Hospitals - but also other types of medical
facilities - especially Long-Term Care facilities.
(In the context of our work for an EU-project - we've also had a request for
tracking pharmacies - which in other countries, provide more medical
services than in common in the US (such as providing triage medical services
and direct dispensing of prescription medications;)
These types of facilities are critical parts of the public health
infrastructure so practically, we are going to see applications (such as
Sahana Eden) which need to expand beyond "hospitals".
New York City shelters also provide medical services to individuals not
requiring hospitalization - and may be added to this site as such.
We needed to track source of electrical power supply - whether from mains,
generators, or none (or other).
Other utilities that may be critical for facilities include gas and steam
We needed to track whether service disruption was caused by flood damage or
from power outages.
We needed to track statuses: open, compromised, evacuating, destroyed, as
well as planned dates of re-occupation, re-opening for those facilities
The information and information requests come in waves. It starts very
Name and location
Open or closed / Status
Type of Damage Sustained / Power availability
Services (all/some/none) - not yet granular - when we find that a hospital
offers all services they normally do, that doesn't mean we know what
services they normally offer.
Beds (total beds - generally - not by service and not available)
So eventually, you get a complete picture of a facility, but there are many
interim steps to get there.
Without getting a real-time feed on hospital services and patient load from
hospital systems directly, it's going to be difficult to ever get an
accurate picture of availability. The challenge of course is keeping it up
to date. A hospital/facility which is compromised and offering limited
services last week may be fully restored and operational this week. We are
finding it takes a lot of manual volunteer time and phone banking to try to
get updates entered so the data set continues to be valuable. Obviously,
we'd love to live in a better world where these come to us automatically,
but we aren't there yet, so we have to work with what we have.
Political challenges in getting information from official sources - even
I've copied Fran Boon and Dominic Konig from our Sahana Eden team who have
done the development work and support for this system. Dominic is the chief
architect of our Hospital Management System; he's also one of our
representatives to Oasis, but I don't think he's joined the HAVE SC yet.
President & CEO
Sahana Software Foundation
Follow us @sahanafoss and http://Facebook.com/SahanaSoftwareFoundation
* * * * *
The Mission of the Sahana Software Foundation is to help alleviate human
suffering by giving emergency managers, disaster response professionals and
communities access to the information that they need to better prepare for
and respond to disaster through the development and promotion of free and
open source software and open standards.
President & CEO
Sahana Software Foundation
* * * * *
The Mission of the Sahana Software Foundation is to help alleviate human suffering by giving emergency managers, disaster response professionals and communities access to the information that they need to better prepare for and respond to disaster through the development and promotion of free and open source software and open standards.