P.O. Box 409095
Chicago, IL 60640
Length: 6 minutes, 3 seconds
Interviewer: Shawn Rhea, reporter, Modern Healthcare magazine
Interviewee: Caryn Staib, emergency management and disaster recover manager, Banner Health
[00:00:09.07] Woman's Voice: Welcome to this edition of Special Report Extra, brought to you by Modern Healthcare, and powered by Martopia. With each edition of Special Report Extra, listeners hear directly from key healthcare executives involved in the major events shaping the industry.
[00:00:28.18] Shawn Rhea: Hello, I'm Shawn Rhea, reporter for Modern Healthcare magazine. I report on healthcare supply-chain issues. Here today with Caryn Staib, emergency management and disaster-recovery manager for Banner Health, a 20-hospital system headquartered in Phoenix, Ariz. Hi, Caryn, welcome.
[00:00:47.15] Caryn Staib: Hi Shawn. Thank you for having me.
[00:00:50.13] Shawn Rhea: Thank you for joining us. I guess I'd like to start today by asking if you would briefly walk us through what happened during a recent flu pandemic preparation exercise that your system, Banner Health, performed in June.
[00:01:02.22] Caryn Staib: Sure, we have eight acute-test facilities based here in Phoenix, and so we wanted to exercise with those facilities in regards to our pandemic response and what we would do during that response. And so all of the facilities exercised at the same time. We had our hospital command center all open for approximately four hours, and we all worked off the same basic scenario. And so we had the eight facilities participating, and then we had our corporate emergency operation center, or corporate EOC, who also was participating in this drill. And the EOC's job was to look at the exercise from a very high level and from a strategic level. It was a great opportunity for us to really stress the system, because in an event like a pandemic, everybody is going to be in trouble, not just one hospital.
[00:01:55.10] Shawn Rhea: Can you give me an example of an emergency scenario from that situation?
[00:01:58.26] Caryn Staib: Sure. The scenario was pandemic flu, and we had really just an influx of patients who have the flu which stressed the system in terms of resources, where we were running low on things like ventilatorsthe basic care needs that would be needed to care for a patient with the pandemic flu. We also stressed the system where we were running short on staffing resources, because with the pandemic flu, we're looking at approximately 40% of our staff not being able to come to work, an increase in the patients, a decrease in equipment and resources, and a decrease in our staffing resource created quite a pinch. If all the facilities in the area need M-95 masks, and we only have a limited amount of masks, how do we get those masks? And then once we have them, how do we allocate them?
[00:02:52.07] Shawn Rhea: What were some of the other challenges on the supply chain side?
[00:02:54.11] Caryn Staib: Many of our vendors are also used by all the other hospitals in the area, so if we're relying on our vendor to help us out in this situation, you know, everybody else is calling them, too. With so much just-in-time production and delivery, this makes it really difficult for the vendors.
We also talked a lot about our backup vendors, and areas that we need to make more robust with having an additional vendor, our critical supplies.
[00:03:22.22] Shawn Rhea: Could you tell us a bit about what you learned in terms of facilities' ability to communicate with each other and to move needed materials back and forth within the system?
[00:03:34.14] Caryn Staib: Communication, of course, is always going to be a big lesson learned in any drill, and it was in this one as well. When each of the acute-care facilities called in to the emergency operation center, they gave us a synopsis of what their current status was of their facility, and said We Need Nurses, or We Need Ventilators. Things like that that they needed. And what really would have been helpful in that situation is if they were more specific about how many exactly that they needed. And, likewise, the corporate EOC could have communicated better with the facilities on the feasibility of getting those resources or when the resources either arrived or did not arrive. A really great thing that we practiced was the communication between the state and the county, and our emergency operation center, and what types of information they're looking for, and likewise what type of information they could provide to us.
Some things that we uncovered with the movement of supplies was if something were to happen in the middle of the night, how we would be able to move that equipment if it were not during normal business hours.
[00:04:44.01] Shawn Rhea: As you kind of mentally click down the list of supplies that you all realize would be essential and would be quickly diminished during a pandemic, can you give me your top four or five items?
[00:04:55.23] Caryn Staib: Some of the major resources that would be in short supply during this type of situation: No. 1 would be staffing, they're taking approximately 40% of the staffing out. That's going to have a great impact. And since a pandemic flu is primarily a respiratory, ventilator support is going to be another resource that will be in very much short supply.
Likewise, any medications in support of those flu symptoms, and then, finally, M-95 masks and other personal protective equipment would be a resource that would be in demand.
[00:05:26.29] Shawn Rhea: Well Caryn, I really appreciate your taking time to join us here today and to talk to us in conjunction with the article that we ran, Preparation and Short Supply, in our August 13th issue. Again, thank you for joining us. It's been a pleasure talking with you.
[00:05:39.06] Caryn Staib: Thank you very much. Likewise. It's been a pleasure.
[00:05:41.11] Woman's Voice: Thank you for listening to this edition of Special Report Extra, brought to you by Modern Healthcare, and powered by Martopia. Listen to other editions of Special Report Extra by visiting the multimedia section of Modern Healthcare Online at modernhealthcare.com.