Management of Communicable

Disease
Ebola Virus Disease/ Measles
Lori Haugen

Ebola Disease Timeline

Barriers to Eradication
Africans mistrust of
government.
Lack of PPE

Safety Precautions

Isolation Units

Designated US Hospitals
Only 4 hospitals designated.
NIH Bethesda, MD.
University of Nebraska Omaha, NE.
St. Patricks Hospital Missoula, MT.
Emory University Hospital Atlanta, GA.
* All four have been preparing for this
possibility for years.

Infectious Disease Chart

Barriers to Eradication
Lack of
Immunization
Many young US
physicians dont
recognize symptoms.

Recent Measles Outbreak

Recent Measles
outbreak in the US.

Strategic Management
Steps
Create committee to form strategic
plan
Perform SWOT analysis
Include on committee:
Hospital representative
Laboratory representative
Administrative representative
Support agencies such as:
WHO, CDC. Local, state, and county public
health.

Include in strategic plan

Assess the following risks.
Financial Risks
Operational Risks
Legal or Compliance Risks
Patient safety risks
Human capital (employee ) risks
Environmental / Hazard risks
www. Beechercarlson.com

Financial Risk Assessment

Costs of:
Training staf
Dedicated
equipment
Construction of
isolation wings.
PPE
Bio-hazard waste.
Reduction of
revenue from
elective patients
cancelling
procedures.

Staf Training

Operational
Supply Chain
Important to have supplies on hand.
If PPE not on hand, wont be used.

Efective Communication Critical

Ability to flag patient EHR for
continuity of care.
Protection of staf and other patients.

Legal/ Compliance
HIPAA vs. safety of
public health.
Balancing
CDC/WHO
guidelines with
local and federal
OSHA and public
safety laws.

Patient Safety
Despite having a
very serious and
communicable
disease, it is still
extremely important
that these patients
receive the
excellent care given
to all the patients of
the facility.

Employee Risks
Employees need:
Proper training
Appropriate PPE in
effective
quantities.
Support for the
seriousness of the
job.
Paid leave while in
quarantine if
exposed.

Enviornmental/ Hazards
Dedicated medical
equipment.
Disposal medical
waste.
Federal, local, and
state regulations.
At the end stages of
disease, one Ebola
patient can produce
14 liters of body fluid
waste each day.

Summary
Measles
Airborne pathogen
Has a vaccine
Contagious prior to
symptoms.
Can cause life
theatening issues.

Ebola Virus Disease

NOT airborne
No Vaccine
NOT contagious
until symptoms
appear.
30 % death rate.
Japanese flu shot
showing promise.

References
Beecher Carlson Insurance
www.beechercarlson.com/strategic -mgmt.
Centers for Disease Control
www.cdc.gov/measles. www.cdc.gov/vhf
Google images
National Public Radio
www.npr.org
World Health Organization
www.WHO.ing/media/center/fact/sheets