Public Health Emergency Preparedness
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Table 3: Hurricane Katrina and Rita 2005 Alternate Care Facility Credentialing Matrix
| |
Site 1 |
Site 2 |
Site 3 |
Site 4 |
Site 5 |
Site 6 |
Site 7 |
| Method of credentials verification for health professionals |
County Health Department Oversight |
Inspection of identification badge from home institution. |
Handled by U.S. Public Health Service |
>90% were Federal so came credentialed. |
Credentialed through sponsoring health care system. |
All Federal employees; arrived credentialed. |
Credentials not verified due to rapid need for response. |
| Were identification cards created? |
Sponsoring hospital ID cards used. Others tried for outside staff with little success |
Yes, with a make-shift badge maker |
Special wrist bands provided by local University. |
No; most had Federal identification cards. |
Home State office of EMS ID cards. |
Federal ID card. |
N |
| If so, was a commercially available product used? |
NA |
NA |
NA |
NA |
NA |
NA |
NA |
| Suggested future changes in the credentialing process? |
Early credentialing; ideally prior to the event |
N |
N |
NA |
N |
Develop a standardized credentialing system. |
NA |
| Did anyone impersonate a provider to gain access? |
One individual tried to impersonate a physician. |
N |
Impersonator from the media to gain access. No one falsified credentials to provide care. |
N |
N |
N |
N |
| Steps taken at the State level to facilitate out-of-state providers? |
State allowed instant licensure with sponsorship of the primary hospital. |
State was not involved. |
NA |
NA |
EMAC |
NA |
EMAC |
| Were providers from different health care systems working side by side? |
Y |
Y |
Y |
Y |
Y |
Y |
Y |
| If so, did this create any command and control(C2) issues? |
No significant issues. Sponsoring hospital retained control. |
N |
No, too busy to have any turf battles. |
No; used clear command system. |
N |
Minor issues while establishing C2 system. |
N |
| Were there any challenges dealing with out-of-state licensing issues? |
Y |
N |
No, handled through U.S. Public Health Service. |
Difficulty writing prescriptions for controlled substances. |
Y |
Y |
N |
Y=Yes or present but number unknown; N=No; NA=Not Applicable; U=Unknown; no data available.
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