Standardized System for Monitoring PPE Inventories

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    • Type: Change Request
    • Resolution: Persuasive with Modification
    • Priority: Highest
    • Situation Awareness for Novel Epidemic Response (FHIR)
    • current
    • Public Health
    • Situational Awareness Measures
    • 2.2.5.5
    • Hide

      We welcome NIOSH to use the SANER framework for the creation of the specific US Realm measures they are interested in reporting

      Availability
      Availability measures are subtypes of cohort measures which enable tracking of availability of critical resources where there is no better way to track it. The preferred way to track these would be with capacity/utilization measures, but this might not
      always be feasible.

      This happens generally with consumables (e.g., PPE, medications, immunizations, oxygen, blood, IV fluids), or availability of staff to support facility operations (e.g., physicans, nurses, other licensed providers, support and maintenance staff), or other resources (e.g., electricity, water) or available facility services (e.g., emergency department, helipad, burn unit).

      Availability measures are generally “yes/no” to indicate availability where a facility record a measure value of 1 if sufficent quantity is available to meet demand, and 0 otherwise. These can be further stratified based on degree of availability (e.g., by days supply remaining).

      Availability measures can also report whether conservation measures have been implemented (e.g., N95 mask reuse after sterilization), and whether equivalent resupplies are readily available using the same mechanism for recording yes/no answers.

      A measure report for a single facility shall always have a value of 0 or 1 as the count for an availability measure. When unstratified, a 1 shall mean available, a 0 shall mean unavailable. When stratified the count for each stratum shall always be 1 or 0, where a 1 shall mean the facility meets the criteria for a specified stratum, and a 0 shall mean it does not. There shall be at most one stratum whose count is 1, and should be one stratum whose count is 1. The sum of values for all strata shall be 0 or 1.

      Add text: A measure report aggregating over multiple facilities or over reporting periods may have a value greater than one (the sum of all count values for all aggregated reports). The number “counts” the number of facilities or time periods for which the identified resource is available, or within strata, the number of facilities or time periods for which the stratification criteria were met.

      Show
      We welcome NIOSH to use the SANER framework for the creation of the specific US Realm measures they are interested in reporting Availability Availability measures are subtypes of cohort measures which enable tracking of availability of critical resources where there is no better way to track it. The preferred way to track these would be with capacity/utilization measures, but this might not always be feasible. This happens generally with consumables (e.g., PPE, medications, immunizations, oxygen, blood, IV fluids), or availability of staff to support facility operations (e.g., physicans, nurses, other licensed providers, support and maintenance staff), or other resources (e.g., electricity, water) or available facility services (e.g., emergency department, helipad, burn unit). Availability measures are generally “yes/no” to indicate availability where a facility record a measure value of 1 if sufficent quantity is available to meet demand, and 0 otherwise. These can be further stratified based on degree of availability (e.g., by days supply remaining). Availability measures can also report whether conservation measures have been implemented (e.g., N95 mask reuse after sterilization), and whether equivalent resupplies are readily available using the same mechanism for recording yes/no answers. A measure report for a single facility shall always have a value of 0 or 1 as the count for an availability measure. When unstratified, a 1 shall mean available, a 0 shall mean unavailable. When stratified the count for each stratum shall always be 1 or 0, where a 1 shall mean the facility meets the criteria for a specified stratum, and a 0 shall mean it does not. There shall be at most one stratum whose count is 1, and should be one stratum whose count is 1. The sum of values for all strata shall be 0 or 1. Add text: A measure report aggregating over multiple facilities or over reporting periods may have a value greater than one (the sum of all count values for all aggregated reports). The number “counts” the number of facilities or time periods for which the identified resource is available, or within strata, the number of facilities or time periods for which the stratification criteria were met.
    • David Pyke/Keith Boone: 22-0-0
    • Enhancement
    • Non-substantive

      The healthcare ecosystem does not have a standardized system for monitoring PPE inventories. The lack of a shared platform for PPE results in making decisions, including over-purchasing of PPE, that are inaccurate. Development of a more accurate surveillance and monitoring system that is automated is needed to help predict supply shortages and empower federal, state, and local government stockpiles to align inventories. Accurately forecasting the number of "days on hand" of personal protective equipment requires information and prediction capabilities from all hospital units, infection control staff, procurement staff and others. It is unrealistic for a single individual to accurately capture and report this information. Indeed, current PPE inventory monitoring efforts have found unreliable reporting of days on hand or assessments of needed supplies, triggering interventions that may not be needed. Using an automated, electronic reporting system of PPE inventory not only removes the issue of judgement-based inventory assessments, it standardizes inventory data to readily make comparisons across all entities. For emergency response planners, this standardization is critical to determine which facilities have the greatest and most immediate need.

      Existing Wording:

      Availability measures are generally "yes/no" to indicate availability where a facility record a measure value of 1 if sufficient quantity is available to meet demand, and 0 otherwise. These can be further stratified based on degree of availability (e.g., by days supply remaining).

      Proposed Wording:

      Capture personal protective equipment availability at the granularity of the manufacturer, model number, and, if available, the NIOSH approval number for respirators reported through an automated data extraction.

            Assignee:
            Unassigned
            Reporter:
            genny_luensman
            genny_luensman
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              Created:
              Updated:
              Resolved: