James Gosney MD Jianan Li MD Andrew Haig MD Jan Reinhardt PhD ISPRM WHO Liaison Subcommittee on Rehabilitation Disaster Relief CRDR ISPRM 2013 Disaster Symposium June 19 2013 ID: 432544
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Slide1
Development of an ISPRM rapid rehabilitation response capability in support of the WHO FMT (Foreign Medical Team) Initiative
James
Gosney
MD,
Jianan
Li MD, Andrew Haig MD, Jan Reinhardt, PhD
ISPRM – WHO Liaison Sub-committee on Rehabilitation Disaster Relief (CRDR)
ISPRM 2013 Disaster Symposium June 19, 2013Slide2
FMT Initiative - Humanitarian reform
2003 -
PAHO/WHO Guidelines on the Use of Foreign Field Hospitals
2004
-
Humanitarian Response Review
: 'cluster approach'
2004/2010 - Indian Ocean
tsunami / Haiti
earthquake: unimpressive results
2010 -
Global Health Cluster Technical Consultation on FMTs
Slide3
FMT Initiative - Global Health Cluster Technical Consultation on FMTs
Purpose
: to create an improved humanitarian health
response
Recommendations:
create
an
international register of FMT providers
: faster response
establish
a
FMT-WG
to
monitor
progress: technical initiatives (2)
functional
classification criteria & minimum standards
service
delivery for FMTs in sudden onset disaster (
SOD)
guidelines for registering & monitoring the FMTs by national authorities of the affected countrySlide4
FMT Initiative - Classification & registration system
FMT
functional classification
categories
Standards (minimum
technical &
core
)
FMT registration Slide5
FMT Initiative - Functional classification categories
Type
1 FMT
: Outpatient emergency
care
Type 2 FMT
: Inpatient surgical emergency care
Type 3 FMT
: Inpatient referral
care
Additional
specialized care teams
(
ie
,
burn care,
orthoplastic
surgery,
intensive
rehabilitation
)Slide6
FMT Initiative - 'Rehabilitation' minimum standards of service
Type
1 FMT
: Outpatient or mobile
services
provided or referred
Type 2 FMT
: Out and inpatient
services
provided or referred
Type 3 FMT
: Out and inpatient
services
for complex casesSlide7
FMT Initiative - Core standards
Register
with the lead national
authority / international agency
Adhere
to professional guidelines (
ie
, staff must be
registered
to practice in home country & be
licensed
for work assigned)
Ensure
that staff are specialists in the field & appropriately trained in SOD injury
management in a humanitarian settingSlide8
FMT Initiative: Registration & authorization
Registration
-
act of documenting FMT details (
ie
, services) based on the classification system
Authorization
- authority to practice as a FMT in a host country & comes from the host government (registration as an FMT does not imply authorization) Slide9
FMT Initiative: FMT self-registration
form (variables)
outpatient capacity (patients/day)
inpatient capacity (available beds)
surgical capacity (number of surgical
procedures / day
)
length of stay
no. of international/local staff
time to deploy/be operational
services offered (functions/capacities)
logistics and support requiredSlide10
ISPRM CRDR: FMT Supporting
programs
PRM volunteer registry
:
qualified
responders
Disability
Acute Rehabilitation Team (DART):
qualifying
training (certification)
Scientific papersSlide11
ISPRM CRDR: Development strategy
Develop
supporting
programs
in line with WHO FMT WG
guidance
Individual
vs
FMT
response scenario?
Progression & optimization criterion?
Sponsorship & funding?Slide12
Conclusions
FMTs play an important role in saving lives, minimizing disability, and alleviating suffering following a SOD
Rehabilitation is an important component of the immediate disaster
response
Development of an ISPRM FMT response capability provides rehabilitation perspective in the
disaster response
Slide13
Acknowledgement
Professor Tony
Redmond
-
WHO FMT-WG Chair, ISPRM CRDR memberSlide14
References
Technical
Criteria for Classification and Minimum Standards for
FMTs
(WHO FMT-WG
draft
)
Registering
and Monitoring
FMTs
Arriving in the Aftermath of Sudden Onset Disasters
(WHO FMT-WG
draft)Slide15
Comments
/ QuestionsSlide16
Thank You