MDH

Minnesota Department of Health Wed Nov 26 14:00 CDT 2014

Action Steps:

Hospitals and clinics: Please distribute to all healthcare professionals.
Healthcare providers:

  • Use this guide to determine where Persons Under Investigation for Ebola (as determined by MDH) will be treated.
  • Contact MDH at 651-201-5414 or 1-877-676-5414 for direction regarding further testing, immediate care, and anticipated transfers for any Person Under Investigation (PUI) for Ebola in Minnesota.
  • Consult CDC’s Identify, Isolate, Inform: Emergency Department Evaluation and Management for Patients Who Present with Possible Ebola Virus Disease (http://www.cdc.gov/vhf/ebola/hcp/ed-management-patients-possible-ebola.html ) for further guidance on handling an Ebola patient or Person Under Investigation for Ebola.

A new group has been formed to provide an interdisciplinary approach to the inpatient treatment of Persons Under Investigation (PUI) for Ebola in Minnesota. Planning for the treatment of each patient will be done on a collaborative and case-by-case basis by the Minnesota Collaborative for Healthcare Response to Ebola. Members of the collaborative include:

  • Originating inpatient or outpatient treatment facility or facilities
  • Minnesota Department of Health (MDH)
  • Minnesota Hospital Association (MHA)

Person Under Investigation (PUI) for Ebola is defined as patients with symptoms consistent with Ebola AND epidemiologic risk factors for exposure to Ebola. For more detailed definitions see CDC’s Case Definition for Ebola Virus Disease (http://www.cdc.gov/vhf/ebola/hcp/case-definition.html ) and Epidemiologic Risk Factors to Consider when Evaluating a Person for Exposure to Ebola Virus (http://www.cdc.gov/vhf/ebola/exposure/risk-factors-when-evaluating-person-for-exposure.html ).

Four Minnesota health systems have agreed to assess and provide inpatient treatment for Persons Under Investigation for Ebola. They are:

  • Allina Health’s Unity Hospital, Fridley: One adult patient
  • Children’s Hospitals and Clinics of Minnesota, Saint Paul Campus: One pediatric patient
  • Fairview Health Services, University of Minnesota Medical Center, West Bank Campus, Minneapolis: One adult, obstetric or pediatric patient
  • Mayo Clinic Hospital – Saint Marys Campus, Rochester: One adult, obstetric or pediatric patient

The four Ebola Receiving Centers have agreed to accept:

  • Person Under Investigation (PUI) who is part of MDH’s active monitoring program
  • Person Under Investigation (PUI) from another health facility in transfer or through pre-hospital EMS, once MDH has determined that the patient is a Person Under Investigation

Hospital assignment will include consideration of these factors:

  1. Previous established relationship with one of the four Ebola Receiving Centers.
  2. Approximate region where the patient is currently located.
  • Southern Minnesota: Mayo Clinic Hospital –Saint Mary’s Campus, Rochester
  • All other areas of Minnesota: Allina Health’s Unity Hospital; Children’s Hospitals and Clinics of Minnesota – St. Paul campus; and University of Minnesota Medical Center, West Bank Campus, Minneapolis
  1. The type of Person Under Investigation: pediatric, adult, or obstetric. See list of Ebola Receiving Centers above for patient types they can accept.
  2. At the time of agreement to accept, the facility has the available staff and equipment to provide care based on previous referrals of other Persons Under Investigation or Ebola virus disease cases.
  3. If the person is near a state border, MDH will consult with the originating entity, the respective state Department of Health, CDC, and transfer hospital for direction regarding further testing, immediate care and anticipated transfer.
  4. Extenuating circumstance such as keeping siblings or family members with Ebola together or other patient specific needs such as co-morbidities, status of disease progressions, or other unique factors will be taken into account on a case-by-case basis.

For more information, visit the MDH Ebola Virus Disease (http://www.health.state.mn.us/divs/idepc/diseases/vhf/index.html ) website or call the Minnesota Department of Health at 651-201-5414 or 1-877-676-5414.