MRSE Hospital Patient Distribution Summary Table - PM19 | West Virginia Hospital Association

Receiving Hospital or Facility Name(Required)

Evaluator email(Required)

What was the total number of GREEN patients you received?(Required)

Total number of GREEN patients who required a bed?(Required)

Total number of Green Patients that received a bed?(Required)

What was the total number of YELLOW patients you received?(Required)

Total number of YELLOW patients who required a bed?(Required)

Total number of YELLOW Patients that received a bed?(Required)

What was the total number of RED patients you received?(Required)

Total number of RED patients who required a bed?(Required)

Total number of RED Patients that received a bed?(Required)

What was the total number of BLACK patients you received?(Required)

Total number of BLACK patients who required a bed?(Required)

Total number of BLACK Patients that received a bed?(Required)

Describe your patient distribution process?(Required)

How many patients DID NOT receive a bed, and what are the factors that led to them not receiving a bed?(Required)

Factors:

. Did you use other surge plans for the exercise (such as specialty care annex etc.)?(Required)

If yes, please provide some detail on how this was used?(Required)

Based on your experience, how can your healthcare coalition improve patient care capacity?(Required)

Was mutual aid required?(Required)

If yes, were there any issues or concerns with obtaining mutual aid?

How did you plan for potential issues of transferring medical records and credentialing of personnel?(Required)

MRSE Hospital Patient Distribution Summary Table – PM19