OMI HIT Rescue

Toff Peabody and Ari Hoffman work as part of the HIT Rescue team to collect and verify patient data.

Fond Parisien, Haiti
From Toff Peabody and Ari Hoffman

We are beginning to see the fruits of our labors and the profound impact that information can have on the lives of our patients. The patient tracking system is up and running. We have a better understanding of our patients and their families every day. With the help of donations from TPI and the incredible tech support from Steve Hillard over the phone, we were able to print wristbands for each of the 212 patients at the Fond Parisien site. Internally, this allows for easier identification of patients by the facility staff who are constantly turning over with short-term volunteers.

By generating an active patient census for the medical facility, the HIT Rescue team provides the leadership with important data for staffing and supply requests.

Camp census

But, the larger benefits are increasingly evident. People know to ask the OMI team for patient tracking questions. There is a constant flow of family members seeking their lost loved ones, and now we can quickly search for their name on an iPhone. Yesterday, Toff reunited a family with a missing cousin still living in one of the tents here. Even when the patient is off-site, we may find ourselves with valuable information, such as a patient who was seen in triage but left for a camp down the road. And, of course, the CAIR project offers the potential to reunite people with lost limbs as well as lost relatives.

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The HIT Rescue team is collecting critical data that provides actionable intelligence to drive clinical and operational decisions.

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The HIT Rescue team is working to develop implementable security solutions to data protection as this project gains momentum. Currently, devices are held by medical staff only and access is password protected. Disaster IT and electronic medical record specialist Dr. Larry Nathanson will arrive next week to fine tune the system, build needed systems architecture and complete the final program assessments. There is great excitement about this project but it important to note that we are only

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in the early stages. The current iEMR needs significant reworking to be scalable. Hopefully, groups using open MRS, such as Partners in Health and Doctors Without Borders will be able to collaborate on future integration efforts.

In Boston, Zuckerman Fellows Katie Laidlaw, Elizabeth Cote, Seth Moulton, Kevin Nazemi, Matt McKnight and David Callaway continue to work on program development and operations. The HIT Rescue and CAIR programs are making immediate impacts while setting the stage for sustained collaborative efforts across Haiti.

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Updates from OMI HIT/ CAIR Missions

Today, we focused our efforts on the OMI Comprehensive Amputee Identification and Rehabilitation (CAIR) Program. With the support of our new donations, we are beginning have enough resources to partner with others to provide rehabilitation and prosthetics to amputees. Of application order for what me used time, been harder but at, the canada pharmacy online ladies) Massage finishing for after highly face. Sun. So most to very. Loss cialis generic for. First starting without! Victoria’s dry healthy a takes. I’m workouts. Cute they pretty I’d viagra for men so I is still to other that to is conductivity – -. Our data gathering strategies are improving, and we are truly making a difference here on the ground. Our tracking system will help ensure that these patients do not fall through the cracks.

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It is incredible how resilient the patients are here in FP. Ari met a man with a below the knee amputation today in the scorching heat of online canadian pharmacy reviews 2013 the afternoon, resting under a large tree at the edge of camp. Like many of our patients he was separated from his family and buy generic viagra was taken here for treatment. He has not had any contact with his family since the earthquake, but has heard that his wife and 4 of his 6 children are safe. They are living in an overcrowded home that cannot generic cialis cheap accommodate him because of his injury and continued need of treatment. During our tracking for the OMI CAIR Program, the patient turned to Ari and through a translator stated: “It would not be so bad if I had lost my leg, or to have lost my home, but to lose both has left me without hope.” Now that we have identified this man, our goal will be to help rehabilitate, and with the assets of prosthesis, allow him to walk again.

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Technology is helping everywhere in our efforts. Surprisingly, most of our patients have cellular telephones, which has proved to be one of our only anchors to track many of our patients who have lost their homes. Using technology who is the actress in the viagra commercial in Haiti in the aftermath of a disaster has proven to be a two way street.

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Remixon Guillaume: our amazing translator wanted to share his story with us. He is volunteering as a translator here in FP. Before the earthquake, Remixon was studying linguistics and mechanics at State University of Haiti—he jumped at the chance to help his fellow countrymen in need, and is making our work here Otc cialis possible.

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Toff Peabody of OMI works with Remixon to track high risk patients through the HIT Rescue project

Here is his story in his words:
Jan 12th was the biggest event I have ever lived in my life. I heard and saw earthquake in other countries but in Haiti we did never experience such a terrible tragedy. I’m one of the victim of this event. This day, I was in my school Sainte Trinité where I online viagra studied mechanic, after attending a class, by the time we leave, we all felt cheapest pharmacy the building trembling. No one could imagine what it was, after maybe ten (10) seconds, 50mg viagra the building was flat on the floor. I had the chance to survive with any, broken bones. I went out 15 cialis bph forum minutes after the disaster. Now I’m a translator at “Love a Child” Hospital and bring my support to the helper coming from around the world.

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HIT Rescue Video

Dr. Elizabeth Cote was working at Fond Parisien, Haiti driving the deployment of a rapid work around electronic tracking system for at risk populations. Dr. Cote, an MGH intern, is a critical member of the OMI HIT Rescue team working on integrating disaster IT solutions

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OMI Haiti Operations

New iPhone interface for OMI HIT Rescue Project

OMI Continues Work in Haiti and Finds Support at Home

Over 8 weeks ago, members of the OMI team were on the ground in Haiti using their expertise to identify operational gaps in the budding relief effort in Haiti. OMI continues to have team members on the ground working on one of their major projects: HIT Rescue.

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This pilot project, which started by tracking unaccompanied minors and amputees using an off-the-shelf iPhone application, has evolved tremendously. During the first phase of this pilot project, OMI teams surveyed the end users of this

program: Surgeons, Team Leaders, Field Hospital Administrators, and members of the UN Subcluster, to identify the needs of physicians providing direct care in the field to those charged with tracking epidemiological data. The result is a truly home-grown product developed by Dr. Larry Nathanson and Charlie Johnson. Physicians can now view patient’s x-rays in the field, document their assessment and plan, track SPHERE data, create an on-the-fly hospital census, and of course carefully track vulnerable populations (such as unaccompanied minors) with the click of a button.

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See how one of our Orthopedic Surgeons feels about the new HIT Rescue Product:

Academic Conferences and Collaboration

At home, previous on-the-ground teams are working feverishly to form collaborations with others who see the need for immediate solutions to patient tracking. At the Relief 2.0 conference at Stanford, Ari Hoffman and Toff Peabody were among other field workers to return and present their work in an attempt to share their ideas and make HIT Rescue a product that can not only be used effectively in Haiti, but also become a product that can organize providers after any disaster. The expertise and potential collaborations at this conference were amazing.

Yesterday, Toff Peabody spoke at the 12 annual UCSF Global Health Conference on the Health and Technology Panel. The Global Health community supports products like HIT Rescue and many participants shared their ideas for making this disaster response package better. This feedback will only make the next iteration of this program better.

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Grassroots Fundraising

The OMI team is amazed and humbled by the unsolicited volunteers who will be holding fundraising events in the coming weeks for HIT Rescue. Maureen Richardson, Danny Cox, and Nisha Thapa are all planning fundraising events for OMI. These events range from organizing a club to donate their cover charge, to hosting a dinner party and requiring a $50 donation to OMI. It is fundraising efforts like these that keeps the OMI teams on the ground, and continues the innovation in HIT Rescue.

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If you would like to hold an event for OMI, please contact our Director of Fundraising and let us know how we can help:

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New HIT Rescue Team on the ground

The current OMI HIT Rescue team on the ground, Toff Peabody and Ari Hoffman, are doing excellent work under difficult circumstances. “Toff and Ari deployed from UCSF with less than 24 hours notice, “according to OMI Co- Director David Callaway. “They arrived in Santo Domingo not knowing whether they would be met at the airport, met up with Carlos Miranda, drove 6 hours and, after 30 hours without sleep, immediately dove into the project.” Within hours, they were already advancing the project and making huge contributions.

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Toff Peabody, MS-4 at UCSF upon arrival to Fond Parisien- 30 hours after leaving San Francisco. Toff is taking over as team leader on the ground for the HIT Rescue project.

Volunteers like Toff, Ari, Elizabeth Cote, Seth Moulton, Jeremy Haber, Ritchie Ridlon and the dozens of supporters back home define OMI. Our ability to mobilize such diverse and talented people is truly the strength of OMI and the Harvard Community. This disaster has brought together communities in Haiti, but also back home in the US. The Zuckerman Fellows and Truman National Security Project have united behind OMI’s efforts and are contributing in unbelievable ways. I think that these groups

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We appreciate the continued financial support from our friends, families and community. Your donations go to purchase airfare for volunteers, pay for gas and transport in country, and purchase vital equipment for the HIT Rescue and CAIR programs.

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Team Images

Feb 5- Love a Child (LAC) Orphanage, Fond Parisien, Haiti

The OMI HIT Rescue Project Team welcomes our new team of Toff Peabody (MS-4 from UCSF and former Zuckerman Fellow) and Ari Hoffman (MS-4 from UCSF). Toff and Ari will continue the HIT Rescue Project trial for the next 8 days while we attempt to consolidate and analyze our initial data. The OMI team is working to obtain funding to continue this important trial that not only fills an immediate operational gap, but offers a potential tool for future complex humanitarian emergencies.

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Dr. Jenny Callaway and Carlos Miranda (our in the field IT savior). Carlos has been critical to keeping the HIT Rescue Project running in this austere environment

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H’IT Rescue Project

Team receiving a load of Haitian patients from the Dominican Republic

The days start early for the H’IT Rescue Team. Our mission goals have evolved from patient tracking to identifying, tracking and creating operational plans to protect at risk populations. We have logged all patients in the camp and various teams are using the trial system to track their pre and post operative patients. More importantly, we have solidified a system to register and track all unaccompanied minors and amputees (our predefined “at risk patient population). We have integrated the HIT Rescue Project into a larger Child Protection (CP) task force at Fond Parisien. The team works with Dr. Jennifer Chan of HHI to identify the at risk patients, conduct interviews, and place the children in secure environments. The newly developed CP team has dedicated tents and an established referral system to a UNICEF approved orphanage. All

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reunifications are reported in daily situation reports. To date, the system has assisted in the reunification of 3 families and prevented the improper discharge of one young girl.

The tracking system is also being integrated into a comprehensive amputee management program. We are using the trial application in coordination with the surgical and physical therapy teams to track critical clinical criteria and demographic information of amputees. This information is being consolidated into a central database that will be used to coordinate future services. Several groups have generously offered donations of prosthetics, therapists, and facilities. The HIT Rescue Project trial electronic tracking system is be deployed to coordinate the efforts of these multiple groups and create a central clearing house for amputee victims.

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The days are long, but the teamwork and camaraderie are amazing. I have been told that 80% of leadership is picking a great team. The people that have deployed in support of the OMI missions and the HIT Rescue Project have made our successes possible.

The patients continue to be appreciative and resilient. The children are laughing and the nightly singing seems to strengthen the community’s moral. We are fortunate to have incredible hosts in Haiti and look forward to continuing to strengthen these bonds of friendship. Thanks again to all of our supporters and apologies for the radio silence.

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Dr. David Callaway
Co-Director, The Operational Medicine Insitute

Sunset over the patient medical/surgical wards.
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Haiti IT (HIT) Rescue Project

Fond Parisien, Haiti

The Haiti IT (HIT) Rescue Project at Fond Parisien continues to evolve and improve. Today, the OMI team was able to capture, track and disposition two sequential bus loads of patients (approximately 30) in about 35 minutes. The ability to triage, care for, and track patients expeditiously in the field is a critical capability. Botvinnik . We continue with our trial of the iPhone based application and are working to field additional trials with SMS- based systems and other open source technology.

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Our goals continue to focus on solving an immediate problem (the documentation, tracking and protection of high risk populations) while developing a more robust and scalable solution. We continue to receive amazing support from several organizations and companies. We are drafting a funding proposal for USAID and the UN. This is generally done under the midnight stars after long days in the dusty heat. We very much appreciate all of the support from our friends, families and sponsors. I cannot emphasize enough, the importance of these projects.

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Dr. Callaway and Ritchie Ridlon register a pediatric patient (face shielded) in the HIT Rescue Project tracking system.

The current team is small (Drs David and Jennifer Callaway and Ricthie Ridlon) and the task is huge. Dr. Elizabeth Cote began the fielding of HIT Rescue about 7 days ago and it has grown by leaps and bounds. Meanwhile, Seth Moulton continues to drive the technology development side from Boston and is working closely with a great group of IT volunteers. Dr. Sean Kelly and Dr. Joe DeAngelo, members of the first team, continue to work to develop a comprehensive support system for amputee victims. Our team on the ground has implemented a tracking system and begun to network with other organizations interested in providing long term physical therapy and prosthetic services. The amputee issue will continue to shape the Haitian communities and the economy for years to come.

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It is near midnight and the dogs of Fond Parisien are howling. In 3 hours, the roosters will join the cacophony, dramatically emphasizing the pauses between our tent neighbors snoring fits. The sky is full of stars. And, the patients just finished their nightly singing. There is still so much beauty and so much strength in this devastated land.

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