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Volume 17, Number 9—September 2011

CME ACTIVITY - Research

Inpatient Capacity at Children’s Hospitals during Pandemic (H1N1) 2009 Outbreak, United States

Earning CME Credit

To obtain credit, you should first read the journal article. After reading the article, you should be able to answer the following, related, multiple-choice questions. To complete the questions (with a minimum 70% passing score) and earn continuing medical education (CME) credit, please go to www.medscape.org/journal/eid. Credit cannot be obtained for tests completed on paper, although you may use the worksheet below to keep a record of your answers. You must be a registered user on Medscape.org. If you are not registered on Medscape.org, please click on the New Users: Free Registration link on the left hand side of the website to register. Only one answer is correct for each question. Once you successfully answer all post-test questions you will be able to view and/or print your certificate. For questions regarding the content of this activity, contact the accredited provider, CME@medscape.net. For technical assistance, contact CME@webmd.net. American Medical Association’s Physician’s Recognition Award (AMA PRA) credits are accepted in the US as evidence of participation in CME activities. For further information on this award, please refer to http://www.ama-assn.org/ama/pub/category/2922.html. The AMA has determined that physicians not licensed in the US who participate in this CME activity are eligible for AMA PRA Category 1 Credits™. Through agreements that the AMA has made with agencies in some countries, AMA PRA credit may be acceptable as evidence of participation in CME activities. If you are not licensed in the US, please complete the questions online, print the certificate and present it to your national medical association for review.

Article Title: Inpatient Capacity at Children’s Hospitals during Pandemic (H1N1) 2009 Outbreak, United States

CME Questions

1. You sit on a planning commission for children's healthcare in your region, and the commission is reviewing health system performance during the 2009 H1N1 influenza pandemic. Overall, how did this pandemic compare with prior influenza pandemics among children in the United States?

A. H1N1 had a lower attack rate and a lower case-hospitalization rate

B. H1N1 had a lower attack rate but a higher case-hospitalization rate

C. H1N1 had a higher attack rate but a lower case-hospitalization rate

D. H1N1 had a higher attack rate and a higher case-hospitalization rate

2. On the basis of the current study, what can you tell the commission in regard to the inpatient occupancy rate among children's hospitals during the 2009 H1N1 influenza pandemic?

A. It never exceeded 85%

B. It was lower than that of the 2008-2009 influenza season

C. It surged higher compared with occupancy rates immediately before and after the pandemic

D. It could have accommodated 50% more admissions before going over 100% of capacity

3. What should your commission consider in regard to the virulence of influenza and hospital occupancy?

A. The 2009 H1N1 influenza pandemic affected inpatient occupancy more than emergency department capacity

B. The 2009 H1N1 influenza pandemic affected inpatient occupancy and emergency department capacity equally

C. The emergency department-to-hospital admission rate for influenza-related illness patients was slightly more than 5% in 2009

D. Higher acuity of influenza cases will probably have little effect on hospital occupancy rates

4. Approximately how many additional admissions per 10 hospital beds would have raised the overall hospital occupancy to 100% during the 2009 H1N1 influenza pandemic?

A. 1

B. 4

C. 7

D. 9

Activity Evaluation

1. The activity supported the learning objectives.

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2. The material was organized clearly for learning to occur.

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3. The content learned from this activity will impact my practice.

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4. The activity was presented objectively and free of commercial bias.

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