Pandemic Influenza: Hospital and Clinic Planning by Dan O'Laughlin

•Download as PPT, PDF•

1 like•436 views

Dan O'Laughlin's presentation at the Sept. 10, 2009 H1N1: Lessons from the Southern Hemisphere and Minnesota's Preparedness at the University of Minnesota.

Health & Medicine

Pandemic Influenza Hospital and Clinic Planning Daniel T. O’Laughlin, MD, FACEP Medical Director of Emergency Preparedness Abbott Northwestern Hospital Assistant Professor of Emergency Medicine University of Minnesota September 10, 2009

Successful Pandemic Preparedness Defined ? ,[object Object],[object Object],[object Object],[object Object],[object Object]

Economic Realities ,[object Object],[object Object],[object Object],[object Object],[object Object]

Hospital Planning Priority Considerations ,[object Object],[object Object],[object Object],[object Object]

Hospital Planning Priority Considerations ,[object Object],[object Object]

Potential Planning Roadblocks ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Minnesota Hospitals ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

MSP Metro Acute Care Hospitals MNTrac Snapshot from 09-09-09 Bed Type Available Total Percent Staffed and Available Adult ICU 52 513 10.14% Burn Care 1 35 2.86% Med-Surg 172 2398 7.17% Non CC monitored 61 888 6.87% Peds ICU 10 95 10.53% Peds Medical 49 429 11.42% Behavioral Health 14 559 2.50% NICU 20 193 10.36%

Facility-based Surge 10-20% operating bed capacity could be mobilized ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Surge Capacity C S T ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Staff ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

MN EMS Resources ,[object Object],[object Object]

N95’s ( Estimated hospital inpatient need) ,[object Object],[object Object],[object Object],[object Object]

Community- Based Surge ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Flu Centers ,[object Object],[object Object],[object Object],[object Object]

Overarching Goal for Scarce Resource Allocation ,[object Object]

Patient Care Strategies for Scarce Resource Situations TOOL KIT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

What's hot

Staffing & infections

Nursing Hi Nursing

Understanding the effect of clinician dependent versus evidence-based pathway...

Jamie Ranse

Tom Deblanco: maximising patient engagement

Nuffield Trust

Health Management Information & Evaluation system

Chapter 2

HF ebp poster

OGIJ-02-00020

Patient empowerment at EU level - Katja Neubauer

Cittadinanzattiva onlus

This grant funds a Clinical Nurse Specialist position to work with current Gerontological CNS in providing education, mentoring / support, developing / measuring outcomes for knowledge, practice change and patient outcomes by: Expanding NICHE training at Piedmont Hospital in Atlanta beyond Acute Care nurses to include Emergency Department nurses; 2) Introducing NICHE training at Piedmont Fayette, Piedmont Newnan and Piedmont Mountainside for Acute Care and Emergency Department nurses; 3) Introducing NICHE training for nursing staff at two of our Long-Term Care facility partners; and 4) Disseminating program materials and information to other healthcare entities throughout Georgia and the U.S. through local workshops and presentations at national healthcare conferences.

HRSA Comprehensive Geriatric Education Grant Poster

nomadicnurse

Week 12 discussion 601 ppt

EliseoMercado1

Presentation 230 obermann and lyon financial cost of als a case study-phoeni...

The ALS Association

Communication During Transitions of Care: how well is it really working?

Canadian Patient Safety Institute

Changing role of hospital

anjalatchi

The Patient Record: Hospital, Physician Office, and Alternate Care Settings Reference: Michelle Green and Mary Jo BOWIE At the end of this chapter, the student should be able to: Differentiate among various types of patient records Summarize the purpose of the patient record Provide examples of administrative and clinical data Delineate provider documentation responsibilities Summarize the development of the patient record Explain the correct method for correcting documentation Distinguish between manual and automated record formats Discuss the importance of authentication of records Compare alternative storage methods Summarize patient record completion responsibilities

Mhis chapter4

Health Care Consultation and Management Group ( HCMG) International

resumetoddjackson-12964334974151-phpapp01

jacksont67

Chapter 3

TNUOnline

Reducing hospitalisations and arrests of mental health patients through the u...

Health Informatics New Zealand

Ref: References & Teaching Materials: • Green, M. A. and Bowie, M. J. (2005). Essentials of Health Information Management, Principles and Practices. Clifton Park, NY: Delmar Learning. ISBN: 9780766845022. Objectives At the end of this chapter, the student should be able to: List and define hospital categories Identify types of hospital patients Differentiate among freestanding, hospital-based, and hospital-owned ambulatory care settings Distinguish among various types of behavioral health care facilities Detail services provided by a home care agency Describe the goal of hospice care Explain the various types of long-term care Differentiate between the various managed care models Name and describe of governmental health care facilities Compare the responsibilities of agencies within the Public Health Services

Mhis chapter3 HEALTHCARE SETTINGS

Health Care Consultation and Management Group ( HCMG) International

Chapter 7 Managed Care

TNUOnline

Physician Practice in the Dynamic Health Care Environment Physician Practic...

MedicineAndHealth

What's hot (20)

Staffing & infections

Understanding the effect of clinician dependent versus evidence-based pathway...

Tom Deblanco: maximising patient engagement

Health Management Information & Evaluation system

Chapter 2

HF ebp poster

OGIJ-02-00020

Patient empowerment at EU level - Katja Neubauer

HRSA Comprehensive Geriatric Education Grant Poster

Week 12 discussion 601 ppt

Presentation 230 obermann and lyon financial cost of als a case study-phoeni...

Communication During Transitions of Care: how well is it really working?

Changing role of hospital

Mhis chapter4

resumetoddjackson-12964334974151-phpapp01

Chapter 3

Reducing hospitalisations and arrests of mental health patients through the u...

Mhis chapter3 HEALTHCARE SETTINGS

Chapter 7 Managed Care

Physician Practice in the Dynamic Health Care Environment Physician Practic...

Viewers also liked

Phs 15

hazeleyes_789

HDM Introduction

DeeptiKumar

Hospital planning & facilities management

Study Stuff

Hospital Continuity of Operations Planning

Ted Herbosa

Ecomomic factors for hospital planning

Chandranath Chakraborty

New Trends in Healthcare and their Impacts on Hospital Planning and Design by...

Musa Ajlouni

Hm 2012 session-iii planning & developing a hospital

drbhutto

Design and implementation of a hospital management system

Overcomer Michael

Eilish hardiman planning and designing the new children’s hospital

Investnet

Designers embedded within a large healthcare system have a unique opportunity to work directly with patients, doctors, nurses, and other staff to create significant impact in how healthcare is provided. However, along with this exceptional access come big challenges: complicated bureaucratic power structures, change-adverse organizational cultures, and industry-specific technology constraints. How do designers — often working alone or in small teams — position themselves in order to make a difference in this complex environment? This session will convene a group of seasoned in-house UX and service designers from diverse healthcare institutions to share stories and examples of their work as they talk about the specific challenges they face and discuss strategies for working more effectively.

HXR 2016: Designing Within a Hospital System: Challenges and Strategies

HxRefactored

Cedara healthcare-Hospital designing & planning consultants

hasnaalam

A brief information about hospital services and design By: Heersh o.faraj

Herish Ofmi

Future Hospital Jersey - Parish Hall Drop-In

futurehospital

Micro aspects of Hospital Planning

Dr Manish Mkbarnwal2000

Why Hospital Design Matters

Sharon Vander Kaay

Engineering design parameters and requirement for hospitals

Francis Philip Duremdes Doromal

Hospital building project

sasi vijayalakshmi

Planning hospital service

Mental Health Center

No matter how fast we construct buildings the time it takes from planning to use, means that the building is dated at the time it is handed over. This time frame will vary according to the nature and circumstances of the contract and or construction. In private healthcare it will average 24 months (2 years) In public healthcare its longer 36 months – 60 months (5 years) There is no value judgement simply a comment of the process, and regardless of cause or the actual time frame it is simply out of date by the time of handover. This paper explores explores the notion that out of date hospitals ( crocodiles) are better than hospitals that are extinct (dodo).

SAFHE/CEASA2011 - Hospital Design in Southern Africa

SA FHE

Given the level of uncertainty in the healthcare industry and all of the external factors that impact healthcare provider organizations today, strategic planning has become an increasingly complex function. The process is no longer a simple financial forecasting exercise. Instead, it has evolved into a more integrated financial and operational planning activity that touches the entire organization. The process of defining a multi-year financial forecast is now predicated on the modeling of individual business initiatives focused on cost reduction or revenue growth. These slides present four factors vital to establishing more agile strategic planning models. You'll learn techniques to incorporate financial and service line-based analytics to enable efficient ‘what-if’ modeling, scenario analysis and initiative-based modeling and tracking.

Hospital and Healthcare System Strategic Planning and Financial Forecasting

Axiom EPM

Viewers also liked (20)

Phs 15

HDM Introduction

Hospital planning & facilities management

Hospital Continuity of Operations Planning

Ecomomic factors for hospital planning

New Trends in Healthcare and their Impacts on Hospital Planning and Design by...

Hm 2012 session-iii planning & developing a hospital

Design and implementation of a hospital management system

Eilish hardiman planning and designing the new children’s hospital

HXR 2016: Designing Within a Hospital System: Challenges and Strategies

Cedara healthcare-Hospital designing & planning consultants

A brief information about hospital services and design By: Heersh o.faraj

Future Hospital Jersey - Parish Hall Drop-In

Micro aspects of Hospital Planning

Why Hospital Design Matters

Engineering design parameters and requirement for hospitals

Hospital building project

Planning hospital service

SAFHE/CEASA2011 - Hospital Design in Southern Africa

Hospital and Healthcare System Strategic Planning and Financial Forecasting

Similar to Pandemic Influenza: Hospital and Clinic Planning by Dan O'Laughlin

PA 619 - Capstone Paper

Nathan Baar RN, BSN, MHA, CEN

Moving Toward an Accountable Care Organization

NASHP HealthPolicy

Edwards

Virginia Rural Health Association

Andy Collen-Urgnet Care conference

mckenln

Unit 1 Emergency Department Overcrowding Due to Lack of Access to Primary Care Teresa Cochran November 12, 2015 Emergency Department Overcrowding Due to Lack of Access to Primary Care Emergency Department overcrowding related to patients seeking care for non-emergent conditions is an increasing concern for hospitals across the country. In rural areas, this issue is of concern not only for patient care but also has an impact economically on hospital financial viability. Current Situation Emergency Departments are designed to provide expedient care for individuals with emergent, life-threatening situations. However, in the current state, emergency departments are increasingly serving as a source of providing primary care. The resulting inappropriate use of the emergency department for non-emergent visits has been shown to increases cost, impact patient safety and quality. Healthcare organizations must find and development innovative methods to provide quality patient care while maintaining low cost and maximum efficiencies. While demand for Emergency Services grows in part due to an aging population, the volume also has grown due to lack of primary care physicians and patient preference. The financial pressures faced by hospitals due to reductions in reimbursement necessitate a restructuring of the standard model of healthcare care delivery. Problem Statement As the population continues to grow emergency departments will continue to see not only acute illness but more chronic illness. It is essential for health care systems to continue in developing new and innovative means related to optimization of care delivery. Specifically this will identify factors that affect overutilization of the emergency department by individuals that are more appropriately treated in the primary care setting. Therefore, the increasing use of emergency departments will impact overall patient care due to lack of continuity that is provided in the primary care setting for chronic illness. Research Objective This research proposal will evaluate the feasibility of incorporating a medical home into the emergency department setting, therefore, reducing overcrowding in the Emergency Department. This increased access to primary care will ultimately increase access to quality care in the most appropriate cost-effective setting Research Question The intended purpose of this research proposal will examine the concept volume and acuity of patients seen in the Emergency Department. The following questions will be addressed. What measures can be implemented to reduce the overutilization of the ED yet offer the appropriate level of care for the patient? What barriers are associated with accessing sustained primary care? Hypothesis In order to improve outcomes, healthcare organizations must evaluate the feasibility of healthcare redesign related to the delivery of care. By restructuring how and where care is delivered will reduce the number of non-eme ...

Unit 1Emergency Department Overcrowding Due to L.docx

willcoxjanay

The Healthcare Team as the Healthcare Provider: A Different View of the Patie...

guesta14581

Establishing a Healthcare Response Coalition

AUCMed

Care Transitions Might Be Hazardous To Your Health

Dana Allison

Indicators and Information Standards for Frailty Management

AnnaSeebergHansen

Emergency Department Overcrowding

Brooke Curtis

Emergency Care In Healthcare: Core Principles, Advancements, And Challenges |...

Enterprise Wired

Idea hour Kindred Healthcare

InnovateLTC

External Narrative

Cameron Bradley

Recommendations for end-of-life care in the intensive care unit: The Ethics Committee of the Society of Critical Care Medicine Robert D. Truog, MD; Alexandra F. M. Cist, MD; Sharon E. Brackett, RN, BSN; Jeffrey P. Burns, MD; Martha A. Q. Curley, RN, PhD, CCNS, FAAN; Marion Danis, MD; Michael A. DeVita, MD; Stanley H. Rosenbaum, MD; David M. Rothenberg, MD; Charles L. Sprung, MD; Sally A. Webb, MD; Ginger S. Wlody, RN, EdD, FCCM; William E. Hurford, MD KEY WORDS: palliative care; intensive care; end-of-life care T hese recommendations are in-tended to provide informationand advice for clinicians whodeliver end-of-life care in intensive care units (ICUs). The number of deaths that occur in the ICU after the withdrawal of life support is increasing, with one recent survey finding that 90% of patients who die in ICUs now do so after a decision to limit therapy (1). Al- though there is significant variability in the frequency of withdrawal of life support both within countries (2) and among cultures (3), the general trend is international in scope (4). Nevertheless, most evidence indicates that patients and families remain dissatisfied with the care they receive once a decision has been made to withdraw life support (5). Al- though intensive care clinicians tradi- tionally have seen their goals as curing disease and restoring health and function, these goals must now expand when necessary to also include assuring patients of a “good death.” Just as develop- ments in knowledge and technology have dramatically enhanced our ability to re- store patients to health, similar develop- ments now make it possible for almost all patients to have a death that is dignified and free from pain. The management of patients at the end of life can be divided into two phases. The first concerns the process of shared decision-making that leads from the pursuit of cure or recovery to the pursuit of comfort and freedom from pain. The sec- ond concerns the actions that are taken once this shift in goals has been made and focuses on both the humanistic and technical skills that must be enlisted to ensure that the needs of the patient and family are met. Although both of these issues are critically important in end-of- life care, the decision-making process is not unique to the ICU environment and has been addressed by others (6 –11). These recommendations, therefore, do not deal primarily with the process that leads to the decision to forego life- prolonging treatments but rather focus on the implementation of that decision, with particular emphasis on the ICU environment. This division of the process into two phases is necessarily somewhat artificial. Patients and families do not suddenly switch from the hope for survival and cure to the acceptance of death and pursuit of comfort. This process happens gradually over varying periods of time ranging from hours to weeks. Similarly, the forgoing of life-sustaining treatments rarely happens all at onc.

Recommendations for end-of-life care in the intensive care uni.docx

danas19

Patient experience

Greg Tucker

Thesis-No-Show Project Bridgette-Noel Final

Brenda Bridgette-Noel

Improving Patients’ Health Acute Care Final

mHealth2015

Improving Patients’ Health Before, During, and After an Acute Care Visit

mHealth2015

Emergency Care Practitioners Information Pack

Arm inarm

Chapter 5 Transforming the Public’s Healthcare Systems Evolving U.S. Healthcare Delivery System Healthcare delivery system Transforms resources into essential services to meet the healthcare needs of certain populations Settings Hospitals Physicians’ offices Shelters Specially equipped vans or shopping malls Evolving U.S. Healthcare Delivery System (cont.) Reimbursement Private insurance companies Managed care organizations Government agencies Foundations Patient Affordable Care Act (ACA) of 2010 Types of healthcare systems Private Public Military Private Healthcare Delivery Fee-for-service Hill-Burton Act Tax Equity and Fiscal Responsibility Act of 1982 1983 Amendments to the Social Security Act Diagnosis-related groups (DRGs) Prospective payment system (PPS) Third-party payers Insurance companies Health maintenance organizations (HMOs) Preferred provider organizations (PPOs) Managed care organizations (MCOs) Public Health Care Defined as the health outcomes of a group of individuals Shattuck 1850 Report of the Sanitary Commission of Massachusetts 1872 Public Health Association formed Social Security Act of 1935 Local health departments Centers for Disease Control and Prevention (CDC) Military Health Care National Defense Authorization Act (2005) Care provided: Ambulatory care Military base and regional clinics Hospital service Base dispensaries or sick bays Simple hospitals services Regional hospitals Advanced care Types of programs TriCare Veterans Administration Healthcare Reform Legislative initiatives were proposed seven times during the 20th century Based on the need to control healthcare costs while providing access to quality healthcare services Nursing and healthcare reform ACA Current U.S. Healthcare Delivery System Interrelated systems Horizontal and vertical integration of services Levels of care Preventive care Primary care Secondary care Tertiary care Restorative care Healthcare Providers Physicians Nurses Physician assistants Specialized care providers Technicians/therapists Other providers Pharmacists Social workers Healthcare Settings Acute care facilities Short-term specialized care facilities Long-term care facilities Ambulatory care sites Daycare centers Hospices Retirement communities Complementary/alternative health care Issues Affecting the Delivery of Healthcare Services Deregulation Emphasis on secondary and tertiary healthcare services Increasing consumerism Technological advances Increasing longevity of Americans Defensive health care and government regulation Managed Care MCOs Capitation HMOs PPOs Point-of-service plans (POSs) Integrated healthcare systems Patient Care Outcomes Defined as the consequences of care that the patient receives or does not receive Outcome studies Look for trends over time in patient status and adverse events Data obtained used as a basis for decisions Development of policies and procedures Community-Based Healthcare Settings Shelters in the community ...

Chapter 5Transforming the Public’s Healthcare SystemsE.docx

christinemaritza

Similar to Pandemic Influenza: Hospital and Clinic Planning by Dan O'Laughlin (20)

PA 619 - Capstone Paper

Moving Toward an Accountable Care Organization

Edwards

Andy Collen-Urgnet Care conference

Unit 1Emergency Department Overcrowding Due to L.docx

The Healthcare Team as the Healthcare Provider: A Different View of the Patie...

Establishing a Healthcare Response Coalition

Care Transitions Might Be Hazardous To Your Health

Indicators and Information Standards for Frailty Management

Emergency Department Overcrowding

Emergency Care In Healthcare: Core Principles, Advancements, And Challenges |...

Idea hour Kindred Healthcare

External Narrative

Recommendations for end-of-life care in the intensive care uni.docx

Patient experience

Thesis-No-Show Project Bridgette-Noel Final

Improving Patients’ Health Acute Care Final

Improving Patients’ Health Before, During, and After an Acute Care Visit

Emergency Care Practitioners Information Pack

Chapter 5Transforming the Public’s Healthcare SystemsE.docx

Recently uploaded

Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Rajasthan Booking Details Are here 05-May-2024( Mj) Click On WhatsApp Chat +91-8445551418 Jaipur Escorts Make You Feel Like Royalty Jaipur Escorts catering to high profile clients are available 24-7 to meet their clients' needs and are also available for dinner dates, business conferences, foreign travel trips and clubbing activities. Their customers are contacted directly through in order to prevent risky situations from developing.is home to some of India's most beautiful women. These girls come highly educated with great backgrounds; furthermore they are extremely beautiful and will make you feel like royalty if hired for hours or days! Siya Khan | FOR BOOKING CALL Our All Services :- 1 )★ (Oral to consummation) bjnonCovered 2 )★ Special Massage 3 )★ O-Level (Oral sex) 4 )★ Blow Job; 5 )★ COB (Come On Body) 6 )★. Extraball (Have sex ordinarily) 7 )★ A-Level (5 star escort) 8 )★ Strip-bother 9 )★ BBBJ (Bareback Blowjob) 10 )★ Spending time in my rooms 11 )★ BJ (Blowjob Without a Condom) 12 )★ COF (Come On Face) 13 )★ Completion

Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...

parulsinha

Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service Available Our agency presents a selection of young, charming call girls #J11 available for bookings at Oyo Hotels. Experience high-class escort services at pocket-friendly rates, with our female escorts exuding both beauty and a delightful personality, ready to meet your desires. Whether it's Housewives,#J11 College girls, Russian girls, Muslim girls, or any other preference, we offer a diverse range of options to cater to your tastes. We provide both in-call and out-call services for your convenience. Our in-call location in Lucknow ensures cleanliness, hygiene, and 100% safety, while our out-call services offer doorstep delivery for added ease. We value your time and money, hence we kindly request pic collectors, time-passers, and bargain hunters to refrain from contacting us. Our services feature various packages at competitive rates: One shot: ₹2000/in-call, ₹5000/out-call Two shots with one girl: ₹3500/in-call, ₹6000/out-call Body to body massage with sex: ₹3000/in-call Full night for one person: ₹7000/in-call, ₹10000/out-call Full night for more than 1 person: Contact us at 🔝 7877925207 🔝. for details Operating 24/7, we serve various locations in Lucknow, including Green Park, near metro stations. For premium call girl services in Lucknow 🔝 7877925207 🔝. Thank you for considering us!

Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...

adilkhan87451

All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP Call Girl At Their Home & Hotels Booking Contact Details WhatsApp Chat: +91-9820252231 Mumbai Escort Service includes providing maximum physical satisfaction to their clients as well as engaging conversation that keeps your time enjoyable and entertaining. Plus they look fabulously elegant; making an impressionable. Independent Escorts Mumbai understands the value of confidentiality and discretion - they will go the extra mile to meet your needs. Simply contact them via text messaging or through their online profiles; they'd be more than delighted to accommodate any request or arrange a romantic date or fun-filled night together. We provide - Flexibility Choices and options Lists of many beauty fantasies Turn your dream into reality Perfect companionship Cheap and convenient In-call and Out-call services And many more. 01-05-24 (Smt)

All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...

Arohi Goyal

Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available Easy & Fast Booking Procedure Of Rishikesh Escorts Call girls are available to provide the quality essentialness that will ease away life's tensions. Rishikesh Escorts are regular companions of elite gentlemen. It is possible to take them to places they would never have dreamed of visiting otherwise. Their portfolios can be found online through escort agencies; they maintain themselves to look attractive by visiting salons and spas regularly. EXCITING OPTIONS AVAILABLE AT OUR INDEPENDENT ESCORTS Candlelight dinner Evening date Night clubs or parties Hotels or your flats Business trip Business party Stripping party Rishikesh Escort Service are skilled at performing wild anal sex, deep throat sex and cum eating - ideal for satisfying all your sexual needs and playing any game possible. Professional assistants are readily available and ready to assist in any situation - romantic date or solo outing. They can accompany you to restaurants or bars where their presence will surely leave an impression with their beautiful appearances and striking personalities.

Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available

perfect solution

Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High profile Girls VIP Call Girl Pune As Enjoy Never Ending Pune VIP Call Girls is highly qualified professionals. #S10 They will offer only top quality services and never try to scam or drain you of money; in fact, they strive to give complete satisfaction so that each cent spent was worth its worth. Furthermore, these professionals pride themselves in keeping customer details confidential; any information gleaned will never be shared with any third party. Two shots with one girl: ₹4500/in-call, ₹7500/out-call Body to body massage with : ₹5500/in-call Full night for one person: ₹7000/in-call, ₹12000/out-call •𝐂𝐨𝐥𝐥𝐞𝐠𝐞 𝐆𝐢𝐫𝐥𝐬 •𝐇𝐨𝐮𝐬𝐞𝐰𝐢𝐯𝐞𝐬 •𝐇𝐢𝐠𝐡 𝐏𝐫𝐨𝐟𝐢𝐥𝐞 𝐆𝐢𝐫𝐥𝐬 •𝐑𝐚𝐦𝐩 𝐌𝐨𝐝𝐞𝐥𝐬 •𝐅𝐨𝐫𝐞𝐢𝐠𝐧𝐞𝐫 𝐆𝐢𝐫𝐥𝐬 𝐎𝐮𝐫 𝐞𝐬𝐜𝐨𝐫𝐭 𝐬𝐞𝐫𝐯𝐢𝐜𝐞𝐬 •𝐇𝐉 (𝐇𝐚𝐧𝐝 𝐉𝐨𝐛) •𝐁𝐉 (𝐁𝐥𝐨𝐰𝐣𝐨𝐛) # Completion # (Oral To Completion) # Special Massage # O-Level (Oral ) # Oral With A Noncondom) # COB (Come On Body) # Extraball (Have Many Times) # All Meetings 100%Safe Call Payal:-- 9352988975

Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...

chetankumar9855

Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 Star Hotel Service Available Booking Contact Details WhatsApp Chat: +91-8617370543 Patna Escort Service includes providing maximum physical satisfaction to their clients as well as engaging conversation that keeps your time enjoyable and entertaining. Plus they look fabulously elegant; making an impressionable Independent Escorts Patna understands the value of confidentiality and discretion - they will go the extra mile to meet your needs. Simply contact them via text messaging or through their online profiles; they'd be more than delighted to accommodate any request or arrange a romantic date or fun-filled night together. We provide - Flexibility Choices and options Lists of many beauty fantasies Turn your dream into reality Perfect companionship Cheap and convenient In-call and Out-call services And many more.

Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...

Dipal Arora

(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Celebrity for 5* Hotels Booking Details Are here 05-May-2024( Mj) Click On WhatsApp Chat +91-8445551418 Jaipur Escorts Make You Feel Like Royalty Jaipur Escorts catering to high profile clients are available 24-7 to meet their clients' needs and are also available for dinner dates, business conferences, foreign travel trips and clubbing activities. Their customers are contacted directly through in order to prevent risky situations from developing.is home to some of India's most beautiful women. These girls come highly educated with great backgrounds; furthermore they are extremely beautiful and will make you feel like royalty if hired for hours or days! Siya Khan | FOR BOOKING CALL Our All Services :- 1 )★ (Oral to consummation) bjnonCovered 2 )★ Special Massage 3 )★ O-Level (Oral sex) 4 )★ Blow Job; 5 )★ COB (Come On Body) 6 )★. Extraball (Have sex ordinarily) 7 )★ A-Level (5 star escort) 8 )★ Strip-bother 9 )★ BBBJ (Bareback Blowjob) 10 )★ Spending time in my rooms 11 )★ BJ (Blowjob Without a Condom) 12 )★ COF (Come On Face) 13 )★ Completion

(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...

parulsinha

Call Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service Available Easy & Fast Booking Procedure Of Hyderabad Escorts Call girls are ready and waiting to provide the quality essentialness that will help ease away life's tensions Hyderabad Escorts are regular companions of elite gentlemen and can take them places they could only dream of visiting. These ladies take great care in maintaining themselves to look appealing; visiting salons and spas regularly keeps them looking their best; their portfolios can be found online via an escort’s agency website. EXCITING OPTIONS AVAILABLE AT OUR INDEPENDENT ESCORTS Candlelight dinner Evening date Night clubs or parties Hotels or your flats Business trip Business party Stripping party Hyderabad Escort Service are adept at performing wild anal sex, deep throat sex and cum eating - perfect for satisfying all your sexual needs and playing any game imaginable. Affordable professional assistants are readily available and ready to assist with any situation - be it romantic date or solo night. Their beautiful appearances and striking personalities will leave you speechless, while they can accompany you to restaurants or bars where their presence will surely leave an impression.

Call Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service Available

Dipal Arora

Model Call Girl Services in Delhi reach out to us at 🔝 9953056974 🔝✔️✔️ Our agency presents a selection of young, charming call girls available for bookings at Oyo Hotels. Experience high-class escort services at pocket-friendly rates, with our female escorts exuding both beauty and a delightful personality, ready to meet your desires. Whether it's Housewives, College girls, Russian girls, Muslim girls, or any other preference, we offer a diverse range of options to cater to your tastes. We provide both in-call and out-call services for your convenience. Our in-call location in Delhi ensures cleanliness, hygiene, and 100% safety, while our out-call services offer doorstep delivery for added ease. We value your time and money, hence we kindly request pic collectors, time-passers, and bargain hunters to refrain from contacting us. Our services feature various packages at competitive rates: One shot: ₹2000/in-call, ₹5000/out-call Two shots with one girl: ₹3500/in-call, ₹6000/out-call Body to body massage with sex: ₹3000/in-call Full night for one person: ₹7000/in-call, ₹10000/out-call Full night for more than 1 person: Contact us at 🔝 9953056974 🔝. for details Operating 24/7, we serve various locations in Delhi, including Green Park, Lajpat Nagar, Saket, and Hauz Khas near metro stations. For premium call girl services in Delhi 🔝 9953056974 🔝. Thank you for considering us!

Call Girls in Gagan Vihar (delhi) call me [🔝 9953056974 🔝] escort service 24X7

9953056974 Low Rate Call Girls In Saket, Delhi NCR

Andheri East ) Call Girls in Mumbai Phone No 9004268417 Elite Escort Service Available 24/7 Hire Booking Contact Details WhatsApp Chat: +91-9004268417 Mumbai Escort Service includes providing maximum physical satisfaction to their clients as well as engaging conversation that keeps your time enjoyable and entertaining. Plus they look fabulously elegant;$S2 making an impressionable. Independent Escorts Mumbai understands the value of confidentiality and discretion - they will go the extra mile to meet your needs. Simply contact them via text messaging or through their online profiles; they'd be more than delighted to accommodate any request or arrange a romantic date or fun-filled night together. We provide - Flexibility Choices and options Lists of many beauty fantasies Turn your dream into reality Perfect companionship Cheap and convenient In-call and Out-call services And many more.

Andheri East ) Call Girls in Mumbai Phone No 9004268417 Elite Escort Service ...

Anamika Rawat

The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Miss This Chance Of Getting Into My Sexy Boobs?t Booking Contact Details WhatsApp Chat: +91-9332606886 Hyderabad Escort Service includes providing maximum physical satisfaction to their clients as well as engaging conversation that keeps your time enjoyable and entertaining. Plus they look fabulously elegant; making an impressionable Independent Escorts Hyderabad understands the value of confidentiality and discretion - they will go the extra mile to meet your needs. Simply contact them via text messaging or through their online profiles; they'd be more than delighted to accommodate any request or arrange a romantic date or fun-filled night together. We provide - Flexibility Choices and options Lists of many beauty fantasies Turn your dream into reality Perfect companionship Cheap and convenient In-call and Out-call services And many more. 01-May(Ast)

The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...

chandars293

Call Girls Service Jaipur {8445551418} ❤️VVIP BHAWNA Call Girl in Jaipur Rajasthan Booking Details Are here 05-May-2024( Mj) Click On WhatsApp Chat +91-8445551418 Jaipur Escorts Make You Feel Like Royalty Jaipur Escorts catering to high profile clients are available 24-7 to meet their clients' needs and are also available for dinner dates, business conferences, foreign travel trips and clubbing activities. Their customers are contacted directly through in order to prevent risky situations from developing.is home to some of India's most beautiful women. These girls come highly educated with great backgrounds; furthermore they are extremely beautiful and will make you feel like royalty if hired for hours or days! Siya Khan | FOR BOOKING CALL Our All Services :- 1 )★ (Oral to consummation) bjnonCovered 2 )★ Special Massage 3 )★ O-Level (Oral sex) 4 )★ Blow Job; 5 )★ COB (Come On Body) 6 )★. Extraball (Have sex ordinarily) 7 )★ A-Level (5 star escort) 8 )★ Strip-bother 9 )★ BBBJ (Bareback Blowjob) 10 )★ Spending time in my rooms 11 )★ BJ (Blowjob Without a Condom) 12 )★ COF (Come On Face) 13 )★ Completion

Call Girls Service Jaipur {8445551418} ❤️VVIP BHAWNA Call Girl in Jaipur Raja...

parulsinha

☑️░ 9630942363 ░ CALL GIRLS ░ VIP ░ ESCORT ░ SERVICES ░ AGENCY ░ 9630942363 THE GENUINE ESCORT AGENCY VIP LUXURY CALL GIRLS HIGH CLASS MODELS CALL GIRLS GENUINE ESCORT BOOK BOOK APPOINTMENT - 9630942363 THE GENUINE ESCORT AGENCY BEST VIP CALL GIRLS & ESCORTS SERVICE 9630942363 VIP CALL GIRLS ALL TYPE WOMEN AVAILABLE INCALL & OUTCALL BOTH AVAILABLE BOOK NOW 9630942363 VIP GENUINE INDEPENDENT ESCORT AGENCY VIP PRIVATE AUNTIES BEAUTIFUL LOOKING HOT AND SEXT GIRLS AND PARTY TYPE GIRLS YOU WANT SERVICE THEN CALL THIS NUMBER 9630942363 ROOM ALSO PROVIDE HOME & HOTELS SERVICE FULL SAFE AND SECURE WORK WITHOUT CONDOMS, ORAL, SUCKING, LIP TO LIP, ANAL, BACK SHOTS, SEX 69, WITHOUT BLOWJOB AND MUCH MORE FOR BOOKING 9630942363

Call Girls Madurai Just Call 9630942363 Top Class Call Girl Service Available

GENUINE ESCORT AGENCY

💕SONAM KUMAR💕Premium Call Girls Jaipur ↘️9257276172 ↙️One Night Stand With Lonely Housewife In Top Rated Hotel WhatsApp Chat : +91-9257276172 Get More Information About Jaipur Escorts Service Jaipur Escorts offer their services to their clients at any time of day or night - including sex, travel and tours. Contact them via telephone or the internet. Hire an escort as your movie partner, date or party companion - they're sure to exceed all your expectations. Girls available 24/7 make for great companions who offer sensual body massages and drinks/food service during your time together. Find one who fits with your personality or budget - these girls have you covered.

💕SONAM KUMAR💕Premium Call Girls Jaipur ↘️9257276172 ↙️One Night Stand With Lo...

khalifaescort01

Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Girl UKHBET Escorts Service Available ✔ All Day And Night Booking Details Are here 05-May-2024( Mj) Click On WhatsApp Chat +91-8445551418 Jaipur Escorts Make You Feel Like Royalty Jaipur Escorts catering to high profile clients are available 24-7 to meet their clients' needs and are also available for dinner dates, business conferences, foreign travel trips and clubbing activities. Their customers are contacted directly through in order to prevent risky situations from developing.is home to some of India's most beautiful women. These girls come highly educated with great backgrounds; furthermore they are extremely beautiful and will make you feel like royalty if hired for hours or days! Siya Khan | FOR BOOKING CALL Our All Services :- 1 )★ (Oral to consummation) bjnonCovered 2 )★ Special Massage 3 )★ O-Level (Oral sex) 4 )★ Blow Job; 5 )★ COB (Come On Body) 6 )★. Extraball (Have sex ordinarily) 7 )★ A-Level (5 star escort) 8 )★ Strip-bother 9 )★ BBBJ (Bareback Blowjob) 10 )★ Spending time in my rooms 11 )★ BJ (Blowjob Without a Condom) 12 )★ COF (Come On Face) 13 )★ Completion

Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...

parulsinha

🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In Hyderabad Escorts Service Escorts Service Available Whatsapp Chaya ☎️ : [+91-9352852248 ] Escorts Service Hyderabad are always ready to make their clients happy. Their exotic looks and sexy personalities are sure to turn heads. You can enjoy with them, including massages and erotic encounters.#P12Our area Escorts are young and sexy, so you can expect to have an exotic time with them. They are trained to satiate your naughty nerves and they can handle anything that you want. They are also intelligent, so they know how to make you feel comfortable and relaxed SERVICE ✅ ❣️ ⭐➡️HOT & SEXY MODELS // COLLEGE GIRLS HOUSE WIFE RUSSIAN , AIR HOSTES ,VIP MODELS . AVAILABLE FOR COMPLETE ENJOYMENT WITH HIGH PROFILE INDIAN MODEL AVAILABLE HOTEL & HOME ★ SAFE AND SECURE HIGH CLASS SERVICE AFFORDABLE RATE ★ SATISFACTION,UNLIMITED ENJOYMENT. ★ All Meetings are confidential and no information is provided to any one at any cost. ★ EXCLUSIVE PROFILes Are Safe and Consensual with Most Limits Respected ★ Service Available In: - HOME & HOTEL Star Hotel Service .In Call & Out call SeRvIcEs : ★ A-Level (star escort) ★ Strip-tease ★ BBBJ (Bareback Blowjob)Receive advanced sexual techniques in different mode make their life more pleasurable. ★ Spending time in hotel rooms ★ BJ (Blowjob Without a Condom) ★ Completion (Oral to completion) ★ Covered (Covered blowjob Without condom ★ANAL SERVICES.

🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...

Call Girls In Delhi Whatsup 9873940964 Enjoy Unlimited Pleasure

Call Girls Raipur Just Call 9630942363 Top Class Call Girl Service Available

GENUINE ESCORT AGENCY

Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine Sex Service At Affordable Rate Booking Contact Details WhatsApp Chat: +91-9332606886 Hyderabad Escort Service includes providing maximum physical satisfaction to their clients as well as engaging conversation that keeps your time enjoyable and entertaining. Plus they look fabulously elegant; making an impressionable Independent Escorts Hyderabad understands the value of confidentiality and discretion - they will go the extra mile to meet your needs. Simply contact them via text messaging or through their online profiles; they'd be more than delighted to accommodate any request or arrange a romantic date or fun-filled night together. We provide - Flexibility Choices and options Lists of many beauty fantasies Turn your dream into reality Perfect companionship Cheap and convenient In-call and Out-call services And many more. 02-May(Ast)

Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...

chandars293

Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426 Call Girls in Call\\Us))),(Delhi) We are Provide best Genuine Normal, High class call girls. escort service at affordable price. We Are One Of The Oldest Escorts and Call girls Agencies in Delhi You Will Find That Our Female Escorts Are Full Of Fun, Sexy And They Would Love Enjoy Your Company. We Have A Fantastic Selection Of Callo Girls Ladies Available For In-Calls As Well As Out-Calls. Our Escorts Are Not Only Beautiful But All Have Great Personalities Making Them The Perfect Companion For Any Occasion. In-Call: — You Can Come at Our Location in Delhi Which Is Very Clean Hygienic 100% safe Accommodation. Out-Call: — You have To come and Pick Girl From My Place We are Also Provide Door Step Services in Delhi , Gurgaon, Noida. Hygienic: — Full Ac Neat And Clean Rooms Available In Hotel 24 * 7 Hour In Delhi NCR, We Are Providing : — all Types of girls Indian, North East , Foreigner , Airhostess, many More. Service type — In-call Shot 1500, 2,000– In — Call Night /Out-call Night 6,000, to 7,000 — Hi-Fi Rates Shot — 2,000 to 4,000 Full Night 8,000 to 10,000 More Details, Call//WhatsApp, 97111 🔝 ⇛47426

Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426

jennyeacort

Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl In 5 Star Hotel Service Available Booking Contact Details WhatsApp Chat: +91-8617370543 Guwahati Escort Service includes providing maximum physical satisfaction to their clients as well as engaging conversation that keeps your time enjoyable and entertaining. Plus they look fabulously elegant; making an impressionable Independent Escorts Guwahati understands the value of confidentiality and discretion - they will go the extra mile to meet your needs. Simply contact them via text messaging or through their online profiles; they'd be more than delighted to accommodate any request or arrange a romantic date or fun-filled night together. We provide - Flexibility Choices and options Lists of many beauty fantasies Turn your dream into reality Perfect companionship Cheap and convenient In-call and Out-call services And many more.

Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...

Dipal Arora

Recently uploaded (20)