Building Community Resiliency: Building Community Resiliency: Louisiana ESAR-VHP Louisiana ESAR-VHP
Dec 14, 2015
Building Community Resiliency:Building Community Resiliency:
Louisiana ESAR-VHPLouisiana ESAR-VHP
Presentation ObjectivesPresentation Objectives• Discuss Louisiana’s approach to the federally
mandated Department of Health and Human Services ESAR-VHP Program.
• Discuss recruitment and retention efforts currently being implemented by program.
• Provide participants a sneak peak at the Medical Reserve Corps (MRC) Implementation Plan to help sustain and develop state units.
• Provide future direction for the state’s volunteer program.
What is the purpose of What is the purpose of ESAR-VHP?ESAR-VHP?
Build local, state, and federal health workforce surge capacity during disasters through a state-based, national system for registering health professional volunteers in advance of an emergency.
Nursing/Medical
Louisiana Nurses in Action
Mental Health
EMT
Database in Bureau of EMS
Pharmacy
Database in Conjunction with ULM
Uniting All DisciplinesUniting All Disciplines
Non-Medical Allied Health
LAVA SystemLAVA System• LAVALAVA is Louisiana’s approach to HHS
federally mandated Emergency Systems for Advanced Registration of Volunteer Health Professionals (ESAR-VHP) Program.
• LAVA works to recruit, credential, train, manage and deploy volunteers (medical and non-medical).
• Launched on December 17, 2007.
LAVA LaunchingDecember 17, 2007
Volunteers By the Numbers
Discipline R 1 R 2 R 3 R 4 R 5 R 6 R 7 R 8 R 9 Unknown Total
Physicians 115 219 4 7 6 1 7 2 17 73 451
Nurses 187 388 63 112 69 102 202 93 154 0 1370
Pharmacists 148 113 57 128 49 84 106 107 82 0 874
BehavioralHealth
4 17 0 4 0 0 0 0 2 12 39
EMTs 17 62 2 2 2 1 1 2 7 1 97
Grand Total 471 801 126 253 126 188 316 204 262 86 2831
Post LaunchingPost Launching
LAVA Volunteers by Specialty Area
2 11 1 4 343
1
69
9 5 5 3 17 14 2 4 2 4 3 4 1
53
1131
2 1
305
0
50
100
150
200
250
300
350
Accou
ntan
t
Admin/
Clerica
l
Agricu
lture
Busin
ess
Constru
ction
Men
tal H
ealth
Dentist
EMT
Educa
tion
Engine
ering
Enviro
nmen
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ealth
Execu
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Gover
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Health C
are
Human Res
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Indu
stria
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Law E
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echno
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Man
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Occup
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Pharm
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Registe
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Retail
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Total
Specialty Area
Nu
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Volunteer Numbers as of Wednesday, March 5, 2008Volunteer Numbers as of Wednesday, March 5, 2008
LAVA Volunteers by Region
3472
28 36 3819 36
16 26
305
0
50
100
150
200
250
300
350
Region 1 Region 2 Region 3 Region 4 Region 5 Region 6 Region 7 Region 8 Region 9 Total
Region
Vo
lun
teer
nu
mb
ers
Volunteer Numbers as of Wednesday, March 5, 2008Volunteer Numbers as of Wednesday, March 5, 2008
Health Professionals RecruitedHealth Professionals Recruited• Advanced Practice Nurse• Athletic Trainer• Audiologist• Behavioral Health Professional• Cardiovascular
Technologist/Technician• Chiropractor• Counselor, Mental Health• Counselor, Rehabilitation• Counselor, School• Counselor, Substance Abuse and
Behavioral Disorder• Dental Assistant• Dental Hygienist• Dentist• Dietetic Technician• Dietitian• EMT - Basic• EMT - Intermediate• EMT - Paramedic• Environmental Health
Inspector/Regulator• Epidemiologist• First Responder• Health Educator• Home Health Aide• Human Service Technician
• Immunization Services Worker• Laboratorian• Licensed Practical Nurs3• Marriage & Family Therapist• Medical and Clinical Lab Technician• Medical and Clinical Lab Technologist• Medical Assistant• Nuclear Medicine Technologist• Nursing Aide, Orderly, or Attendant• Nutritionist• Occupational Therapist Optician• Optometrist• Orthotist or Prosthetist• Other• Personal and Home Care Aide• Pharmacist• Pharmacy Aide• Pharmacy Technician• Physical Therapist• Physical Therapist Aide• Physical Therapist Assistant• Physician• Physician Assistant• Podiatrist
• Psychiatric Aide• Psychiatric Rehabilitation Worker• Psychologist• Public Health Nurse• Radiation Therapist• Radiologic
Technologist/Technician• Recreational Therapist• Registered Nurse• Respiratory Therapist• Respiratory Therapy Technician• Social Worker• Social Worker, Medical and
Public Health• Social Worker, Mental Health
and Substance Abuse• Special Needs Care Provider• Speech Language Pathologist• Surgical Technologist• Toxicologist• Veterinarian• Veterinary Assistant• Veterinary
Technologist/Technician
and Non-medical!and Non-medical!
Training Provided on SystemTraining Provided on System• The State of Louisiana Office of Public Health collaborates
extensively with the South Central Public Health Partnership (SCPHP). This partnership is comprised of four states (Alabama, Arkansas, Louisiana, and Mississippi) and two schools of public health (Tulane University School of Public Health and Tropical Medicine and University of Alabama at Birmingham School of Public Health).
• This prompted the implementation of the SABA Learning Management System that is maintained by the partnership.
• The Office of Public Health and the South Central Public Health Partnership has once again collaborated on an initiative to allow volunteers to access and complete courses in the SABA learning management system at no cost to the volunteer.
• This serves a two-fold purpose as it reinforces the need for training course development that spans across all aspects of public health, and allows for volunteers to receive the training they need without cost to them.
Learning Management System
Course listing serve as links to the Learning Management System.
Active transcript of courses taken by volunteer maintained in website.
How do we Utilized Volunteers?How do we Utilized Volunteers?
Public Health EmergenciesPublic Health Emergencies ExercisesExercises
TrainingTraining DrillsDrills
Licensing Board Integration StatusLicensing Board Integration Status• Phase 1 (Completed)Phase 1 (Completed)
– Louisiana State Board of Nursing– Louisiana State Board of Medical Examiners– DEA Pharmaceutical License– OIG LEIE Exclusion Database
• Phase 2Phase 2– Board of Examiners in Dietetics and Nutrition– Examiners of Speech-Language Pathology and
Audiology– Social Work Examiners Board– Bureau of Emergency Medical Services– Louisiana State Board of Licensed Practical Nurses– Louisiana Board of Radiologic Technologist– Louisiana Board of Social Work
Recruitment StrategiesRecruitment Strategies• DHH/OPH Websites
• Media/Marketing Campaign– Statewide Press Release Issued
• (February 6, 2008)
– Newspaper Ads/Online Advertising• (February 10, 2008)• Baton Rouge, Shreveport, Monroe, Alexandria,
Lafayette, Opelousas, Houma, Thibodaux, Lake Charles, New Orleans
How does the System Work?How does the System Work?
Records all volunteer affiliations
Jane DoeJane Doe Catches
duplicateaffiliations
Recruitment StrategiesRecruitment Strategies• Letter Writing Campaign to State
Volunteer Organizations
• Purchasing Promotionals and Recruitment Packets
• Partnering with Health Care Boards:– Board of Nursing– Board of Medical Examiners– Board of Social Work– Board of Pharmacy
Recruitment StrategiesRecruitment Strategies• Mail-outs
– Current Volunteer Pool– Partnering with Bureau of Emergency Medical
Services during Re-certification
• Conferences– Louisiana School Nurses Organization
• March 12 -14, 2008
– National Association of Social Work – LA Chapter
• April 9 – 11, 2008
Recruitment StrategiesRecruitment Strategies• Universities
• Community/Civic Groups
• Fraternal Clubs
• Professional Organizations
• Volunteer Centers
• YOU!YOU!
Retention StrategiesRetention Strategies• Trainings/Training course reminders
• Developing monthly newsletter
• Sending emergency preparedness tips
• Spotlighting volunteers for their efforts
• Inviting volunteers to serve on planning committees
• Sending formal “Thank You” letters for services rendered
2007 Trust for America’s Health 2007 Trust for America’s Health ReportReport
Trust for America’s Health ReportTrust for America’s Health ReportDecember 2007December 2007
Community ResiliencyCommunity Resiliency
• The U.S. government defines “community resilience” as the ability of a community to cope and recover from a disaster or public health emergency.
• This requires residents, community-based organizations, local businesses, and government to take meaningful action before a disaster or emergency.
2007 Trust for America’s Health Report: Community Resiliency
• Indicator:Indicator:– Does Louisiana meet a minimum threshold of
Medical Reserve Corps volunteers per 100,000 persons?
• Threshold:Threshold:– 14 Medical Reserve Corps Volunteers per
100,000 of state population
2007 Trust for American’s Health Report2007 Trust for American’s Health Report
LouisianaLouisiana
332 MRC 332 MRC Volunteers Volunteers
NeededNeeded
MRC Implementation PlanMRC Implementation Plan
Building State MRC CapacityBuilding State MRC Capacity
• Hired State Medical Reserve Corps Coordinator January 2008.
• Evaluating current status of State MRCs.
• Developed Draft MRC Implementation Plan.
• Piloting Junior Medical Reserve Corps Program.
Strategies to Foster Support Strategies to Foster Support from Local MRCfrom Local MRC
• Supplemental funding• Use of the LAVA website for the purpose of
professional credentialing• Background checks • Volunteer referrals from the LAVA System• Access to additional volunteer support• Participation is state sponsored drills,
exercises and training• Liability protection
LAVA MRC RecruitmentLAVA MRC Recruitment
Next StepsNext Steps
• Addressing Volunteer Liability– Uniform Emergency Volunteer Health
Practitioners Act
• Regional meetings to discuss MRC Implementation Plan
• Junior Medical Reserve Corps
• Recruitment! Recruitment! Recruitment!
Uniform Emergency Volunteer Uniform Emergency Volunteer Health Practitioners ActHealth Practitioners Act
• Provides for:Provides for:– Making volunteer health professionals readily
available to host state during declared emergency.– Requires volunteers to affiliate with state registration
systems such as LAVA and MRC to discourage spontaneous volunteers and to promote volunteer recruitment/training.
– Requires volunteers to limit services provided to those that they are licensed and skilled to provide.
– Gives authority over out-of-state volunteers to licensing boards and host agencies.
– Liability protection– Workman’s compensation
Uniform Emergency Volunteer Health Uniform Emergency Volunteer Health Practitioner Legislative ActivityPractitioner Legislative Activity
HIHIAKAK
CACA
OROR
WAWA
IDID
MTMT
TXTX
SDSDWYWY
NVNV
OKOK
KSKS
NENE
COCO
NMNMAZAZ
UTUT
NDND
SCSC
MNMN
WIWI
IAIA
MOMO
ARAR
LALA
VAVA
NCNC
GAGA
FLFL
ALALMSMS
ILILWVWV
KYKY
TNTN
NYNY
PAPA
ININ OHOH
MIMI
DEDENJNJ
CTCTRIRI
MAMA
MEME
DCDCMDMD
NHNHVTVT
PR - PR - (Puerto Rico)(Puerto Rico)VI - VI - (U.S. Virgin Islands)(U.S. Virgin Islands)
EnactedEnacted
Introduced in 2007Introduced in 2007
Planned Introduction in 2008Planned Introduction in 2008
Contact Information:Contact Information:
Mardrah Starks-Robinson, MPAMardrah Starks-Robinson, MPAProgram Manager
Volunteer ManagementPhone: 225-763-3965
Email: [email protected]
Pamela Brue, MPAPamela Brue, MPAProgram Monitor – State MRC Coordinator
Volunteer ManagementPhone: 225-763-5545
Email: [email protected]
www.lava.dhh.louisiana.govwww.lava.dhh.louisiana.gov