Clinic Disaster Clinic Disaster Preparedness Preparedness Questionnaire Questionnaire Results: Results: February & August 2006 February & August 2006 February 2006 & August 2006 Results Presented by: Susan Cheng, MPH, PhDc Emergency Operations Plan Development Training Workshop April 11 th and 12 th , 2007 Sacramento, CA
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Clinic Disaster Preparedness Questionnaire Results: February & August 2006 February 2006 & August 2006 Results Presented by: Susan Cheng, MPH, PhDc Emergency.
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Questionnaire Results:Questionnaire Results:February & August 2006February & August 2006
February 2006 & August 2006 ResultsPresented by: Susan Cheng, MPH, PhDc
Emergency Operations Plan Development Training WorkshopApril 11th and 12th, 2007
Sacramento, CA
Native American Alliance for Emergency Prep (NAEEP)
A collaboration to increase capacity among health care providers across California’s Indian Country to respond appropriately to natural and man-made disasters and health emergencies
Original Partnership between: CA Area Office Indian Health Service Indian Health Council San Diego State University County of San Diego Health and
Human Services Agency
NAAEP History (2003-2004)
Year 1 (2003): Development of health provider training workshops focused on Terrorism Preparedness (bio/chem/rad)
Year 2 (2004): Development of tabletop exercise for health providers previously attended terrorism preparedness training workshops
NAAEP (2005-2006)
Year 3 (2005): Development of Emergency Operations Plan Template
for clinics and implement all-hazards plan development training workshop
Final terrorism-preparedness workshop
Year 4 (2006): Continued all-hazards training Formed inter-agency collaboration Implemented clinic disaster
preparedness questionnaire (winter & summer 2006)
Multi-agency Collaboration
New collaboration formed to better serve all Indian Health Clinics:
CA Indian Health Service CA DHS Indian Health Program CA DHS Emergency Preparedness Office CA Governor’s Office of Emergency Services CA Governor’s Office of Homeland Security Native American Alliance Emergency Preparedness
Clinic Disaster Preparedness Questionnaire
Clinic Disaster Preparedness Questionnaire
Winter 2006: Baseline implemented (Q1) Originally IHS questionnaire with 52 questions
Summer 2006: Follow-up implemented (Q2) Added questions regarding accreditation and
access/utilization of resources (website, technical assistance)
Summer 2007: Follow-up planned (Q3)
Results: Baseline (Winter ’06)
Most clinics have emergency plan (>90%) Participated in annual drill Worked with local entities to coordinate planning
Few clinics have completed hazard vulnerability assessment
Few clinics have procedures/policies, training, facilities, equipment, or supplies for biological or chemical event
Overall better prepared for natural rather than intentional disaster
Results: Follow-up (Summer ’06)
Major improvements from baseline in:
Provisions for vulnerable populations in plan
Ability to increase capacity by 10% & 30%
Communications systems (T-3 internet & amateur radios available)
Satellite based tutorials for training
Results: Follow-up (bio/chem)
Better prepared for bio/chem event
Infectious disease/syndromic surveillance
Testing for bio/chem agent
Mass prophylaxis plan Enough prophylaxis for all staff
Inclusion in Strategic National Stockpile
N95 masks available and fit-tested for staff
Results: Follow-up (goals)
Following specific goals for 2005 – 2006 project year also improved:
California Health Alert Network (CAHAN) participation
Staff trained in Incident Command System (ICS)
Staff assigned to specific roles in ICS
Results: Follow-up (priority)
Priority Settings (Follow-up vs. baseline):
Clinics downgraded planning and preparedness tools and communications from higher priority to lower priority
Potentially project activities (workshop and T/A) helped address these topics
Most clinics still rank “supplies” as a high priority
Results: Follow-up (bio/chem)
Still need to improve preparation for bio/chem outbreak or event:
Isolating segments of facility
Surveillance for outbreak
N95 masks and staff fit-tested
Staff training on bio/chem/rad prep and contaminant ID
Results: Follow-up (coll./part.)
Collaboration and Partnerships
Inclusion in local hospital plan
Evidence collection procedure with law enforcement
Inclusion in strategic national stockpile
Comm. plan w/local media, public health, & tribal reps
Participation in CAHAN
Provisions for accessing supplies from others
Results: Follow-up (surge)
Surge Capacity & Staffing
Personnel recall policy in place
Plan to expand operational capacity
Staff trained and assigned role in ICS
Results: Comparisons
NAAEP workshop attendee clinics were overall better prepared for an emergency than non-attendee clinics
Clinics who visited the NAAEP website (http://www.naaep.org) were better prepared for an emergency than clinics who had not visited the website
Clinics with current accreditation were better prepared for an emergency than clinics without current accreditation
Clinics with past accreditation also better prepared for an emergency than clinics without past accreditation
Based on the questionnaire results, select Indian Health Clinics were identified to receive on-site technical assistance (by Calvin Freeman & Barbara Aragon)
Clinics chosen to receive technical assistance were less prepared overall for an emergency compared to clinics not chosen for T/A on the baseline (winter) questionnaire
However, after receiving T/A, those clinics chosen & receiving of T/A were just as prepared as clinics who had not been chosen and had not received T/A
Therefore, the T/A successfully closed the gap between the vulnerable clinics and all other clinics
Follow-up (Q3) planned Summer ‘07
Minor revisions to questionnaire in progress New questionnaire will be implemented June 2007
Available online and electronically by email Can complete by hand and mail or fax back Can complete electronically and email back Can complete online and submit online
Previous follow-up results will be available for clinics for their convenience/reference
Follow-up (Q3): Why is this important?
Continued participation important for: Preparedness surveillance Priority/funding setting Identify clinics for technical assistance Advise project staff on workshop content
and emphasis
Acknowledgements
Big, Big Thanks!!
All California Indian Health Clinics
Inter-Agency Partners
NAAEP Staff
NAEEP Websitehttp://www.naaep.org
Bio/Chem/Rad Terrorism Prep.Workshop presentationsSelf-guided tutorialsInteractive tutorialsTesting Question Bank
Disaster plan resources Emergency Op. Plan TemplateWorkshop Manual FilesPandemic/Avian Flu Prep (new)
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