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Wayne Dauphinee Executive Director Seventh Annual Pacific NorthWest Cross Border Workshop Seattle, WA May 4-6 2010 Forging Ahead
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Wayne Dauphinee Executive Director Seventh Annual Pacific NorthWest Cross Border Workshop Seattle, WA May 4-6 2010 Forging Ahead.

Jan 13, 2016

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Page 1: Wayne Dauphinee Executive Director Seventh Annual Pacific NorthWest Cross Border Workshop Seattle, WA May 4-6 2010 Forging Ahead.

Wayne DauphineeExecutive Director

Seventh Annual Pacific NorthWestCross Border WorkshopSeattle, WA May 4-6 2010

Forging Ahead

Page 2: Wayne Dauphinee Executive Director Seventh Annual Pacific NorthWest Cross Border Workshop Seattle, WA May 4-6 2010 Forging Ahead.

Chronology

Pacific NorthWest Economic Region (PNWER) - 1991

Western Regional Emergency Management Advisory Committee - 1996

Pacific Northwest Emergency Management Arrangement (PNEMA) – 1996

Ad Hoc Cross Border Public Health Preparedness Working Group - 2002

British Columbia-Alberta MOU- 2004

British Columbia-Washington MOU - 2006

PNEMA Operational Plan – 2007

050410

Page 3: Wayne Dauphinee Executive Director Seventh Annual Pacific NorthWest Cross Border Workshop Seattle, WA May 4-6 2010 Forging Ahead.

Chronology

Pacific NorthWest Economic Region (PNWER) - 1991

Western Regional Emergency Management Advisory Committee - 1996

Pacific Northwest Emergency Management Arrangement (PNEMA) – 1996

Ad Hoc Cross Border Public Health Preparedness Working Group - 2002

British Columbia-Alberta MOU- 2004

British Columbia-Washington MOU - 2006

PNEMA Operational Plan – 2007

050410

Page 4: Wayne Dauphinee Executive Director Seventh Annual Pacific NorthWest Cross Border Workshop Seattle, WA May 4-6 2010 Forging Ahead.

PNWER

Objective:

To increase the economic well-being and quality of life for all citizens of the region; coordinate provincial and state policies throughout the region; to identify and promote "models of success;" and to serve as a conduit to exchange information

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Page 5: Wayne Dauphinee Executive Director Seventh Annual Pacific NorthWest Cross Border Workshop Seattle, WA May 4-6 2010 Forging Ahead.

Chronology

Pacific NorthWest Economic Region (PNWER) - 1991

Western Regional Emergency Management Advisory Committee - 1996

Pacific Northwest Emergency Management Arrangement (PNEMA) – 1996

Ad Hoc Cross Border Public Health Preparedness Working Group - 2002

British Columbia-Alberta MOU- 2004

British Columbia-Washington MOU - 2006

PNEMA Operational Plan – 2007

050410

Page 6: Wayne Dauphinee Executive Director Seventh Annual Pacific NorthWest Cross Border Workshop Seattle, WA May 4-6 2010 Forging Ahead.

PNEMA

Objective:

Establish regionally-based emergency preparedness, response and recovery measures that will benefit all jurisdictions within the Pacific Northwest, and best serve their respective national interests in cooperative and coordinated emergency preparedness

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Page 7: Wayne Dauphinee Executive Director Seventh Annual Pacific NorthWest Cross Border Workshop Seattle, WA May 4-6 2010 Forging Ahead.

Chronology

Pacific NorthWest Economic Region (PNWER) - 1991

Western Regional Emergency Management Advisory Committee - 1996

Pacific Northwest Emergency Management Arrangement (PNEMA) – 1996

Ad Hoc Cross Border Public Health Preparedness Working Group - 2002

British Columbia-Alberta MOU- 2004

British Columbia-Washington MOU - 2006

PNEMA Operational Plan – 2007

050410

Page 8: Wayne Dauphinee Executive Director Seventh Annual Pacific NorthWest Cross Border Workshop Seattle, WA May 4-6 2010 Forging Ahead.

Ad Hoc Cross Border Working Group

Objective:

Establish an inter-jurisdiction collaborative approach to mitigate and respond to the public health impact of both routine disease outbreaks and catastrophic health emergencies across the Canada-United States border.

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Page 9: Wayne Dauphinee Executive Director Seventh Annual Pacific NorthWest Cross Border Workshop Seattle, WA May 4-6 2010 Forging Ahead.

Accomplishments

• Cross Border Workshops • 24/7 Emergency Contact List• Electronic connectivity

- BCCDC added to CDC Epi-X electronic alerting system

- Adjacent states and provinces added to Washington State SECURES electronic alert network

• Cross Border Epidemiology Exercises

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Page 10: Wayne Dauphinee Executive Director Seventh Annual Pacific NorthWest Cross Border Workshop Seattle, WA May 4-6 2010 Forging Ahead.

Recognized need to:

• Institutionalize ad hoc working groups to ensure sustainability

• Maximize capacity to address extraordinary demands impacting the public health and health care delivery systems

• Reinforce existing informal communication/ collaboration between cross-border public health partners

• Implement WHO International Health Regulation

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Page 11: Wayne Dauphinee Executive Director Seventh Annual Pacific NorthWest Cross Border Workshop Seattle, WA May 4-6 2010 Forging Ahead.

Today

Pacific NorthWest Economic Region (PNWER) - 1991

Western Regional Emergency Management Advisory Committee - 1996

Pacific Northwest Emergency Management Arrangement (PNEMA) – 1996

Ad Hoc Cross Border Public Health Preparedness Working Group - 2002

British Columbia-Alberta MOU- 2004

British Columbia-Washington MOU - 2006

PNEMA Operational Plan – 2007

Pacific NorthWest Border Health Alliance(PNWBHA) - 2008

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Page 12: Wayne Dauphinee Executive Director Seventh Annual Pacific NorthWest Cross Border Workshop Seattle, WA May 4-6 2010 Forging Ahead.

PNWBHA:Objectives:

To prevent and/or mitigate communicable disease outbreaks through integrated surveillance and early notification;

To respond to surge capacity demands on health systems and health resources efficiently and in a cost effective manner when public health emergencies arise; and

To assess current and explore future areas of operational responsibility that could result in efficiencies when providing health services.

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Page 13: Wayne Dauphinee Executive Director Seventh Annual Pacific NorthWest Cross Border Workshop Seattle, WA May 4-6 2010 Forging Ahead.

Opportunities

Build on established practice

Seamless transition - routine to emergency operations

Enhanced interoperability through regular use

Platform for collaborative work on chronic disease and healthy public policies

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Page 14: Wayne Dauphinee Executive Director Seventh Annual Pacific NorthWest Cross Border Workshop Seattle, WA May 4-6 2010 Forging Ahead.

Joint Coordination Committee (JCC)

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Emergency Management

Working Group

Epidemiology & Surveillance

Working Group

Public Health Laboratory

Working Group

Health ServicesWorking Group

(Pending)

CommunicationWorking Group

Emergency Medical ServicesWorking Group

LegalWorking Group

Joint Coordination Committee

Executive Director

Secretariat

Page 15: Wayne Dauphinee Executive Director Seventh Annual Pacific NorthWest Cross Border Workshop Seattle, WA May 4-6 2010 Forging Ahead.

JCC MembershipCore

• Co-Chair (Canadian and United States representatives) • Signatory Representatives (9)

Expanded

• Working Group Leads (8)

Liaison

• Representative from the Public Health Agency of Canada• Representative from United States Public Health Service

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Page 16: Wayne Dauphinee Executive Director Seventh Annual Pacific NorthWest Cross Border Workshop Seattle, WA May 4-6 2010 Forging Ahead.

Goals• Identify opportunities to improve collaborative early warning infectious disease surveillance and information sharing between the participating jurisdictions, including the type of information to be shared.

• Develop plans to address surge capacity demands on health systems and resources when public health emergencies arise, including a 24/7 response protocol.

• Assess current and explore future areas of collaboration that could result in efficiencies in the provision of health services

• Conduct an annual Cross Border Public Health Preparedness Workshop.

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Page 17: Wayne Dauphinee Executive Director Seventh Annual Pacific NorthWest Cross Border Workshop Seattle, WA May 4-6 2010 Forging Ahead.

2009/10 PNW Accomplishments• Operational Plan for Moving EMS Staff and Resources Across

the BC –WA Border

• BC-WA MOU to Share and Protect Health Information to Assure Prompt and Effective Identification of Infectious Disease and Other Public Health Threats

• PNWBHA V2010 Public Health Preparedness Coordination Group

• BC-WA MOU on Sharing of Laboratory Resources (Pending)

• PNWBHA Web Site www.pnwbha.org

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Page 18: Wayne Dauphinee Executive Director Seventh Annual Pacific NorthWest Cross Border Workshop Seattle, WA May 4-6 2010 Forging Ahead.

2009/10 PNW Accomplishments

• Operational Plan for Moving EMS Staff and Resources Across the BC –WA Border

To ensure the timely and efficient movement and utilization of emergency Medical Services (EMS) staff and resources across the Washington and British Columbia border.

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Page 19: Wayne Dauphinee Executive Director Seventh Annual Pacific NorthWest Cross Border Workshop Seattle, WA May 4-6 2010 Forging Ahead.

2009/10 PNW Accomplishments

• BC-WA MOU to Share and Protect Health Information to Assure Prompt and Effective Identification of Infectious Disease and Other Public Health Threats

Facilitates the sharing of health information for the purpose of preventing, detecting, or responding to a public health event recognizing that neither jurisdiction commits to information collection, use, and/or disclosure beyond that which is authorized by each jurisdiction’s respective laws. Information shared will not include personal information, except in rare instances when that information might be needed to protect an individual or the public's health.

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Page 20: Wayne Dauphinee Executive Director Seventh Annual Pacific NorthWest Cross Border Workshop Seattle, WA May 4-6 2010 Forging Ahead.

2009/10 PNW Accomplishments

• PNWBHA V2010 Public Health Preparedness Coordination Group

The purpose of the Coordination Group was to ensure integrated cross border public health preparedness for the 2010 Olympic and Paralympic Games by:⁻ maintaining inter-jurisdictional situation awareness;⁻ identifying potential border health issues;⁻ reviewing and/or resolving cross-jurisdictional health emergency

management issues; and⁻ providing leadership in the identification of 2010 border health

legacy initiatives.

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Page 21: Wayne Dauphinee Executive Director Seventh Annual Pacific NorthWest Cross Border Workshop Seattle, WA May 4-6 2010 Forging Ahead.

2009/10 PNW Accomplishments

• BC-WA MOU on Sharing of Laboratory Resources

Agreement will facilitate mutual aid and cooperation during a disease outbreak, food borne contamination or suspected biological or chemical terrorism that spans borders, or requires the expertise or capacity of the other Party’s laboratories.

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Page 22: Wayne Dauphinee Executive Director Seventh Annual Pacific NorthWest Cross Border Workshop Seattle, WA May 4-6 2010 Forging Ahead.

2009/10 PNW Accomplishments

• PNWBHA Web Site www.pnwbha.org

The Alliance web site is intended to keep members informed and current on:

• Alliance activities• Regional health news• Conferences/workshops notices• Status of agreement and arrangements• Publications/articles of interest

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Page 23: Wayne Dauphinee Executive Director Seventh Annual Pacific NorthWest Cross Border Workshop Seattle, WA May 4-6 2010 Forging Ahead.

Challenges

• Funding

⁻ No dedicated funding stream⁻ States/provinces/territories volunteer to cover

respective costs

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Page 24: Wayne Dauphinee Executive Director Seventh Annual Pacific NorthWest Cross Border Workshop Seattle, WA May 4-6 2010 Forging Ahead.

http://www.pnwbha.org