Center for Public Health Preparedness

1. Our Vision - Healthy Kansans living in safe and sustainable environments

2. Our Vision - Healthy Kansans living in safe and sustainable environments Center for Public Health Preparedness CPHP provides leadership to protect the health of Kansans through efforts to mitigate, prepare for, respond to and recover from disasters, infectious disease, terrorism and mass casualty emergencies.

3. Our Vision - Healthy Kansans living in safe and sustainable environments Welcome and Good Morning! Thanks to our hosts: Kansas Association of Counties (KAC) and Kansas Association of Local Health Departments (KALHD)

4. Our Vision - Healthy Kansans living in safe and sustainable environments Barry L. Autrey Strategic National Stockpile Coordinator 785-291-3243 bautrey@kdheks.gov

5. Our Vision - Healthy Kansans living in safe and sustainable environments Conducting a Technical Assistance Review TAR 101

6. Our Vision - Healthy Kansans living in safe and sustainable environments This class fulfills Item 2 of the Regional Work Plan of the 2008-2009 Public Health Preparedness and Response Grant administered by the Center for Public Health Preparedness (CPHP) at Kansas Department of Health and Environment.

7. Our Vision - Healthy Kansans living in safe and sustainable environments CPHP has recently undergone a rather dramatic transformation and we have several new staff members.

8. Our Vision - Healthy Kansans living in safe and sustainable environments

9. Our Vision - Healthy Kansans living in safe and sustainable environments Check out the CPHP webpage: www.ksprepared.org

10. Our Vision - Healthy Kansans living in safe and sustainable environments The only dumb question is the one that you don’t ask.

11. Our Vision - Healthy Kansans living in safe and sustainable environments A Technical Assistance Review (TAR) is a process by which a standardized set of criteria can be used to assess a community’s preparedness to prophylax or dispense medication/vaccine to 100% of their population within 48 hours. Technical Assistance Review

12. Our Vision - Healthy Kansans living in safe and sustainable environments The Centers for Disease Control and Prevention (CDC) has been assessing State and City Readiness Initiative (CRI) and randomly selected non-CRI local health departments for several years. CDC Assessments

13. Our Vision - Healthy Kansans living in safe and sustainable environments Additional AssessmentsThis year an additional component has been added requiring all local health departments to be assessed using the same criteria.

14. Our Vision - Healthy Kansans living in safe and sustainable environments Most of these assessments will be conducted by Regional Public Health Coordinators. The work plan specifies counties will be assessed within a two year period. Additional Assessments

15. Our Vision - Healthy Kansans living in safe and sustainable environments An employee of a health department cannot assess their own program as a work plan deliverable. Additional Assessments

16. Our Vision - Healthy Kansans living in safe and sustainable environments Instrument used in the assessment process Developed by the CDC It has been updated several times-- latest version dated October 2007 It can be found on our website. The TAR Tool

17. Our Vision - Healthy Kansans living in safe and sustainable environments Our time today is centered on performing a TAR, not a line by line analysis of the TAR Tool.Our time today is centered on performing a TAR, not a line by line analysis of the TAR Tool.

18. Our Vision - Healthy Kansans living in safe and sustainable environments Conducting the TAR Give plenty of notice to the department being assessed. Request all documentation on a CD or thumb drive Schedule ample time Minimize interruptions by daily operations as much as possible

19. Our Vision - Healthy Kansans living in safe and sustainable environments Request as many community partners as possible attend the TAR. Have them bring their individual plans. Most do not need to be there for the entire assessment. Conducting the TAR

20. Our Vision - Healthy Kansans living in safe and sustainable environments The assessment should be totally non-confrontational. It is an opportunity to identify strengths and areas needing improvement. Be honest in your evaluation. Unearned high scores lead to a false sense of security and accomplishment.

21. Our Vision - Healthy Kansans living in safe and sustainable environments The rule of thumb for a TAR: “if it’s not documented, it doesn’t exist.” Any time we receive funds from the government, we must be able to document that we use it for what it’s intended for. Conducting the TAR

22. Our Vision - Healthy Kansans living in safe and sustainable environments An area that can result in a lower score: required/scheduled reviews, updates, testing and exercises. It is time consuming, but once you get into the habit, and schedule accordingly, most of these functions go rather smoothly. Remember to document it!! Conducting the TAR

23. Our Vision - Healthy Kansans living in safe and sustainable environments The front page: a basic summation of the County and their program. This information should be readily available in order to save time. Conducting the TAR

24. Our Vision - Healthy Kansans living in safe and sustainable environments Go down the pages in order. “Show me” will become your mantra. Documentation is key. A scoring key at the left of each line: normally a 1 or 0 but some have half points. The criteria for scoring is given for each subsection. At the bottom is an area to give the total points awarded for the section. Conducting the TAR

25. Our Vision - Healthy Kansans living in safe and sustainable environments Counties that do not have a Distribution Site do not need to complete Section 7 and 9. Conducting the TAR

26. Our Vision - Healthy Kansans living in safe and sustainable environments Section 12.6 on Page 21 (the last page!) will take additional time unless the information is prepared before hand. Conducting the TAR

27. Our Vision - Healthy Kansans living in safe and sustainable environments The first column is Training. Normally, a training session is not an exercise. Column 2 is Type of Exercise: Full scale Functional Drill Table Top Workshop Other Can an exercise be training? Yes! If it is designed to impart specific knowledge and you document who was trained on what. Section 12.6

28. Our Vision - Healthy Kansans living in safe and sustainable environments Upon Completion Individual styles prevail. I prefer to not give a total score on the day of the assessment. I like to return and carefully review the handwritten TAR Tool and all documentation provided. I want to ensure that I can give the maximum points possible. Reviewing all of the plans, exercises, training information etc. is time consuming. It normally takes me a week to 10 days to complete the final TAR Tool.

29. Our Vision - Healthy Kansans living in safe and sustainable environments To aid in scoring, CDC created an Automated TAR Tool in an Excel spreadsheet format. Available on the SNS Extranet. Will be on the CPHP webpage by the end of this month. Automated TAR Tool

30. Our Vision - Healthy Kansans living in safe and sustainable environments Thank you!! QUESTIONS?????

31. Our Vision - Healthy Kansans living in safe and sustainable environments Barry L. Autrey Strategic National Stockpile Coordinator Center for Public Health Preparedness Kansas Department of Health & Environment 785-291-3243 bautrey@kdheks.gov

32. Our Vision - Healthy Kansans living in safe and sustainable environments