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Clinic Disaster Preparedness Questionnaire Results: February & August 2006

Clinic Disaster Preparedness Questionnaire Results: 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

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  1. Clinic Disaster PreparednessQuestionnaire Results:February & August 2006 February 2006 & August 2006 Results Presented by: Susan Cheng, MPH, PhDc Emergency Operations Plan Development Training Workshop April 11th and 12th, 2007 Sacramento, CA

  2. 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

  3. 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

  4. 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)

  5. 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

  6. 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)

  7. 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: Baseline (Winter ’06)

  8. 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 (Summer ’06)

  9. 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 (bio/chem)

  10. 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 (goals)

  11. 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 (priority)

  12. 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 (bio/chem)

  13. 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 (coll./part.)

  14. Surge Capacity & Staffing Personnel recall policy in place Plan to expand operational capacity Staff trained and assigned role in ICS Results: Follow-up (surge)

  15. 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 Results: Comparisons

  16. 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 Results: Technical Assistance

  17. 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) planned Summer ‘07

  18. Continued participation important for: Preparedness surveillance Priority/funding setting Identify clinics for technical assistance Advise project staff on workshop content and emphasis Follow-up (Q3): Why is this important?

  19. Acknowledgements • Big, Big Thanks!! • All California Indian Health Clinics • Inter-Agency Partners • NAAEP Staff

  20. NAEEP Websitehttp://www.naaep.org Bio/Chem/Rad Terrorism Prep. Workshop presentations Self-guided tutorials Interactive tutorials Testing Question Bank Disaster plan resources Emergency Op. Plan Template Workshop Manual Files Pandemic/Avian Flu Prep (new) Project Information Inter-Agency Collaboration About Us Contact Us

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