Transcript Slide 1
Virginia Department of Health
In It Together:
Building Coalitions to Prepare as One
VDH Preparedness Grant Funding
Period BP1 BP2 Incr(Decr) % Change BP3 Incr(Decr)2 % Change PHEP-Base
12,528,696 11,785,642 (743,054) -6% 12,574,657 789,015 7%
PHEP-CRI PHEP-Chem Lab
1,584,715 1,456,814 (127,901) 838,795 838,795 0 -8% 0% 1,517,289 60,475 4% 838,795 0 0%
Total PHEP
14,952,206 14,081,251 (870,955) -6% 14,930,741 849,490 6%
HPP Total Funding
8,739,318 8,231,128 (508,190) -6% 6,188,517 (2,042,611) -25% 23,691,524 22,312,379 (1,379,145) -6% 21,119,258 (1,193,121) -5%
25 000 000
Relative Funding Trends
20 000 000 Total PHEP 15 000 000 HPP 10 000 000 5 000 000 Total Funding 0 BP1 BP2 BP3
FUNDING TRENDS
30 000 000 25 000 000 20 000 000 15 000 000 10 000 000 5 000 000 FY00 FY01 FY02 FY03 FY04 FY05 FY06 FY07 FY08 FY09 FY10 FY11 FY12 FY13 FY14 FY15 PHEP HPP
Performance Tracking
National Health Security Preparedness Index (HHS) Centers of Disease Control and Prevention (CDC)
• Medical Countermeasure Dispensing Technical Assistance Review
National Association of County and City Health Officials
• Project Public Health Ready
Commonwealth of Virginia
• Governor’s Agency Preparedness Assessment • Annual Continuity Plan Review
Public Health Preparedness Capabilities
1: Community / Health Care Facility Preparedness 2: Community / Health Care Facility Recovery 3: Emergency Operations Coordination 4: Emergency Public Information / Warning 5: Fatality Management 6: Information Sharing 7: Mass Care 8: Medical Countermeasure Dispensing 9: Medical Materiel Management / Distribution 10: Medical Surge 11: Non-Pharmaceutical Interventions 12: Public Health Laboratory Testing 13: Public Health Surveillance and Epidemiologic Investigation 14: Responder Safety and Health 15: Volunteer Management
Hazard – Vulnerability Analysis
A systematic approach to recognizing hazards that may affect public health and health care.
• Analyze risks associated with each hazard to prioritize planning, mitigation, response and recovery activities.
• Serve as a needs assessment for the Emergency Management program.
Process involves community partners and is communicated to community emergency response agencies.
BP-2 Progress
Information Sharing: Provide healthcare situational awareness that contributes to the incident common operating picture.
Event Notifications & SitReps are currently being integrated into VHASS. This new version of VHASS will be demonstrated during the Emergency Coordinators Meeting in the afternoon of the second day of the Academy. During this session you will be able to login to VHASS to test it out along with offer recommendations for improving the system. The new VHASS will be fully functional in BP3.
Medical Surge: Coordinate integrated healthcare surge operations
with pre-hospital EMS operations. Seamlessly transfer disaster patient information from their respective healthcare systems into VHASS. Will enhance both patient tracking and family reunification efforts.
Healthcare System Preparedness: Develop, Refine, or Sustain
Healthcare Coalitions. Engage federal (i.e., DOD, VA) and state (i.e., behavioral health) partners to become more engaged within the regional healthcare coalitions.
BP-2 Progress
Medical Countermeasures Dispensing: Increased Closed POD and Pharmacy Open POD MOUs across the state. Commenced Pilot with Costco as an open/closed POD.
Medical Countermeasures Distribution: Enhanced relationships with Private Sector Distribution partners. Initiated Cross Docking planning as a complementary alternative to traditional RSS facility operations Mass Care. Developed health logistics (supplies/commodities) listings for all state shelters Info Sharing. Academy May 20-22, epi seminar/IMT training.
Worker Health and Safety. CBERS: Psychological First Aid 7 sessions statewide this spring.
Community Preparedness. Implemented new HAN system
BP2 Progress
Non-pharmaceutical interventions.
• Updated disease-specific guidelines for legionellosis, giardiasis, Chagas disease, Chikungunya virus infection • Created a new, comprehensive web site for influenza
Surveillance and epidemiologic investigations.
• Developed protocol for communicating with FBI on diseases on the CDC/USDA select agent list and guidelines for handling laboratory personnel exposures to CDC/USDA select agents, including surveillance and prophylaxis recommendations and tools.
• Transitioned the syndromic surveillance system to a new, upgraded technical infrastructure.
• Continued to train the epidemiology workforce through conference calls, meetings, and other resources to keep current with changes in surveillance technology and investigation methods.
BP2 Progress
Responder Safety and Health
• Meetings held with stakeholders in many agency offices to review existing emergency response plans and solicit information on expected roles in a VDH response and needs for training and personal protective equipment. • Used that information along with CDC and NIOSH recommendations to develop a matrix of job duties, emergency response roles, hazards likely to be encountered, training, immunization and personal protective equipment requirements.
• Matrix will be sent to stakeholders for review within the next week, and a draft capability 14 plan will be forwarded to OEPI management by June 1, 2014.
BP-3 Focus
Healthcare System Preparedness: Determine gaps in healthcare preparedness and identify resources for mitigation of these gaps.
Make statewide assessments of each healthcare coalition’s capabilities and identify any resource, training, and/or procedural gaps to set the baseline level of capability of each. Cross-train among RHCC.
Crisis Standards of Care: Develop Concept of Operations.
Conduct a national assessment of CSC plans to aide in the CSC plan development in Virginia. Develop an Incident Action Plan for Crisis Standards of Care, and a draft Governors declaration to support CSC implementation.
Medical countermeasure distribution. docking as a complement/supplement alternative to RSS facility operations.
Implement cross-
BP-3 Focus
Medical countermeasure dispensing .
Provide influenza vaccine to health districts in order practice mass dispensing techniques, tracking throughput measures and to provide protection to the public.
Mass care.
Continue refining VDH role in state managed shelters.
Info Sharing and Community Preparedness.
CBERS with pharmacist; new system to communicate with clinicians in community.
Info Sharing and Emergency Response.
Revise system for internal communication
BP-3 Focus
Non-pharmaceutical interventions.
• Update guidance for clinicians for the Category A bioterrorism agents.
• Revise epidemiologic response plans according to a new agency template.
• Continue to maintain the Virginia Disease Control Manual, with recommendations for disease control measures identified in each chapter.
Responder Safety and Health.
• Ensure appropriate staff are engaged and critical roles identified in the plan filled.
• Develop and provide training on the responder safety and health plan.
Epi BP-3 Focus
Surveillance and epidemiologic investigations.
• Migrate the electronic disease surveillance system to a new, upgraded infrastructure and incorporate disease specific data collection templates in the system.
• Continue to increase electronic laboratory reporting, including receiving reports from hospital/health system labs.
• Develop more timely statistical reports on disease occurrence and provide data analysis tools to health districts.
Purpose of Workshop
Consideration of cross-docking as a
complement / supplement
receiving, staging, and storing SNS assets for distribution alternative to traditional modes of
VDH All Hazard Incident Management Team 3/1/2014
Incident Commander Dr. Marissa Levine PIO Maribeth Brewster Liaison Officer Joe Hilbert Info/Intel Chief Suzi Silverstein Planning Chief Bob Mauskapf Safety Officer Dr. Joanne Wakeham VEOC/ESF8 Liaison TBD Operations Chief Dr. David Trump Sit Awareness Unit Josh Czarda Technical Advisors CHS Branch Bob Hicks Epi Branch Dr. Laurie Forlano Four (4) Regional Coordinators 35 Local Health District Directors SNS Coordinator Cindy Shelton Hospital/Medical Community Branch EMS Unit Gary Brown Jenny Smock ESF3 Drinking Water Branch John Aulbach Surveillance Unit Dr. Diane Woolard Fatality Management Dr. Bill Gormley Environmental Health Allen Knapp Radiological Health Steve Harrison Admin/Logistics/ Finance Chief Richard Corrigan HR Becky Bynum Finance Beth Franklin Procurement/ General Services Steve VonCanon IT Debbie Condrey
Health Care Organizations in Coalitions
24-hour Acute Care HCOs (Non-Federal)
Acute Care Hospitals Children’s Hospitals Rehabilitation Hospitals Psychiatric Hospitals Critical Access Hospitals (CAHs)
24-hour Sub-Acute or Long Term Care HCOs (Non-Federal)
Skilled Nursing Facilities (SNFs) (aka Rehabilitation facilities) Assisted Living Facilities Intermediate Care Facilities for Persons with Mental Retardation Programs for All-Inclusive Care for the Elderly (PACE) Hospice (Medicare-Medicaid)
Outpatient HCOs (Non-Federal)
Ambulatory Surgical Centers (ASCs) Health Agencies (HHAs) Organ Procurement Organizations (OPOs) Rural Health Clinics (RHCs) Federally Qualified Health Centers (FQHCs) Community Health Centers (that are not FQHCs) End Stage Renal Dialysis (ESRDs) Facilities
Hospitals (Federal)
Veteran’s Administration (VA) Medical Centers Department of Defense (DoD) Hospitals
Total HCOs HCOs in HCC % HCOs in HCC 78 4 12 10 7 283 542 53 12 124 58 703 2 2 114 5 145 3 3 78 3 8 8 7 283 27 5 0 0 0 0 0 2 114 5 145 3 3 100% 75% 67% 80% 100% 100% 5% 9% 0% 0% 0% 0% 0% 100% 100% 100% 100% 100% 100%
Virginia Medical Reserve Corps
31 Units 13,500+ Volunteers 5,600+ Health Care Volunteers $ 890,000 in volunteer time for 2013
Volunteers Protecting Virginia’s Health
Questions?
VDH Staff Contact Information
Dr. Dave Trump, Acting Chief Deputy Commissioner Public Health and Preparedness [email protected]
804-864-7025 Kim Allan, Operations Director [email protected]
804-864-7030 Bob Mauskapf, Director, Emergency Preparedness [email protected]
804-864-7035 Suzi Silverstein, Director, Risk Communication and Education [email protected]
840-864-7538 Cindy Shelton, Assistant Director, Emergency Preparedness [email protected]
804-864-7486 Jenny Smock, State Hospital Coordinator [email protected]
804-864-7033 Jennifer Freeland VDH State Volunteer Coordinator [email protected]
804-396-0543 General Info / Contact http://www.vdh.virginia.gov/OEP/