Texas Pandemic Influenza Regional Conference Antiviral Medication Distribution - PowerPoint PPT Presentation

Loading...

PPT – Texas Pandemic Influenza Regional Conference Antiviral Medication Distribution PowerPoint presentation | free to view - id: 13fe5e-ZDQ1O



Loading


The Adobe Flash plugin is needed to view this content

Get the plugin now

View by Category
About This Presentation
Title:

Texas Pandemic Influenza Regional Conference Antiviral Medication Distribution

Description:

A medication that has activity against influenza viruses, including the novel ... can access the state stockpile if local supplies are nearing or at depletion. ... – PowerPoint PPT presentation

Number of Views:44
Avg rating:3.0/5.0
Slides: 21
Provided by: lca100
Category:

less

Write a Comment
User Comments (0)
Transcript and Presenter's Notes

Title: Texas Pandemic Influenza Regional Conference Antiviral Medication Distribution


1
Texas Pandemic Influenza Regional
ConferenceAntiviral Medication Distribution
Texas Department of State Health Services
(DSHS) And Texas Division of Emergency Management
(DEM)August and September, 2009
2
Presentation Outline
  • What is an antiviral medication?
  • Brief Overview of Clinical Guidelines
  • Differences between Antiviral Medication
    Vaccine
  • Strategic National Stockpile Overview
  • State Stockpile
  • Overview
  • Access
  • Distribution
  • Reporting
  • Supply Chain Disruption
  • Key Points
  • Considerations

3
Antiviral Medication What Is An Antiviral
Medication?
  • A medication that has activity against influenza
    viruses, including the novel H1N1 influenza virus
  • Can be used to treat or help prevent novel H1N1
    influenza
  • Is only appropriate in specific circumstances
  • Requires a prescription from a healthcare
    provider
  • Is just one component of a comprehensive
    containment and treatment plan to help control
    novel H1N1 influenza

4
Antiviral Medication Brief Overview of Clinical
Guidelines
  • Treatment
  • Must be used within 48 hours of onset of symptoms
    for maximum effectiveness
  • Should be targeted to high risk populations
  • Pregnant women, children, adults with chronic
    diseases (such as asthma, COPD, and diabetes)
  • Patients hospitalized due to novel H1N1 influenza
  • Healthcare providers should follow guidance from
    DSHS found at www.texasflu.org
  • Antiviral medications can sometimes be used for
    preventive treatment in limited situations

5
Antiviral Medication Differences between
Antiviral Medication and Vaccine
6
Antiviral Medication Strategic National Stockpile
Overview
What is the Strategic National Stockpile?
Q
The Strategic National Stockpile (SNS) is a
federal government stockpile of medicine and
medical supplies available to states for public
health emergencies upon request by state officials
A
  • For pandemic influenza response, Texas receives a
    finite amount of antiviral medications from the
    SNS.
  • The SNS includes two types of antiviral
    medications Tamiflu and Relenza.

7
Antiviral Medication State Stockpile Overview
What is the State Stockpile?
Q
A stockpile of antiviral medication DSHS
purchased from federal preparedness funds and
state legislature funds antiviral medication
received as the Texas portion of the federal
Strategic National Stockpile
A
  • The state stockpile includes materials received
    from the SNS
  • The state stockpile has a finite amount of
    antiviral medications that need to be used
    strategically
  • The state stockpile includes two types of
    antiviral medications - Tamiflu and Relenza

8
Antiviral Medication State Stockpile Overview
When will the State Stockpile Be Used?
Q
  • There are three primary purposes for the state
    stockpile
  • Individuals who cannot access medication through
    routine channels
  • Public health measure needed for outbreak control
  • Routine supply channels breakdown

A
9
Antiviral Allocation and Distribution Routine
Channels for Access to Medication for Patients
Access to Antiviral Medications for Patients
Healthcare provider determines if an antiviral is
appropriate
Healthcare provider writes prescription
Pharmacist fills prescription
Routine Channel for Patients
10
Antiviral Allocation and Distribution Access to
State Stock Medication for Patients
  • Uninsured and underinsured may not utilize
    routine channels due to cost
  • DSHS created a mechanism to serve these patients
    through the state stockpile where patients can
    access medication at low or no cost based on the
    patients need
  • This mechanism uses a pharmacy distribution
    network that includes
  • Retail chain and independent pharmacies
  • Community Health Center (CHC) / Federally
    Qualified Health Center (FQHC) pharmacies

11
Antiviral Allocation and Distribution Access to
State Stock Medication for Patients
Access to State Stock Antiviral Medications for
Specific Patients
Healthcare provider identifies state stock is
needed
Healthcare provider writes prescription
Healthcare provider determines antiviral is
appropriate
Pharmacist fills prescription from state stock
Health Care Provider refers patient to a pharmacy
that has state stock
12
Antiviral Medication Public Health Measures to
Address Outbreak Control
Local Health Departments
  • Local health departments addressing public health
    outbreak control can access the state stockpile
    if local supplies are nearing or at depletion.
  • The local health department should contact the
    health service region to make this request.

13
Antiviral Allocation and Distribution Routine
Supply Channel for Health Care Entities
Access to Antiviral Medications for Health Care
Entities
Medication supply runs low
Order from supplier
Treat patients
Routine Channel for Health Care Entities
14
Antiviral Allocation and Distribution Routine
Supply Channel for Health Care Entities
Access to Antiviral Medications for Health Care
Entities
Medication supply runs low
Order from supplier
Treat patients
Routine Channel for Health Care Entities
If routine supply channels break down, the Health
Service Region has a mechanism to provide
supplies to health care entities.
15
Antiviral Allocation and Distribution Distribution
System for State Stock Antiviral Medication
DSHS
DSHS Health Service Region
Chain Pharmacies
Independent Pharmacies
FQHCs / CHCs
Local Health Departments
Healthcare Systems
Uninsured/ Underinsured Populations
16
Antiviral Medication Reporting
  • DSHS will track state stock antiviral medication
    usage and inventory levels.
  • Entities receiving state stock of antiviral
    medications will be required to report individual
    usage data and inventory levels to DSHS on a
    regular basis through an electronic system.

17
Antiviral Medication State Stockpile Utilization
Summary
  • For individuals who are uninsured or
    underinsured, antiviral medications can be
    distributed from the state stockpile
  • Healthcare providers will have information about
    how to access the state stockpile for patients in
    need

Uninsured and Underinsured
  • When required, the state stockpile can be used
    for outbreak control when deemed a necessary
    public health measure by either the DSHS Health
    Service Region or local health department

Outbreak Control
Supply Disruption
  • Used to meet immediate health care entity needs
    to due to supplier disruption or unavailability

18
Antiviral Medication Complete Supply Chain
Disruption
What happens if the supply chain is completely
unavailable ?
Q
  • DSHS will review epidemiological information at
    that time
  • DSHS will revise treatment guidance if necessary
    to determine appropriate allocation of the
    remaining stockpile

A
19
Antiviral Medication Key Points
  • Antiviral medications are appropriate only in
    specific circumstances
  • There are a finite number of antiviral
    medications available
  • Healthcare providers determine appropriateness of
    antiviral medication for patients
  • Healthcare providers should make their decisions
    based on the guidance found at www.texasflu.org
  • Antiviral medications are not a substitute for
    vaccine
  • Seek seasonal influenza vaccine as soon as that
    vaccine is available
  • Antiviral medications are just one component for
    controlling a novel H1N1 influenza virus outbreak
  • Non-pharmaceutical interventions (hand washing,
    social distancing, staying home from work/school
    when ill) are key elements to reduce transmission

20
Antiviral Medication Considerations
Department of State Health Services
Local Communities
  • Manage state stock antiviral medication
    distribution (allocate, process orders, ship)
  • Coordinate with stakeholders (health care
    providers, pharmacy partners, etc.) regarding
    state stock antiviral medication distribution
  • Provide clinical treatment guidance at
    www.texasflu.org
  • Track and report state stock antiviral medication
    usage
  • Guidance is available at www.texasflu.org
  • Use non-pharmaceutical interventions (hand
    washing, staying home when sick, etc.) to reduce
    transmission
  • Ensure continuity of operations plans do not rely
    on long-term antiviral medication for healthcare
    workers and first responders
  • Entities who receive state stock antiviral
    medications report on usage of this medication
About PowerShow.com