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Clinic Disaster Preparedness Questionnaire Results: February


Clinic Disaster Preparedness Questionnaire Results: February & August 2006 February 2006 & August 2006 Results Presented by: Susan Cheng, MPH, PhDc – PowerPoint PPT presentation

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Title: Clinic Disaster Preparedness Questionnaire Results: February

Clinic Disaster Preparedness Questionnaire
Results February August 2006
  • February 2006 August 2006 Results
  • Presented by Susan Cheng, MPH, PhDc
  • Emergency Operations Plan Development Training
  • April 11th and 12th, 2007
  • Sacramento, CA

Native American Alliance for Emergency Prep
  • A collaboration to increase capacity among health
    care providers across Californias 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

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

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)

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 Governors Office of Emergency Services
  • CA Governors Office of Homeland Security
  • Native American Alliance Emergency Preparedness

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)

Results Baseline (Winter 06)
  • Most clinics have emergency plan (gt90)
  • Participated in annual drill
  • Worked with local entities to coordinate planning
  • Few clinics have completed hazard vulnerability
  • 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 Follow-up (Summer 06)
  • 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 (bio/chem)
  • 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 (goals)
  • Following specific goals for 2005 2006 project
    year also improved
  • California Health Alert Network (CAHAN)
  • Staff trained in Incident Command System (ICS)
  • Staff assigned to specific roles in ICS

Results Follow-up (priority)
  • 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

Results Follow-up (bio/chem)
  • 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 (coll./part.)
  • Collaboration and Partnerships
  • Inclusion in local hospital plan
  • Evidence collection procedure with law
  • Inclusion in strategic national stockpile
  • Comm. plan w/local media, public health, tribal
  • Participation in CAHAN
  • Provisions for accessing supplies from others

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

Results Comparisons
  • NAAEP workshop attendee clinics were overall
    better prepared for an emergency than
    non-attendee clinics
  • Clinics who visited the NAAEP website
    (http// were better prepared for
    an emergency than clinics who had not visited the
  • 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 Technical Assistance
  • Based on the questionnaire results, select Indian
    Health Clinics were identified to receive on-site
    technical assistance (by Calvin Freeman Barbara
  • 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

Follow-up (Q3) planned Summer 07
  • 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) Why is this important?
  • Continued participation important for
  • Preparedness surveillance
  • Priority/funding setting
  • Identify clinics for technical assistance
  • Advise project staff on workshop content and

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

NAEEP Website http//
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
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