Emergency Preparedness 2010: Emergency Preparedness 2010: What and WhereWhat and Where

Hans C. Andersson, Hans C. Andersson, William PerryWilliam PerrySoutheast RegionSoutheast Region

Overview

• Regional EP Activities and Accomplishments

• NBS Results Reporting Survey

• National Initiatives– EP Workgroup– HRSA/CDC Contingency Plan

EP Programmatic Activities

Overall Accomplishments: 2010• All 7 regional collaboratives have EP activities• Development of a subject matter expert core

– NCC-EP Workgroup: regular mtgs with agenda and programs based on Contingency Plan

• Development of one-day EP workshop– Focused EP exercise– Public/private perspectives, consumers

• Publications:– Several white papers, journal submissions– NCC Collaborator: next edition devoted to EP

• NCC-EP program: recognized by FEMA as a Model Program for Public-Private Partnership

Regional Collaborative Activities: 2010 -11• NEGC (Region 1)

– participation in NYMAC EP exercise– EP workshop scheduled for spring 2011

• NYMAC (Region2)– Conducted EP workshop in fall 2010– Exploring lab sample exchange – Explored medical record backup program

Regional Collaborative Activities: 2010 -11• SERG (Region 3)

– Yearly tabletop or functional exercises at annual mtg x 3y– Functional exercise with Heartland using MEMSCIS (MyIEF)

testing use of virtual medical records in disaster drill– Developed 1 day workshop with tabletop exercise which have

been/will be conducted in 3 regions – EP workgroup: NBS results survey– 2 manuscripts in preparation

Regional Collaborative Activities: 2010 -11• Region 4

– Developed virtual medical record solution: MEMSCIS rebranded as MyEIF

– Publication in preparation regarding MyIEF

• Heartland (Region 5)– Performed multistate NBS lab contingency plan and functional

drill including Minnesota (more about this from Stan Berberich, PhD)

– Preparing EP workshop in spring

Regional Collaborative Activities: 2010 -11• MSRGCC (Region 6)

– Second annual EP workgroup meeting– Preparing for EP workshop in spring, 2011

• WSGSC (Region 7)– Completed EP assessment workshop– Preparing a regional strategic plan

SERC Project: NBS Results Reporting Survey

• 53 states’ and territories’ NBS lab director and/or state NBS coordinator surveyed for:

– How do report your normal, borderline and abnormal NBS results?

– What do you think is the BEST way to report an abnormal NBS result?

Question: Results from NBS samples which are normal are routinely available by: (check all that apply)

Online website

FAX Mailed letter

Telephone (nonautomated)

Telephone (automated)

Other

Submitting entity (hosp or MD)

15 21 38 10 7 4

Nonsubmitting MD (primary care)

7 21 20 9 5 1

Nonsubmitting MD (specialist)

8 17 7 10 5 3

NBS Coordinator/case manager

18 11 5 7 2 10

Family 0 3 5 4 0 2

Other 1 2 3 2 1 0

Question: Results from NBS samples which are borderline are routinely available by: (check all that apply)

Online website

FAX Mailed letter

Telephone (nonautomated)

Telephone (automated)

Other

Submitting entity (hosp or MD)

14 25 30 19 6 4

Nonsubmitting MD (primary care)

9 21 23 18 4 0

Nonsubmitting MD (specialist)

8 13 6 9 4 3

NBS Coordinator/case manager

15 17 5 11 2 11

Family 1 2 4 3 0 2

Other 1 3 1 1 0 0

Question: Results from NBS samples which are abnormal are routinely available by: (check all that apply)

Online website

FAX Mailed letter

Telephone (nonautom

ated)

Telephone (automated)

Other

Submitting entity (hosp or MD)

14 25 31 22 6 4

Nonsubmitting MD (primary care)

8 29 26 28 4 0

Nonsubmitting MD (specialist)

11 20 10 23 4 7

NBS Coordinator/case manager

14 17 6 16 2 15

Family 1 3 9 6 0 2

Other 1 5 3 5 0 1

Question: What do you feel is the preferred method of notifying abnormal results?

Phone 15

Phone + Fax 10

Phone + Fax + mailed letter 5

Phone + Fax + mailed letter + website 3

Phone + Fax + email 2

Phone + mailed letter 1

Fax + mailed letter 1

Website 1

No opinion/no answer 4

In an emergency, a virtual or remote result may be In an emergency, a virtual or remote result may be the only way for a family/physicianthe only way for a family/physician

National EP Initiatives• Participation in national organization EP groups

– Nat. Emergency Manager’s Association (sponsor of EMAC)– American Public Health Laboratory association

• Development of National Genetics Professional Cadre to support response mission of DHHS

• Development of genetics network situational awareness by network-wide survey/assessment of capacity to respond

• Support wider participation of:– NBS lab harmonization/contingency planning– Backup lab agreements and sample exchange drills

• Development/sponsorship of EP awareness education:– Online training modules, EP content– Development of genetics professional cadre