Public Health Practices

Improving biosurveillance for mass gatherings: The 2013 Boston Marathon example

Immediately following the 2013 Boston Marathon bombing, BPHC's Medical Intelligence Center worked with hospitals to ensure quality and speed of care for injured patients.

State funding opportunity provides avenues for emergency water supply in hospitals

A two-phase project provides funding for hospitals to create emergency water wells, which could be used during water supply disruption.

Framework provides strategies for addressing resource scarcity in hospitals and clinics during a regional response

Minnesota developed color-coded recommendations for hospitals that need to manage resources like oxygen, intravenous equipment, and nutrition during emergencies.

Partnership with Civil Air Patrol allows winter transport of emergency medications to Michigan's Upper Peninsula

Michigan partnered with the Civil Air Patrol to be able to deliver antivirals and other supplies to the Upper Peninsula when roads are unsafe and/or when other partners are unavailable.

Multistate collaboration shares lessons learned from 2009 tsunami response in American Samoa

Volunteers and public health/medical professionals from Hawaii and American Samoa responded to infrastructure gaps after the 2009 tsunami.

Collaborative drug therapy agreement toolkit for pharmacies and public health

The Seattle-King County Advanced Practice Center created a toolkit for health agencies partnering with community and retail pharmacists during a disaster.

Stockpiling protective equipment allows campus to supply university hospital with masks during H1N1

The University of Michigan began a mask and respirator stockpiling program that allowed it to address supply shortages at the on-campus hospital during the H1N1 pandemic.

New guidelines and on-campus resources lead to provision of alcohol-free hand sanitizer on campus

During the 2009 H1N1 pandemic, the University of Michigan developed practices around providing alcohol-free hand sanitizer in response to flammability concerns and student preferences.

Unique inventory management and volunteer system

The Virginia Department of Health created a system that enables the state to track SNS dispensing supplies and healthcare volunteer deployment during an emergency.

Guidelines for Accessing the Hospital PPE Stockpile

The Hospital PPE Stockpile is separate from the Strategic National Stockpile (SNS). Guidelines for accessing personal protective equipment (PPE) from the Strategic National Stockpile are incident-specific with information available through the Wisconsin Division of Public Health.

Healthcare facility inventory of respiratory protection equipment

During the H1N1 pandemic, the Minnesota Department of Health created an assessment tool to help hospitals conserve a short supply of respirators for high-risk procedures, if necessary.

Minnesota Pandemic Recommended Actions for Healthcare Facilities by Event Stage

This 10-page, color-coded chart provides detailed recommendations and guidelines for healthcare facilities during an influenza pandemic. The initial chart delineates activities in various areas (i.e., administration and planning, communications, operations, and training) by five stages of a pandemic.

Definitive care for the critically ill during a disaster

Five articles from the Task Force for Mass Critical Care address difficult issues around patient triage and resource allocation that may need to be implemented during an influenza pandemic.

Rapid patient discharge tool

Adaptable plans based on promising bed surge capacity practices help hospital administrators address unexpected increases in patient volume during an emergency.

Pandemic Bioethics Backgrounder

In September 2006, The Providence Center for Health Care Ethics and The Hastings Center convened a meeting of public health officials, experts on public health and clinical ethics, and clinicians. The group discussed the challenges of building pandemic plans on an ethically sound framework, and subsequently developed a backgrounder to highlight ethical issues and suggestions.

Stockpiling Solutions: North Carolina's Ethical Guidelines for an Influenza Pandemic

Stockpiling Solutions represents a thoughtful collaboration between public health and medicine around ethics of care during an influenza pandemic. The task force carefully and thoroughly addressed three significant ethical issues, including: 1) the responsibility of healthcare workers to provide care and to be protected while working; 2) the balance of individual rights and community needs; and 3) the prioritization of limited resources.

New York City Ventilator Capacity Project

The Ventilator Capacity Project surveyed New York City hospitals in order to ascertain several key elements of surge capacity. The survey determined 1) an accurate number of ventilators in city hospitals; 2) health care workers' familiarity with portable ventilators that are part of the Strategic National Stockpile (SNS); 3) hospitals' willingness to use externally purchased ventilators; and 4) hospitals' reliance on oxygen vendors.

Ventilator Allocation Project

A pandemic workgroup convened by the New York State Department of Health and The Taskforce on Life and the Law created a guidance on ventilator allocation in hospitals. The workgroup reviewed several published allocation methods and explained their rationale for using a hybrid approach based on an ethically and clinically sound decision-making system.

Lateral Thinking Pan Flu Education and Training

A variety of educational materials introduce the benefits of lateral thinking/six hats techniques and apply this approach to collaborative planning for multi-agency pandemic influenza projects. The materials were developed by the Tarrant County, Texas, Advanced Practice Sessions, with funding from NACCHO and the CDC.

Clinical Review: Allocating Ventilators During Large-Scale Disasters - Problems, Planning, and Process

The article is a thoughtful assessment of important issues surrounding ventilator allocation during a large-scale disaster. Although the article emphasizes the importance of developing a decision-making process that will be followed during a disaster, it recognizes that some processes and tools will be event-driven. Thus, implementation of certain procedures will depend on the nature of the disaster and occur during the event.

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