Public Health Practices

Tribal, state, and local agencies define responsibilities for health emergencies on tribal land

The Eastern Band of Cherokee Indians worked with the North Carolina Division of Public Health and five local health agencies to determine responsibilities during a public health event occurring on tribal land. A memorandum of understanding clarified roles without compromising sovereignty and resulted in clearly defined ways to share tribal, state, and local resources during an emergency.

Rural New England region assesses local characteristics to identify ideal POD sites

A rural New Hampshire public health region created an assessment tool for determining where to establish Points of Dispensing (PODs) that would be easily accessible to much of the population. The process included ranking towns on the basis of quantitative and qualitative factors and developing a tiered system of POD site selection that could be scaled to a variety of emergencies.

Dispense Assist online screening system helps Kansas county improve POD throughput, serve vulnerable populations

In response to Cities Readiness Initiative requirements, the Johnson County Department of Health and Environment (JCDHE), in conjunction with Kansas City metro partners, developed an online screening and voucher system for Points of Dispensing (PODs). The system enables one client to move through a POD in 35 seconds, reduces responder time and effort, and engages the public more fully in emergency preparedness.

Two Utah counties conduct exercises showing that banks can be viable Points of Dispensing (PODs)

As part of a Cities Readiness Initiative project, planners in two Utah counties tested their ability to distribute antibiotics or antivirals via bank drive-thru lanes.

Residential delivery of medical countermeasures using school buses

Points of dispensing (PODs) sites located in schools or community buildings are a standard part of preparing to provide medication or vaccine to the public during an infectious disease outbreak or bioterrorist attack. Push methods – ways to get antibiotics or other forms of treatments to people's residences – are less common, yet may offer significant benefits in terms of social distancing, traffic control, and personal comfort during an emergency.

Hospital-based public health epidemiologist program for biosurveillance

The North Carolina Division of Public Health (NC DPH) developed a program to increase surveillance for potential bioterrorist or infectious disease events by placing public health epidemiologists in 10 of the state's largest hospital systems.

Unique Inventory Management and Volunteer System

The Virginia Department of Health created a system that enables the state to track licensure verification, communication with volunteers, and deployment during an emergency.

Collecting Medical Countermeasure Data

Illinois Department of Health developed an online survey tool to collect medical countermeasure data, as required by CDC for the countermeasures report. Based on CDC's Medical Countermeasure Situational Report form, the survey tracks both those supplies the local health departments and hospitals have in stock and those supplies they have already distributed.

Closed Dispensing Site Guide

The Closed Dispensing Site Workbook is designed to help community organizations become closed dispensing sites to administer medication to their staff and/or clients during an emergency. The workbook is an alternative to traditional prophylaxis dispensing site and is intended to disburse preventive medication to an entire population within 48 hours.

Oklahoma Push Partner Program

The Oklahoma Department of Health developed a Push Partner Program in response to Homeland Security Presidential Directive 21, which asked all communities to be prepared to provide prophylaxis to their entire population within 48 hours. The "push" strategy involves distributing medications to partner agencies, which then dispense the medications to their employees, employees' family members, and the agencies' clients.

Push Partner Registry

The Push Partner Registry (PPR) is a five-county public health partnership with community-based organizations to dispense medications to at-risk populations during an emergency. The intent of the registry is to create a comprehensive database of regional private partners and community-based organizations that serve at-risk populations and are willing to serve as a private point-of-dispensing (POD) site during an emergency.

A Mass Casualty Care Strategy for Biological Terrorism Incidents (National)

A NIMS-based approach provides a framework to establish an acute care center (ACC) for a bioterrorism event, but much of the information could easily be extrapolated to a pandemic situation. The materials describe a coordinated approach between local hospitals and acute care centers by including scenarios for which an ACC might be needed and defining the level of care provided outside of a hospital.

Central Brooklyn Center for Bioterrorism and Preparedness Planning: An Integrated Plan to Augment Surge Capacity

A concept of operations describes an integrated approach to developing surge capacity plans between multiple hospitals. Four hospitals in Brooklyn, New York, developed a collaborative plan by conducting inventories of various hospital assets and identifying surge capacity resources at each facility.

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