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CLEAR 2003 Session Friday September 12, 2003, 10:30AM. National Security: Regulation and Emergency Preparedness . Tom Gottlieb, Moderator . Vice President, Licensing Solutions VERSA Management Systems Inc. 110 North Kenilworth Avenue, #7-A Oak Park, IL 60301-1218 888-232-0224

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clear 2003 session friday september 12 2003 10 30am
CLEAR 2003 Session

Friday September 12, 2003, 10:30AM

National Security: Regulation and Emergency Preparedness

Presented at CLEAR’s 23rd Annual Conference

Toronto, Ontario September, 2003

tom gottlieb moderator
Tom Gottlieb, Moderator

Vice President, Licensing Solutions

VERSA Management Systems Inc.

110 North Kenilworth Avenue, #7-A

Oak Park, IL 60301-1218

888-232-0224

[email protected]

Presented at CLEAR’s 23rd Annual Conference

Toronto, Ontario September, 2003

introducing our speakers
Introducing Our Speakers

Presented at CLEAR’s 23rd Annual Conference

Toronto, Ontario September, 2003

topic introduction
Topic Introduction
  • The relationship between regulation and emergency preparedness.
  • Are regulators doing enough?
  • Why now?

Presented at CLEAR’s 23rd Annual Conference

Toronto, Ontario September, 2003

dr james young
Dr. James Young

Commissioner

Ministry of Public Safety and Security

13th Floor, 25 Grosvenor St.

Toronto, ON M7A 1Y6

416-314-3381

[email protected]

Presented at CLEAR’s 23rd Annual Conference

Toronto, Ontario September, 2003

homeland security
Homeland Security
  • Risk to Canada of terrorism
  • Organization to combat
  • Bioterrorism

Presented at CLEAR’s 23rd Annual Conference

Toronto, Ontario September, 2003

germs as weapons
Germs as Weapons
  • They have ability to kill
  • Size of potential release (greater potential than nuclear)
  • Transmit person to person following initial release
      • causes damage / death
      • prolongs event
  • Delays between release
      • hard to trace
      • more panic
      • more damage

Presented at CLEAR’s 23rd Annual Conference

Toronto, Ontario September, 2003

severe acute respiratory syndrome sars
Severe Acute RespiratorySyndrome (SARS)
  • Terrorism?
  • Pandemic?

Presented at CLEAR’s 23rd Annual Conference

Toronto, Ontario September, 2003

hong kong the metropole hotel
Hong KongThe Metropole Hotel

Presented at CLEAR’s 23rd Annual Conference

Toronto, Ontario September, 2003

slide10

Feb 23, index case returns from Hong Kong

March 5, index case dies at home

March 7, case 2 in ER

March 13, case 2 dies; 5 family members admitted

Presented at CLEAR’s 23rd Annual Conference

Toronto, Ontario September, 2003

sars march 12th who alert
SARSMarch 12th – WHO Alert
  • Atypical pneumonia
  • Health workers most affected
  • Unidentified cause
  • Spreading in south-east Asia

Presented at CLEAR’s 23rd Annual Conference

Toronto, Ontario September, 2003

slide12
Presented at CLEAR’s 23rd Annual Conference

Toronto, Ontario September, 2003

outbreak control
Outbreak Control
  • How do you stop an outbreak when:
    • Agent is unknown
    • Incubation period uncertain
    • Mode of transmission not entirely clear
    • No diagnostic test
    • No prophylaxis
    • No vaccine
    • No treatment

R0 = population density x infectivity x time

Presented at CLEAR’s 23rd Annual Conference

Toronto, Ontario September, 2003

the balancing act
Patient riskThe Balancing Act
  • Infection Control
  • Medical Education

Presented at CLEAR’s 23rd Annual Conference

Toronto, Ontario September, 2003

slide15
Presented at CLEAR’s 23rd Annual Conference

Toronto, Ontario September, 2003

all cases track back to the grace hospital
All Cases Track Back to the Grace Hospital

Presented at CLEAR’s 23rd Annual Conference

Toronto, Ontario September, 2003

slide17

Issues in SARS

  • Directives vs Guidelines
  • Locating Expertise
  • Licensing
    • out of province
    • retired

Presented at CLEAR’s 23rd Annual Conference

Toronto, Ontario September, 2003

slide18

Issues in SARS

  • Potential Discipline
    • duties of care
    • working sick
  • Labour Issues
    • pregnancy
    • mask fitting

Presented at CLEAR’s 23rd Annual Conference

Toronto, Ontario September, 2003

judy powell
Judy Powell

President

American Association of State Counseling Boards

Houston, Texas

936-321-6985

[email protected]

Presented at CLEAR’s 23rd Annual Conference

Toronto, Ontario September, 2003

disaster mental health training in texas a work in progress with obstacles to overcome

Disaster Mental Health Training in Texas: A Work in Progress with Obstacles to Overcome

Presented at CLEAR’s 23rd Annual Conference

Toronto, Ontario September, 2003

setting the stage
Setting the Stage
  • The mandate from the Governor’s Office
  • The quest for information and the procurement of materials for a disaster mental health course.

Presented at CLEAR’s 23rd Annual Conference

Toronto, Ontario September, 2003

understanding and interpreting state agency structure
Understanding and Interpreting State Agency Structure
  • Poor information distribution between different agencies in different departments.
  • Difficulty for public to locate agencies and information in state government.

Presented at CLEAR’s 23rd Annual Conference

Toronto, Ontario September, 2003

computer system challenges
Computer System Challenges
  • Advantages of linked databases in disaster alerting.
  • Need to collaborate on most effective data retrieval structure in disaster Usefulness of immediate license verification from a disaster site.
  • Need for notation of special skills in each database
  • Need to motivate licensees to keep database accurate, because timely reporting is voluntary

Presented at CLEAR’s 23rd Annual Conference

Toronto, Ontario September, 2003

completion of the project
Completion of the project
  • Funding for linked computer databases across all involved agencies, and funding to get the training course online.
  • Legislative mandate requiring disaster training and subsequent agency rules changes.
  • Making the system friendly to all users.
  • Deciding who has authority over the system.
  • Streamlining the system so that information distribution is complete.

Presented at CLEAR’s 23rd Annual Conference

Toronto, Ontario September, 2003

anne coghlan
Anne Coghlan

Executive Director

416-963-7525

[email protected]

Presented at CLEAR’s 23rd Annual Conference

Toronto, Ontario September, 2003

experiences linked to the mandate of a regulatory body

Experiences Linked to the Mandate of a Regulatory Body

Presented at CLEAR’s 23rd Annual Conference

Toronto, Ontario September, 2003

regulatory mandate
Regulatory Mandate
  • Qualifications for Entry to Practice
  • Standards of Practice
  • Professional Ethics
  • Continuing Competence

Presented at CLEAR’s 23rd Annual Conference

Toronto, Ontario September, 2003

entry to practice
Entry to Practice
  • Health Human Resource Planning
    • Emergency Registration
    • Recruitment and Standby Status
    • Targeted Contact Specific to Disaster

Presented at CLEAR’s 23rd Annual Conference

Toronto, Ontario September, 2003

practice and professional standards
Practice and Professional Standards
  • Maintenance of Standards
  • Identification of Need for New or Expanded Standards
  • Changes to Nursing Curricula
  • Advocacy

Presented at CLEAR’s 23rd Annual Conference

Toronto, Ontario September, 2003

professional ethics
Professional Ethics
  • Duty to Care
  • Professional Judgement
  • Confidentiality

Presented at CLEAR’s 23rd Annual Conference

Toronto, Ontario September, 2003

continuing competence
Continuing Competence
  • Maintenance of Competencies
  • Identification of new competencies required, or old competencies that need to be refreshed.

Presented at CLEAR’s 23rd Annual Conference

Toronto, Ontario September, 2003

communication
Communication
  • Members
    • Telephone Lines
    • Website
  • Nursing Students
  • Government
  • Public

Presented at CLEAR’s 23rd Annual Conference

Toronto, Ontario September, 2003

amy jones
Amy Jones

Division Director

Florida Department of Health, Medical Quality Assurance

4052 Bald Cypress Way

Tallahassee, FL 32399-3251

850-245-4224

[email protected]

Presented at CLEAR’s 23rd Annual Conference

Toronto, Ontario September, 2003

organizational structure
Organizational Structure
  • Department of Health – Single health agency includes:
    • Division of Medical Quality Assurance – 37 health care professions
    • County health departments – 67
    • Emergency Health Response Units
    • Various other divisions

Presented at CLEAR’s 23rd Annual Conference

Toronto, Ontario September, 2003

functions for emergency preparedness
Functions for Emergency Preparedness
  • County Health

Departments

    • Primary planning for health services in an emergency
    • Oversee special needs shelters
    • Contact health care

professionals willing to

serve prior to emergency

    • GPS capabilities
    • Active member of emergency response team
  • Division of Medical

Quality Assurance

    • Regulate health care professions
    • Part of renewal is specifying willingness to volunteer in an emergency and/or work in a special needs shelter
    • Disseminate names to the

county health departments

    • Serve on Emergency Response Teams
    • Maintain special needs shelter registry

Presented at CLEAR’s 23rd Annual Conference

Toronto, Ontario September, 2003

tasks accomplished and benefits
Tasks Accomplished and Benefits
  • Applied for and received federal grant funds to revise applications
  • Marketed volunteerism through professional associations and boards
  • Provide for online and electronic data files
  • Update with each renewal
  • Encourage boards to grant continuing education credit for volunteering
  • Incorporated it into discipline
  • $88,000,000 last year in free care
  • Better prepared for emergencies

Presented at CLEAR’s 23rd Annual Conference

Toronto, Ontario September, 2003

thanks to our speakers
Thanks to our Speakers!

Presented at CLEAR’s 23rd Annual Conference

Toronto, Ontario September, 2003

presentation follow up
Presentation Follow-up
  • Please pick up a handout from this presentation -AND/OR-
  • Please give me your business card to receive an e-mail of the presentation materials -OR-
  • Presentation materials will be posted on CLEAR’s website

Presented at CLEAR’s 23rd Annual Conference

Toronto, Ontario September, 2003

questions
Questions?

Presented at CLEAR’s 23rd Annual Conference

Toronto, Ontario September, 2003

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