Preparation for the flu pandemic mobilizing human resources
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Expect the Unexpected: Are We Clearly Prepared?. “ Preparation for the Flu Pandemic, Mobilizing Human Resources”. CAPT Lynn A. Slepski, RN, MSN, CCRN Senior Public Health Advisor US Department of Homeland Security. Council on Licensure, Enforcement and Regulation. 2006 Annual Conference.

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“ Preparation for the Flu Pandemic, Mobilizing Human Resources”

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Preparation for the flu pandemic mobilizing human resources

Expect the Unexpected: Are We Clearly Prepared?

“Preparation for the Flu Pandemic, Mobilizing Human Resources”

CAPT Lynn A. Slepski, RN, MSN, CCRN

Senior Public Health Advisor

US Department of Homeland Security

Council on Licensure, Enforcement and Regulation

2006 Annual Conference

Alexandria, Virginia


Standard continuity of operations coop planning

Standard Continuity of Operations (COOP) Planning

  • SCALE related

    • 1 Geography

    • Less than 30 days

    • Essential functions only

    • Essential personnel only

    • Resumption plan

  • Emergency plan that translates to specific situations

Presented at the 2006 CLEAR Annual Conference

September 14-16 Alexandria, Virginia


Coop example y2k

COOP Example—Y2K

  • Major businesses developed a plan

  • Upstream and downstream

  • Wrote Y2K plans into contracts

  • Actually verified/critiqued the plans

  • Result—No issue

Presented at the 2006 CLEAR Annual Conference

September 14-16 Alexandria, Virginia


Hurricane katrina

1.5 million people

90,000 square miles

Louisiana, Mississippi, and Alabama

770,000 persons displaced

89,000 persons evacuated to make-shift shelters

Medical infrastructure sustained extraordinary damage

Triggered the largest natural disaster relief and recovery operations in United States history

Created an unprecedented demand for relief healthcare services

Hurricane Katrina

Presented at the 2006 CLEAR Annual Conference

September 14-16 Alexandria, Virginia


Katrina example pharmacy support

Original plan

Ring the impact area and prepare to flow support in

LA alone 10 – 12 shelters

Major chains would “adopt” a shelter

Based on census either support from off site OR establish a mobile pharmacy

Reality

>200 shelters

Very poor information

Lost time drafting legal language for emergency powers

Katrina Example-Pharmacy Support

Presented at the 2006 CLEAR Annual Conference

September 14-16 Alexandria, Virginia


Pharmacy response

Pharmacy Response

  • Exercised previous relationships

  • Businesses worked directly w/ the LA Board-practice modifications

    • Pharmacists could dispense w/o Rx

    • Any mobile pharmacies could operate without an inspection to operate

    • Accept any pharmacist license-Immediate reciprocity

    • Disposal of compromised drugs—hazardous wastes

    • Remote processing…Pharmacists could enter into a database and begin filling process

    • Developed a database took all available records

Presented at the 2006 CLEAR Annual Conference

September 14-16 Alexandria, Virginia


Pandemic planning assumptions

Pandemic Planning Assumptions

  • 40 percent or more of workforce out

    (Sick, taking care of family or afraid to work)

  • School closures (day care – universities)

  • Supply and delivery chains disrupted

  • Travel delayed or halted; large public gatherings canceled

  • Healthcare system overwhelmed

  • Essential services interrupted

  • Some believe that all rules/regulations will be suspended

Presented at the 2006 CLEAR Annual Conference

September 14-16 Alexandria, Virginia


Pandemic challenges

Pandemic Challenges

  • Pandemics are different from other types of emergencies

  • There will be no clear beginning and end

  • Almost all locations will be affected simultaneously

  • There will be multiple waves

  • Resources cannot be shifted geographically as in other emergencies

  • Every country will be affected, but countries with better plans will be less vulnerable to terrorism and other threats during a pandemic

Presented at the 2006 CLEAR Annual Conference

September 14-16 Alexandria, Virginia


Dhs federal responsibilities

DHS Federal Responsibilities

  • Above and beyond our own continuity planning….

  • Federal incident management

  • Border control

  • **Maintaining critical infrastructure and key resources (CI/KR) (85% owned privately)

    • N=17. Examples are food, water, public health, emergency services, energy, transportation

    • Continuity of operations – essential (COP-E)

      • Catastrophic planning for essential services

    • Identify in advance where regulatory relief may be helpful

Presented at the 2006 CLEAR Annual Conference

September 14-16 Alexandria, Virginia


Regulatory waivers

Regulatory Waivers

  • Certain waivers should be considered to ensure that public and private sector responders can react and recover effectively

    • Pre-identify areas where rules/regulations can be modified or waived temporarily

    • Weigh risks vs. benefits as entities struggle to maintain response

      • Quality

      • Safety

    • Don’t want to further compromise vulnerable populations when possible

  • GOAL: Policies in anticipation

    • What is expected

    • How laws will be applied and enforced

Presented at the 2006 CLEAR Annual Conference

September 14-16 Alexandria, Virginia


Public private partnerships

Public/Private Partnerships

  • US Chamber

  • Trade and Professional Organizations

  • Businesses

  • CI/KR Sectors

  • Advisory Councils

  • Governments and Governmental Agencies

Presented at the 2006 CLEAR Annual Conference

September 14-16 Alexandria, Virginia


Transportation issues

Transportation Issues

GOAL: Maintain supply chains

  • Change authorities

    • Commercial Drivers License (CDL) drive interstate when providing emergency services

  • Decrease restrictions

    • Drive times, weight restrictions, etc.

  • Licenses, Credentials or Certifications

  • Federal pre-emption of state and locally decided closures to allow movement of critical supplies

Presented at the 2006 CLEAR Annual Conference

September 14-16 Alexandria, Virginia


Liability issues

Liability Issues

GOAL: Liability protection for businesses

  • Medical care, anti-virals and vaccines for side effects and consequences

  • Protective equipment

Presented at the 2006 CLEAR Annual Conference

September 14-16 Alexandria, Virginia


Sharing of information

Sharing of Information

GOAL: Continuity of Care

  • Databases

  • Electronic medical records

Presented at the 2006 CLEAR Annual Conference

September 14-16 Alexandria, Virginia


Personnel issues

Personnel Issues

GOAL: Protect workers/ maintain operations

  • Fair Labor Standards Act

    • Time recording, exempt/non-exempt duties, overtime, etc.

  • Confidentiality Requirements

    • HIPPA, ADA, FMLA

      • Discussions regarding employees or family members

      • Tracking of illness

  • Employer Responses

    • Benefit documentation (ERISA) response time

    • Requirements to pay employees w/i a certain period

Presented at the 2006 CLEAR Annual Conference

September 14-16 Alexandria, Virginia


Scopes of practice

Scopes of Practice

GOAL: Accomplishing the greatest good

  • Healthcare scopes of practice

    • EMT vs. ACLS

  • Prescription authorities

  • Drug dispensation

  • Identify “able” providers

    • Who can perform tasks—How to find

Presented at the 2006 CLEAR Annual Conference

September 14-16 Alexandria, Virginia


Regulatory requirements

Regulatory Requirements

GOAL: Protecting the workforce

  • OSHA fit-testing for masks

  • Expedited SAFETY Act application review

Presented at the 2006 CLEAR Annual Conference

September 14-16 Alexandria, Virginia


Your role in pandemic planning

Your Role in Pandemic Planning

  • Does your group have a plan? Family?

  • Consider where there may be room for discussion

  • Don’t wait for an invitation to “come to the party”

  • Encourage cross-walking of plans

  • Help identify possible options—be part of a solution

Presented at the 2006 CLEAR Annual Conference

September 14-16 Alexandria, Virginia


Conclusion

Conclusion

  • Regulatory bodies are key stakeholders

  • Role in both the development and implementation of emergency preparedness plans.

  • Regulatory relief will be necessary

    • maintain CI/KR

    • facilitate effective mobilization of resources at a local level

  • Challenge--Consider non-traditional ways of meeting the health and safety needs of the public in a time of crisis.

Presented at the 2006 CLEAR Annual Conference

September 14-16 Alexandria, Virginia


Speaker contact information

Speaker Contact Information

CAPT Lynn A. Slepski, RN, MSN, CCRN

U.S. Department of Homeland Security/Prep

Washington, DC 20528

Desk (202) 282-9697 FAX: (202) 282-8191

[email protected]

Presented at the 2006 CLEAR Annual Conference

September 14-16 Alexandria, Virginia


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