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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

tgott@versasys.com

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

James.g.young@jus.gov.on.ca

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


    National security regulation and emergency preparedness

    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


    National security regulation and emergency preparedness

    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 risk

    The Balancing Act

    • Infection Control

    • Medical Education

    Presented at CLEAR’s 23rd Annual Conference

    Toronto, Ontario September, 2003


    National security regulation and emergency preparedness

    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


    National security regulation and emergency preparedness

    Issues in SARS

    • Directives vs Guidelines

    • Locating Expertise

    • Licensing

      • out of province

      • retired

    Presented at CLEAR’s 23rd Annual Conference

    Toronto, Ontario September, 2003


    National security regulation and emergency preparedness

    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

    judy.powell@juno.com

    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

    acoghlan@cnomail.org

    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

    Amy_jones@doh.state.fl.us

    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