MULTI-JURISDICTIONAL DISEASE INVESTIGATION TRAINING IN THE STATE OF CALIFORNIA

1. MULTI-JURISDICTIONAL DISEASE INVESTIGATION TRAININGIN THE STATE OF CALIFORNIA Norman Jackson, MS Education Specialist II California Department of Health ServicesImmunization Branch

2. Multi-jurisdictional BT Training • What it is • Why it is unique • How you can adapt it • How we’re going to evaluate it California Department of Health Services Immunization Branch 02/05

3. Multi-jurisdictional Training Presentation Objectives: You will be able • To name two advantages of a collaboration (state/local) approach to bioterrorism training. • To list three organizational steps needed for a just-in-time training. • To name a web resource where the disease investigation webcast is available in Spanish and English. California Department of Health Services Immunization Branch 2/05

4. High Points • Disease Investigation Training & Exercise Concept • Role of Disease Investigation in Emergency Preparedness • Highlight Collaboration across Focus Areas and Branches • “Just-In-Time” Training Organization • How you can use the Satellite Broadcast California Department of Health Services Immunization Branch 2/05

5. Multi-jurisdictional Training Our Challenges • Meeting the demands of the various DCDC branches • Communicating effectively across multiple disciplines, focus areas • Improved dialogue and rapport with stakeholders at LHJ • CA geographic characteristics and linkage with smaller LHJ California Department of Health Services Immunization Branch 2/05

6. Project Features • A bioterrorism cross-training for state and local health department staff that may be called on to serve as case investigators. • LHDs are helping develop the training and will conduct the event locally. Advance work done via 4 conference calls/web slides. • Partnering with academic school of public health: SDSU and the California Distance Learning Health Network. California Department of Health Services Immunization Branch 2/05

7. Project Rationale The project developed from an informal LHJ statewide needs assessment: • To build capacity to respond to a BT event. • To allow LHDs to test their organizational structures and personnel for field investigation. • To provide basic and practical skills through existing programs. California Department of Health Services Immunization Branch 2/05

8. DCDC Infrastructure Our partners California Department of Health Services Immunization Branch 2/05

9. CaliforniaLHJParticipation To date California Department of Health Services Immunization Branch 2/05

10. State Level • Statewide training and exercise packaging for local FA-G facilitation • State satellite broadcast on basics of disease investigation (90 minutes) • Presentation and local disease-specific training by local CD controlleror FA-B lead • Tabletop exercise with role play California Department of Health Services Immunization Branch 2/05

11. What disease to test? • All partners agreed to “Influenza-like illness” • Pandemic cross-cutting • ILI is not a BT event, so…. • Law enforcement, FBI partners not needed for this one California Department of Health Services Immunization Branch 2/05

12. CDHS Activities & Responsibilities • Design, content development and produce satellite broadcast • Modeling a “just in time” training involving local and state officials and content. • Packaging for FA-G training site managers including tabletop exercise, Plain Language household hand-out materials, just-in-time training tips, and PowerPoint for local CD trainer • Job action sheets for training lead, chief investigator and disease investigator • Media toolkit with sample press release templates and feature story angles • Glossary of common infectious disease symptoms in 14 languages • Personal protective equipment guide • CE for nurses • Pretest-Posttest design, format for process and impact evaluation. California Department of Health Services Immunization Branch 2/05

13. Local Level • Implementing a just-in-time training to prepare staff to investigate suspected cases • Presenting a combination of distance learning and traditional face-to-face training • Collaboration between Focus Area B, F and G staff with CD staff, and distance learning facilitator. • Collaboration with CDHS branches California Department of Health Services Immunization Branch 2/05

14. Satellite Broadcast 90-Minute Satellite Program Content • Feature national or state experts • Short historical perspective - disease investigation yesterday and today • Basic steps in outbreak investigation • Field demos including client notification, reporting, case interviewing, field safety • Q&A facilitated by local training lead. • Archived as webcast in Spanish and English @ WWW.CDLHN.COM California Department of Health Services Immunization Branch 2/05

15. Tabletop Exercise • Flu-like illness is disease to be investigated • Local outbreak starts with a symptomatic bus driver who still decided to work (despite symptoms) and who just finished a two-week vacation in country X. • Participants will be divided into groups of three or four and will role-play written scenarios California Department of Health Services Immunization Branch 2/05

16. “Just-in-time” Model Information that can be immediately accessed by PH professionals and clinicians when presented with suspect or known persons affected by terrorism events: • Based on “just in time” business model. • Delivery Real-time • Continuous updates • Quick communication • Immediacy of state/CDC content California Department of Health Services Immunization Branch 2/05

17. “Just-in-time” Training • Willingness and aptitude for spontaneity • Prepared communications (i.e., binders, media) • Local content/advisors in place for support • Local CD Controller involvement with planning and implementation; health officer authority in place • All Focus Area Leads notified first. • Staff notified via email or phone to report for training immediately or next morning. California Department of Health Services Immunization Branch 2/05

18. California Department of Health Services Immunization Branch 2/05

19. How You Can Use Our Project • Final package of all material will be on line in advance of event and after at cdlhn.com • Satellite program can be downlinked live for viewing then or taping for later training opportunity; register at cdlhn.com • Satellite program will be archived as a webcast in English and Spanish at cdlhn.com continued California Department of Health Services Immunization Branch 2/05

20. How You Can Use Our Project, cont. • Multi-language symptom glossary will be available as a finished product or as artwork. • Just-in-time guidelines can be used or adapted • Plain language flyer about ILI can be used or adapted. California Department of Health Services Immunization Branch 2/05

21. Symptom Glossary California Department of Health Services Immunization Branch 2/05

22. Multi-jurisdictional Training How we’re going to evaluate it: • Local process evaluation by FA-G lead • Course evaluation by participants • Post-exercise DI competency checklist summary by FA-B lead • Conference call and reports by FA-G leads • Wrap up of DCDC partners • (Hope) UCLA Impact Evaluation California Department of Health Services Immunization Branch 2/05

23. Resources: California Department of Health Services Immunization Branch 2151 Berkeley Way, Room 712 Berkeley CA, 94704 Phone: (510) 540-2065 Fax: (510) 540-2153 California Distance Learning Health Network 9245 Sky Park Court, Suite 100San Diego, CA 92123 Program Office: Phone (619) 594-3348 Fax (619) 594-2111 Email: info@cdlhn.com Emergency Preparedness Office California Department of Health ServicesP.O. Box 997413, MS 7002 Sacramento, CA 95899-7413 Phone: (916) 650-6416 Fax: (916) 650-6420 E-mail: EPOInfo@dhs.ca.gov THANK YOU