Virginia Department of Health

1. Virginia Department of Health In It Together: Building Coalitions to Prepare as One

2. VDH Preparedness Grant Funding

4. FUNDING TRENDS

5. Performance Tracking • National Health Security Preparedness Index (HHS) • Centers of Disease Control and Prevention (CDC) • Medical Countermeasure Dispensing Technical Assistance Review • National Association of County and City Health Officials • Project Public Health Ready • Commonwealth of Virginia • Governor’s Agency Preparedness Assessment • Annual Continuity Plan Review

6. Public Health Preparedness Capabilities • 1: Community / Health Care Facility Preparedness • 2: Community / Health Care Facility Recovery • 3: Emergency Operations Coordination • 4: Emergency Public Information / Warning • 5: Fatality Management • 6: Information Sharing • 7: Mass Care • 8: Medical Countermeasure Dispensing • 9: Medical Materiel Management / Distribution • 10: Medical Surge • 11: Non-Pharmaceutical Interventions • 12: Public Health Laboratory Testing • 13: Public Health Surveillance and Epidemiologic Investigation • 14: Responder Safety and Health • 15: Volunteer Management

7. Hazard – Vulnerability Analysis • A systematic approach to recognizing hazards that may affect public health and health care. • Analyze risks associated with each hazard to prioritize planning, mitigation, response and recovery activities. • Serve as a needs assessment for the Emergency Management program. • Process involves community partners and is communicated to community emergency response agencies.

8. BP-2 Progress • Information Sharing: Provide healthcare situational awareness that contributes to the incident common operating picture. • Event Notifications & SitReps are currently being integrated into VHASS.  This new version of VHASS will be demonstrated during the Emergency Coordinators Meeting in the afternoon of the second day of the Academy.  During this session you will be able to login to VHASS to test it out along with offer recommendations for improving the system.  The new VHASS will be fully functional in BP3. • Medical Surge: Coordinate integrated healthcare surge operations with pre-hospital EMS operations.  Seamlessly transfer disaster patient information from their respective healthcare systems into VHASS.  Will enhance both patient tracking and family reunification efforts.   • Healthcare System Preparedness:  Develop, Refine, or Sustain Healthcare Coalitions.  Engage federal (i.e., DOD, VA) and state (i.e., behavioral health) partners to become more engaged within the regional healthcare coalitions.

9. BP-2 Progress • Medical Countermeasures Dispensing: Increased Closed POD and Pharmacy Open POD MOUs across the state. Commenced Pilot with Costco as an open/closed POD. • Medical Countermeasures Distribution: Enhanced relationships with Private Sector Distribution partners. Initiated Cross Docking planning as a complementary alternative to traditional RSS facility operations  • Mass Care. Developed health logistics (supplies/commodities) listings for all state shelters • Info Sharing. Academy May 20-22, epi seminar/IMT training. • Worker Health and Safety. CBERS:  Psychological First Aid- 7 sessions statewide this spring. • Community Preparedness. Implemented new HAN system

10. BP2 Progress • Non-pharmaceutical interventions. • Updated disease-specific guidelines for legionellosis, giardiasis, Chagas disease, Chikungunya virus infection • Created a new, comprehensive web site for influenza Surveillance and epidemiologic investigations. • Developed protocol for communicating with FBI on diseases on the CDC/USDA select agent list and guidelines for handling laboratory personnel exposures to CDC/USDA select agents, including surveillance and prophylaxis recommendations and tools. • Transitioned the syndromic surveillance system to a new, upgraded technical infrastructure. • Continued to train the epidemiology workforce through conference calls, meetings, and other resources to keep current with changes in surveillance technology and investigation methods.

11. BP2 Progress Responder Safety and Health • Meetings held with stakeholders in many agency offices to review existing emergency response plans and solicit information on expected roles in a VDH response and needs for training and personal protective equipment.   • Used that information along with CDC and NIOSH recommendations to develop a matrix of job duties, emergency response roles, hazards likely to be encountered, training, immunization and personal protective equipment requirements. • Matrix will be sent to stakeholders for review within the next week, and a draft capability 14 plan will be forwarded to OEPI management by June 1, 2014.

12. BP-3 Focus • Healthcare System Preparedness: Determine gaps in healthcare preparedness and identify resources for mitigation of these gaps.  Make statewide assessments of each healthcare coalition’s capabilities and identify any resource, training, and/or procedural gaps to set the baseline level of capability of each. Cross-train among RHCC.  • Crisis Standards of Care: Develop Concept of Operations. Conduct a national assessment of CSC plans to aide in the CSC plan development in Virginia. Develop an Incident Action Plan for Crisis Standards of Care, and a draft Governors declaration to support CSC implementation. • Medical countermeasure distribution.  Implement cross-docking as a complement/supplement alternative to RSS facility operations.

13. BP-3 Focus • Medical countermeasure dispensing. • Provide influenza vaccine to health districts in order practice mass dispensing techniques, tracking throughput measures and to provide protection to the public.  • Mass care. • Continue refining VDH role in state managed shelters. • Info Sharing and Community Preparedness. • CBERS with pharmacist; new  system to communicate with clinicians in community.  • Info Sharing and Emergency Response. • Revise system for internal communication

14. BP-3 Focus • Non-pharmaceutical interventions. • Update guidance for clinicians for the Category A bioterrorism agents. • Revise epidemiologic response plans according to a new agency template. • Continue to maintain the Virginia Disease Control Manual, with recommendations for disease control measures identified in each chapter. • Responder Safety and Health. • Ensure appropriate staff are engaged and critical roles identified in the plan filled. • Develop and provide training on the responder safety and health plan.

15. Epi BP-3 Focus • Surveillance and epidemiologic investigations. • Migrate the electronic disease surveillance system to a new, upgraded infrastructure and incorporate disease-specific data collection templates in the system. • Continue to increase electronic laboratory reporting, including receiving reports from hospital/health system labs. • Develop more timely statistical reports on disease occurrence and provide data analysis tools to health districts.

16. Purpose of Workshop Consideration of cross-docking as a complement /supplement alternative to traditional modes of receiving, staging, and storing SNS assets for distribution

17. VDH All Hazard Incident Management Team 3/1/2014

20. Virginia Medical Reserve Corps 31 Units 13,500+ Volunteers 5,600+ Health Care Volunteers $890,000 in volunteer time for 2013 Volunteers Protecting Virginia’s Health

21. Dr. Dave Trump, Acting Chief Deputy Commissioner Public Health and Preparedness David.Trump@vdh.virginia.gov 804-864-7025 Bob Mauskapf, Director, Emergency Preparedness Bob.Mauskapf@vdh.virginia.gov 804-864-7035 Cindy Shelton, Assistant Director, Emergency Preparedness Cindy.Shelton@vdh.virginia.gov 804-864-7486 Jennifer Freeland VDH State Volunteer Coordinator Jennifer.Freeland@vdh.virginia.gov 804-396-0543 Kim Allan, Operations Director Kim.Allan@vdh.virginia.gov 804-864-7030 Suzi Silverstein, Director, Risk Communication and EducationSuzi.Silverstein@vdh.virginia.gov 840-864-7538 Jenny Smock, State Hospital Coordinator Jennifer.Smock@vdh.virginia.gov 804-864-7033 General Info / Contact http://www.vdh.virginia.gov/OEP/ Questions?VDH Staff Contact Information