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APHL/LRN Operational Work Group

APHL/LRN Operational Work Group. March 22, 2010 CPT Trent J. Peacock, Ph.D. Northern Regional Medical Command Health Service Areas. Walter Reed AMC (DC) REF Womack AMC REF (Ft Bragg, NC) Ft Drum (NY) SEN West Point (NY) SEN Ft Monmouth (NJ) SEN Ft Knox (KY) SEN

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APHL/LRN Operational Work Group

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  1. APHL/LRN Operational Work Group March 22, 2010 CPT Trent J. Peacock, Ph.D.

  2. Northern Regional Medical CommandHealth Service Areas Walter Reed AMC (DC) REF Womack AMC REF (Ft Bragg, NC) Ft Drum (NY) SEN West Point (NY) SEN Ft Monmouth (NJ) SEN Ft Knox (KY) SEN Ft Eustis (VA) SEN Ft Lee (VA) SEN Ft Meade (MD) SEN Ft Belvoir (VA) SEN

  3. Southern Regional Medical CommandHealth Service Areas SAMMC (FSHTX) REF Eisenhower AMC REF (Ft Gordon, GA) CRDAMC (Fort Hood, TX) REF Redstone Arsenal (AL) SEN Ft Sill (OK) SEN Ft Campbell (KY) SEN Ft Jackson (SC) SEN Ft Benning (GA) SEN Ft Stewart (GA) SEN Ft Rucker (AL) SEN Ft Polk (LA) SEN

  4. Western Regional Medical CommandHealth Services Areas Madigan AMC (Ft Lewis, WA) REF William Beaumont AMC REF (Ft Bliss, TX) Ft Wainwright (AK) SEN Ft Irwin (CA) SEN Ft Huachuca SEN Ft Leavenworth SEN Ft Polk SEN Ft Leonard Wood SEN Ft Riley SEN Ft Sill SEN Ft Carson SEN

  5. Pacific Regional Medical CommandHealth Service Area Tripler AMC REF Korea REF Japan SEN

  6. Europe Regional Medical CommandHealth Service Areas Landstuhl RMC, GE REF** Heidelberg SEN SHAPE SEN Vicenza SEN

  7. LRN laboratories located across the United States

  8. APHL/LRN Operational Work Group APHL / LRN SCOPE OF WORK The APHL/LRN Operational Work Group provides feedback and makes recommendations to the Laboratory Response Branch (LRB) that help to improve the quality of products and services provided by the LRN Program Office to network members.

  9. Operational Work Group Topics • Protocol and algorithm revisions • Assessment of reagent utility • Proficiency testing implementation • Enhancements to electronic data messaging • Evaluation of customer satisfaction levels

  10. Operational Work Group Topic Assignment Responsibility • For each quality improvement initiative or task assigned by the CDC, the Operational Work Group: • Collect any relevant documents from the designated CDC representative • Discuss with LRB and determine whether the entire network can be represented solely by workgroup members or if queries of the entire network are required. • Develop quality improvement recommendations and report results to the designated CDC representative* • * Final authority to make changes recommended by the APHL/LRN Operational Work Group, resides with LRB.

  11. Operational Work Group (OWG) membership • Members are selected based on regional distribution, laboratory function and size, and respective LRN gate • Members are rotated every 2 years • OWG is comprised of representatives from 10 member labs, 2 APHL staff and 2 CDC staff. • Participant criteria: • Extensive knowledge of LRN protocols and algorithms • Affiliated with a member lab that is approved to perform testing for all or most LRN agents • Have expertise with survey design and development

  12. Public Health Lab FBI Dept. of Defense Veterinary Diagnostic Agri- cultural Environ- mental U.S. Army Operational Work Group (OWG) membership Operational Workgroup Members Department of the Army Participating Members Member labs U.S Army Medical Research Institute of Infectious Diseases (USAMRIID) APHL Representative CDC Representative

  13. APHL/LRN Operational Workgroup Communication, Objective, Methods and Flow • Communication objective • Solicit information from LRN members for quality improvement process and projects • Communication methods • Quarterly conference calls • Help desk • LRN Program Office • OWG • Communication flow • Bidirectional • LRN member labs OWG LRB … …

  14. APHL/LRN Operational Workgroup receives feedback for protocol revisions • Army LRN member feedback • Conventional methods training identified improved methodology for India ink assay on blood specimens; thin smear instead of a drop.

  15. APHL/LRN Operational Workgroup Projects Army support and participation in the OWG projects

  16. Acknowledgements • Chaitram, Jasmine, LRN Special Projects Manager, Centers • for Disease Control and Prevention • Lee, Phil M.Sc. FIBS, Biological Defense Coordinator, • Molecular Microbiology Florida Department of Health • Bureau of Laboratories • Nauschuetz, William Ph.D., Clinical Laboratory Coordinator • for Biopreparedness, and U.S. Army Coordinator for the • Laboratory Response Network for Bioterrorism

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