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Developing the ISPRM registry of rehabilitation disaster relief experts

Developing the ISPRM registry of rehabilitation disaster relief experts. Jan D. Reinhardt, PhD; James E. Gosney, MD; Andrew J. Haig, MD; & Jian’an Li, MD. Background. Natural disasters => new disabilities and existing disabilities Physical Rehabilitation required

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Developing the ISPRM registry of rehabilitation disaster relief experts

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  1. Developing the ISPRM registry of rehabilitation disaster relief experts Jan D. Reinhardt, PhD; James E. Gosney, MD; Andrew J. Haig, MD; & Jian’anLi, MD

  2. Background • Natural disasters => new disabilities and existing disabilities • Physical Rehabilitation required • However, rehabilitation perspective often underdeveloped in disaster settings • Scarcity of existing rehab resources and professionals make external/international assistance necessary

  3. Background (continued) • However: • How identify deployable experts • with expertise in disaster rehabilitation • best suited to the setting in question? • => Database of rehabilitation professionals with expertise in disaster relief including Physical and Rehabilitation Medicine (PRM) • WHO DAR-ISPRM collaboration plan 2011-2013

  4. Background (continued) • “ISPRM will, moreover, compile a database of international experts for PRM in disaster relief, which may provide a PRM professional volunteer team when it is needed in any region of the world. • In that ISPRM will closely collaborate with relevant NGOs, other academic organizations and WHO offices”. (WHO-DAR/ISPRM 2011)

  5. Objective • Establish a database of PRM/rehabilitation experts in natural disaster that can be used to identify deployable individuals/teams in the case of international disaster Agency/NGO responsiblefordisability & rehab International Disaster UN/WHO Deploymentofrehabexperts/teams ISPRM disasterrehabexperts’ database

  6. Whatis a database? • More than a survey … • “A database is an organized collection of data. The datais typically organized to model relevant aspects of reality (for example, the availability of rooms in hotels), in a way that supports processes requiring this information (for example, finding a hotel with vacancies).” See: http://en.wikipedia.org/wiki/Database

  7. Whatis a database? - continued Functions: • Input (forms like surveys etc.) • Storing (protected server, backups, etc.) • Retrieving (search masks, structured requests) • Managing information (update, modify, aggregate, etc.)

  8. Whatis a database? - continued Database Management System (DBMS), e.g. SQL: • Data definition • Update • Retrieval • Administration

  9. ISPRM – RehabDisasterExperts DB Data definition: • Variables • Needs of end-user … • Relevant info for monitoring

  10. ISPRM – RehabDisasterExperts DB • Variables • Demographics • Name (surname, first) • Gender • Date of birth • Country(ies) of citizenship • Country of residence • Religion • Contact information (phone, e-mail, address) • Hospital and/or university affiliation(s) • Current position(s) • Professional rehabilitation organization affiliation

  11. ISPRM – RehabDisasterExperts DB • Variables • Professional qualifications • Emergency training qualification • Disastertraining qualifications • Medical/specialty qualifications • MD (If yes, years of experience) • PRM residency qualification (if yes, years of experience) • Registration • Licensing • Upload CVs, diploma etc. «FMTs will adhereto professional guidelines: all theirstaff must beregisteredtopractice in homecountryandhavelicenceforthe work theyareassignedtobytheagency» (WHO-FMT Working Group 2013)

  12. ISPRM – RehabDisasterExperts DB • Variables • Disaster relief qualifications • Disaster experience (up to 10 disasters) • Disaster 1-10 (multiple entries possible) • Name of country • Type of disaster • Date • Sponsoring organization • Medical role • Traumatic disabling conditions treated: • fracture • spinal cord injury (SCI) • amputation, etc.

  13. ISPRM – RehabDisasterExperts DB • Variables • Deployability • Clearance by employer • Length of time willing to serve • Native language(s) • English-skills • Other language(s) • Health restrictions • Dietary restrictions (describe) • Other deployment considerations (describe) • Motivation (Describe reason(s) for registering including your feelings about working with people from different backgrounds)

  14. ISPRM – RehabDisasterExperts DB Data definition: • Relations

  15. ISPRM – RehabDisasterExperts DB Update: • Inserting data: Initial survey of ISPRM membership • Modifying and deleting data: Repeated Surveys, online self-entry of users … • Challenges: Reaching the expert population, correctness/accuracy of information (verification through institutions?)

  16. ISPRM – RehabDisasterExperts DB Retrieval of info: • Search mask • Suited to the needs of the end-user • Easy to use • Practical usefulness of eventual output, i.e. list of deployable experts

  17. ISPRM – RehabDisasterExperts DB Administration: • Registering and monitoring users, enforcing data security, monitoring performance, maintaining data integrity, dealing with concurrency control, and recovering information if the system fails. • Needs ongoing professional programming and monitoring • Needs secure server (https) involving firewalls etc. • Needs ethical statement on data protection • Needs mechanisms for backup

  18. Database & Network https://www.swisci.ch Login (password-protected) Disaster Relief Experts Firewall-Protected Internet https://www.swisci.ch Login (password-protected) https (tap-proof) encrypted php End-user phpMyAdmin Login (password-protected) SwiSCI-DatabaseMySQL Web-Server Database Administrator

  19. ISPRM – RehabDisasterExperts DB Administration: • Potential links to other existing databases, e.g. CRED natural disaster database, FMT database, ISPRM membership database …

  20. Related Projects DART certification UN disab experts, etc.: ISCoS, Other rehab NGOs

  21. ISPRM – RehabDisasterExperts DB Budget: • Infrastructure: • Webserver • Database-server • Firewall, backup system etc. • Database administrator/manager • Programming (sql, html, php), definition of database (2 months) • Development of forms for entry and retrieval (2 months) • Monitoring (1 day per months) • Update (1 day per week)

  22. ISPRM – RehabDisasterExperts DB Outlook/next steps: • Think big, start with small steps • Obtain feedback from responder organizations on variables • Initial ISPRM member survey • Identify institution to host database • Write up grant proposal

  23. ThankYou!

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