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CAPT Lynn Slepski , PhD, RN, CNS Senior Public Health Advisor May 3, 2013

The Role of Technology and Informatics in Disaster Planning and Response Elizabeth Weiner & Lynn Slepski. CAPT Lynn Slepski , PhD, RN, CNS Senior Public Health Advisor May 3, 2013. Objectives. By the end of this session, advance practice nurses will be able to:

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CAPT Lynn Slepski , PhD, RN, CNS Senior Public Health Advisor May 3, 2013

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  1. The Role of Technology and Informatics in Disaster Planning and ResponseElizabeth Weiner & Lynn Slepski CAPT Lynn Slepski, PhD, RN, CNS Senior Public Health Advisor May 3, 2013

  2. Objectives • By the end of this session, advance practice nurses will be able to: • Describe at least two contributions that informatics can provide to emergency planning and response. • List at least two ways that informatics tools can be designed and used to support decision making and knowledge base building in emergency planning and response efforts. • Begin a dialogue about publishing

  3. Informatics • Makes use of standard terminology (e.g. disaster and emergencies; terrorism vs. bioterrorism) • Access databases such as (NLM) Disaster Information Management Research Center-Links • Category of disasters • Currently posted information • Planning tools access to public health data about air, water, sanitation, utilities and health care facilities

  4. Public Health Emergencies • SARS detect, diagnose and track cases • H5N2 and H1N1-case counts underestimated • Teacher absences/ school closure—community level disease • OTC purchases National Retail Data Monitoring System • Fukushima Daiichi-forecast and inform the trajectory, duration and impact • Pertussis in Washington State—first noted by Twitter and Facebook inquiries

  5. Biosurveillance • Systems Global Public Health Intelligence Network and Project Argus—use open source reporting to identify “tipping points” • CDC’s BioSense—health departments, hospital emergency rooms and pharmacies • Boston Children’s Health Map-scans on-line reports and categorizes • “Outbreak Near Me”

  6. Disaster Mobile Health Technology • Alerts and updates • Tracking patient flow • Patient care and facility management data • mHealth platforms standardize data acquisition, organize info storage and facilitate medical communication • Hopkins Advanced Health and Disaster Aid Network • Haiti—iPhone app iChart—patient logs and longitudinal record

  7. Discussion • Informatics and technology offer ways to improve: • Patient tracking and information flow • Decision support and resource tracking • Biosurveillance provides early recognition and warning • Implications for further research • More data and information may be overwhelming • National-level IRB

  8. Challenges • Uncoordinated efforts for competency development • Difficulty with field research • Lack of policy development • Lack of funding for research in emergency planning and response

  9. Research Questions • What are the critical information requirements that transect most health emergencies? • Can disease-related behaviors (i.e. care seeking and absenteeism) serve as proxies for case finding? • What are the science and technology capabilities that will facilitate biosurveillance activities including new detection and HIE approaches • Are there innovative ways to combine information and known facts to predict?

  10. Conclusion • There remains several unmet informational needs in disaster planning and response • Protecting health and safety of people, animals and the environment is a top security priority • We need to leverage existing technologies and systems, enable efficiencies and where able create opportunities to help each other • Nurses specializing in informatics have new career possibilities outside of the hospital

  11. Final Thought • You can help make a difference: • Nurses Readiness Needs Assessment • Available : • https://www.surveymonkey.com/s/USPHS_NPAC_ReadinessNeedsAssessmentSurvey • Closes Monday, May 6, 2013 • POCs: LCDR Saligan or CDR Nicole Chamberlain

  12. Publishing • Something you know well or would like to learn about • Identify: • Target audience • Platform (media) that you want to use & requirements • Consider Impact Factor • Consider working with a partner • Outline first, then flesh in • Consider using a style tool • Put away for a night a re-read • Have someone else read your draft

  13. Publishing • Near final draft—read it out loud • Get a 2nd opinion (grow a tough skin) • Put into final and send • Edits • Really depends on reviewers • Accept their recommendations or rebut • I use a table • Celebrate or try again

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