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Application to Mass Dispensing

Application to Mass Dispensing. Hot Topics in Preparedness Northwest Center for Public Health Practice School of Public Health & Community Medicine University of Washington July 27, 2004. Andy Stergachis, Ph.D., R.Ph. Professor, University of Washington SNS Coordinator, Region 6.

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Application to Mass Dispensing

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  1. Application to Mass Dispensing Hot Topics in Preparedness Northwest Center for Public Health Practice School of Public Health & Community Medicine University of Washington July 27, 2004 Andy Stergachis, Ph.D., R.Ph. Professor, University of Washington SNS Coordinator, Region 6

  2. Roughly how complete is your SNS plan? • 100% • 75% • 50% • < 50%

  3. What do you need to plan for? • Roles, responsibilities, policies • Decision-making for requesting SNS • Site selection • Set-up and design • Staffing • Public information and communication

  4. What is theStrategic National Stockpile? Federally managed logistical system created to supplement supplies of state and local systems during a major public health emergency: • 12 strategically located Push Packages (12hr PP) • Vendor Managed Inventory (VMI) • Stockpile Managed Inventory (SMI) • Technical Assistance Response Unit (TARU) • Chempack Program

  5. 12-hour Push Package • 50+ tons of pharmaceuticals, equipment, and other medical supplies. • Color coded for ease in identifying needed material: • Biological, Chemical & Biological, All Scenarios, Chemical Antidotes, Bandages • Antibiotics • Unit of use 10-day courses • Suspension • Intravenous

  6. Vendor Managed Inventory • Inventory owned by the SNS program and managed by pharmaceutical vendors • Vendors maintain the VMI stock as a bulge within their pipeline and rotates stock to keep it current and eliminate waste. • Represents 90% to 95% of the SNS inventory • Used in Florida, re: anthrax attack

  7. CHEMPACK Program • The CHEMPACK program forward-deploys chemical antidotes • Elements of the program: • Maintained locally and readily available to EMS and Hospital Emergency Departments • Remotely monitored for environment and security by the SNS Program • Washington was one of the three pilot programs

  8. Roles, Responsibilities, Policies • Who has authority to request SNS? • What are the relevant laws and authorities? • What is the process for requesting SNS? • How is the request coordinated with regular emergency management procedures? ?

  9. Responsibilities • The state is responsible for receiving, storing, staging (RSS), & distributing the SNS supplies to the points of distribution (PODs). • Local health officials are responsible for setting up and operating dispensing or immunization clinics/sites.

  10. Decision-Making to Request SNS • Identify Criteria, e.g. • Suspected BT attack • Chemical agent or ionizing radiation • Hospitalization of large numbers of patients • Determine if local supplies sufficient, e.g. • Number of casualties • Epidemiology of agent of concern • Consultations • Notifications

  11. Set-Up and Design • Critical Components: • Incident Command • Triage & Registration • Dispensing – Express & Other • Counseling and Education • Record Keeping • Security • Throughput Model

  12. Types of Patient Groups • No Complications – healthy • Express dispensing • Complications – pre-existing illnesses/allergies, pregnant, etc. • Assess and provide more involved counseling • Persons with acute illnesses • Transport • Crisis counseling and mental health intervention

  13. Which of the following sites are you considering for mass dispensing clinics? • Schools • Community Centers • Pharmacies • Other

  14. Site Selection • How many? • Where? • Familiar Locations • Accessible • Size and Characteristics • Hours of Operation • Agreements

  15. Do you have a plan for mobilizing volunteers for mass dispensing clinics? • Yes • No

  16. Staffing • Public Health Department • Volunteers • Recruit • Train • Call-Up Procedures • Who can dispense? • Prescribing physician

  17. Public Information and Communication • Notifications to public of POD openings • Coordinate through Public Health Information Officer and Joint Information Center (JIC)

  18. Lessons Learned from Exercises of SNS: Planning • Hold face-to-face meetings • Establish and solidify mutual aid agreements • Scale plans to accommodate scenarios • Harmonize SNS plans with other plans • Clarify roles • Update contact information and make it accessible • Emphasize regional planning ASTHO 2004

  19. Resources • www.bt.cdc.gov/stockpile/index.asp • Mass Prophylaxis/Vaccination Campaign Staffing Model: www.ahrq.gov/research/biomodel.htm • www.phppo.cdc.gov/phtn/antibiotic • Exercising the SNS: Lessons learned and tools for application, www.astho.org

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