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Bioterrorism and Public Health Preparedness. Group III. Problem Statement. Problem: Need for guidelines and adequate resources to coordinate electronic information for identification of and response to all hazards events. Dimensions of the problem.
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Problem Statement • Problem: Need for guidelines and adequate resources to coordinate electronic information for identification of and response to all hazards events
Dimensions of the problem • Fragmentation of response systems (local, state, federal) • Ineffective communication among responding agencies • Variable technologies currently implemented without proof of effectiveness or improved outcomes • Inefficient use of resources • Ethical issues concerning privacy • Legal barriers to sharing information across agencies • Lack of evidence-based decisions
Rationale • An ineffective all hazard system has the potential to harm each and every one of us.
Stakeholders- supporters • NACCHO, ASTHO and its affiliates • Assoc of Microbiology • Assoc of Public Health, Assoc of Schools of Public Health • CDC, HHS, DOD, DHS, VA • Private sector companies who manufacture technologies • ONCHIT (Office Of National Coordinator of Health IT) • Health IT • State EMS, Local EMS
Stakeholders-supporters • Emergency managers • Local/state governments (departments, elected officials (eg governors, NGAs), law enforcement officials • EPA, Dept of Agriculture, Dept of Interior, Indian Health Service • Dept of Justice (state/local councils) • Voluntary organizations: eg Red Cross • Veterinarians • Medical schools • Health plan insurers
Stakeholders-opposers • Public privacy groups • Fiscal conservatives • Some think tanks • AHA, AMA, subspecialty medical groups (liability issues, proprietary issues) • Commercial pharmacies
Plan of Action • Coalition of supporters consisting of stakeholders, based on revenue and size (including ASTHO, NACCHO) • National Governors’ Association • Enlisting media support (via op-eds, etc)
Final policy plan • Hybrid model • Federal guidelines and funding (with state OR local matching), with state and local implementation • Office of the Committee on Health IT