Enhancing Public Health, Health Care System, and Clinician Preparedness: Strategies to Promote Coord

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Enhancing Public Health, Health Care System, and
Clinician Preparedness Strategies to Promote
Coordination and Communication

• Helen Burstin, M.D., M.P.H.
• Director
• Center for Primary Care Research
• Agency for Healthcare Research and Quality

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What we hope to accomplish with teleconferences

• Review departmental plans related to State and
  local preparedness for bioterrorism
• Present new research findings that may be useful
  to State and local areas
• Opportunity for us to hear your needs and
  concerns related to bioterrorism preparedness

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Organization for Bioterrorism Preparedness
Secretary for Homeland Security
Federal Bureau of Investigations
Department of Health and Human Services
FDA
OEP
CDC
SAMHSA
NIH
Department of Justice
Department of Defense
HRSA
AHRQ
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DHHS Funding Initiatives for State and Local
Preparedness

• CDC support bioterrorism, infectious diseases
  and public health emergency preparedness
  providing a base award with a supplemental based
  on population
• HRSA States create regional hospital plans for
  bioterrorist attack based on formula funding used
  by CDC
• HHS to Metropolitan Medical Response System
  (MMRS) will add 25 new cities to cover 80 of
  the U.S. population for local response to
  chemical and biological disease agents

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AHRQs Role in Bioterrorism Preparedness

• Develop and examine the evidence on effective
  models of training and use of decision support
  for front-line clinicians
• To develop models (e.g., regional plans,
  prophylaxis and immunization systems) that work
  and can be exported to State and local areas
• Reinforce effective linkages between the health
  care system and the public health infrastructure
• Assess health care systems preparedness and the
  impact on cost, quality and outcomes

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Improved Coordination
Front-line clinical providers

• Primary care clinicians
• Primary care practices
• Community health centers
• Managed care organizations
• Emergency Departments
• Hospitals

Public Health Infrastructure
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DHHS Bioterrorism Preparedness Addressing At
Risk Populations

• Rural and frontier areas
• Native Americans
• Underserved populations