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Preparation for the Flu Pandemic, Mobilizing Human Resources

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Louisiana, Mississippi, and Alabama. 770,000 persons displaced ... Businesses worked directly w/ the LA Board-practice modifications ... – PowerPoint PPT presentation

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Title: Preparation for the Flu Pandemic, Mobilizing Human Resources


1
Preparation for the Flu Pandemic, Mobilizing
Human Resources
Expect the Unexpected Are We Clearly Prepared?
  • CAPT Lynn A. Slepski, RN, MSN, CCRN
  • Senior Public Health Advisor
  • US Department of Homeland Security

Council on Licensure, Enforcement and Regulation
2006 Annual Conference
Alexandria, Virginia
2
Standard Continuity of Operations (COOP) Planning
  • SCALE related
  • 1 Geography
  • Less than 30 days
  • Essential functions only
  • Essential personnel only
  • Resumption plan
  • Emergency plan that translates to specific
    situations

3
COOP ExampleY2K
  • Major businesses developed a plan
  • Upstream and downstream
  • Wrote Y2K plans into contracts
  • Actually verified/critiqued the plans
  • ResultNo issue

4
Hurricane Katrina
  • 1.5 million people
  • 90,000 square miles
  • Louisiana, Mississippi, and Alabama
  • 770,000 persons displaced
  • 89,000 persons evacuated to make-shift shelters
  • Medical infrastructure sustained extraordinary
    damage
  • Triggered the largest natural disaster relief and
    recovery operations in United States history
  • Created an unprecedented demand for relief
    healthcare services

5
Katrina Example-Pharmacy Support
  • Original plan
  • Ring the impact area and prepare to flow support
    in
  • LA alone 10 12 shelters
  • Major chains would adopt a shelter
  • Based on census either support from off site OR
    establish a mobile pharmacy
  • Reality
  • gt200 shelters
  • Very poor information
  • Lost time drafting legal language for emergency
    powers

6
Pharmacy Response
  • Exercised previous relationships
  • Businesses worked directly w/ the LA
    Board-practice modifications
  • Pharmacists could dispense w/o Rx
  • Any mobile pharmacies could operate without an
    inspection to operate
  • Accept any pharmacist license-Immediate
    reciprocity
  • Disposal of compromised drugshazardous wastes
  • Remote processingPharmacists could enter into a
    database and begin filling process
  • Developed a database took all available records

7
Pandemic Planning Assumptions
  • 40 percent or more of workforce out
  • (Sick, taking care of family or afraid to work)
  • School closures (day care universities)
  • Supply and delivery chains disrupted
  • Travel delayed or halted large public gatherings
    canceled
  • Healthcare system overwhelmed
  • Essential services interrupted
  • Some believe that all rules/regulations will be
    suspended

8
Pandemic Challenges
  • Pandemics are different from other types of
    emergencies
  • There will be no clear beginning and end
  • Almost all locations will be affected
    simultaneously
  • There will be multiple waves
  • Resources cannot be shifted geographically as in
    other emergencies
  • Every country will be affected, but countries
    with better plans will be less vulnerable to
    terrorism and other threats during a pandemic

9
DHS Federal Responsibilities
  • Above and beyond our own continuity planning.
  • Federal incident management
  • Border control
  • Maintaining critical infrastructure and key
    resources (CI/KR) (85 owned privately)
  • N17. Examples are food, water, public health,
    emergency services, energy, transportation
  • Continuity of operations essential (COP-E)
  • Catastrophic planning for essential services
  • Identify in advance where regulatory relief may
    be helpful

10
Regulatory Waivers
  • Certain waivers should be considered to ensure
    that public and private sector responders can
    react and recover effectively
  • Pre-identify areas where rules/regulations can be
    modified or waived temporarily
  • Weigh risks vs. benefits as entities struggle to
    maintain response
  • Quality
  • Safety
  • Dont want to further compromise vulnerable
    populations when possible
  • GOAL Policies in anticipation
  • What is expected
  • How laws will be applied and enforced

11
Public/Private Partnerships
  • US Chamber
  • Trade and Professional Organizations
  • Businesses
  • CI/KR Sectors
  • Advisory Councils
  • Governments and Governmental Agencies

12
Transportation Issues
  • GOAL Maintain supply chains
  • Change authorities
  • Commercial Drivers License (CDL) drive interstate
    when providing emergency services
  • Decrease restrictions
  • Drive times, weight restrictions, etc.
  • Licenses, Credentials or Certifications
  • Federal pre-emption of state and locally decided
    closures to allow movement of critical supplies

13
Liability Issues
  • GOAL Liability protection for businesses
  • Medical care, anti-virals and vaccines for side
    effects and consequences
  • Protective equipment

14
Sharing of Information
  • GOAL Continuity of Care
  • Databases
  • Electronic medical records

15
Personnel Issues
  • GOAL Protect workers/ maintain operations
  • Fair Labor Standards Act
  • Time recording, exempt/non-exempt duties,
    overtime, etc.
  • Confidentiality Requirements
  • HIPPA, ADA, FMLA
  • Discussions regarding employees or family members
  • Tracking of illness
  • Employer Responses
  • Benefit documentation (ERISA) response time
  • Requirements to pay employees w/i a certain period

16
Scopes of Practice
  • GOAL Accomplishing the greatest good
  • Healthcare scopes of practice
  • EMT vs. ACLS
  • Prescription authorities
  • Drug dispensation
  • Identify able providers
  • Who can perform tasksHow to find

17
Regulatory Requirements
  • GOAL Protecting the workforce
  • OSHA fit-testing for masks
  • Expedited SAFETY Act application review

18
Your Role in Pandemic Planning
  • Does your group have a plan? Family?
  • Consider where there may be room for discussion
  • Dont wait for an invitation to come to the
    party
  • Encourage cross-walking of plans
  • Help identify possible optionsbe part of a
    solution

19
Conclusion
  • Regulatory bodies are key stakeholders
  • Role in both the development and implementation
    of emergency preparedness plans.
  • Regulatory relief will be necessary
  • maintain CI/KR
  • facilitate effective mobilization of resources at
    a local level
  • Challenge--Consider non-traditional ways of
    meeting the health and safety needs of the public
    in a time of crisis.

20
Speaker Contact Information
  • CAPT Lynn A. Slepski, RN, MSN, CCRN
  • U.S. Department of Homeland Security/Prep
  • Washington, DC 20528
  • Desk (202) 282-9697 FAX (202) 282-8191
  • Lynn.Slepski_at_dhs.gov
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