Partners in Data Recovery and Reporting Jeanne Spears, RN Disaster Health Services

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Partners in Data Recovery and ReportingJeanne
Spears, RNDisaster Health Services
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Background Red Cross Disaster Surveillance
System

• Partnership with CDC since 1987
• Goal is to provide accurate, timely description
  of the health-related needs of disaster-affected
  population
• Data used for planning, preparedness, response
  and recovery efforts for Red Cross, local, state,
  and federal agencies

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CDC/ARC Surveillance Committee

• Members
• Red Cross - Disaster Health Services
• CDC - National Center for Environmental Health
• Tasked to
• Update forms and processes to capture
  disaster-related illness, injury, and death
• Increase capacity of Red Cross volunteers to
  capture and report these data
• Develop and pilot processes to ensure data
  sharing with DRO and partners during the disaster

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• Morbidity and Mortality
• Surveillance

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Why Collect Morbidity and Mortality Data?

• To identify potential threats to client(s)
  requiring immediate public health action(s)
• To provide data for situational awareness
• To assist in plan and prepare for future
  responses
• To promote awareness of nursing practice in
  disasters

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Why Collect Morbidity and Mortality Data?
(contd)

• To support states compliance with the National
  Mass Care strategy
• To disseminate findings to the preparedness
  community and advance disaster science

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Hurricane Sandy, New York, 2012
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Disaster Health and Mental Health

• Support shelters, outreach condolence visits
• Assess, record and report surveillance data
• Nearly 113,000 contacts and visits during Sandy
  response

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Surveillance in Shelters

• Nov., 2012 2922 shelter client visits
• 90 treated by staff
• 2 referred to hospital
• 8 referred to other healthcare professionals

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Health Services NY Shelter Visits

• 29 - mental health issues
• 22 - follow-up care
• 19 - exacerbation chronic conditions
• 13 - acute conditions

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Reasons for Visits by Shelter
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Neighborhood Outreach Surveillance

• In Nov., Outreach, made 5320 contacts
• Queens, Staten Island, Brooklyn, Coney Island,
  Nassau and NYC
• Includedhotels, homes high-rise apartments

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When Does Red Cross Collect Surveillance Data?

• Depends on size of Disaster Levels
• Level l Chapter disaster response (e.g., single
  or small multi-family house fire or flood)
• Level ll Chapter response larger multi-family
  or neighborhood event (e.g., multi-family or apt
  fire)
• Level lll Multi-chapter, state, or regional
  disaster response
• Level lV and above National HQ response

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Red Cross Data published in CDCs Morbidity and
Mortality Weekly Report
Tornado-Related Fatalities Five States,
Southeastern US, April 2528, 2011. July 20, 2012
61(28)529-533
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• Aggregate Morbidity Surveillance

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Aggregate Morbidity
FormPART I
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Aggregate Morbidity Form PART II

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Visual of What a Contact Is
Service Sites Shelters and Non-Shelters
Contact
Health Service Visit
Client Heath Record
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Aggregate Morbidity FormPART III

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PART IV Reason for Visit
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Aggregate Morbidity FormPART V
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New to Aggregate Morbidity Form Functional and
Access Needs
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C-MIST Functional and Access Needs Definitions

• Communication
• Visual or hearing problems require equipment or
  assistance
• Maintain Health
• Disease, injury, pregnancy, mental health issues
  require medication, medical supplies, oxygen,
  temp control, or daily care (ADLs)
• Independence
• Mobility issues require medical equipment for
  safety, comfort, mobility, and ADLs
• Infant services and service animal accommodations

• Services/Support
• Requires support (e.g., family, caregiver,
  qualified shelter volunteer, or local agency)
  provide non-medical ADLs
• Transportation
• Requires transportation to a medical care
  facility for treatment or non-medical appointment

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Morbidity Flow Chart Reporting Process
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• Disaster-Related Mortality Surveillance

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Disaster-related Surveillance

• All deaths associated with a disaster
• All single and multi-family fires deaths
• Information obtained about disaster-related
  deaths are identified by media outlets, fire and
  police departments, hospitals and emergency
  departments or other similar sources

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Condolence Visits

• Once deaths are verified, Red Cross usually
  schedule condolence visits with the family
• Condolence visits include health services, mental
  health and/or spiritual care and possibly client
  casework
• For larger scale fatalities, an integrated care
  team is established to contact families

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Mortality Surveillance Form
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Mortality Surveillance Form PART II

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Mortality Surveillance Form PART III
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Mortality Surveillance Form PART III
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Mortality Flow Chart Reporting Process
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Publications to Date

• 2012
• Evaluation of the American Red Cross
  Disaster-Related Mortality Surveillance System by
  Using Hurricane Ike Data - Texas, 2008. Disaster
  Med Public Health Preparedness. 2012
• Deaths Associated with a Historic Tornado
  Disaster--Southeastern United States, April
  25-28, 2011.MMWR Morb Mortal Wkly Rep. 2012
  61(28)529-533
• Disaster-related injuries and illnesses treated
  by American Red Cross Disaster Health Services
  during Hurricanes Gustav and Ike. Southern
  Medical Journal 106, no. 1 (2013) 102-108
• 2013
• Fatalities Associated with the April 2011
  Tornadoes (accepted for publication in American
  Journal of Public Health)
• Fatalities Associated with Hurricane Sandy
  (accepted by MMWR)

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• Thank You,
• Jeanne Spears, RN
• Jeanne.spears_at_redcross.org
• 202-367-5454