Meeting the Needs of Vulnerable Populations: Past, Present

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Meeting the Needs of Vulnerable
PopulationsPast, Present Future

• Susan Bulecza, RN, MSN, CNS, APRN,BC
• November 2008

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Background

• Federal legislation and Presidential directives
• Response evaluations
• Federal funding requirement
• Floridas response experience

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Current Status

• Shelter and sheltering infrastructure
  enhancements
• Funding allocations
• Enhanced local planning collaboration

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Current Status

• Targeted population assessments
• Enhanced individual preparedness for those
  at-risk
• Standard data set and GIS Mapping

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The Population

• Not limited by a definition
• Vulnerability can be static or transitory
• Fundamental Expectation-planning must address
  those most at-risk for an adverse health outcome

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Planning Approach

• Utilized ESF 8 Situation Unit
• Developed analysis methodology
• Collected data sets and developed snapshot
• Developing standard set of maps for each county
• County profiles

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Vulnerability Snapshot

• Over 65 years old
• One or more disabilities
• Below Poverty
• Uninsured
• Medicaid
• Children with Special Health Needs

• Under 3 years old
• WIC clients
• Dialysis clients
• Oxygen dependent
• Developmentally Disabled
• Brain/Spinal Cord Injured

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Data Resources

• Federal Data Sets
• US Census
• CMS (Medicare/Medicaid)
• National Weather Service
• State Data Sets
• Vital Statistics
• Health Care Facility Licensure
• County/City Profiles
• Environmental Hazards
• Organization Data Sets
• End Stage Renal Disease Network

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Next Steps

• Analyze current strategies and identify gaps
• Continue data set integration
• Develop vulnerable population toolkit
• Ensure messaging integration