Idaho

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Idahos Approach to Project Public Health Ready
(PPHR)
Darce Vassar
Travis Best
Rod Horejs
2
First Speaker

• Darce Vassar
• PHP Program Manager
• North Central District Health Department

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Public Health in Idaho

• Boards of Health

• District Directors

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The Project

• Voluntary review
• Very well organized
• Great support infrastructure
• Logical design
• Planning
• Workforce competency
• Exercise / Simulation

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Poll Question

• My public health jurisdiction
• A. Has not yet considered doing PPHR
• B. Is considering doing PPHR
• C. Is in the process of doing PPHR
• D. Has completed PPHR

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Tools that Worked

• Design them to be user friendly.
• Make them accessible to everyone.
• Allow them to adapt as the project grows.

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For list of tools

• NACCHO EQUIPh
• www.naccho.org/EQUIPh/index.cfm
• Northwest Center for Public Health Practice
• www.nwcphp.org/technical-assistance/specialproject
  

NWCPHP role in PPHR
NACCHO EQUIPh
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Momentum is KEY

• Dont miss a meeting
• In-house team meetings
• Regional conference calls with NACCHO
• National PPHR meetings

Enthusiasm from the top down is essential!
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Make PPHR the Cornerstone

• Whether it has been done or needs to be done,
  PPHR can be utilized as a catalyst for
  accomplishing and/or fine-tuning tasks.

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Poll Question

• In my opinion, the most important challenge of
  participating in PPHR might be
• Early state of development of standards for PH
  preparedness.
• Inconsistencies between state and CDC
  expectations
• Fluctuating expectations in a dynamic field of
  practice.
• Substantial non-reimbursed costs associated with
  participating in PPHR

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Lesson Learned

• One result of PPHR is that the details are
  never fine enough.

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Next Speaker

• Rod Horejs
• PHP Program Manager
• Southeastern District Health Department

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Public Health in Idaho

• Boards of Health

• District Directors

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The Wild Frontier...

• The Southeastern Health Dept. District (SDHD)
• 8 counties
• 158,000 people
• 11,000 square miles
• Borders Utah Wyoming

A LOT of sagebrush!
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Idahos Composition

• Idaho Code 39-401 establishes the Public
  Health Districts, and states in part

The various health districts are not a single
department of state government unto themselves,
nor are they a part of any of twenty (20)
departments of state government authorized by
the Idaho constitution Its legislative
intent is that the health districts operate and
be recognized not as state agencies or
departments, but as governmental entities whose
creation has been authorized by the state, much
in the manner as other single purpose districts.
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Poll Question

• The primary goal of PPHR is to
• A. Help LPHAs become better prepared
• B. Assess and document the level of preparedness
  that they have already achieved
• C. Both A B
• D. None of the above

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Benefits of Project Public Health Ready

• Provided focus
• Fostered planning
• Complemented the inclusion of all staff
  capabilities

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Relationship Building

• Reinforced and revived community partner
  relationships
• Established communicationwith nontraditional
  partners
• Encouraged and supported neighboring jurisdiction
  communications

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Project Public Health Ready is a tool

• Project Public Health Ready is
• Credible
• Tangible
• Reportable
• Inclusive

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The Hard Work Paid Off!
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Award for PPHR
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Lesson Learned

• This is my story and I am sticking to it

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Next Speaker

• Travis Best
• PHP Program Manager
• Southwest District Health

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Public Health in Idaho

• Boards of Health

• District Directors

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Southwest District Health

• Diverse population 227,000
• 12,000 square miles two frontier counties
• Duck Valley Indian Reservation/Idaho-Nevada
• 105 full-time employees
• 8 million annual budget

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Project Style Approach

• Concept Work it as a project!
• Organization Project team.
• Outcome Visualize the end product.

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Planning Process
Project Public Health Ready for SWDH

• PHP Plan
• EPI Plan
• Smallpox Plan
• SNS Plan
• Communication
• Plan
• Training Plan
• Surge Plan

Evidence

• Application
• Exec. Overview
• PPHR Checklist

PHP Plans
PPHR Evidence
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Cross Walk of Criteria/Evidence
E. Situation and Assumptions _X_ Description of situations likely to affect local emergency response - unique vulnerabilities and distinguishing characteristics that may affect the circumstances of an emergency event Tab A-24 EPI Plan Page 2 _X_ Consideration of availability and surge capacity of personnel, treatment facilities, laboratories, redundant communications, pharmacologic supplies and security in relation to scope and duration for anticipated events _X_ Acknowledgement of mutual aid agreements, if available. SNS Plan Attachment 8, Pg 83
F. Role(s) and Responsibility (who does what) in table or other format Description of the emergency response responsibilities of the local emergency agency(ies) or team(s). This table indicates the primary and secondary support roles for local, state and federal asset acquisition. Describe roles and responsibilities for ESF-8 functions 1._X_ List, table or other format indicating the necessary roles to be filled during response operations and detail of the specific functions of each role. PHP Plan 12.0 attachment 2._X_ Identification of the LPHA response roles and associated response functions for _X_ Command and Control PHP Plan 4.0 /Page 9 _X_ Communication Communications Plan ,Page 9 PHP Plan 8.0/Pg 19 _X_ Early Recognition and Surveillance EPI Plan Pg 3-4 PHP Plan 4.0/Pg 9, A16 _X_ Investigation PHP Plan Pg 14 EPI Plan 6.0/Pg 9 Smallpox Plan 7.0/Pg 56 _X_ Epidemiology EPI Plan 8.0 /Pg 11, and 9.0/Pg 13, Appendix C Pg 25 _X_ Sample testing EPI Plan 11.2 -11.3 Pg 14, Tab B12 Evidence of current packaging and shipping regulations on infectious substances and dangerous goods. Capability to transport specimens/samples to a confirmatory reference lab on nights, weekends, and holidays. _X_ Evidence management EPI Plan _X_ Mass Prophylaxis and Immunization SNS Plan Pg 16 _X_ Mass Patient Care Surge Plan, Section 2, Pg 3 Surge Plan _X_ Mass Fatality Management Coroner _X_ Environmental Surety EPI Plan Appendix D/Pg26 _X_ Mental Health of Public Health Emergency Response Personnel Surge Plan Appendix D/Pg 20-24
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The Magnitude of Exercising

• Approach
• Cost containment

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Nampa Flu Clinic
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Poll Question

• In my opinion, the most important reason why we
  participated in PPHR (or will in the future) is
  to

1. Use as a framework in organizing preparedness
   activities
2. Share ideas, materials, and support from
   colleagues in the national program
3. Earn recognition for the departments efforts.
4. Improve relationships and a sense of purpose with
   critical local partners

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The Future of PPHR

• Design team
• Collaboration
• Concepts on the table

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The Future of PPHR

• The current pilot three round is the final pilot
  phase
• The criteria are being finalized into a national
  standard for PH
• Planning
• Workforce competency
• Exercise / Simulation

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The Future of PPHR

• The re-recognition cycle will be four years.
• Re-recognition documentation will be to augment
  the first submission.

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Lesson Learned

• This is my story and I am sticking to it

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Public Health Ready Map
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All seven health districts in Idaho are

• Public Health Ready

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Open Dialogue

• Comments/questions?
• Travis Rod Darce