Browsing by Subject "preparedness"
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Item Challenges in Translating National and State Reopening Plans Into Local Reopening Policies During the COVID-19 Pandemic(Sage, 2021-03) Vest, Joshua R.; Blackburn, Justin; Yeager, Valerie A.; Health Policy and Management, School of Public HealthPandemic events, such as coronavirus disease 2019 (COVID-19), affect health and economics at national and international scales, but in the United States, health care delivery and public health practice occur at the local level. Transmission control and eventual economic recovery require detailed guidance for communities, cities, metropolitan areas, and states. Our recent experience as consultants on the control and reopening plans for the city of Indianapolis and Marion County, Indiana, illustrated challenges with national plans, highlighted fundamental tensions in identifying the best course for policy, and emphasized gaps in the evidence base and our public health resources.Item Daily Situational Brief, December 26, 2014(MESH Coalition, 12/26/14) MESH CoalitionItem Daily Situational Brief, June 1, 2011(MESH Coalition, 6/1/2011) MESH CoalitionItem Developing a Systematic Pandemic Influenza Program for Preparing a State(Taylor and Francis, 2012) Foley, William A., Jr.From a planning perspective, this chapter discusses how to effectively mitigate the spread of an extensive viral infection on a large scale, which requires timely, sen-sible and highly sound planning. The focus is on state level planning under the federal model for developing good operational plans. The chapter clarifies termi-nology, as “epidemic” rather than “pandemic,” as the preferred term for a local or state response. However, after that is explained, “pandemic,” which is the common and more frequently used name and in the chapter’s title, is referenced thereaf-ter in quotation marks. Post the introduction, this study presents a brief history of “pandemic influenza,” how a state prepares to develop a plan, agreements and trigger points which must be decided, the planning process itself, the operational plan with its important template for local use, and conclusions. Tracing a common operating picture from the federal, to the state, and to the city/county levels for “pandemic influenza,” planning is the first theme. How to incorporate continuity of government and continuity of operations into a plan, in the face of a rapidly spreading “pandemic,” is the second one. Last, how to deliver from the state to the county level, one workable document called an Operational Plan (OPLAN) with a county template for local use, is the last theme. That template gives counties a “pandemic influenza” model for planning that is the same as states and regions use, which they can directly apply locally. Thus this planning process saves lives during a “pandemic.”Item Disaster Mitigation and Preparedness: Comparisons of Nonprofit, Public, and Private Organizations(2013-04) Chikoto, Grace L.; Sadiq, Abdul-Akeem; Fordyce, ErinFew studies have compared the mitigation and preparedness activities adopted by nonprofit, private, and public organizations. This study contributes to this important literature by comparing the adoption of mitigation and preparedness activities by nonprofit, private, and public organizations in Memphis, Tennessee. The findings show that although nonprofit organizations may be more resource-constrained compared with private corporations, they adopt more mitigation and preparedness activities than private corporations. In addition, public organizations adopt more mitigation and preparedness activities than private organizations. The results are inconclusive on the comparison between nonprofits and public agencies.Item Homeland Security and Public Health: A Critical Integration(2013-09) Carter, Jeremy G.; Rip, MichaelIn the wake of a series of tragic events impacting public health in the United States, the Department of Health and Human Services Centers for Disease Control and Prevention and the Department of Homeland Security have attempted to facilitate information sharing across public health and homeland security organizations. Data collected as part of a national assessment of law enforcement and homeland security information sharing, funded by the National Institute of Justice, indicate such efforts to date have been helpful in establishing a foundation for information sharing, yet fall short of creating mechanisms by which tangible information sharing can occur. Recent initiatives to remedy this shortcoming are presented and recommendations for further success are discussed.Item Improving Emergency Preparedness in Pediatric Primary Care Offices: A Simulation-Based Interventional Study(Academic Pediatric Association, 2022-09) Yuknis, Matthew L.; Abulebda, Kamal; Whitfill, Travis; Pearson, Kellie J.; Montgomery, Erin E.; Auerbach, Marc A.; Pediatrics, School of MedicineObjectives Pediatric emergencies pose a challenge to primary care practices due to irregular frequency and complexity. Simulation-based assessment can improve skills and comfort in emergencies. Our aim was improving pediatric office emergency preparedness, as measured by adherence to the existing American Academy of Pediatrics policy statement, and quality of emergency care in a simulated setting, as measured by performance checklists. Methods This was a single center study nested in a multicenter, prospective study measuring emergency preparedness and quality of care in 16 pediatric primary care practices and consisted of 3 phases: baseline assessment, intervention, and follow-up assessment. Baseline emergency preparedness was measured by checklist based on AAP guidelines, and quality of care was assessed using in-situ simulation. A report-out was provided along with resources addressing potential areas for improvement after baseline assessment. A repeat preparedness and simulation assessment was performed after a 6 to 10 month intervention period to measure improvement from baseline. Results Sixteen offices were recruited with 13 completing baseline and follow-up preparedness assessment. Eight of these sites also completed baseline and follow-up simulation assessment. Median baseline preparedness score was 70% and follow-up was 75.9%. Median baseline simulation performance scores were 37.4% and 35.5% for respiratory distress and seizure scenarios, respectively. Follow-up simulation assessment scores were 73% and 76.9% respectively (P = .001). Conclusions Our collaborative was able to successfully improve the quality of care in a simulated setting in a group of pediatric primary care offices over 6 to 10 months. Future work will focus on expansion and improving emergency preparedness.Item U.S. Pediatric Residents’ Preparedness, Attitudes, and Knowledge in LGBTQ+ Healthcare(2023) Menez, Olwen; Dauterman, Jonathan; Dauterman, Leah; Nowaskie, DustinIntroduction: The objective of this study was to evaluate how comfortable, knowledgeable, and prepared pediatric residents are within LGBTQ+ care. Method: In June 2022, U.S. pediatric residents completed an anonymous, online survey including the three domain LGBT-DOCSS. Results: Pediatric residents (N = 78) reported low to moderate annual amounts of LGBT curricular hours (M = 3.32, SD = 3.17) and LGBT patients (M = 13.84, SD = 15.11) as well as low to moderate Clinical Preparedness and Basic Knowledge and high Attitudinal Awareness. They were significantly less likely to report receiving adequate training and supervision, having experience, and feeling competent in transgender care compared to LGB care. In general, pediatric residents who reported more LGBT education and LGBT patients also reported higher LGBT-DOCSS scores. Discussion: Pediatric providers currently have substantial shortcomings in LGBTQ+ care. Pediatric programs must increase LGBTQ+ education and LGBTQ+ patient exposure.