Idaho s Approach to Project Public Health Ready (PPHR) Darce Vassar Rod Horejs Travis Best
First Speaker Darce Vassar PHP Program Manager North Central District Health Department
Public Health in Idaho Boundary Bonner Kootenai 1 Benewah Shoshone Latah Clearwater Nez Perce Lewis 2 Idaho Boards of Health Lemhi Adams Washington Payette Gem Canyon Valley 4 Boise Custer 7 Butte Clark Jefferson Fremont Madison Teton District Directors 3 Ada Elmore Camas Gooding 5 Blaine Lincoln Jerome Minidoka Power Bingham 6 Bonneville Caribou Bannock Owyhee Twin Falls Cassia Oneida Franklin Bear Lake
The Project Voluntary review Very well organized Great support infrastructure Logical design Planning Workforce competency Exercise / Simulation
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
Tools that Worked Design them to be user friendly. Make them accessible to everyone. Allow them to adapt as the project grows.
For list of tools NACCHO EQUIPh www.naccho.org/equiph/index.cfm Northwest Center for Public Health Practice www.nwcphp.org/technical-assistance/specialproject NACCHO EQUIPh NWCPHP role in PPHR
Momentum is KEY Don t miss a meeting In-house team meetings Regional conference calls with NACCHO National PPHR meetings Enthusiasm from the top down is essential!
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.
Poll Question In my opinion, the most important challenge of participating in PPHR might be: A. Early state of development of standards for PH preparedness. B. Inconsistencies between state and CDC expectations C. Fluctuating expectations in a dynamic field of practice. D. Substantial non-reimbursed costs associated with participating in PPHR
Lesson Learned One result of PPHR is that the details are never fine enough.
Next Speaker Rod Horejs PHP Program Manager Southeastern District Health Department
Public Health in Idaho Boundary Bonner Kootenai 1 Benewah Shoshone Latah Clearwater Nez Perce Lewis 2 Idaho Boards of Health Lemhi Adams Washington Valley 4 Custer 7 Clark Fremont District Directors Payette Gem Canyon Boise Butte Jefferson Madison Teton 3 Ada Elmore Camas Gooding 5 Blaine Lincoln Jerome Minidoka Power Bingham 6 Bonneville Caribou Bannock Owyhee Twin Falls Cassia Oneida Franklin Bear Lake
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!
Idaho s 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.
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
Benefits of Project Public Health Ready Provided focus Fostered planning Complemented the inclusion of all staff capabilities
Relationship Building Reinforced and revived community partner relationships Established communication with nontraditional partners Encouraged and supported neighboring jurisdiction communications
Project Public Health Ready is a tool Project Public Health Ready is: Credible Tangible Reportable Inclusive
The Hard Work Paid Off!
Award for PPHR
Lesson Learned This is my story and I am sticking to it
Next Speaker Travis Best PHP Program Manager Southwest District Health
Public Health in Idaho Boundary Bonner Kootenai 1 Benewah Shoshone Latah Clearwater Nez Perce Lewis 2 Idaho Boards of Health Lemhi Adams Washington Valley 4 Custer 7 Clark Fremont District Directors Payette Gem Canyon Boise Butte Jefferson Madison Teton 3 Ada Elmore Camas Gooding 5 Blaine Lincoln Jerome Minidoka Power Bingham 6 Bonneville Caribou Bannock Owyhee Twin Falls Cassia Oneida Franklin Bear Lake
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
Project Style Approach Concept: Work it as a project! Organization: Project team. Outcome: Visualize the end product.
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
Cross Walk of Criteria/Evidence E. Situation and Assumptions 1._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 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 3._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: a._x_ Command and Control PHP Plan 4.0 /Page 9 b._x_ Communication Communications Plan,Page 9; PHP Plan 8.0/Pg 19 c._x_ Early Recognition and Surveillance EPI Plan Pg 3-4; PHP Plan 4.0/Pg 9, A16 d._x_ Investigation PHP Plan Pg 14; EPI Plan 6.0/Pg 9; Smallpox Plan 7.0/Pg 56 e._x_ Epidemiology EPI Plan 8.0 /Pg 11, and 9.0/Pg 13, Appendix C Pg 25 f._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. a._x_ Evidence management EPI Plan b._x_ Mass Prophylaxis and Immunization SNS Plan Pg 16 c._x_ Mass Patient Care Surge Plan, Section 2, Pg 3; Surge Plan d._x_ Mass Fatality Management Coroner e._x_ Environmental Surety EPI Plan Appendix D/Pg26 f._x_ Mental Health of Public Health Emergency Response Personnel Surge Plan Appendix D/Pg 20-24
The Magnitude of Exercising Approach Cost containment
Nampa Flu Clinic
Poll Question In my opinion, the most important reason why we participated in PPHR (or will in the future) is to: A. Use as a framework in organizing preparedness activities B. Share ideas, materials, and support from colleagues in the national program C. Earn recognition for the department s efforts. D. Improve relationships and a sense of purpose with critical local partners
The Future of PPHR Design team Collaboration Concepts on the table
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
The Future of PPHR The re-recognition cycle will be four years. Re-recognition documentation will be to augment the first submission.
Lesson Learned This is my story and I am sticking to it
Public Health Ready Map
All seven health districts in Idaho are: Public Health Ready
Open Dialogue Comments/questions? Travis ~ Rod ~ Darce