eliminating the “fear factor” in biopreparedness kolene kohll, r.n. director, health professions...
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Eliminating the “Fear Factor” Eliminating the “Fear Factor” in Biopreparednessin Biopreparedness
Kolene Kohll, R.N.Director, Health Professions Tracking Center
University of Nebraska Medical Center
February 23, 2005
“By improving the flow of information and knowledge, we can improve the health and well-being of all Americans.”
- Tommy G. Thompson
HPTC: HistoryHPTC: History
Organized in 1995
Collaborative Effort• University of Nebraska Medical Center• Nebraska HHS Office of Rural Health
Workforce Planning & Health Policy
Decisions
&
Biosecurity Preparedness
HPTC: “Dual” MissionHPTC: “Dual” Mission
HPTC: Comprehensive DirectoryHPTC: Comprehensive Directory
50% are not Association members
43% licensed do not practice in NEPhysicians – 50%
Federal professionals are not licensed locally
““No Boundaries”No Boundaries”
HPTC: Critical Data ElementsHPTC: Critical Data Elements Profession & Specialty
Training & Certifications
Location: Primary, Satellite Offices & Home
Contact Information
BT Expertise & Educational Needs
Willingness to Volunteer & Response Times
Languages Spoken Fluently
Vaccinated against Small Pox
HPTC: Content ManagementHPTC: Content Management
Surveys (85-100% Compliance)
Licensure comparisons
Clipping service
Telephone verifications
“Good Will” notifications
Internet research
Diligent persistence…
HPTC: Statewide InventoryHPTC: Statewide Inventory
Physicians Physician Assistants Nurse Practitioners Dentists* Pharmacists
Pharmacies Clinics Acute Care Centers Hospitals
*NE, KS, SD, & WY
HPTC: Statewide Inventory - Post 9/11HPTC: Statewide Inventory - Post 9/11
Laboratory Directors Infection Control Nurses Microbiology Coordinators Public Health Officials Emergency Nurses Veterinarians
First Responders Water Safety Officers Farm Service Agencies USDA Employees Respiratory Care
Practitioners Food Safety Inspectors Environmental Health
Specialists
HPTC: NE Preparedness PartnersHPTC: NE Preparedness Partners
HHS Health Alert Network
Center for Rural Biosecurity
Center for Biopreparedness Edu.
Volunteer Medical Reserve Corps
Dr. Richard RaymondChief Medical Officer
HPTC: “Response” ImpactHPTC: “Response” Impact
Identify & assist in the solicitation of all available trained professionals that are willing to respond to an event.
Bolster the capacity to rapidly deploy & retrieve critical information to streamline effective preparedness efforts.
Link academic expertise to state & local health agency needs.
“Much of mass casualty care will occur in non-routine settings. Immediate notification is necessary.” - William F. Raub, Ph.D.
Department of HHSNHII National Conference
Communication PathwaysCommunication Pathways
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Physicians
Physician Assistants
Nurse Practitioners
Pharmacists
Public Health Departments
Registered Nurses
First Responders
Veterinarians
Mail Fax E-mail
HPTC: Broadcast CommunicationHPTC: Broadcast Communication
Customized Queries• Location• Profession• Primary Specialty• Preparedness Expertise• Languages Spoken Fluently (<80)
Rapid Transmission• Dedicated T1-line• Preferred Contact Route
Secure Remote Access
HPTC: Educational ImpactsHPTC: Educational Impacts
Identify bio-security-related competencies & target learning needs to aide in addressing high priority requirements of the front-line workforce.
Evaluate preparedness education effectiveness.
Increase the number & type of professionals that comprise a preparedness & response workforce.
Willingness to RespondWillingness to Respond
0% 10% 20% 30% 40% 50% 60% 70%
Physicians
Physician Assistants
Nurse Practitioners
Pharmacists
Public Health
Registered Nurses
First Responders
Veterinarians
Statewide Community-wide
Feelings about Mental HealthFeelings about Mental Health
0 0.05 0.1 0.15 0.2 0.25 0.3 0.35 0.4 0.45
Physicians
Physician Assistants
Nurse Practitioners
Pharmacists
Public Health Departments
Registered Nurses
First Responders
Veterinarians
Feels Qualified to Address Desires Further Education
0%
10%
20%
30%
40%
50%
60%
70%
80%
Physicians Physician Assistants Nurse Practitioners Pharmacists First Responders Registered Nurses Public Health Veterinarians
Educational Needs for PreparednessEducational Needs for Preparedness
Preferred Venue to Receive Preferred Venue to Receive Preparedness TrainingPreparedness Training
2%
15%
12%
29%
17%
10%
59%
29%
66%
Other
Media-based (TV)
Real-time Telecommunications
Web-based Blackboard
Individual Training
Speaker's Bureau
Written Publication
Self-directed Written Modules
Conference/Lecture
Willingness to Join a Speaker’s BureauWillingness to Join a Speaker’s Bureau
0%
10%
20%
30%
40%
50%
60%
70%
P hysicians P hysicianAssistants
NurseP ractitioners
P harmacists P ublic Health RegisteredNurses
FirstResponders
Veterinarians
HPTC: Policy ImpactHPTC: Policy Impact
Monitors relevant workforce trends and identifies gaps to inform & influence policy decisions.
HPTC: Nebraska ImpactsHPTC: Nebraska Impacts Family Practice Shortage Area comparison
• 50% increase in designations (+$1M)
Critical in preventing IME budget cuts
Monitors loan incentives & grantees
J-1 Visa applications
Medicaid & Medicare cost-based reimbursement
Community Health Center & RHC eligibility
Nebraska Practicing PhysiciansEthnicity Counts Between 1999 & 2003
8
44
34
10 10
4
26
53 2
23
59
3
85
02
78
84
38
18 19
9
42
3
84
14
35
2
22
52
4
10
0
10
20
30
40
50
60
70
80
90
Am
eri
ca
n In
dia
n
As
ian
Ind
ian
Bla
ck
/Afr
ica
n A
me
r.
Ch
ine
se
Fili
pin
o
Fo
reig
n
His
pa
nic
/Oth
er
Ja
pa
ne
se
Ko
rea
n
Me
xic
an
Am
/Ch
ica
no
Oth
er
Oth
er
As
ian
Oth
er
Pa
cif
ic Is
l.
Pa
kis
tan
i
Pu
ert
o R
ica
n-C
om
wlt
h
Pu
ert
o R
ica
n-M
ain
lnd
S.E
. As
ian
no
t V
ietn
Vie
tna
me
se
1999 2003
HPTC: NE Physician “Snap-shot”HPTC: NE Physician “Snap-shot”
78% Male 91% Practice full-time 85% White/Caucasian 12% ≥ 60 years 95% Graduated from a US-based medical school 11% practice in rural NE, 65% are UNMC graduates 47% practice in a free-standing clinic 60% are engaged in a self-employed partnership/group > 80 languages spoken fluently
HPTC: Lessons LearnedHPTC: Lessons Learned
ComprehensiveManageablePrimary MissionDiligence & PersistenceRespect
Partnering for Healthy and Safe Communities