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Partners in Data Recovery and Reporting Jeanne Spears, RN Disaster Health Services 0
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Background Red Cross Disaster Surveillance System Partnership with CDC since 1987 Goal is to provide accurate, timely description of the health-related needs of disaster-affected population Data used for planning, preparedness, response and recovery efforts for Red Cross, local, state, and federal agencies 1
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CDC/ARC Surveillance Committee Members Red Cross - Disaster Health Services CDC - National Center for Environmental Health Tasked to Update forms and processes to capture disaster-related illness, injury, and death Increase capacity of Red Cross’ volunteers to capture and report these data Develop and pilot processes to ensure data sharing with DRO and partners during the disaster 2
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Morbidity and Mortality Surveillance
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Why Collect Morbidity and Mortality Data? To identify potential threats to client(s) requiring immediate public health action(s) To provide data for situational awareness To assist in plan and prepare for future responses To promote awareness of nursing practice in disasters 4
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Why Collect Morbidity and Mortality Data? (cont’d) To support states compliance with the National Mass Care strategy To disseminate findings to the preparedness community and advance disaster science 5
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Hurricane Sandy, New York, 2012 6
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Disaster Health and Mental Health Support shelters, outreach & condolence visits Assess, record and report surveillance data Nearly 113,000 contacts and visits during Sandy response 7
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Surveillance in Shelters Nov., 2012 – 2922 shelter client visits 90% treated by staff 2% referred to hospital 8% referred to other healthcare professionals 8
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Health Services NY Shelter Visits 29% - mental health issues 22% - follow-up care 19% - exacerbation chronic conditions 13% - acute conditions
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Reasons for Visits by Shelter
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Neighborhood Outreach Surveillance In Nov., Outreach, made 5320 contacts Queens, Staten Island, Brooklyn, Coney Island, Nassau and NYC Included…hotels, homes & high-rise apartments 11
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When Does Red Cross Collect Surveillance Data? Depends on size of Disaster Levels: Level l – Chapter disaster response (e.g., single or small multi-family house fire or flood) Level ll – Chapter response larger multi-family or neighborhood event (e.g., multi-family or apt fire) Level lll – Multi-chapter, state, or regional disaster response Level lV and above – National HQ response 12
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Red Cross Data published in CDC’s Morbidity and Mortality Weekly Report 13 Tornado-Related Fatalities Five States, Southeastern US, April 25–28, 2011. July 20, 2012 61(28);529-533
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Aggregate Morbidity Surveillance 15
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Aggregate Morbidity Form PART I 17
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Aggregate Morbidity Form PART II 18
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19 Contact Service Sites – Shelters and Non- Shelters Client Heath Record Health Service Visit Visual of What a Contact Is
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Aggregate Morbidity Form PART III 20
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PART IV: Reason for Visit 21
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Aggregate Morbidity Form PART V 22
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New to Aggregate Morbidity Form Functional and Access Needs 23
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C-MIST Functional and Access Needs – Definitions Communication: Visual or hearing problems; require equipment or assistance Maintain Health: Disease, injury, pregnancy, mental health issues; require medication, medical supplies, oxygen, temp control, or daily care (ADLs) Independence: Mobility issues; require medical equipment for safety, comfort, mobility, and ADL’s Infant services and service animal accommodations Services/Support: Requires support (e.g., family, caregiver, qualified shelter volunteer, or local agency) provide non-medical ADL’s Transportation: Requires transportation to a medical care facility for treatment or non-medical appointment 24
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Morbidity Flow Chart – Reporting Process 25
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Disaster-Related Mortality Surveillance 26
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Disaster-related Surveillance All deaths associated with a disaster All single and multi-family fires deaths Information obtained about disaster- related deaths are identified by media outlets, fire and police departments, hospitals and emergency departments or other similar sources
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Condolence Visits Once deaths are verified, Red Cross usually schedule condolence visits with the family Condolence visits include health services, mental health and/or spiritual care and possibly client casework For larger scale fatalities, an integrated care team is established to contact families 28
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Mortality Surveillance Form
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Mortality Surveillance Form PART II 30
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Mortality Surveillance Form PART III 31
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Mortality Surveillance Form PART III 32
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Mortality Flow Chart – Reporting Process 33
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Publications to Date 2012 Evaluation of the American Red Cross Disaster-Related Mortality Surveillance System by Using Hurricane Ike Data - Texas, 2008. Disaster Med Public Health Preparedness. 2012 Deaths Associated with a Historic Tornado Disaster--Southeastern United States, April 25-28, 2011.MMWR Morb Mortal Wkly Rep. 2012; 61(28);529-533 Disaster-related injuries and illnesses treated by American Red Cross Disaster Health Services during Hurricanes Gustav and Ike. Southern Medical Journal 106, no. 1 (2013): 102-108 2013 Fatalities Associated with the April 2011 Tornadoes (accepted for publication in American Journal of Public Health) Fatalities Associated with Hurricane Sandy (accepted by MMWR) 34
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Thank You, Jeanne Spears, RN Jeanne.spears@redcross.org 202-367-5454 35
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