2. Tools and Resources to Engage Community Partners in Emergency Preparedness APC Roadshow Orlando, Florida July 27-28, 2009

3. Goal At the end of this APC session participants will be able to engage community partners in preparing for a pandemic influenza using the tools and resources described.

4. Presentation Objectives Describe three tools that will assist you in working with your community in pandemic flu preparedness Discuss how the pandemic flu tools and resources presented in this session can be used by public health agencies and other organizations Identify two strategies to engage community partners

5. Engaging Community Partners in Preparedness

6. Washington Post

7. Who are Our Community Partners? Faith Communities Businesses Home Health Care Pharmacists Child Care Universities School Systems Physicians Nurses Schools of Public Health Hospitals Many others..

8. Why Should Local Public Health Departments Engage Community Partners in Preparing for a Pandemic Flu?

9. Hospitals will be overwhelmed Public Health staff will be detailed to other duties 40% of the workforce may be absent and/or sick Need to reduce morbidity and mortality Limit economic disruption Why Engage Community Partners?

10. Washington Post, 1-12-07

11. Three Tools/Resources Stop the Spread! A Toolkit for Preventing the Spread of Germs in Clinics and Office Settings Pan Flu & Us: Linking Home Care and Public Health: A Toolkit for Developing a Pandemic Flu Preparedness Workshop Stay at Home Toolkit

12. Stop the Spread! A Toolkit for Preventing the Spread of Germs in Clinics and Office Settings Why Dont We Do it in Our Sleeves- videoWhy Dont We Do it in Our Sleeves- video

13. Stop the Spread! A Toolkit for Preventing the Spread of Germs in Clinics and Office Settings-THE NEED 1.Approximately 50% (45 million) of those who become infected with the pandemic flu, would seek medical care. 2.The medical community must be able to provide care for those who become infected with pandemic influenza while still maintaining other essential medical services. 3.The medical community are significant contributors to the economy as employers, purchasers of goods and services, and generators of income to health care organizations. In Maryland the total economic impact of family physicians per year is $914,668,659

14. How is Montgomery County, Maryland Public Health Services Partnering with the Medical Community? Surveillance Outbreak Investigations March 20, 2007: Practice Preparedness for Pan Flu Conference (Primary Care Medical Community) Montgomery County, APC: Stop the Spread! A Toolkit for Preventing the Spread of Germs in Clinics and Office Settings

15. Stop the Spread!-Development Inspired by the medical office conference in March 2007 Need to engage physician offices and clinics in preparing for pandemic flu Collaboration with the State of Maryland Usability and Content Experts Dissemination Plan Benefits/Challenges

16. Stop the Spread! -Materials Contents Include: Audio-Video Presentation Information for Clinic Staff and Patient Information Materials (PDF) Original Files Available upon request

17. PREVENTING TRANSMISSION OF RESPIRATORY INFECTIOUS DISEASES IN CLINICS AND OFFICE SETTINGS PREVENTING TRANSMISSION OF RESPIRATORY INFECTIOUS DISEASES IN CLINICS AND OFFICE SETTINGS BRENDA J. ROUP, PhD, RN, CIC NURSE CONSULTANT IN INFECTION CONTROL MARYLAND DEPARTMENT OF HEALTH AND MENTAL HYGIENE

21. Office and Clinic Information

26. Infection Control Educational Signage

28. Patient Materials

32. Stop the Spread!-Evaluation Worked with medical offices and clinics Content experts in infection control Other local health departments continue to provide valuable feedback

33. Pan Flu & Us: Linking Home Care and Public Health: A Toolkit for Developing a Pandemic Flu Preparedness Workshop

34. Pan Flu & Us: THE NEED Home care agencies appear to be a common thread for many vulnerable populations Encourage personal preparedness for staff as well as people they serve

35. Pan Flu & Us-Development March 2008 Conference in Montgomery County, MD Partnership with local home care agencies A product for LHDs to engage the Home Care Community Simple guidance

36. Pan Flu & Us-Materials Toolkit available for LHDs or others to host a similar conference in their locality Materials online only- in PDF, MS Word, and MS Publisher First step in relationship with home care

37. Plan Flu & Us-Evaluation Appropriate method to reach the target population 90% of participants felt confident they could explain flu preparedness to their clients Introduced public health to home care Many home care agencies had not considered pan flu and how it would impact their services Many home care agencies have competing demand for their time High level of staff turnover in home care

38. Stay at Home Toolkit

39. Stay at Home Toolkit-Need Encourage people to stay home when they are sick-shelter in place Isolation/Quarantine How to care for themselves, family, friends, neighbors Prevent worried well from presenting at hospitals

40. Stay at Home Toolkit- Development Local Health Officer directive Developed with focus groups (seniors, churches, nurses) Use for seasonal influenza as well as pandemic influenza Deliver with isolation/quarantine orders

41. Stay At Home Toolkit Basic 101 on all different aspects of influenza including prevention and care giving Available at: www.montgomerycounty md.gov/pandemicflu www.montgomerycounty md.gov/pandemicflu Adapted by many localities

42. Stay at Home Toolkit-Evaluation Continue to receive feedback from local health departments and residents Low literacy version being developed with key messages and less text- available in Fall 2009

43. COOP Tip Sheet Guides local health departments through the second phase of COOP planning, the process of identifying critical functions and services. Montgomery County APC provides a case study of the process through the eyes of the countys Communicable Disease & Epidemiology Program.

44. Other APC Tools and Resources to Engage Community Partners http://www.kingcounty.gov/healthservices/health/preparedness.aspx

45. Tarrant County, TX APC-Preparing Your Business for Emergencies, Natural & Man-Made Disasters

46. Twin Cities Metro, MN APC Training for EHP Food Readiness EH Planning Contact Brian Golob at: Brian.Golob@co.hennepin.mn.us or go to NACCHO APC toolbox at www.naccho.org/apc Brian.Golob@co.hennepin.mn.us www.naccho.org/apc

47. On the Horizon

48. Montgomery APC Tools/Resources to Engage Community Partners COOP training for child care providersbased upon a pandemic flu used to help LHDs engage child care partners Pharmacy toolkitfor local health departments to engage pharmacists

49. Group Activity Goals: –For group members to share with each other how they are preparing their communities for pandemic influenza (or H1N1) –For group members to explore with Montgomery County, APC their thoughts on additional tools and resources needed for preparation, response and recovery from pandemic influenza (or H1N1)

50. Group Activity Guide Each group will answer each question Choose one spokesperson for your group Choose a recorder for your group, to record your answers Report answers back to the larger group

51. Group Activity 1.How have you engaged community partners in preparing for pandemic influenza (or H1N1)? 2.What are some of the barriers/challenges you are encountering in preparing your community for pandemic influenza (or H1N1)? 3.What tools and resources would be helpful for you in preparing for pandemic influenza (or H1N1)? 4.What other tools and resources are you aware of that have helped you prepare for pandemic influenza (or H1N1)? 5.What types of formats are best for your locality (CD-ROM, hard copies, website, DVD, etc.)?

52. Public Health Video http://www.generationpublichealth.o rg/http://www.generationpublichealth.o rg/

53. Contact Information Rachel Abbey and Betsy Rebert Montgomeryapc@montgomerycountymd.gov All tools and resources mentioned in this presentation can be found at: www.montgomerycountymd.gov/apc Or NACCHO Toolbox at: www.naccho.org/toolbox