Beneficial Practices for Improving Biosurveillance Mass Gatherings February 27, 2014 1
Webinar Series Hosts Edward L. Baker, MD, MPH Director, North Carolina Preparedness and Emergency Response Research Center Research Professor, Health Policy and Management, University of North Carolina at Chapel Hill 2
Webinar Series Hosts Perry F. Smith, MD Research Professor, Epidemiology, State University of New York at Albany Former New York State Epidemiologist 3
NCPERRC Research on Biosurveillance 2013 research project with Public Health Informatics Institute to: Identify guiding principles and best practices Provide recommendations for biosurveillance system improvement 4
What did we learn? Information systems needed during event should be used every day Relationships leading to data sharing should be nurtured before the event Continued investment in systems and staff needed for systems to be prepared 5
Translating Research into Practice Series of 4 webinars presented by: North Carolina Preparedness and Emergency Response Research Center (NCPERRC) at UNC-Chapel Hill Supported by Centers for Disease Control and Prevention, Office of Public Health Preparedness and Response 6
Focus of Our Research - Improving Biosurveillance During Public Health Emergencies: Mass Gatherings Natural Disasters Outbreaks 7
NCPERRC Webinar Series: Improving Biosurveillance Systems Educate public health practitioners regarding: Information and information systems needed to manage event Investments needed to assure systems are ready for next event Focus on PHPR Capability #13- Public Health Surveillance and Epidemiologic Investigation 8
Webinar agenda Mass Gathering case study with guests from Boston Core information needs and systems for mass gathering situational awareness Your questions Use Question Box to enter your questions Resources in Knowledge Repository 9
Today s Case Study - Mass Gatherings The Boston Marathon Prior to 2013 2013 10
Today s guests From Boston Public Health Commission: Julia Gunn RN, MPH, Director of the Communicable Disease Control Division S. Atyia Martin, MPS, Director, Office of Public Health Preparedness 11
Office of Public Health Preparedness
Boston Marathon World s Largest Marathon Begun in 1897 27,000 runners in 2013 500,000+ spectators Third Monday in April- Patriot s Day 13
Boston Marathon - 1910 14
Boston Marathon 2012 15
Boston Marathon 2012 Major Public Health Concerns Weather: Heat vs Cold Injuries: Athletes and Spectators Dehydration Emergency health care Communicable Disease 16
Boston Marathon 2012 What information was needed by public health to address these concerns? How did you provide that information? What had you done in advance to build your information systems to meet these needs? 17
Boston Marathon 2012 and 2013 What were your key lessons learned in 2012? What did you do after 2012 Marathon to improve your information systems? How did you modify/enhance information systems to meet anticipated needs in 2013? 18
Monday, April 15, 2013: Bombings Occur
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Marathon 2013 - Public Health What were major public health actions after bombing occurred? Patient tracking Support to families and runners Information for decision makers 22
Marathon 2013 - Public Health How did you assure linkage between public health and health care system? EMS Hospitals Urgent care 23
What information was needed and how was it obtained? What were the core information systems that Boston Public Health Commission managed? Emergency department reporting Patient tracking 24
Community Support Centers
Marathon 2013 Communicating with the Public What were some of the communication challenges with getting information out to the public? 26
Support Services: Public Information
Key Lessons Learned from 2013 What were your key lessons learned? 28
Preparation for 2014 What are you now doing to prepare for 2014 Boston Marathon? What investments are you now making to enhance information flow for mass gatherings or any other public health emergency? 29
Summary of Case Study What best practices are seen here? What guiding principles does the case exemplify? 30
Implications for Action What should others do to prepare for mass gatherings? National Conventions Major Sporting Events (e.g. Super Bowl) Large Concerts 31
Ask the Experts Enter your questions in the QUESTION BOX We will recognize audience members and direct questions to panel 32
Key Points Core information needs for mass gatherings Health Status Health Risks and Hazards Health Services 33
Key Points Core information sources for mass gatherings Emergency department activity Patient tracking 34
Post-webinar resources Knowledge Repository Contributions from Boston Public Health Commission Archived webinar and slides Online resources Public Health Informatics Institute course Research report and more Talk about it Discussion forum with Facebook, Twitter & Google login options 35
Biosurveillance Knowledge Repository biosurveillance.weebly.com 36
Resources from the Boston Public Health Commission Boston Healthcare Preparedness Coalition Charter Emergency Support Function 8: Public Health & Medical Services Coordinated Response & Recovery Efforts After the Boston Bombings Office of Public Health Preparedness 2013 Year in Review 37
Other resources Public Health Informatics Institute www.phii.org 38
Upcoming Webinars March 25, 2-3:30pm EST Natural disasters - Hurricane Preparedness Lessons learned from Florida and New York City April 24, 2-3:30pm EST Outbreaks - Seasonal Flu Lessons learned from Marion County, IN June 5, 2-3:30pm EST Prioritizing your biosurveillance enhancements Insights from national experts 39
Conclusion Thanks to guests Thanks to CDC for support Thanks to audience And lastly please complete the postwebinar evaluation! Contact us at NCPERRC@email.unc.edu 40