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MULTI-JURISDICTIONALDISEASE INVESTIGATION TRAININGIN THE STATE OF CALIFORNIANorman Jackson, MSEducation Specialist IICalifornia Department of Health ServicesImmunization Branch
Multi-jurisdictional BT Training
What it is
Why it is unique
How you can adapt it
How we’re going to evaluate it
California Department of Health Services Immunization Branch
02/05
Multi-jurisdictional TrainingPresentation Objectives: You will be able To name two advantages of a collaboration (state/local) approach to bioterrorism training.
To list three organizational steps needed for a just-in-time training.
To name a web resource where the diseaseinvestigation webcast is available in Spanish and English.
California Department of Health Services Immunization Branch 2/05
High Points
Disease Investigation Training & Exercise Concept
Role of Disease Investigation in Emergency Preparedness
Highlight Collaboration across Focus Areas and Branches
“Just-In-Time” Training Organization How you can use the Satellite
Broadcast
California Department of Health Services Immunization Branch 2/05
Multi-jurisdictional TrainingOur Challenges
Meeting the demands of the various DCDC branches Communicating effectively across multiple disciplines, focus areas
Improved dialogue and rapport with stakeholders at LHJ CA geographic characteristics and linkage with smaller LHJ
California Department of Health Services Immunization Branch 2/05
A bioterrorism cross-training for state and local health department staff that may be called on to serve as case investigators.
LHDs are helping develop the training and will conduct the event locally. Advance work done via 4 conference calls/web slides.
Partnering with academic school of public health: SDSU and the California Distance Learning Health Network.
Project Features
California Department of Health Services Immunization Branch 2/05
Project RationaleThe project developed from an informal LHJ statewide needs assessment:
To build capacity to respond to a BT event.
To allow LHDs to test their organizational structures and personnel for field investigation.
To provide basic and practical skills through existing programs.
California Department of Health Services Immunization Branch 2/05
DCDC Infrastructure
California Department of Health Services Immunization Branch 2/05
Our partners
California LHJ Participation
California Department of Health Services Immunization Branch 2/05
To date
State LevelStatewide training and exercise packaging for
local FA-G facilitation
State satellite broadcast on basics of disease investigation (90 minutes)
Presentation and local disease-specific training by local CD controller or FA-B lead
Tabletop exercise with role play
California Department of Health Services Immunization Branch 2/05
What disease to test?
All partners agreed to “Influenza-like illness”
Pandemic cross-cutting
ILI is not a BT event, so….
Law enforcement, FBI partners not needed for this one
California Department of Health Services Immunization Branch 2/05
CDHS Activities & Responsibilities Design, content development and produce satellite broadcast Modeling a “just in time” training involving local and state officials and
content. Packaging for FA-G training site managers including tabletop exercise,
Plain Language household hand-out materials, just-in-time training tips, and PowerPoint for local CD trainer
Job action sheets for training lead, chief investigator and disease investigator
Media toolkit with sample press release templates and feature story anglesGlossary of common infectious disease symptoms in 14
languagesPersonal protective equipment guideCE for nurses Pretest-Posttest design, format for process and impact
evaluation.
California Department of Health Services Immunization Branch 2/05
Local Level
Implementing a just-in-time training to prepare staff to investigate suspected cases
Presenting a combination of distance learning and traditional face-to-face training
Collaboration between Focus Area B, F and G staff with CD staff, and distance learning facilitator.
Collaboration with CDHS branches
California Department of Health Services
Immunization Branch 2/05
Satellite Broadcast90-Minute Satellite Program Content
Feature national or state expertsShort historical perspective - disease
investigation yesterday and today Basic steps in outbreak investigationField demos including client notification,
reporting, case interviewing, field safetyQ&A facilitated by local training lead.
Archived as webcast in Spanish and English @ WWW.CDLHN.COM
California Department of Health Services Immunization Branch 2/05
Tabletop Exercise
Flu-like illness is disease to be investigatedLocal outbreak starts with a symptomatic bus
driver who still decided to work (despite symptoms) and who just finished a two-week vacation in country X.
Participants will be divided into groups of three or four and will role-play written scenarios
California Department of Health Services
Immunization Branch 2/05
Information that can be immediately accessed by PH professionals and clinicians when presented with suspect or known persons affected by terrorism events:
Based on “just in time” business model.
Delivery Real-time Continuous updatesQuick communication Immediacy of state/CDC content
“Just-in-time” Model
California Department of Health Services Immunization Branch 2/05
Willingness and aptitude for spontaneity
Prepared communications (i.e., binders, media)
Local content/advisors in place for support
Local CD Controller involvement with planning and implementation; health officer authority in place
All Focus Area Leads notified first.
Staff notified via email or phone to report for training immediately or next morning.
“Just-in-time” Training
California Department of Health Services Immunization Branch 2/05
California Department of Health Services Immunization Branch 2/05
How You Can Use Our ProjectFinal package of all material will be on line
in advance of event and after at cdlhn.comSatellite program can be downlinked live
for viewing then or taping for later training opportunity; register at cdlhn.com
Satellite program will be archived as a webcast in English and Spanish at cdlhn.com continued
California Department of Health Services Immunization Branch 2/05
Multi-language symptom glossary will be available as a finished product or as artwork.
Just-in-time guidelines can be used or adapted
Plain language flyer about ILI can be used or adapted.
How You Can Use Our Project, cont.
California Department of Health Services Immunization Branch 2/05
Symptom Glossary
California Department of Health Services Immunization Branch 2/05
Multi-jurisdictional TrainingHow we’re going to evaluate it:
Local process evaluation by FA-G leadCourse evaluation by participantsPost-exercise DI competency checklist
summary by FA-B leadConference call and reports by FA-G leadsWrap up of DCDC partners(Hope) UCLA Impact Evaluation
California Department of Health Services Immunization Branch 2/05
California Department of Health ServicesImmunization Branch2151 Berkeley Way, Room 712Berkeley CA, 94704Phone: (510) 540-2065 Fax: (510) 540-2153
California Distance Learning Health Network 9245 Sky Park Court, Suite 100San Diego, CA 92123Program Office: Phone (619) 594-3348 Fax (619) 594-2111 Email: [email protected]
Emergency Preparedness OfficeCalifornia Department of Health Services P.O. Box 997413, MS 7002 Sacramento, CA 95899-7413 Phone: (916) 650-6416 Fax: (916) 650-6420 E-mail: [email protected]
THANK YOU
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