EPM Monthly Update - June 2008 by Andamicrophone


									                                    EMERGENCY PREPAREDNESS & MANAGEMENT
                                         MONTHLY UPDATE – June 2008
Items covered in this issue:
1. Updates for Massachusetts
    a. Leading the Emergency Management Movement
    b. Environment of Care and Other Joint Commission Updates for 2009
    c. Better Care is Primary
2. Other News
    a. HHS Provides more than $1 Billion to Improve All Hazards Public Health and Medical Preparedness
    b. Hurricane Season Begins
    c. Natural Disaster Public Service Announcements (PSAs) and Podcasts
3. Public Health Advisories and Updates
    a. Massachusetts Health Officials Issue Advisory to Public and Health Care Providers on Domestic Violence
    b. Measles Alert
    c. E. coli Risk Prompts Beef Recall
    d. Hydrox Labs Issued a Voluntary Recall of Alcohol-Free Mouthwash Nationwide Distributed by Cardinal Health
    e. Flu Update for Massachusetts
4. New Online Tools Available
    a. Let’s Make a Plan
5. Training and Education
    a. HHAN Trainings
    b. Adapting Standards of Care Under Extreme Conditions
6. Job Opportunities and comings and goings

Calendar Highlights

1.        Updates for Massachusetts
     a.    Leading the Emergency Management Movement – a session specifically designed for Community Health Center
           Directors in Massachusetts. Hosted by the League on July 16, 2008 in Boylston, MA, this half-day morning session (9:30
           12:30pm) will feature Mary Clark, the new Director of the Emergency Preparedness Bureau at MDPH, Dr. Kathy Brinsfi
           Gurland, Director of Behavioral Health Planning and Development. The session topics will include: Current Massachuset
           for Emergency Management, Collaborating with Emergency Management and Local Response Agencies, and Behavioral H
           Disaster Response/ Psychological First Aid. Please RSVP to twright@massleague.org by July 9, 2008.
     b.    Environment of Care and Other Joint Commission Updates for 2009 – Hosted by the League on July 16, 200
           Boylston, MA, an afternoon half-day session (12:30-4pm) Lon Berkeley of the Joint Commission will present on the lates
           the Environment of Care (EC) standards for ambulatory care. Mr. Berkley will also give an overview of changes to stand
           of the Standards Improvement Initiative, including changes to scoring scales, supplemental actions, corrective actions, an
           to the following sections: Surveillance, Prevention, and Control of Infection (IC); Improving Organization Performance (
           Management of Information (IM). Recommended Audience: Quality Improvement Coordinators, EP Coordinators. Pleas
           twright@massleague.org by July 9, 2008.
     c.    Better Care is Primary. A message from Kerin O’Toole, League Director of Public Information: Attached is a link to
           lead Globe editorial written by Tom Gagen who contacted the League last month about our provider loan repayment pr
           the health center medical home model. Special thanks to Bill Halpin, Dr. Nisha Thakrar, and Dr. Joseph Peppe for their e
           both in describing the program and in outlining the rewards and challenges that come with the commitment to practice
           based primary care. http://www.boston.com/bostonglobe/editorial_opinion/editorials/articles/2008/06/03/better_care_is_

2.        Other News
     a.    HHS Provides more than $1 Billion to Improve All Hazards Public Health and Medical Preparedness. HH
           Mike Leavitt today announced that the department has made available nearly $1.1 billion to continue assisting public hea
           departments, hospitals and other health care organizations to strengthen their ability to respond to public health and me
           emergencies as a result of a terrorism attack or naturally occurring event. "States and local communities need to be sup
           because they are the front lines of response in a health emergency," Secretary Leavitt said. "These funds will continue to
           community readiness by increasing the capabilities of health departments, hospitals and health care delivery systems to r
           any public health emergency." For the full press release, go to http://www.hhs.gov/news/press/2008pres/06/20080603a.h
           Massachusetts was awarded: $8.3 million for FY2008 ASPR/HPP, and $14.8 million for FY2008 CDC/PHEP.
     b.    Hurricane Season Begins - Get Serious, Be Prepared - FEMA - June 1
           Hurricane Season 2008 begins today (June 1st), and the U.S. Department of Homeland Security's Federal Emergency Man
           Agency (FEMA) wants residents living in hurricane prone areas to get serious and be prepared now. The agency cited th
           Oceanic and Atmospheric Administration's May 22 prediction that projected climate conditions point to a near normal o
           normal hurricane season in the Atlantic Basin this year. The first named storm of the season, Tropical Storm Arthur, de
           Friday and moved slowly across the Yucatan this weekend and FEMA is reminding people that preparing for hurricanes i
           responsibility. http://www.fema.gov/news/newsrelease.fema. (Excerpt from CDC Updates for Clinicians: May 27 - June 2, 200
     c.    Natural Disaster Public Service Announcements (PSAs) and Podcasts - CDC
           CDC PSAs and Podcasts provide timely messages about what you can do to protect yourself and your family during a na
           disaster. New PSAs about keeping food, water, and prescription drugs safe during and after a disaster have recently bee
           near the bottom of the webpage at the following link: http://emergency.cdc.gov/disasters/psa/. (Excerpt from CDC Updates
           Clinicians: May 27 - June 2, 2008)

3. Public Health Advisories
     a.    Massachusetts Health Officials Issue Advisory to Public and Health Care Providers on Domestic Violence
           domestic violence deaths spur call to action – Issued by the HHAN on June 5, 2008. Driven by recent domestic violence
           Massachusetts Department of Public Health (DPH) today issued a public health advisory on domestic violence. Public he
           advisories are tools reserved for communicating urgent information to the public on health issues facing the community.
           advisories define the scope of the problem and provide important information on prevention and treatment. “We use th
           advisories to alert the public and health care providers throughout our state to pay attention to a pressing health issue,”
           Commissioner John Auerbach. “The recent spate of domestic violence-related deaths in Massachusetts is disturbing. Do
           violence in any form is unacceptable and we can all play a part in preventing abuse from happening to anyone in the
           Commonwealth.” Commissioner Auerbach added that he wanted to assure the public and health care providers that res
           for victim advocacy, counseling and shelter services, as well as programs to hold batterers accountable and prevent dom
           violence incidents. In addition to issuing the advisory through the media, DPH will also send a copy to all health care faci
           To view the full alert, please see the attachment 2008-06-05_DV_Health-Advisory_FINAL[1].doc.* Alert is also available in
     b.    Measles Alert – Issued by the HHAN on June 4, 2008. Nationwide, over 64 cases of measles have occurred in 9 states
           outbreaks ongoing in 4. This is the highest number reported in the U.S. for the same time period since 2001. To date, n
           cases have occurred in Massachusetts (MA). All, except 1 of the cases, have occurred among those who were either unv
           had an unknown vaccination status. Twenty percent were in infants and 30% in adults. Of the children who contracted m
           were not vaccinated due to religious or personal exemptions. Over 80% of the measles cases were importation-associat
           from Europe. One-third of exposures were in medical settings. Many of the patients who contracted measles in these se
           no face-to-face contact with the index case. MDPH Recommendations for Heath Care Providers:
              Review the immunization status of all their patients. Ensure that all patients are up-to-date with their measles, mum
                   (MMR) immunizations, including:
                   (1) Those with exemptions. Re-evaluate the status of those with medical or religious exemptions and offer vaccine
                       or appropriate.
New!               (2) Travelers. Vaccinate those > 6 months of age traveling abroad unless they have other acceptable documented p
                Review the immunization status of all staff now! Ensure all health care staff meet the latest, more stringent criteria f
                   immunity for measles, mumps and rubella (see below).
                Have a high index of suspicion. Carefully assess all patients presenting with febrile rash illnesses and report such sus
                   your local board of health and the MDPH immunization program. (617-983-6800)
                Institute control measures promptly. This is essential to prevent spread of disease and to limit disruption at your fac
                   vaccination activities, exclusion of staff, etc.
               To view the full alert, please see the attachment 2008-06-Measles_Advisory_MDPH.doc.*
          c.   E. coli Risk Prompts Beef Recall. No Illnesses Linked to Beef Products Recalled by JSM Meat Holdings. Issued on Ma
               JSM Meat Holdings Company of Chicago is recalling certain beef products because of risk of E. coli contamination. No ill
               been reported in connection with the voluntary recall, according to U.S. Department of Agriculture (USDA). E. coli bact
               cause diarrhea, which may be bloody. Serious and potentially fatal complications may develop; babies, elders, and people
               immune systems are especially vulnerable. The recall involves the following beef products, which were sent to companie
               Georgia, Illinois, Indiana, Iowa, Massachusetts, Michigan, Missouri, Nebraska, Pennsylvania, and Wisconsin: 30-pound, 60-
               boxes, combo boxes, or 47-gallon gallon barrels of "MORREALE MEAT" beef products labeled as "Boneless Chucks," "B
               Clods," "Flat Rounds," "Gooseneck Rounds," "Knuckle," "Heel Meat," "Scotties," "Trimmings 50," "Trimmings 60," "Trimm
               "Trimmings 70," "Trimmings 75," "Trimmings 80," "Trimmings 85," or "Trimmings 90." The recalled beef products bear t
               establishment number "EST. 6872" inside the USDA mark of inspection. In a news release, the USDA states that the rec
               an "undetermined" amount of beef products and advises consumers with questions about the recall to call JSM Meat Hol
               Company President Steve Hurckes Sr. at 312-421-3664 ext. 214. http://www.webmd.com/food-recipes/food-
          d.   Hydrox Labs Issued a Voluntary Recall of Alcohol-Free Mouthwash Nationwide Distributed by Cardinal H
               Issued by the HHAN on May 6, 2008. Hydrox Labs, Elgin, IL has issued a voluntary recall of Cardinal Health labeled alco
               mouthwash. As a result of this recall, Cardinal Health is initiating a voluntary recall of the same alcohol-free mouthwash.
               has been apprised of the action. The mouthwash has been tested and been found positive for Burkholderia cepacia (B. c
               CDC has confirmed hospital illnesses in one state associated with the use of the affected mouthwash. Product was distr
               hospitals, medical centers, and long term care facilities nationwide.
               Description: Alcohol-Free Mouthwash, Cardinal Health, 4 oz. Reorder Number: AG-210. Product lot number 26228 is a
               Affected product can be identified by checking the lot code stamped on the Cardinal Health label. The Lot number is loc
               side of the bottle.
          e.   Flu Update for Massachusetts (by Donna Lazorik, MDPH). Final Weekly Massachusetts Influenza Surveillance Report.
               Massachusetts influenza activity was low for the week ending May 17, the final week of the 2007-2008 flu season. ILI acti
               around 4% during the 2007-2008 season, as compared to 2%-2.5% in recent seasons. The volume of laboratory-confirme
               cases was higher in the 07-08 season than in recent seasons, reaching over 19,000 cases. For more detailed information,
               the attached Sentinel Surveillance Weekly Report.*
               Provisional Influenza Recommendations Available Now. At its February meeting, the Advisory Committee on Im
               Practices (ACIP) voted for provisional recommendations for the prevention and control of influenza. They are now post
               http://www.cdc.gov/vaccines/recs/provisional/downloads/flu-3-21-08-508.pdf) and will be in place until the final recomme
               published later this year in CDC's Morbidity and Mortality Weekly Report (MMWR).
               CDC Website Updated with Shingles Information for the Public, Healthcare Professionals, and Media Pr
               The CDC website can be a big help to members of the public, healthcare community, and media who wish to educate th
               about shingles disease, sequelae, and vaccine. For example, the CDC website now includes a feature section for the pub
               "Protect Yourself Against Shingles: Get Vaccinated.” T o access it, go to: http://www.cdc.gov/Features/Shingles.

       4. New Online Tools Available
          a.   Let’s Make A Plan. Franklin County was kind enough to share some materials that they recently developed: a Workbo
               Manual, and training PowerPoint to help persons who require additional assistance in developing an emergency plan. Sinc
               large files, these materials are available through email request to twright@massleague.org. Let's Make A Plan PowerPoin
         Make A Plan Training Manual.doc; Let's Make A Plan Workbook.doc.

5. Training and Education
The following trainings are upcoming:
    a.   HHAN Training – It is a near certainty that the HHAN will be part of any communications system developed by PEER a
         training should commence, recognizing that protocols and policies will not be developed until later. Therefore, two type
         will be offered: Basic HHAN Training for users to become familiarized with the system. A later Advanced HHAN
         to train to the protocols, which will also serve to reinforce the basic HHAN training. Regions can set up their own, uniq
         notification groups within their hospitals and communities as long as they are willing to take on the administrative burde
         Scott Kenfield for more information: Scott.Kenfield@state.ma.us. Where: DelValle Institute for Emergency Preparednes
         11th, 10:00-11:30, and July 15th, 10:00-11:30. To register: contact delvalle@bostonems.org; 617-343-1371. To request H
         site training, contact scott.kenfield@state.ma.us.
    b.   Adapting Standards of Care Under Extreme Conditions (Webcast). June 12, 2008, 10-11:15am. The American Nur
         Association recently released: Adapting Standards of Care Under Extreme Conditions: Guidance for Professionals During Disast
         Pandemics, and Other Extreme Emergencies which identifies significant policy questions to be addressed and suggests strate
         health professionals, institutions and policy makers in such challenging situations. The speakers, who co-chaired the deve
         the document, will discuss how decisions will have to be made regarding changes in usual practices due to changes in res
         available, practice in unusual settings, or practice in a setting with patient care needs unfamiliar to the clinician. For more
         and to register for this webcast, go to http://www.ualbanycphp.org/GRS/eventCurrent.cfm?id=104

6. Job Opportunities and Comings and Goings
    a.   Hospital Emergency Management Project Manager, Beth Israel Deaconess Medical Center, Boston, Massac
         Reporting to the Manager of Emergency Management, this position is responsible for facilitating work with contracted cl
         managing internal Emergency Management projects and activities at the Medical Center. Incumbent must have exception
         interpersonal and leadership skills, ability to lead interdisciplinary teams, and provide Emergency Management guidance a
         mentoring to individuals and teams. Previous hospital-based experience is preferred and emergency management experi
         required. For more information of to apply please see,
    b.   Emergency Management Coordinator, Town of East Hartford, Hartford, Connecticut. Duties include: Form
         emergency management policies and procedures. Insuring the town follows state and federal mandates. Making decisions
         implementing emergency plans and operating the town emergency operations center when open. Considerable knowled
         ability in all phases of emergency planning and related state and federal guidelines is required. For complete job descripti
         apply, visit http://www.ci.east-hartford.ct.us/Public_Documents/EastHartfordCT_Jobs/I014252F3.
    c.   Natalie Grant appointed Director of Public Health Preparedness. Ms. Grant’s previous work includes working as the B
         MMRS Coordinator. Since then, she has served as the Health and Medical Coordinator for the Miami-Dade County Dep
         Emergency Management & Homeland Security. At Miami-Dade, she created partnerships with public local health, hospita
         emergency management and others. Her background will be a great asset to the new Division of Emergency Preparedne
         join us in welcoming Ms. Grant back to Boston!
    d.   The League would like to congratulate Dr. Kathy Brinsfield, Medical Director of Homeland Security and Associate Me
         Director at Boston EMS, having served 13 plus years at Boston EMS, Boston City Hospital, and Boston Medical Center,
         accepted a new position in Washington, DC. Over the years, Dr. Brinsfield has helped the League and health centers to
         understand their roles in emergency response and has been a trusted and respected ally in emergency management. A g
         country will be our loss in Massachusetts. Best of luck Kathy, we’ll miss you!

Other updates can be found on our EPM webpage at: http://www.massleague.org/programs/EP.htm.

Calendar highlights:
        June 9 – Greater New Bedford Community Health Center 15th Annual Golf Tournament, Fall River
        June 9 – North End Community Health Center “Teammates for the North End” event, Fenway Park
        June 11 – Pay for Performance: The Intersection of Quality and Finance - part 3 a 3-part seminar for Chief Financial Off
                   Medical Directors, Boston
        June 12 – League’s Annual Corporate Meeting, League Offices
        June 13 – HealthFirst Family Care Center’s Swing into Summer event, Fall River
        June 14 - Advanced Communication Workshops for Improved Provider Patient Experience - Central/Northeastern Reg
                   3, Shrewsbury (CEUs and CMEs available)
        June 18 – Clinical Quality Measures Training, Boston
        June 25 – South End Community Health Center's "Smile/Sonrie" event honoring Ralph Fuccillo, President of Oral Healt
                   Foundation, Boston

If you have any questions, comments, or concerns, please do not hesitate to contact me.
                                                                           * Attachments are available upon request to twright@m

Thank you!

Tina Wright
Massachusetts League of Community Health Centers
40 Court Street, 10th Floor, Boston, MA 02108
617-426-2225 ext. 231
Fax: 617-426-0097

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