Name of Local Health Department Example: Toe River Health District
County or Counties Avery, Mitchell, Yancey
Number of Employees (include full-
time and part-time)
Number of Employees Necessary to
Maintain Essential Services
545 Schultz Street
Location(s) of LHD buildings PO Box 325
Newland, NC 28657
130 Forest Service Drive
Bakersville, NC 28705
202 Medical Campus Drive
Burnsville, NC 28714
Scenario 3: Pandemic Flu - Social Distancing 28 Days
During a pandemic, it is unlikely that the physical infrastructure of the local health department will be
compromised. However, the operational infrastructure (e.g. janitorial services, payroll) may be compromised.
The local health department will likely operate with a reduced staff for an extended period of time during a
pandemic. As much as 40% of the workforce may be absent due to illness, quarantine, or caring for ill family
members. Staffing should be assessed on a weekly basis.
Depending on the infectiousness and severity of the pandemic strain, social distancing measures may be
implemented requiring some local health department staff to work from home. Social distancing measures may
also affect health department clinic operations where large groups of people would typically gather (e.g. waiting
rooms, vaccination clinics).
Staff may be required to perform functions that differ significantly from their routine job responsibilities.
Administrative staff may be diverted to other local health department services.
Instructions for Local Health Department Pandemic Influenza COOP sp
The purpose of this spreadsheet is to document LHD essential services and the resources needed for carrying the
tabs (at the lower left-hand corner). The first tab (Assumptions) is assumptions about an influenza pandemic that a
LHD should customize these assumptions as necessary. This tab (Instructions) provides guidance on completing t
(COOP) is where you will enter information about LHD services and the resources necessary to provide those serv
will guide you through the process of completing the COOP tab.
Below is a list of column headings for the spreadsheet and instructions for completing each column.
1. LHD Services (in priority order)
2. Priority Level
4. Personnel by Role/Function
5. Number of FTEs for Each
Role/Function – number of full-time
6. Name OR Employee ID (or other
7. Skills Necessary to Perform
8. Critical Records
9. IT (by Type and Number)
10. Other Equipment
11. Physical Space
12. Additional Requirements
13. Actions to Ensure Readiness
ns for Local Health Department Pandemic Influenza COOP spreadsheet
et is to document LHD essential services and the resources needed for carrying them out. The spreadsheet has 3
ner). The first tab (Assumptions) is assumptions about an influenza pandemic that are relevant for COOP. Your
ssumptions as necessary. This tab (Instructions) provides guidance on completing the spreadsheet. The third tab
information about LHD services and the resources necessary to provide those services. The instructions below
ess of completing the COOP tab.
ngs for the spreadsheet and instructions for completing each column.
In the spreadsheet, list all services of the LHD (see #2 for priority levels). The list should NOT include
pandemic response activities, but should focus on routine services provided by the LHD. Routine
services include not only those services provided to the public (e.g., HIV/STD testing) but also those
internal to the health department (e.g., IT support, administration, and payroll).
Based on factors such as regulatory requirements and community needs, each service should be
assigned to a priority level (see Worksheet 2 for more information).
List the organizational unit (e.g. environmental health) within the LHD that is responsible for delivering
the service. If a service is provided through multiple departments or units, list all in order of degree of
Describe the roles of all personnel necessary to deliver the service. This should include the number of
individuals usually filling each role (e.g. 2 communicable disease nurses, 3 environmental health
List the total number of full-time equivalents (FTEs) necessary to deliver the service. For example, if
the service requires 3 people, each at 50% time, list 1.5 FTEs.
Include the name, employee IDs, or other personal identifier for each of the people who currently
perform the service, as well as for 3 back-ups for each position.
Describe the skills required for a staff member to perform the service (e.g. ability to give pediatric
immunizations, conduct patient interviews, etc.).
List all documents necessary to deliver the essential service. These may include data files, forms,
manuals, or plans. For example, this may include the Control of Communicable Diseases manual or
standard outbreak investigation questionnaires. If no documents are required, list “none”.
List all information technology equipment and services necessary to deliver the essential service. This
may include computers, printers, PDAs, internet access, business applications, etc. Include the
number of each item required (i.e. 2 computers with payroll software, 1 printer). If no information
technology is required, list “none”.
List all other equipment, aside from information technology, necessary to deliver the essential service.
This may include fax machines, laboratory test kits, and other special equipment or non-office
supplies. If no other equipment is needed, list “none”.
List the physical space which is necessary to deliver the essential service (e.g. one office or cubicle).
This may include information about alternate sites if appropriate. If the service can be performed
remotely, indicate “work from home”. Certain services, such as laboratory testing, will inherently
require more specialized physical space.
Include any additional resources necessary to deliver the service. For example, some essential
services may require private rooms for patient contact. If there are no additional resources or
requirements, list “none”.
List any additional steps needed for your health department to be prepared to deliver this service
during a pandemic. Often this may involve cross-training of back-up staff to ensure they have the
necessary skills (see item #6) to perform the service.
LHD Services Department Personnel by
Priority Level FTEs for Each
(in priority order) or Unit Role/Function
1. Treatment of
individuals with 1 TB 2 TB nurses 2
1 (cd nurse);
Health 1 CD nurse, 1
2. STD Testing 1 0.25 (health
Services health educator
Employee IDs Skills IT (by type and Other
Critical Records Physical Space
(Current and Necessary number) Equipment
81223, 84224; and dosing,
Patient records of
Back-ups: patient 1 computer Can work from
directly observed 2 phones
89999, 82283, responses to (optional) home
86719, 83545, medication,
89000, 87811 and indicators
Knowledge of for HIV,
Current: STD screening syphilis,
82283, 82112; tests, ability to Patient records; gonorrhea,
Back-ups: conduct tests; Control of 1 computer chlamydia, Private patient
89999, 87811, Educator: Communicable (optional) herpes, room
86719, 83223, Ability to Disease Manual urethritis,
84678, 88182 provide pre- trichomonas;
and post-test Personal
nurses on TB
Available Cross-train staff
external lab to on pre- and post-
process tests test counseling