Evidence Report on Regionalization of Bioterrorism Preparedness and
Evidence Report on Regionalization of Bioterrorism Preparedness and Response Planning Dena M. Bravata, M. D. , M. S. Project Director Stanford-University of California, San Francisco Evidence-based Practice Center
Evidence Report • Purpose: to synthesize the published evidence on a given topic • Method: – Search literature for relevant articles – Abstract data from each article – Evaluate the evidence
Literature Sources 1. Medical, public health – Identify key tasks for responding to bioterrorismrelated events 2. Supply chain, logistics – Identify best practices for designing regional stockpiles and distribution systems 3. Emergency management – Identify key components of mutual aid agreements 4. Government documents – Identify ongoing bioterrorism response planning efforts
Two Approaches • • Design a completely new system Consider bioterrorism preparedness planning in the context of existing response infrastructures • • Public health First responders Hospital systems Laboratories
Key Tasks Subtasks Resources • • • Planning and Preparedness Field assessment and triage Diagnosis Management of acutely ill Prevention Surveillance Outbreak Investigation Communication Emergency Management
Preliminary Findings • Many systems • Few evaluations
Utility of the Evidence Report • Identify regional response organizations • Identify available evidence about regionalization of key tasks • Simulations of regionalization – Stockpiling/distributing antibiotics/vaccine – Surveillance
To obtain a copy of the Evidence Report • “Regionalization of Bioterrorism Preparedness and Response” (available after December 2003) • Free of charge: – www. ahrq. gov/clinic/epcix. htm – AHRQ Clearinghouse: 800. 358. 9295
Information Technology for Bioterrorism Preparedness • • Detection/Diagnosis (78 systems) Management and Prevention (18 systems) Surveillance systems (90 systems)* Reporting and Communication (26 systems)* • Integrated Surveillance, Communication, and Command Control (7 systems)* *High relevance to surge capacity and regionalization
Humanitarian Logistics • Primary Objective: Timely mobilization of financing and goods • Tasks: procurement, transport, tracking and tracing, customs clearance, local transportation, warehousing and last mile delivery • Fritz Institute – Non-profit – Mission: apply logistics expertise from the corporate/academic community to humanitarian relief – http: //www. fritzinstitute. org
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