Eliminating the “Fear Factor” Eliminating the “Fear Factor” in Biopreparednessin Biopreparedness

Kolene Kohll, R.N.Director, Health Professions Tracking Center

University of Nebraska Medical Center

February 23, 2005

“By improving the flow of information and knowledge, we can improve the health and well-being of all Americans.”

- Tommy G. Thompson

HPTC: HistoryHPTC: History

Organized in 1995

Collaborative Effort• University of Nebraska Medical Center• Nebraska HHS Office of Rural Health

Workforce Planning & Health Policy

Decisions

&

Biosecurity Preparedness

HPTC: “Dual” MissionHPTC: “Dual” Mission

HPTC: Comprehensive DirectoryHPTC: Comprehensive Directory

50% are not Association members

43% licensed do not practice in NEPhysicians – 50%

Federal professionals are not licensed locally

““No Boundaries”No Boundaries”

HPTC: Critical Data ElementsHPTC: Critical Data Elements Profession & Specialty

Training & Certifications

Location: Primary, Satellite Offices & Home

Contact Information

BT Expertise & Educational Needs

Willingness to Volunteer & Response Times

Languages Spoken Fluently

Vaccinated against Small Pox

HPTC: Content ManagementHPTC: Content Management

Surveys (85-100% Compliance)

Licensure comparisons

Clipping service

Telephone verifications

“Good Will” notifications

Internet research

Diligent persistence…

HPTC: Statewide InventoryHPTC: Statewide Inventory

Physicians Physician Assistants Nurse Practitioners Dentists* Pharmacists

Pharmacies Clinics Acute Care Centers Hospitals

*NE, KS, SD, & WY

HPTC: Statewide Inventory - Post 9/11HPTC: Statewide Inventory - Post 9/11

Laboratory Directors Infection Control Nurses Microbiology Coordinators Public Health Officials Emergency Nurses Veterinarians

First Responders Water Safety Officers Farm Service Agencies USDA Employees Respiratory Care

Practitioners Food Safety Inspectors Environmental Health

Specialists

HPTC: NE Preparedness PartnersHPTC: NE Preparedness Partners

HHS Health Alert Network

Center for Rural Biosecurity

Center for Biopreparedness Edu.

Volunteer Medical Reserve Corps

Dr. Richard RaymondChief Medical Officer

HPTC: “Response” ImpactHPTC: “Response” Impact

Identify & assist in the solicitation of all available trained professionals that are willing to respond to an event.

Bolster the capacity to rapidly deploy & retrieve critical information to streamline effective preparedness efforts.

Link academic expertise to state & local health agency needs.

“Much of mass casualty care will occur in non-routine settings. Immediate notification is necessary.” - William F. Raub, Ph.D.

Department of HHSNHII National Conference

                                              

Communication PathwaysCommunication Pathways

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Physicians

Physician Assistants

Nurse Practitioners

Pharmacists

Public Health Departments

Registered Nurses

First Responders

Veterinarians

Mail Fax E-mail

HPTC: Broadcast CommunicationHPTC: Broadcast Communication

Customized Queries• Location• Profession• Primary Specialty• Preparedness Expertise• Languages Spoken Fluently (<80)

Rapid Transmission• Dedicated T1-line• Preferred Contact Route

Secure Remote Access

HPTC: Educational ImpactsHPTC: Educational Impacts

Identify bio-security-related competencies & target learning needs to aide in addressing high priority requirements of the front-line workforce.

Evaluate preparedness education effectiveness.

Increase the number & type of professionals that comprise a preparedness & response workforce.

Willingness to RespondWillingness to Respond

0% 10% 20% 30% 40% 50% 60% 70%

Physicians

Physician Assistants

Nurse Practitioners

Pharmacists

Public Health

Registered Nurses

First Responders

Veterinarians

Statewide Community-wide

Feelings about Mental HealthFeelings about Mental Health

0 0.05 0.1 0.15 0.2 0.25 0.3 0.35 0.4 0.45

Physicians

Physician Assistants

Nurse Practitioners

Pharmacists

Public Health Departments

Registered Nurses

First Responders

Veterinarians

Feels Qualified to Address Desires Further Education

0%

10%

20%

30%

40%

50%

60%

70%

80%

Physicians Physician Assistants Nurse Practitioners Pharmacists First Responders Registered Nurses Public Health Veterinarians

Educational Needs for PreparednessEducational Needs for Preparedness

Preferred Venue to Receive Preferred Venue to Receive Preparedness TrainingPreparedness Training

2%

15%

12%

29%

17%

10%

59%

29%

66%

Other

Media-based (TV)

Real-time Telecommunications

Web-based Blackboard

Individual Training

Speaker's Bureau

Written Publication

Self-directed Written Modules

Conference/Lecture

Willingness to Join a Speaker’s BureauWillingness to Join a Speaker’s Bureau

0%

10%

20%

30%

40%

50%

60%

70%

P hysicians P hysicianAssistants

NurseP ractitioners

P harmacists P ublic Health RegisteredNurses

FirstResponders

Veterinarians

HPTC: Policy ImpactHPTC: Policy Impact

Monitors relevant workforce trends and identifies gaps to inform & influence policy decisions.

HPTC: Nebraska ImpactsHPTC: Nebraska Impacts Family Practice Shortage Area comparison

• 50% increase in designations (+$1M)

Critical in preventing IME budget cuts

Monitors loan incentives & grantees

J-1 Visa applications

Medicaid & Medicare cost-based reimbursement

Community Health Center & RHC eligibility

Nebraska Practicing PhysiciansEthnicity Counts Between 1999 & 2003

8

44

34

10 10

4

26

53 2

23

59

3

85

02

78

84

38

18 19

9

42

3

84

14

35

2

22

52

4

10

0

10

20

30

40

50

60

70

80

90

Am

eri

ca

n In

dia

n

As

ian

Ind

ian

Bla

ck

/Afr

ica

n A

me

r.

Ch

ine

se

Fili

pin

o

Fo

reig

n

His

pa

nic

/Oth

er

Ja

pa

ne

se

Ko

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Me

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an

Am

/Ch

ica

no

Oth

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Oth

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As

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Oth

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Pa

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Pa

kis

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Pu

ert

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wlt

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Pu

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n-M

ain

lnd

S.E

. As

ian

no

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ietn

Vie

tna

me

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1999 2003

HPTC: NE Physician “Snap-shot”HPTC: NE Physician “Snap-shot”

78% Male 91% Practice full-time 85% White/Caucasian 12% ≥ 60 years 95% Graduated from a US-based medical school 11% practice in rural NE, 65% are UNMC graduates 47% practice in a free-standing clinic 60% are engaged in a self-employed partnership/group > 80 languages spoken fluently

HPTC: Lessons LearnedHPTC: Lessons Learned

ComprehensiveManageablePrimary MissionDiligence & PersistenceRespect

Partnering for Healthy and Safe Communities