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Exploring the Translation of the Results of Hurricane Sandy Research Grants into Policy and Operations: Proceedings of a Workshop - in Brief
Pages 1-9

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From page 1...
... The workshop included panel sessions focused on the potential policy and operational implications from research on mental health, public health, access to care, and primary care. An additional "marketplace" session gave researchers, operations agents, and policy experts an opportunity to discuss particular research findings and how they might be applied to operations and policy.
From page 2...
... Population vulnerability analysis found that women, people aged over 65 years, and people living in mobile homes4 were at increased risk of mental health morbidities during Hurricane Sandy. These findings could inform disaster planning 4 Bruce Evans, National Association of Emergency Medical Technicians, reiterated that populations living in mobile-home complexes are hugely at risk from an emergency response perspective.
From page 3...
... with ESF #8 (public health and medical services) at the local level to address the lack of planning for chronic mental health care and allow for rapid mental health triage in cooperation with first responders during emergencies.5 Mitch Stripling, director of emergency planning at the NYC DOHMH, suggested several ways to operationalize disaster-related mental health care: messaging to clients pre-disaster, using targeted mental health outreach strategies, triaging mental health patients into a step-wise program, and adopting a long-term approach to mental health post-disaster.
From page 4...
... He suggested research-informed changes in the preparedness phase that included shifting the focus of federal guidance from planning to evidence-based training, prioritizing preparedness of responders' families, incorporating environmental health in the public health enterprise, and clearly defining emergency roles for every public health staff member as part of the accreditation processes for public health departments. To improve response, he suggested creating a standardized, non-disaster-specific public health emergency fund to provide surge funding; establishing clear emergency data-sharing policies, protocols, and mechanisms for health departments and partners (perhaps tied to funding)
From page 5...
... Participants including Brannen suggested using CMS data to pre-identify vulnerable populations. Colf noted that ASPR created a program called emPOWER that uses upto-date claims data from CMS to create a de-identified database that can be used during a disaster to support people who are dependent on electrical medical devices; early testing suggests it is highly effective.9 POTENTIAL IMPLICATIONS FOR EMERGENCY AND PRIMARY CARE POLICY AND OPERATIONS The final panel consisted of five speakers: Lewis Goldfrank, emergency medicine physician at NYU Langone Medical Center and Bellevue Hospital Center (BHC)
From page 6...
... He suggested coordinating reopening dates among practices, pharmacies, and government agencies in order to reduce primary care access deficits. The closing panel moderator, Thomas Kirsch, director of the National Center for Disaster Medicine and Public Health, said Hurricane Sandy was unique because it took down a significant portion of the health care system, demonstrating its fragility.
From page 7...
... Sean Andrews, policy analyst at ASPR, noted that EMS staff are branching out into public health paramedicine and primary care paramedicine; he suggested leveraging paramedics' primary care training in disaster response to assist with providing mobile care. Schoch-Spana noted that the majority of care is actually provided by family caregivers rather than in formal facilities, but they are rarely formally acknowledged in disaster response plans; she suggested including family caregivers as part of the health care system and making accommodations specifically for them in future response policy.
From page 8...
... Disaster Medicine and Public Health Preparedness 10(3)
From page 9...
... , University of California, Los Angeles; David Abramson, New York University; Eric Carbone, Centers for Disease Control and Prevention; Amy Nevel, U.S. Department of Health and Human Services; David Prezant, Fire Department of the City of New York; Richard Serino, Harvard University; Kandra Strauss-Riggs, National Center for Disaster Medicine and Public Health; and Mitch Stripling, New York City Department of Health and Mental Hygiene.


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