Future Planning for the Public Health Emergency Preparedness Enterprise Lessons Learned from the COVID-19 Pandemic: Proceedings of a Workshop (2023) / Chapter Skim
Currently Skimming:
2 Public Health Emergency Planning: Lessons from the Past and Present for the Future
2 Public Health Emergency Planning: Lessons from the Past and Present for the Future
Pages 5-22
The Chapter Skim interface presents what we've algorithmically identified as the most significant single chunk of text within every page in the chapter.
Select key terms on the right to highlight them within pages of the chapter.
From page 5... ...
This section summarizes speaker comments on what was done during prior outbreaks and responses, what action was taken in response to COVID-19 initially, and what could be changed moving forward. The Nation's Approach to Preparedness and Response Prior to the Pandemic Ali S
|
From page 6... ...
manufacturing and supply chain resources. He shared the preparedness level status of the United States as of January 2020, according to the National Health Security Preparedness Index (NHSPI)
|
From page 7... ...
If a different playbook had been used, the United States could have done really well, he noted. For example, South Korea made different choices initially and decided to treat the virus like severe acute respiratory syndrome (SARS)
|
From page 8... ...
To move forward, Birx added, it is important to look back and see what had been done with past preparedness funding and how it was used. She highlighted Chicago as an example, having used the preparedness money for supplies such as PPE, and also having formed a coalition of public and private partners in public health and health care.
|
From page 9... ...
• Inability of CDC to support program implementation • Pandemic surveillance based on symptoms, not definitive laboratory diagnosis • Inadequate geographic representation to ensure rural and urban sampling • Lack of behavioral research into the structural drivers of vaccine hesi tancy among adult Americans • Poor communication of the evidence base to support guidance • Poor communication about COVID-19 vaccines' effectiveness • Lack of consistent communication on the state of the pandemic • Unwillingness to learn across political parties and countries • Lack of rural health care systems • Lack of consistent health care access in rural America • Lack of culturally appropriate support to tribal nations • Pandemic response by polling • Persistent magical thinking rather than data-driven decision making • Slogans do not make a program • Tools are still not being using effectively SOURCE: Presented by Deborah Birx, May 17, 2022.
|
From page 10... ...
She reflected on some of the successes over the last few years to highlight the hard-fought gains that were won. First, she noted that there are now multiple tools to combat this virus, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)
|
From page 11... ...
There is a need going forward for a public health playbook that relies less on mandates and restric tions and more on resources and people making informed choices. The most frequent thing I hear from people about vaccines, she explained, is that they do not know whom to trust.
|
From page 12... ...
Discussion McKinney opened the discussion by reflecting on her own experiences as a deputy commissioner with the Chicago Department of Public Health, noting that as her team was starting to build the stockpile, the amount of criticism she faced in preparing for an event that was yet to happen was almost unbearable at times. Andrew Pavia, from the Infectious Disease Society of America, then asked, "How do we make some progress on having a sustainable public health care system, sustainable responses, and sustainable public health emergency preparedness?
|
From page 13... ...
Global Health Security Index Jessica Bell, senior director of Global Biological Policy and Program for the Nuclear Threat Initiative, explained that their work looks at biological, catastrophic threats, and how it folds into the work with Johns Hopkins to develop the Global Health Security (GHS) Index.
|
From page 14... ...
Most countries have not made dedicated financial investments in strengthening pandemic preparedness, and political and security risks have increased in nearly all countries. Moving forward for future versions, the Nuclear Threat Initiative hopes to promote transparency and create a community to share information where data can help drive decision making across countries.
|
From page 15... ...
Cooperative Agreement to states and locals has been cut by about half since fiscal year 2003 when accounting for inflation, and the hospital preparedness program has been reduced by nearly two-thirds since fiscal year 2003 when accounting for inflation. A key takeaway is that we need to be investing in crosscutting public health infrastructure, said Lieberman, and include public health data modernization.
|
From page 16... ...
Measuring Preparedness at The Joint Commission Marisa Voelkel, physical environment specialist at The Joint Commission, reviewed the organization's history, noting its founding in 1951 and that it is now the oldest and largest standards setting and accrediting body in health care. To answer the question about how preparedness is measured, she explained that The Joint Commission has an emergency management chapter, whereby the accreditation requirements and survey processes assess an organization's overall preparedness level.
|
From page 17... ...
Voelkel added that all of the elements of performance are established through work with the Joint Commission's federal agency partners at the Administration for Strategic Preparedness and Response, CDC, U.S. Department of Homeland Security; improved understandings stemming from the Centers for Medicaid & Medicare's 2016 Final Rule for emergency preparedness; and recommendations from the Federal Emergency Management Agency.
|
From page 18... ...
" he asked. If your community has an AAA rating for health emergency preparedness, why should that not translate into better health insurance or bond ratings for your community?
|
From page 19... ...
I think an independent voice has some value." Voelkel added that one of the more apparent things she noticed while revising their emergency management chapter and working with organizations dealing with the pandemic was the lack of leadership involvement and support. To try and assist with that, she said, The Joint Commission's new standards for hospitals includes elements of performance for leadership engagement.
|
From page 20... ...
Risk can be rated against a quantifiable known factor that can help predict damage and loss, Lawler stated. Truly quantifiable metrics in health systems and community health emergency preparedness are needed to build a sustainable system, he added.
|
From page 21... ...
PUBLIC HEALTH EMERGENCY PLANNING 21 It is important to recognize that we have some of the best health care in the world for some, and for others some of the worst, he said. Providing incentives for communities to address some of their underlying issues could help pave the way to progress.
|
Key Terms
This material may be derived from roughly machine-read images, and so is provided only to facilitate research.
More
information on Chapter Skim is available.