Risk Assessment Workshop Assess outreach Bridge resources Antonio - - PDF document

12/7/2017 1

ADHS/ALPHERA

Access/Functional Needs and At‐Risk Population

Risk Assessment Workshop

Antonio Hernandez| Partner Integration Section Chief

ADHS, Bureau of Public Health Emergency Preparedness

December 7, 2017

Goal

• Align planning
• Assess outreach
• Bridge resources
• Sync activity

“To Define, Locate, and Reach”

Overview

• Collaboration
• CDC Public Health Workbook (3 phases)
• TTX – facilitated discussion
• Capability
• Next steps and closing remarks

Collaboration

“COIN” Community Outreach Information Network (Align planning)

Background

“COIN” Community Outreach Information Network (Align planning)

• Pandemic and All‐Hazards Preparedness Act (PAHPA)

– Critical role in reaching at‐risk

• Lessons Learned – Events of 2001, Katrina 2005, 2006 PAHPA
• 2008 Trust for America’s Health Report – existing policy,

plans, programmatic docs

Solution: Implementation validation/Exercise! Challenge: No formalized process/Exercise what?

Grant Activity

“COIN” Community Outreach Information Network (Align planning)

• HPP Requirement – Assess Hazards/Risks

(Resource Assessment)

• PHEP Requirement – JRA (Resource Assessment)
• ADHS Workplan – Update ERP, Planning

PHEP Planning Resource – CDC’s Workbook

12/7/2017 2 The Categories – Homeland Security

“COIN” Community Outreach Information Network (Align planning)

• Economic Disadvantage
• Language and Literacy
• Medical Issues and Disability
• Isolation
• Age

The Categories – Homeland Security

“COIN” Community Outreach Information Network (Align planning)

• Economic Disadvantage

– Criteria (Poverty)

• Impact: Limited ability to do what is being asked

(evacuate, stay home from work, stockpile food)

– Risk compounded when combined with other categories

The Categories – Homeland Security

“COIN” Community Outreach Information Network (Align planning)

• Language and Literacy

– Criteria (Limited English Proficiency)

• Impact: Not understand, access, nor follow public

health directives

– Risk compounded when not culturally appropriate, nor accessible to everyone

The Categories – Homeland Security

“COIN” Community Outreach Information Network (Align planning)

• Medical Issues and Disability (Top Priority)

– Criteria (ADA disability – has, record, regarded)

• Impact: Not understanding or unable to follow

directions may jeopardize self and others

– Mental Disabilities may require priority attention in some emergencies

The Categories – Homeland Security

“COIN” Community Outreach Information Network (Align planning)

• Isolation

– Criteria (cultural, geographic, social)

• Impact: Disconnected with information dispensing

modalities and main stream technology/methods

– HSPD‐21 (2007) National Strategy for Public Health and Medical Preparedness (Community Resilience,

Bio‐Surveillance, Countermeasure, Mass Casualty Care, Public Information and Warning)

The Categories – Homeland Security

“COIN” Community Outreach Information Network (Align planning)

• Isolation (continued)

– Subcategories (cultural, geographic, social)

• Urban Areas
• Temporary Residents
• Undocumented Immigrants
• Single Parents/Caregivers
• Religious/Cultural Practices

12/7/2017 3 The Categories – Homeland Security

“COIN” Community Outreach Information Network (Align planning)

• Age

– Criteria (unable to access health care by themselves or provide for themselves)

• Impact: Separation from parents or guardians,

caretakers or left isolated at trusted institution (e.g. school, daycare, hospital, detention center, sports)

– Reunification is critical (family separation is its own crisis)

Creating “COIN” in your community

“COIN” Community Outreach Information Network (Align planning)

• Process: CDC’s Public Health Workbook, Annual

Engagement/Analysis/Drill Activity

• Partners: Data Base (5 Categories), Annual Update and

Enhancement

• Platform: GIS, MAP COIN, Outreach tools to empower

your “COIN” (test/validate ‐ effectiveness)

• Proof: Documentation, Policy, Program implementation

CDC’s Public Health Workbook

3 Phase Approach

Define Locate Reach

(Assess Outreach)

CDC’s Public Health Workbook

3 Phase Approach

“Define” Locate Reach

CDC’s Public Health Workbook

3 Phase Approach

Define “Locate” Reach

CDC’s Public Health Workbook

3 Phase Approach

Define Locate “Reach”

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TTX – Facilitated Discussion

(Bridge Resources)

TTX – Facilitated Discussion

(Bridge Resources)

Brief Back Major takeaways Capability Assessment

(Sync Activity)

At‐Risk Planning Survey Results Survey Participants

(Sync Activity)

Workbook Familiarity

(Sync Activity)

Activity Profile 1

(Sync Activity)

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Activity Profile 2

(Sync Activity)

Goal

• Align planning
• Assess outreach
• Bridge resources
• Sync activity

“To Define, Locate, and Reach”

Next Steps

THANK YOU

Antonio Hernandez| Partner Integration Section Chief Antonio.Hernandez@azdhs.gov | (602)‐763‐1774 azhealth.gov/preparedness @azdhs facebook.com/azdhs