Partners in Data Recovery and Reporting Jeanne Spears, RN Disaster Health Services 0.
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Transcript of Partners in Data Recovery and Reporting Jeanne Spears, RN Disaster Health Services 0.
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Partners in Data Recovery and ReportingJeanne Spears, RN
Disaster Health Services
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Background Red Cross Disaster Surveillance System
Partnership with CDC since 1987 Goal is to provide accurate, timely description of the
health-related needs of disaster-affected population Data used for planning, preparedness, response
and recovery efforts for Red Cross, local, state, and federal agencies
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CDC/ARC Surveillance Committee
MembersRed Cross - Disaster Health Services CDC - National Center for Environmental Health
Tasked toUpdate forms and processes to capture disaster-related illness, injury, and death Increase capacity of Red Cross’ volunteers to capture and report these data Develop and pilot processes to ensure data sharing with DRO and partners during the disaster
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Morbidity and Mortality Surveillance
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Why Collect Morbidity and Mortality Data?
To identify potential threats to client(s) requiring immediate public health action(s)
To provide data for situational awareness To assist in plan and prepare for future responses To promote awareness of nursing practice in
disasters
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Why Collect Morbidity and Mortality Data? (cont’d)
To support states compliance with the National Mass Care strategy
To disseminate findings to the preparedness community and advance disaster science
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Hurricane Sandy, New York, 2012
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Disaster Health and Mental Health
• Support shelters, outreach & condolence visits• Assess, record and report surveillance data•Nearly 113,000 contacts and visits during Sandy response
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Surveillance in Shelters
Nov., 2012 – 2922 shelter client visits
90% treated by staff
2% referred to hospital
8% referred to other healthcare professionals
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Health Services NY Shelter Visits
29% - mental health issues
22% - follow-up care 19% - exacerbation
chronic conditions 13% - acute conditions
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Reasons for Visits by Shelter
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Neighborhood Outreach Surveillance
In Nov., Outreach, made 5320 contacts
Queens, Staten Island, Brooklyn, Coney Island, Nassau and NYC
Included…hotels, homes & high-rise apartments
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When Does Red Cross Collect Surveillance Data?
Depends on size of Disaster Levels: •Level l – Chapter disaster response (e.g., single or small multi-family house fire or flood) •Level ll – Chapter response larger multi-family or neighborhood event (e.g., multi-family or apt fire)•Level lll – Multi-chapter, state, or regional disaster response•Level lV and above – National HQ response
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Red Cross Data published in CDC’s Morbidity and Mortality Weekly Report
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Tornado-Related Fatalities Five States, Southeastern US, April 25–28, 2011. July 20, 2012 61(28);529-533
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Aggregate Morbidity Surveillance
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Aggregate Morbidity FormPART I
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Aggregate Morbidity Form PART II
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Contact
Service Sites – Shelters and Non-
Shelters
ClientHeathRecord
Health Service
Visit
Visual of What a Contact Is
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Aggregate Morbidity FormPART III
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PART IV: Reason for Visit
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Aggregate Morbidity FormPART V
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New to Aggregate Morbidity Form Functional and Access Needs
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C-MIST Functional and Access Needs –
Definitions
Communication:•Visual or hearing problems; require equipment or assistance
Maintain Health:•Disease, injury, pregnancy, mental health issues; require medication, medical supplies, oxygen, temp control, or daily care (ADLs)
Independence:Mobility issues; require medical equipment for safety, comfort, mobility, and ADL’sInfant services and service animal accommodations
Services/Support:•Requires support (e.g., family, caregiver, qualified shelter volunteer, or local agency) provide non-medical ADL’s
Transportation:•Requires transportation to a medical care facility for treatment or non-medical appointment
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Morbidity Flow Chart – Reporting Process
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Disaster-Related Mortality Surveillance
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Disaster-related Surveillance
All deaths associated with a disaster All single and multi-family fires deaths Information obtained about disaster-
related deaths are identified by media outlets, fire and police departments, hospitals and emergency departments or other similar sources
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Condolence Visits
• Once deaths are verified, Red Cross usually schedule condolence visits with the family Condolence visits include health services,
mental health and/or spiritual care and possibly client casework
• For larger scale fatalities, an integrated care team is established to contact families
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Mortality Surveillance
Form
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Mortality Surveillance Form PART II
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Mortality Surveillance Form PART III
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Mortality Surveillance Form PART III
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Mortality Flow Chart – Reporting Process
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Publications to Date 2012Evaluation of the American Red Cross Disaster-Related Mortality Surveillance System by Using Hurricane Ike Data - Texas, 2008. Disaster Med Public Health Preparedness. 2012
Deaths Associated with a Historic Tornado Disaster--Southeastern United States, April 25-28, 2011.MMWR Morb Mortal Wkly Rep. 2012; 61(28);529-533
Disaster-related injuries and illnesses treated by American Red Cross Disaster Health Services during Hurricanes Gustav and Ike. Southern Medical Journal 106, no. 1 (2013): 102-108
2013Fatalities Associated with the April 2011 Tornadoes (accepted for publication in American Journal of Public Health)
Fatalities Associated with Hurricane Sandy (accepted by MMWR)
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