Linking public health agencies and hospitals for improved emergency preparedness: North Carolina's public health epidemiologist program

Markiewicz, Milissa; Bevc, Christine A.; Hegle, Jennifer; Horney, Jennifer A.; Davies, Megan; MacDonald, Pia D. M.

doi:10.1186/1471-2458-12-141

Cited by 12 publications

(10 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Collaboration and system integration [32][33][34][35]: Several studies highlight the importance of collaboration and integration in relation to public health emergencies. Collaborating on exchanging plans and protocols was identified as an important and feasible goal for agencies [34].…”

Section: Identification Of Themes Phasementioning

confidence: 99%

“…Collaborating on exchanging plans and protocols was identified as an important and feasible goal for agencies [34]. Roles exist in the health system that can facilitate linkages between health care and public health settings; for example, epidemiologists that link with hospitals [35]. Newer methodologies, like network analysis, present opportunities for examining the role of inter-agency networks in promoting prepared public health systems [33].…”

Section: Identification Of Themes Phasementioning

confidence: 99%

See 1 more Smart Citation

The evidence base of primary research in public health emergency preparedness: a scoping review and stakeholder consultation

et al. 2015

View full text Add to dashboard Cite

BackgroundEffective public health emergency preparedness and response systems are important in mitigating the impact of all-hazards emergencies on population health. The evidence base for public health emergency preparedness (PHEP) is weak, however, and previous reviews have noted a substantial proportion of anecdotal event reports. To investigate the body of research excluding the anecdotal reports and better understand primary and analytical research for PHEP, a scoping review was conducted with two objectives: first, to develop a thematic map focused on primary research; and second, to use this map to inform and guide an understanding of knowledge gaps relevant to research and practice in PHEP.MethodsA scoping review was conducted based on established methodology. Multiple databases of indexed and grey literature were searched based on concepts of public health, emergency, emergency management/preparedness and evaluation/evidence. Inclusion and exclusion criteria were applied iteratively. Primary research studies that were evidence-based or evaluative in nature were included in the final group of selected studies. Thematic analysis was conducted for this group. Stakeholder consultation was undertaken for the purpose of validating themes and identifying knowledge gaps. To accomplish this, a purposive sample of researchers and practicing professionals in PHEP or closely related fields was asked to complete an online survey and participate in an in-person meeting. Final themes and knowledge gaps were synthesized after stakeholder consultation.ResultsDatabase searching yielded 3015 citations and article selection resulted in a final group of 58 articles. A list of ten themes from this group of articles was disseminated to stakeholders with the survey questions. Survey findings resulted in four cross-cutting themes and twelve stand-alone themes. Several key knowledge gaps were identified in the following themes: attitudes and beliefs; collaboration and system integration; communication; quality improvement and performance standards; and resilience. Resilience emerged as both a gap and a cross-cutting theme. Additional cross-cutting themes included equity, gender considerations, and high risk or at-risk populations.ConclusionsIn this scoping review of the literature enhanced by stakeholder consultation, key themes and knowledge gaps in the PHEP evidence base were identified which can be used to inform future practice-oriented research in PHEP.Electronic supplementary materialThe online version of this article (doi:10.1186/s12889-015-1750-1) contains supplementary material, which is available to authorized users.

show abstract

Section: Identification Of Themes Phasementioning

confidence: 99%

Section: Identification Of Themes Phasementioning

confidence: 99%

The evidence base of primary research in public health emergency preparedness: a scoping review and stakeholder consultation

et al. 2015

View full text Add to dashboard Cite

show abstract

“…6 As the subject matter expert informing the HIMT, the HE may also serve as an external point-person for local, regional, and federal public health authorities. 27,47 Additional Resources and Assets for Outbreak Response Recommendations.…”

Section: Leadership Role Of the He In Incident Managementmentioning

confidence: 99%

Outbreak Response and Incident Management: SHEA Guidance and Resources for Healthcare Epidemiologists in United States Acute-Care Hospitals

Banach

Johnston

Al-Zubeidi

et al. 2017

Infect. Control Hosp. Epidemiol.

View full text Add to dashboard Cite

This expert guidance document was developed as a resource to provide healthcare epidemiologists working in acute-care hospitals with a high-level overview of incident management for infectious diseases outbreaks and to prepare them to work within an emergency response framework. It addresses how the epidemiologist's skills and expertise apply to scenarios that require enhanced preparedness and response efforts, eg, when pathogens associated with outbreaks are poorly characterized or when outbreaks require additional interventions including, but not limited to, healthcare personnel education, enhanced infection prevention and control measures, added staffing, supplies, and resources, adjustments to clinical and support activities, and external communications. Its recommendations are not pathogen-specific and are meant to apply to a range of potential infectious diseases outbreaks. To provide high-level guidance and context for incident management, the authors specify recommendations for the healthcare epidemiologist, as well as involvement and responsibilities of the facility and other healthcare personnel (HCP). 2017, vol. 38, no. 12 The SHEA/CDC ORTP Expert Guidance Writing Panel (ie, the authors) were selected based on additional expertise in guidance and guideline-writing, and are the primary authors of this document. Advisory Panel members, the overseeing body for the entire ORTP, contributed to this guidance by conducting a needs assessment to determine knowledge gaps and identify effective strategies for outbreak response and incident management, and by reviewing, analyzing, and summarizing resources identified by the CDC for the Expert Guidance Panel to consider for inclusion in the expert guidance document, and by reviewing and providing comments on drafts and the final version of the expert guidance document (see the Methods section).background

show abstract

“…Currently, NC DETECT is primarily used by statelevel epidemiologists and hospital-based public health epidemiologists (PHEs), who specialize in interpreting and using syndromic surveillance data. In general, LHD staff receive NC DETECT information from PHEs or state surveillance staff Markiewicz et al, 2012); this distribution occurs on an as-needed basis. Syndromic surveillance data are distributed to LHDs by telephone call; a small number of LHDs also received regular reports from hospital-based PHEs in 2009.…”

Section: Introductionmentioning

confidence: 99%

Routine dissemination of summary syndromic surveillance data leads to greater usage at local health departments in North Carolina

Fangman¹,

Samoff²,

DiBiase³

et al. 2015

J. Public Health Epidemiol.

View full text Add to dashboard Cite

Public health surveillance data is critical as it provides actionable information to guide public health response. Thirty interviews were conducted across North Carolina from May to September, 2009 with local public health department staff to describe the use of routine syndromic surveillance data during a local outbreak and compared this to usage during a large, statewide outbreak, during which the state disseminated syndromic data. The study examined the use of the syndromic surveillance system (NC DETECT) and the reportable communicable disease system (NC EDSS) during the 2009 novel influenza A (H1N1) pandemic and during another respondent-selected infectious disease outbreak. A larger percent of local health department (LHD) staff reported using information from NC DETECT (52%) during the 2009 H1N1 pandemic than during another infectious disease outbreak (20%) (P value = 0.01). North Carolina local public health staff used information from syndromic surveillance data more when the state health department disseminated summary syndromic surveillance reports than when this summary information was not provided. State aggregation and dissemination of timely and diseaserelevant syndromic surveillance data may facilitate greater usage of such information at the local health department level.

show abstract

Linking public health agencies and hospitals for improved emergency preparedness: North Carolina's public health epidemiologist program

Cited by 12 publications

References 5 publications

The evidence base of primary research in public health emergency preparedness: a scoping review and stakeholder consultation

The evidence base of primary research in public health emergency preparedness: a scoping review and stakeholder consultation

Outbreak Response and Incident Management: SHEA Guidance and Resources for Healthcare Epidemiologists in United States Acute-Care Hospitals

Routine dissemination of summary syndromic surveillance data leads to greater usage at local health departments in North Carolina

Contact Info

Product

Resources

About