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Community Planning for Pandemic Influenza: Lessons From the VA Health Care System

Published online by Cambridge University Press:  08 April 2013

Nicole Lurie ,
David J. Dausey ,
Troy Knighton ,
Melinda Moore ,
Sarah Zakowski  and
Lawrence Deyton
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Abstract

Background: Coordination and communication among community partners—including health departments, emergency management agencies, and hospitals—are essential for effective pandemic influenza planning and response. As the nation’s largest integrated health care system, the US Department of Veterans Affairs (VA) could be a key component of community planning.

Purpose: To identify issues relevant to VA–community pandemic influenza preparedness.

Methods: As part of a VA–community planning process, we developed and pilot-tested a series of tabletop exercises for use throughout the VA system. These included exercises for facilities, regions (Veterans Integrated Service Networks), and the VA Central Office. In each, VA and community participants, including representatives from local health care facilities and public health agencies, were presented with a 3-step scenario about an unfolding pandemic and were required to discuss issues and make decisions about how the situation would be handled. We report the lessons learned from these pilot tests.

Results: Existing communication and coordination for pandemic influenza between VA health care system representatives and local and regional emergency planners are limited. Areas identified that would benefit from better collaborative planning include response coordination, resource sharing, uneven resource distribution, surge capacity, standards of care, workforce policies, and communication with the public.

Conclusions: The VA health system and communities throughout the United States have limited understanding of one another’s plans and needs in the event of a pandemic. Proactive joint VA–community planning and coordination—including exercises, followed by deliberate actions to address the issues that arise—will likely improve pandemic influenza preparedness and will be mutually beneficial. Most of the issues identified are not unique to VA, but are applicable to all integrated care systems. (Disaster Med Public Health Preparedness. 2008;2:251–257)

Keywords

pandemic influenzaDepartment of Veterans Affairscommunity planning
Type
Concepts in Disaster Medicine
Information
Disaster Medicine and Public Health Preparedness , Volume 2 , Issue 4 , December 2008 , pp. 251 - 257
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2008

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References

REFERENCES

1.World Health Organization. Epidemiology of WHO confirmed human cases of avian influenza (H5N1) infection. Wkly Epidemiol Rec. 2006; 81: 249–260.Google Scholar
2.Murray, CJ, Lopez, AD, Chin, B, et alEstimation of potential global pandemic influenza mortality on the basis of vital registry data from the 1918–20 pandemic: a quantitative analysis. Lancet. 2006; 368: 2211–2218.Google Scholar
3. Homeland Security Council. National Strategy for Pandemic Influenza: Implementation Plan. White House Web site. http://www.whitehouse.gov/homeland/nspi_implementation.pdf. Published May 2006. Accessed February 25, 2007.Google Scholar
4. Pandemic Influenza Guidance Supplement to the 2006 Public Health Emergency Preparedness Cooperative Agreement Phase II. Centers for Disease Control and Prevention Web site. http://www.bt.cdc.gov/planning/coopagreement/pdf/phase2-panflu-guidance.pdf. Published July 10, 2006. Accessed July 17, 2006.Google Scholar
5. VA Pandemic Influenza Plan. US Department of Veterans Affairs Web site. http://www.publichealth.va.gov/flu/pandemicflu_plan.htm. Published March 31, 2006. Accessed June 26, 2007.Google Scholar
6. Gateway to Veterans Affairs Organizations. US Department of Veterans Affairs Web site. http://www.va.gov/about_va/organization.asp. Accessed April 16, 2007.Google Scholar
7.Dausey, DJ, Buehler, JW, Lurie, N. Designing and conducting tabletop exercises to assess public health preparedness for manmade and naturally occurring biological threats. BMC Public Health. 2007; 7: 92.Google Scholar
8. Dausey DJ, Aledort JE, Lurie N. Tabletop Exercises for Pandemic Influenza Preparedness in Local Public Health Agencies. RAND Corporation Web site. http://www.rand.org/pubs/technical_reports/TR319/. Published 2006. Accessed May 2, 2007.CrossRefGoogle Scholar
9. Shugarman LR, Eiseman E, Jain A, et al. Enhancing Public Health Preparedness: Exercises, Exemplary Practices, and Lessons Learned. RAND Corporation Web site. http://www.rand.org/pubs/technical_reports/2005/RAND_TR249.pdf. Accessed August 10, 2008.Google Scholar