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Louisiana Public Health Institute in Post-Disaster Setting Joseph D. Kimbrell, M.A. LCSW Louisiana Public Health Institute February 23, 2006 Public Health.

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Presentation on theme: "Louisiana Public Health Institute in Post-Disaster Setting Joseph D. Kimbrell, M.A. LCSW Louisiana Public Health Institute February 23, 2006 Public Health."— Presentation transcript:

1 Louisiana Public Health Institute in Post-Disaster Setting Joseph D. Kimbrell, M.A. LCSW Louisiana Public Health Institute February 23, 2006 Public Health Preparedness Summit

2 Louisiana Public Health Institute Immediate ResponseImmediate Response –Administrative and infrastructure –Programmatic  Legislative Resource Center  Recovery Communications  Preventive services for displaced families statewide Long Term PlanningLong Term Planning –Post-Katrina planning framework for Greater New Orleans

3 Re-establish Functional Organization Re-establish Functional Organization Immediate Action Locating staff by phone and Locating staff by phone and Connecting staff by LPHI website and staff intranetConnecting staff by LPHI website and staff intranet Information sharing: web forums and vital postingsInformation sharing: web forums and vital postings Teleconference calls to assess safety, needs and level of availability of staffTeleconference calls to assess safety, needs and level of availability of staff Secured Temporary Office Space Relocated servers and vital electronic records

4 Re-establish Functional Organization Re-establish Functional Organization Financial:Financial: Contacted financial institution to secure status and availability of funds in operating and reserve accounts Contacted financial institution to secure status and availability of funds in operating and reserve accounts Contacted grantor organizations to ensure availability of awarded funds; Contacted grantor organizations to ensure availability of awarded funds; Personnel: Continued payroll for all employeesPersonnel: Continued payroll for all employees

5 Programmatic Response: Louisiana Legislative Resource Center Creation of the Louisiana Legislative Resource CenterCreation of the Louisiana Legislative Resource Center –Legislators of directly impacted areas were displaced and out of the information and decision-making loop in first days after storm –Truly case of: “my constituents are dying back there!” –Governor’s office, executive agencies, military and feds were “directing” things –Legislators are unique in direct contact and standing with both neighborhood level and state policy level –Needed processes and structure for info sharing and decision influence – simply no precedent

6 Programmatic Response: Louisiana Legislative Resource Center – cont. LPHI asked to advise in urgent ad hoc meeting convened by President of Senate and Speaker of House with impacted members 3 days after KatrinaLPHI asked to advise in urgent ad hoc meeting convened by President of Senate and Speaker of House with impacted members 3 days after Katrina LPHI advised regarding and then established “war room” in State Capitol with communications and IT supportLPHI advised regarding and then established “war room” in State Capitol with communications and IT support Created process flow for intake of calls and s from legislators, constituents, EOC and responders for both needs and offersCreated process flow for intake of calls and s from legislators, constituents, EOC and responders for both needs and offers Processed over 1000 itemsProcessed over 1000 items Legislature memorialized in resolution and retains plan to reconstitute as new legislative function for future eventsLegislature memorialized in resolution and retains plan to reconstitute as new legislative function for future events

7 Programmatic Response: Recovery Communications  Partnership with DHH and CDC for statewide campaign –Co-branded effort by DHH and LPHI –Message content provided by CDC based on post- disaster evaluation and surveillance  Exposures, safety, immunizations, stress –Best practices for communications observed from successes with other statewide LPHI programs

8 Programmatic Response: Recovery Communications  Communications effort during recovery –Broadcast and print media used to create awareness of health issues –Development and launch of consumer website (StayHealthyLA.org) for information –Toll-free phone information line with pre-recorded health messages –Booklet with recovery health information distributed at retail locations (banks, home improvement stores, etc.)

9 Programmatic Response: Preventive Services for Displaced Families  LA Dept of Health and Hospitals and CDC Foundation initiative to bring preventive services to transitional housing sites across state  Families will be displaced for 6 to 12 to 18 months or more – still displaced in FL  Try to accord them some positive and healthy experiences during this time  Include: dental sealants, immunizations, cancer screenings (esp breast and cx), nutrition, physical activity

10 Post-Katrina Long Term Planning: Framework for Healthier Greater New Orleans  Hurricane Katrina caused severe damage to the infrastructure for health care and public health services in the Greater New Orleans area

11 My kitchen in the Lakeview neighborhood of New Orleans post-Katrina

12 Post-Katrina Long Term Planning: Framework for Healthier Greater New Orleans  If all of the components of the health system are rebuilt as they were, Greater New Orleans risks experiencing the same bad health outcomes   Framework for a Healthier Greater New Orleans was developed in August - October of 2005 by the Greater New Orleans Health Planning Group (visit to view the entire document)www.stayhealthyla.org

13 Post-Katrina Long Term Planning: Framework for Healthier Greater New Orleans  Framework was developed by a group of over100 people, divided into workgroups, representing: –Federal, state, and local health agencies –Private, government, and nonprofit health providers –Community groups

14 Kendrick Hospital USPHS command center for public health response (New Orleans), planning unit. From left, Dr. Bob Post (LPHI), Clayton Williams, Dr. Tom Farley (Tulane SPHTM), Ed Melendez (LPHI) and Dr. Mike St. Louis (USPHS/ CDC), September 12, 2005

15 Post-Katrina Long Term Planning: Framework for Healthier Greater New Orleans Purposes of the Framework  NOT a detailed plan, and NOT a comprehensive plan  Identify priority areas for improvements in the design of the health system  Describe principles that health-related agencies should follow in rebuilding  Framework utilized by the Bring Back New Orleans Commission and the Louisiana Recovery Authority for long term health systems planning

16 Post-Katrina Long Term Planning: Framework for Healthier Greater New Orleans Priority Recommendations 1.Primary Care Foundation for entire system 2.Health Promotion Marketing and Modeling 3.Healthy Environmental Changes and Neighborhood Design

17 LPHI and Hurricane Preparedness Context:  Official public health agencies provide critical non- delegatable functions  Official agencies have jurisdictional, programmatic and resource limits  Preparedness, response and recovery demand purposeful alignment of federal, state and local government WITH sectors of marketplace and society = COLLABORATIVE LEADERSHIP

18 LPHI and Hurricane Preparedness LPHI Committed to Apply Competencies in Support of Collaborative Efforts by:  Convening  Brokering  Pulling partners together  Creating channels of communication among leaders at all levels – to build consensus for long-range planning  Research  Social Marketing

19 At the End of the Day…  Events such as these require extraordinary levels of human cooperation - unnatural acts not typically practiced by most communities and by most government agencies.  Preparedness must run on an ethic and a discipline of bridging turfs, anticipating priority needs, engaging and leveraging resources by running on cooperation across centers of control  Public Health Institutes can serve a valuable role


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