1. Company LOGO Arkansas Dept of Health Kim R. Sutphin MPH, MBA PHP Senior Epidemiologist AR CRA Lead Coordinator CRA Obstacles Met and Overcome Pilot 2007 AND THE FUTURE

2. Acknowledge  James Hicks – PHIN Lead Coordinator  Alyce Wagner – Pan Flu Coordinator  Deborah Biddle – HAN Unit Coordinator

3. This is B.T.

4. Arkansas and Dept of Health  Arkansas & the Department of Health  @ 2.8 million  1 Centralized Health Department  75 Counties  5 Public Health Regions (SE, NE, C, SW, NW)  At least 75 LHU w/few counties with more

5. Purpose 2. Dates, Places, Demographics of Pilot Sites 2. Dates, Places, Demographics of Pilot Sites 3. Successes and Limitations 5. The Future 1. CRA Plan 4. What’s needed to Establish & Run Clinics - Preparation of Pandemic 4. What’s needed to Establish & Run Clinics - Preparation of Pandemic

6. Put the Mask on Yourself First

7. Arkansas CRA Cycle Interoperability & Integration Priority Project Option 3 Pilot & Exercises Standardization CRA Arkansas’ CRA Plan Leadership

8. CRA Able to Manage and Track Countermeasure CRA Quick information to make Managerial Decisions CRA Ability to Transmit information to Partners CRA Continuous Communication How Our Agency is affected by :

9. Dates, Places, Demo ‘07 Pilot November 13 th – Saline Co. November 14 th – Arkansas Co. November 13 th – Saline Co. November 14 th – Arkansas Co. Dates Places Demographics Dates Places Demographics Pilot 1 - 2007 Information Co. Population Saline94,024 Arkansas 19,884 Total Served in Pilot = 89

10. Successes & Limitations SuccessesLimitations Priority Project Gave direction for Future of AR CRA Worked Program and Identified areas to be addressed Number served small After Mass Dispensing of over 160,000 (240,000 by Dec 07,07) Lag time Staff unfamiliar with system Lessons Learned

11. The Future Priority Project Place emphasis on systems that will be evaluated for certification in the coming years. Option 3 Adding Module Familiar Add into Current Immunization System

12. Establish and Run Clinic

13. Everything Working Together

14. The Future - PHIN CRA 2010 Compliance Standardization Exercise Exercise Exercise Policies & Procedures Track Progress

15. James HicksPHIN Coordinator Alyce WagnerPCA LeadPartner Communication and Alerting Amanda FincherGIS LeadGeographical Information Systems Jim FilesEED LeadEarly Event Detection Vacant (EPI)OMS LeadOutbreak Management System Kim SutphinCRA LeadCountermeasure and Response Administration Charles McGeeCLS LeadConnecting Laboratory Systems Swee AngIDE LeadInteroperable Data Exchange Mike WilsonEOC LeadEmergency Operation Center Additional advisory team members Cathy FlanaginHaytham Safi Deborah BiddleKeith Burns ADH PHIN Team

16. Thank You