2. Capability Cliff Notes Series PHEP Capability 7—Mass Care What Is It And How Will We Measure It? For sound, click on the megaphone and then move arrow away from icon

3. Sound File Glitches These presentations have sound files that can be heard by clicking on the megaphone in the lower right corner, when the presentations are in Slide Show mode only. However, the slide will automatically forward to the next slide, or the sound will halt, if the arrow is left on the megaphone icon, due to an unavoidable glitch. To hear sound files, please move arrow away from megaphone icon as soon as it is clicked.

4. Learning Objectives Become familiar with Capability Functions Become familiar with Tasks that complete the Functions Understand how these Functions and Tasks are measured or may be measured in the future (Performance Measures)

5. Mass Care Mass care is the ability to coordinate with partner agencies to address the public health, medical, and mental/ behavioral health needs of those impacted by an incident at a congregate location. How can health departments ensure public health, medical, mental/behavioral health needs can be met in a situation where people are congregated for an extended length of time?

6. Mass Care Functions What Can Health Departments Do to Ensure Health- Related Needs Are Met in a Congregate Location? 1.Determine public health role in mass care operations 2.Determine mass care needs of the impacted population 3.Coordinate public health, medical, and mental/behavioral health services 4.Monitor mass care population health

7. Capabilities and Measures Resources The presentation will be an overview of what the functions and tasks mean, linked to the performance measures. Please note that since the capabilities PDF document has come out, more performance measures have been developed. If performance measures have come out since the creation of the capabilities document below, they have been included in these tutorials following their function slide, even if the PDF lists that there are no measures for that function. For functions that still have no measures, questions for health departments to begin thinking about measures have been included instead. For exact lists of the capabilities and performance measures, and data collected for the measures, documents can be found at these links: For Capabilities, Functions, and Tasks: http://www.cdc.gov/phpr/capabilities/DSLR_capabilities_July.pdf For Performance Measures: http://www.colorado.gov/cs/Satellite/CDPHE-EPR/CBON/1251643573938

8. Function 1: Determine public health role in mass care operations How can health departments identify their roles and support mass care operations? 1.At the time of an incident, activate pre-determined public health roles (e.g., population monitoring, environmental health and safety assessment, accessibility for populations with special needs, and need for decontamination) needed in the mass care response in coordination with Emergency Support Function #6 and other ESF #8 partners.

9. Function 1 Measurement How does the CDC measure that health departments or other responsible organizations have identified their roles in meeting people’s health-related needs in a situation where many people are located in one place? Have all of the following topics been addressed: In the public health emergency response plan: Public health mass care response actions (e.g. ongoing shelter, health, and environmental assessments and monitoring; decontamination)? Triggers for mass care response actions Resources to carry out mass care response actions (e.g., staff, supplies, and transportation) Signing letter(s) of agreement or MOU(s) that support provision of mass care services, if requested by mass care lead Topics Cont’d on next slide

10. Function 1 Measurement Cont’d How does the CDC measure that health departments or other responsible organizations have identified their roles in meeting people’s health-related needs in a situation where many people are located in one place? Topics cont’d: Local legal statutes or policies that define or inhibit public health involvement in mass care operations Systems to communicate about the opening, location, and closing of mass care locations Tools or mechanisms to collect and receive health-related data from mass care locations Only if requested by jurisdiction’s mass care lead: A formal written agreement for public health to support coordinated mass care service provision in the jurisdiction A full list of data elements and an evaluation tool used in this measure can be viewed in PHEP Performance Measures, on pgs 47-51: http://www.colorado.gov/cs/Satellite/CDPHE-EPR/CBON/1251643573938 http://www.colorado.gov/cs/Satellite/CDPHE-EPR/CBON/1251643573938

11. Function 2: Determine mass care needs of the impacted population Tasks: What do health departments need to consider in order to identify the needs of the impacted population? 1.At the time of an incident, coordinate with response partners to identify population health needs in the area impacted by the incident, using risk assessment, environmental, and health demographic information. 2.At the time of an incident, coordinate with response partners to complete a facility-specific environmental health and safety assessment of the mass care locations. 3.During the incident, coordinate with partner agencies to assure food and water safety inspections at mass care locations. 4.During the incident, coordinate with partners to assure health screening of the people registering at mass care locations.

12. Function 2 Measurement How does the CDC measure that health departments have identified the needs of the impacted population? An evaluation tool with data elements is available in PHEP Performance Measures, on pages 49-51: http://www.colorado.gov/cs/Satellite/CDPHE- EPR/CBON/1251643573938 http://www.colorado.gov/cs/Satellite/CDPHE- EPR/CBON/1251643573938

13. Function 3: Coordinate public health, medical, and mental health mass care services Tasks: How should health departments coordinate services? 1.At the time of the incident, coordinate with healthcare partners to assure medical and mental/behavioral health services are accessible at mass care locations. 2.At the time of the incident, coordinate with providers to give access to medication and assistive devices for individuals who need them at the mass care locations. 3.At the time of the incident, if needed, coordinate with the lead agency to provide population monitoring and decontamination services, including tracking systems for possibly contaminated (e.g., radiological, nuclear, or chemical) individuals. Tasks continued on next slide

14. Function 3: Coordinate public health, medical, and mental health mass care services Tasks Cont’d: How should health departments coordinate services? 4.During an incident, share information with the public about available mass care health services. 5.During an incident, coordinate with agencies to provide care (e.g., medical care, essential needs, and decontamination) for service animals within general shelter populations. 6.At the time of the incident, work with partner agencies to coordinate human, and pet sheltering mass care locations. 7.During and after an incident, coordinate with appropriate organizations to return displaced people to their pre-incident medical environment, if needed.

15. Function 3 Measurement How does the CDC measure if health departments have coordinated services for populations? An evaluation tool with data elements is available in PHEP Performance Measures, on pages 49-51: http://www.colorado.gov/cs/Satellite/CDPHE- EPR/CBON/1251643573938 http://www.colorado.gov/cs/Satellite/CDPHE- EPR/CBON/1251643573938

16. Function 4: Monitor mass care population health Tasks: How should health departments monitor population health? 1.During an incident, monitor facility-specific environmental health and safety, including screening for contamination (e.g., radiological, nuclear, biological, or chemical), and assure any identified problems are corrected. 2.During an incident, conduct surveillance at mass care locations to identify cases of illness, injury, and exposure within those populations. 3.During an incident, update information on developing health needs for partner agencies, and provide or coordinate assistance in meeting the needs. 4.After an incident, scale down health response when possible, including creating and executing a health resource demobilization plan.

17. Function 4 Measurement How does CDC measure if health departments are able to monitor population health? An evaluation tool with data elements is available in PHEP Performance Measures, on pages 49-51: http://www.colorado.gov/cs/Satellite/CDPHE- EPR/CBON/1251643573938 http://www.colorado.gov/cs/Satellite/CDPHE- EPR/CBON/1251643573938

18. Questions? Please contact: Rachel Coles Program Evaluator--CDPHE 303-692-2764 rachel.coles@state.co.us