1. Capability Cliff Notes Series PHEP Capability 9—Medical Materiel Management and Distribution What Is It And How Will We Measure It?

2. 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)

3. Medical Materiel Management and Distribution Medical materiel management and distribution is the ability to acquire, maintain (e.g., cold chain storage or other storage protocol), transport, distribute, and track medical materiel (e.g., pharmaceuticals, gloves, masks, and ventilators) during an incident, and to recover and account for unused medical materiel, after an incident. How can health departments manage and distribute medical materiel efficiently and effectively?

4. Medical Materiel Management and Dispensing Functions What Are The Different Steps in Managing and Distributing Medical Materiel? 1.Direct and activate medical materiel management and distribution 2.Acquire medical materiel 3.Maintain updated inventory management and reporting system 4.Establish and maintain security 5.Distribute medical materiel 6.Recover medical materiel and demobilize distribution operations

5. 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.cdc.gov/phpr/documents/PHEP_BP1_PM_Specifications_and_Implem entation_Guidance_v1_1.pdf http://www.cdc.gov/phpr/documents/PHEP_BP1_PM_Specifications_and_Implem entation_Guidance_v1_1.pdf

6. Function 1: Direct and activate medical materiel management and distribution Tasks: How can health departments get ready to distribute medical materiel? 1.Before an incident, identify receiving sites for shipments of different sizes and for different lengths of time. 2.Before an incident, identify transportation assets and partners from commercial and government sources, and create a list of available transportation resources. 3.Before and during an incident, identify and coordinate with suppliers and distributors to determine what materiel is available and what barriers will get in the way of distributing it (e.g., transport of materiel through restricted areas). Tasks continued on next slide:

7. Function 1: Direct and activate medical materiel management and distribution Tasks cont’d: How can health departments get ready to distribute medical materiel? 4.Before and during an incident, identify staffing needs for receiving sites (e.g., numbers and skills of personnel). 5.During an incident, collect information from medical and health-related organizations on what materiel they have available, at least once per week, and as often as needed. 6.During an incident, at the request of the incident commander, activate receiving sites needed. 7.During an incident, at the request of the incident commander, select transportation from the resource list.

8. Function 1 Measurement How does the CDC measure if health departments have taken all of the steps to prepare for distributing materiel? The CDC conducts reviews that measure each of these activities annually. However, the composite score has been discontinued. Technical Assistance Review DSNS operational drills (annual requirement beginning 2011-2012) Compliance with programmatic standards (annual requirement beginning 2012-2013) – Points of dispensing standards – Medical countermeasure distribution standards Full-scale exercises (FSE) – Medical countermeasure distribution (one state-level FSE required during the 2011-2016 time period) – Medical countermeasure dispensing (one CRI-level FSE during the 2011-2016 time period).

9. Function 2: Acquire medical materiel Tasks: What do health departments need to do to acquire medical materiel? 1.Request and accept medical materiel from partners according to National Incident Management System standards and incident needs. 2.Maintain integrity of medical materiel according to manufacturer specifications for getting and storing materiel.

10. Function 2 Measurement How does CDC measures if health departments have acquired medical materiel in accordance with requirements? The CDC conducts reviews that measure each of these activities annually. However, the composite score has been discontinued. Technical Assistance Review DSNS operational drills (annual requirement beginning 2011-2012) Compliance with programmatic standards (annual requirement beginning 2012-2013) – Points of dispensing standards – Medical countermeasure distribution standards Full-scale exercises (FSE) – Medical countermeasure distribution (one state-level FSE required during the 2011-2016 time period) – Medical countermeasure dispensing (one CRI-level FSE during the 2011-2016 time period).

11. Function 3: Maintain updated inventory management and reporting system Tasks: What steps will ensure that health departments have the ability to keep track of and report inventory? 1.Conduct an inventory and update the inventory management system with information about all incoming and outgoing medical materiel, and materiel that is dispose of, recovered, or returned. 2.Provide inventory status reports to authorities at least weekly during an incident, and as often as needed. 3.Track re-supply requests for medical materiel.

12. Function 3 Measurement How does CDC measure if health departments have adequate inventory and reporting abilities? The CDC conducts reviews that measure each of these activities annually. However, the composite score has been discontinued. Technical Assistance Review DSNS operational drills (annual requirement beginning 2011-2012) Compliance with programmatic standards (annual requirement beginning 2012-2013) – Points of dispensing standards – Medical countermeasure distribution standards Full-scale exercises (FSE) – Medical countermeasure distribution (one state-level FSE required during the 2011-2016 time period) – Medical countermeasure dispensing (one CRI-level FSE during the 2011-2016 time period).

13. Function 4: Establish and maintain security Tasks: What are the things health departments should do to maintain security over materiel? 1.Select receiving sites from pre-identified locations, and determine which sites may need increased security (such as controlled-substance storage areas). 2.At the time of the incident, if necessary, select additional receiving sites and determine which of those sites may need increased security. 3.Establish and maintain appropriate security measures at receiving sites and during transportation to points-of-dispensing.

14. Function 4 Measurement How does the CDC measure if health departments have taken needed steps to provide adequate security for materiel? The CDC conducts reviews that measure each of these activities annually. However, the composite score has been discontinued. Technical Assistance Review DSNS operational drills (annual requirement beginning 2011-2012) Compliance with programmatic standards (annual requirement beginning 2012-2013) – Points of dispensing standards – Medical countermeasure distribution standards Full-scale exercises (FSE) – Medical countermeasure distribution (one state-level FSE required during the 2011-2016 time period) – Medical countermeasure dispensing (one CRI-level FSE during the 2011-2016 time period).

15. Function 5: Distribute medical materiel Tasks: What are the steps for distributing medical materiel? 1.Work out allocation and distribution strategies, including delivery locations, routes, and delivery schedule/frequency. 2.Maintain integrity of medical materiel according to established safety and manufacturer specifications during all phases of transport and distribution.

16. Function 5 Measurement How does the CDC measure if health departments have taken needed steps for distribution? The CDC conducts reviews that measure each of these activities annually. However, the composite score has been discontinued. Technical Assistance Review DSNS operational drills (annual requirement beginning 2011-2012) Compliance with programmatic standards (annual requirement beginning 2012-2013) – Points of dispensing standards – Medical countermeasure distribution standards Full-scale exercises (FSE) – Medical countermeasure distribution (one state-level FSE required during the 2011-2016 time period) – Medical countermeasure dispensing (one CRI-level FSE during the 2011-2016 time period).

17. Function 6: Recover medical materiel and demobilize distribution operations Tasks: What is the process for recovering and demobilizing distribution operations? 1.Recover materiel and equipment according to jurisdictional policies and federal regulations. 2.Determine what is left of unused (unopened) medical materiel, unused pharmaceuticals, and durable items. Decide what to do with the unused materiel, according to jurisdictional policies. 3.Dispose of biomedical waste materials created by operations, according to jurisdictional policies. 4.Deactivate receiving sites and release personnel as appropriate and according to National Incident Management System protocol. 5.Document incident findings as part of the after-action report process.

18. Function 6 Measurement How does the CDC measure if health departments have taken needed steps to recover unused materiel, and demobilize operations? The CDC conducts reviews that measure each of these activities annually. However, the composite score has been discontinued. Technical Assistance Review DSNS operational drills (annual requirement beginning 2011-2012) Compliance with programmatic standards (annual requirement beginning 2012-2013) – Points of dispensing standards – Medical countermeasure distribution standards Full-scale exercises (FSE) – Medical countermeasure distribution (one state-level FSE required during the 2011-2016 time period) – Medical countermeasure dispensing (one CRI-level FSE during the 2011-2016 time period).

19. Questions? For evaluation questions, please contact: Rachel Coles Program Evaluator--CDPHE 303-692-2764 rachel.coles@state.co.us For SNS Composite Score or other SNS questions, please contact: Melanie Simons SNS Coordinator 303-692-2950 melanie.simons@state.co.us