partners in data recovery and reporting jeanne spears, rn disaster health services 0

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Partners in Data Recovery and Reporting Jeanne Spears, RN Disaster Health Services 1

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Page 1: Partners in Data Recovery and Reporting Jeanne Spears, RN Disaster Health Services 0

Partners in Data Recovery and ReportingJeanne Spears, RN

Disaster Health Services

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Page 2: Partners in Data Recovery and Reporting Jeanne Spears, RN Disaster Health Services 0

Background Red Cross Disaster Surveillance System

Partnership with CDC since 1987 Goal is to provide accurate, timely description of the

health-related needs of disaster-affected population Data used for planning, preparedness, response

and recovery efforts for Red Cross, local, state, and federal agencies

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Page 3: Partners in Data Recovery and Reporting Jeanne Spears, RN Disaster Health Services 0

CDC/ARC Surveillance Committee

MembersRed Cross - Disaster Health Services CDC - National Center for Environmental Health

Tasked toUpdate forms and processes to capture disaster-related illness, injury, and death Increase capacity of Red Cross’ volunteers to capture and report these data Develop and pilot processes to ensure data sharing with DRO and partners during the disaster

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Page 4: Partners in Data Recovery and Reporting Jeanne Spears, RN Disaster Health Services 0

Morbidity and Mortality Surveillance

Page 5: Partners in Data Recovery and Reporting Jeanne Spears, RN Disaster Health Services 0

Why Collect Morbidity and Mortality Data?

To identify potential threats to client(s) requiring immediate public health action(s)

To provide data for situational awareness To assist in plan and prepare for future responses To promote awareness of nursing practice in

disasters

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Page 6: Partners in Data Recovery and Reporting Jeanne Spears, RN Disaster Health Services 0

Why Collect Morbidity and Mortality Data? (cont’d)

To support states compliance with the National Mass Care strategy

To disseminate findings to the preparedness community and advance disaster science

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Page 7: Partners in Data Recovery and Reporting Jeanne Spears, RN Disaster Health Services 0

Hurricane Sandy, New York, 2012

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Disaster Health and Mental Health

• Support shelters, outreach & condolence visits• Assess, record and report surveillance data•Nearly 113,000 contacts and visits during Sandy response

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Page 9: Partners in Data Recovery and Reporting Jeanne Spears, RN Disaster Health Services 0

Surveillance in Shelters

Nov., 2012 – 2922 shelter client visits

90% treated by staff

2% referred to hospital

8% referred to other healthcare professionals

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Page 10: Partners in Data Recovery and Reporting Jeanne Spears, RN Disaster Health Services 0

Health Services NY Shelter Visits

29% - mental health issues

22% - follow-up care 19% - exacerbation

chronic conditions 13% - acute conditions

Page 11: Partners in Data Recovery and Reporting Jeanne Spears, RN Disaster Health Services 0

Reasons for Visits by Shelter

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Neighborhood Outreach Surveillance

In Nov., Outreach, made 5320 contacts

Queens, Staten Island, Brooklyn, Coney Island, Nassau and NYC

Included…hotels, homes & high-rise apartments

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Page 13: Partners in Data Recovery and Reporting Jeanne Spears, RN Disaster Health Services 0

When Does Red Cross Collect Surveillance Data?

Depends on size of Disaster Levels: •Level l – Chapter disaster response (e.g., single or small multi-family house fire or flood) •Level ll – Chapter response larger multi-family or neighborhood event (e.g., multi-family or apt fire)•Level lll – Multi-chapter, state, or regional disaster response•Level lV and above – National HQ response

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Page 14: Partners in Data Recovery and Reporting Jeanne Spears, RN Disaster Health Services 0

Red Cross Data published in CDC’s Morbidity and Mortality Weekly Report

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Tornado-Related Fatalities Five States, Southeastern US, April 25–28, 2011. July 20, 2012 61(28);529-533

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Page 16: Partners in Data Recovery and Reporting Jeanne Spears, RN Disaster Health Services 0

Aggregate Morbidity Surveillance

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Page 17: Partners in Data Recovery and Reporting Jeanne Spears, RN Disaster Health Services 0
Page 18: Partners in Data Recovery and Reporting Jeanne Spears, RN Disaster Health Services 0

Aggregate Morbidity FormPART I

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Page 19: Partners in Data Recovery and Reporting Jeanne Spears, RN Disaster Health Services 0

Aggregate Morbidity Form PART II

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Page 20: Partners in Data Recovery and Reporting Jeanne Spears, RN Disaster Health Services 0

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Contact

Service Sites – Shelters and Non-

Shelters

ClientHeathRecord

Health Service

Visit

Visual of What a Contact Is

Page 21: Partners in Data Recovery and Reporting Jeanne Spears, RN Disaster Health Services 0

Aggregate Morbidity FormPART III

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Page 22: Partners in Data Recovery and Reporting Jeanne Spears, RN Disaster Health Services 0

PART IV: Reason for Visit

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Page 23: Partners in Data Recovery and Reporting Jeanne Spears, RN Disaster Health Services 0

Aggregate Morbidity FormPART V

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Page 24: Partners in Data Recovery and Reporting Jeanne Spears, RN Disaster Health Services 0

New to Aggregate Morbidity Form Functional and Access Needs

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Page 25: Partners in Data Recovery and Reporting Jeanne Spears, RN Disaster Health Services 0

C-MIST Functional and Access Needs –

Definitions

Communication:•Visual or hearing problems; require equipment or assistance

Maintain Health:•Disease, injury, pregnancy, mental health issues; require medication, medical supplies, oxygen, temp control, or daily care (ADLs)

Independence:Mobility issues; require medical equipment for safety, comfort, mobility, and ADL’sInfant services and service animal accommodations

Services/Support:•Requires support (e.g., family, caregiver, qualified shelter volunteer, or local agency) provide non-medical ADL’s

Transportation:•Requires transportation to a medical care facility for treatment or non-medical appointment

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Page 26: Partners in Data Recovery and Reporting Jeanne Spears, RN Disaster Health Services 0

Morbidity Flow Chart – Reporting Process

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Page 27: Partners in Data Recovery and Reporting Jeanne Spears, RN Disaster Health Services 0

Disaster-Related Mortality Surveillance

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Page 28: Partners in Data Recovery and Reporting Jeanne Spears, RN Disaster Health Services 0

Disaster-related Surveillance

All deaths associated with a disaster All single and multi-family fires deaths Information obtained about disaster-

related deaths are identified by media outlets, fire and police departments, hospitals and emergency departments or other similar sources

Page 29: Partners in Data Recovery and Reporting Jeanne Spears, RN Disaster Health Services 0

Condolence Visits

• Once deaths are verified, Red Cross usually schedule condolence visits with the family Condolence visits include health services,

mental health and/or spiritual care and possibly client casework

• For larger scale fatalities, an integrated care team is established to contact families

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Page 30: Partners in Data Recovery and Reporting Jeanne Spears, RN Disaster Health Services 0

Mortality Surveillance

Form

Page 31: Partners in Data Recovery and Reporting Jeanne Spears, RN Disaster Health Services 0

Mortality Surveillance Form PART II

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Page 32: Partners in Data Recovery and Reporting Jeanne Spears, RN Disaster Health Services 0

Mortality Surveillance Form PART III

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Page 33: Partners in Data Recovery and Reporting Jeanne Spears, RN Disaster Health Services 0

Mortality Surveillance Form PART III

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Page 34: Partners in Data Recovery and Reporting Jeanne Spears, RN Disaster Health Services 0

Mortality Flow Chart – Reporting Process

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Publications to Date 2012Evaluation of the American Red Cross Disaster-Related Mortality Surveillance System by Using Hurricane Ike Data - Texas, 2008. Disaster Med Public Health Preparedness. 2012

Deaths Associated with a Historic Tornado Disaster--Southeastern United States, April 25-28, 2011.MMWR Morb Mortal Wkly Rep. 2012; 61(28);529-533

Disaster-related injuries and illnesses treated by American Red Cross Disaster Health Services during Hurricanes Gustav and Ike. Southern Medical Journal 106, no. 1 (2013): 102-108

2013Fatalities Associated with the April 2011 Tornadoes (accepted for publication in American Journal of Public Health)

Fatalities Associated with Hurricane Sandy (accepted by MMWR)

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Page 36: Partners in Data Recovery and Reporting Jeanne Spears, RN Disaster Health Services 0

Thank You,

Jeanne Spears, [email protected]

202-367-5454

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