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Surge Capacity Assessments and Regionalization Issues

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Slide Presentation by Dena M. Bravata, M.D., M.S.

On June 17, 2003, Dena Bravata, M.D., M.S., made a presentation in the Web-assisted Audioconference entitled Surge Capacity Assessments and Regionalization Issues. The User Liaison Program (ULP) of the Agency for Healthcare Research and Quality (AHRQ) developed and sponsored the program.

The is the text version of Dr. Bravata's slide presentation.

Evidence Report on Regionalization of Bioterrorism Preparedness and Response Planning

Dena M. Bravata, M.D., M.S.
Project Director
Stanford-University of California, San Francisco Evidence-based Practice Center

Slide 1

Evidence Report

  • Purpose: to synthesize the published evidence on a given topic.
  • Method:
    • Search literature for relevant articles.
    • Abstract data from each article.
    • Evaluate the evidence.

Slide 2

Literature Sources

  1. Medical, public health.
    • Identify key tasks for responding to bioterrorism-related events.
  2. Supply chain, logistics.
    • Identify best practices for designing regional stockpiles and distribution systems.
  3. Emergency management.
    • Identify key components of mutual aid agreements.
  4. Government documents.
    • Identify ongoing bioterrorism response planning efforts.

Slide 3

Two Approaches

  1. Design a completely new system.
  2. Consider bioterrorism preparedness planning in the context of existing response infrastructures.
    • Public health.
    • First responders.
    • Hospital systems.
    • Laboratories.

Slide 4

Key Tasks to Subtasks to Resources

  • Planning and Preparedness.
  • Field assessment and triage.
  • Diagnosis.
  • Management of acutely ill.
  • Prevention.
  • Surveillance.
  • Outbreak Investigation.
  • Communication.
  • Emergency Management.

Slide 5

Preliminary Findings

  • Many systems.
  • Few evaluations.

Slide 6

Utility of the Evidence Report

  • Identify regional response organizations.
  • Identify available evidence about regionalization of key tasks.
  • Simulations of regionalization.
    • Stockpiling/distributing antibiotics/vaccine.
    • Surveillance.

Slide 7

To obtain a copy of the Evidence Report

  • " Regionalization of Bioterrorism Preparedness and Response" (available after December 2003).
  • Free of charge:

Slide 8

Information Technology for Bioterrorism Preparedness

  • Detection/Diagnosis (78 systems).
  • Management and Prevention (18 systems).
  • Surveillance systems (90 systems)*.
  • Reporting and Communication (26 systems)*.
  • Integrated Surveillance, Communication, and Command and Control (7 systems)*.

* High relevance to surge capacity and regionalization.

Slide 9

Humanitarian Logistics

  • Primary Objective: Timely mobilization of financing and goods.
  • Tasks: procurement, transport, tracking and tracing, customs clearance, local transportation, warehousing and last mile delivery.
  • Fritz Institute.

Current as of September 2003

Internet Citation:

Evidence Report on Regionalization of Bioterrorism Preparedness and Response Planning. Text Version of a Slide Presentation at a Web-assisted Audioconference. Agency for Healthcare Research and Quality, Rockville, MD.


The information on this page is archived and provided for reference purposes only.


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