S/T3: Biological, chemical, and radiological (if LRN-R is established) threat laboratory personnel trained annually on chain of custody procedures. CMIST framework: The Communication; Maintaining Health; Independence; Support, Safety and Self-determination; Transportation (CMIST) framework defines cross-cutting categories of the access and functional needs of at-risk individuals. P1: (Priority) Documentation of incident-specific volunteer safety and health risks, threats, and precautions identified by the jurisdictional public health agency and lead partners, such as occupational health and safety, environmental health, and radiation control programs. Task 3: Provide medical countermeasures to public health responders and critical workforce. Mental/behavioral health: An overarching term to encompass behavioral, psychosocial, substance abuse, and psychological health. Procedures may include, (See Capability 8: Medical Countermeasure Dispensing and Administration, Capability 9: Medical Materiel Management and Distribution, and Capability 11: Nonpharmaceutical Interventions). S/T1: Volunteers from the Medical Reserve Corps (MRC) and other sources, such as Emergency System for Advance Registration of Volunteer Health Professionals (ESAR-VHP) trained in expected roles and responsibilities for community recovery activities. Isolation: The separation of persons who have a specific infectious illness from those who are healthy and the restriction of their movement to stop the spread of that illness. CDC's inaugural report on public health emergency preparedness highlights the progress that has been made in State and local preparedness and response, identifies preparedness challenges that public health departments face, and outlines CDC's efforts to address those challenges. S/T1: (Priority) Responder safety and health training topics may include. to enter different parameters into the system to support planning for resource allocation within medical facilities. The first step in the assessment phase is to determine which organizational entities within the jurisdiction are responsible for each domain, capability standard, and applicable capability resource elements. E/T1: Electronic and non-electronic tools and methods for data collection, management, analysis, and sharing. While these laboratories may not be equipped to perform the same tests as LRN reference laboratories, they can test samples. Preventative maintenance and service agreements must be provided for all equipment listed on the LRN-B equipment list. Task 2: Document additional incident-specific safety and health risks. Definition: Emergency operations coordination is the ability to coordinate with emergency management and to direct and support an incident or event with public health or health care implications by establishing a standardized, scalable system of oversight, organization, and supervision that is consistent with jurisdictional standards and practices and the National Incident Management System (NIMS). S/T2 MRC volunteers and procedures to ensure coordination with existing community emergency response teams (CERTs) or Citizen Corps or support for the state ESAR-VHP program. exchange. Successfully attaining capability resource elements is defined as the ability to demonstrate that a jurisdictional public health agency either has (on hand or within existing plans and documents) or has access to (partner agency or organization has the jurisdictional authority or responsibility for the resource and evidence exists that agreements regarding roles and responsibilities are in place) the resource element. P5: Procedures in place to connect health care organizations and providers with additional volunteers or other personnel through volunteer or staffing programs, such as ESAR-VHP, MRC, and the National Disaster Medical System (NDMS), if necessary. S/T3: Personnel trained to conduct tabletop, functional, and full-scale exercises in accordance with the Homeland Security Exercise and Evaluation Program (HSEEP) guidance to test and evaluate jurisdictional medical materiel management and distribution strategies. Provide information to educate the public regarding available health care services, and adapt messaging for populations that may be disproportionately impacted by the incident, including individuals with access and functional needs. For the purposes of Capability 11, partners and stakeholders may include the following: Function Definition: Engage with partners and stakeholders to identify authorities, policies, and community factors that guide decision-making about NPIs and to determine jurisdictional roles and responsibilities for NPIs. Task 2: Coordinate support services for NPIs. CDC strongly encourages jurisdictional public health agencies to leverage routine public health activities, as applicable, to exercise and evaluate the capability standards. Exercises, events, or incidents should be documented and after- action reports and corrective action plans should be developed and implemented. Coordinate with partners to support near-real time electronic death reporting during the fatality management incident. Task 3: Identify and assign required response roles. P3: Procedures in place to dispose of biomedical waste or other hazardous materials with appropriate waste management procedures that comply with applicable laws and regulations, such as disposal of chemical or radiological material. Relevant laws and policies may include, P7: Guidelines for information exchange that requires security clearances, such as information exchang with the Federal Bureau of Investigation (FBI), state bureau of investigation, fusion centers, or agents with a “need to know.”. The role also may include supporting activities for the identification, collection, documentation, retrieval, and transportation of human remains, personal effects, and evidence to the examination location or incident morgue. For the purposes of Capability 14: Responder Safety and Health, responders are defined as public health agency personnel. S/T1: Emergency responders, citizen volunteers, and other community residents trained in standardized and competency-based disaster education and training programs, such as the National Disaster Life Support Program and National and State Voluntary Organizations Active in Disaster (VOAD) planning documents. Anyone can report an adverse event to VAERS. The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. Assemble subject matter experts to assess the severity of exposure or transmission at the jurisdictional level and the need for NPIs. Task 1: Establish and refine antemortem data management processes. P1: Procedures in place to activate and manage designated inquiry line(s), as applicable. Recommended trainings may include. Task 4: Track medical countermeasures that are dispensed/administered. The reports for exercises also may evaluate achievement of the selected exercise objectives and demonstration of the overall capabilities being exercised. P2: (Priority) Templates for disaster-surveillance forms, including active surveillance and facility 24-hour report forms. The review identified the need for CDC to implement several public health emergency preparedness improvement initiatives, including the Capabilities Update Initiative, the formal process CDC used for revising the Public Health Preparedness Capabilities: National Standards for State and Local Planning. Use geographic information systems (GIS), demographics, and epidemiological data to understand the complexities of the emergency and the response and to identify appropriate methods and sources, such as trusted spokespersons to protect, reach, and engage at-risk individuals with access and functional needs who may be disproportionately impacted by the incident. Health April 28, 2009. 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