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Liz Ticer, BS Johnson County, KS Department of Health and Environment Public Health Emergency Program Manager

Dispense Assist 2013 FEMA Region VII Medical Conference

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Liz Ticer, BS

Johnson County, KS

Department of Health and Environment

Public Health Emergency Program Manager

Presentation Outline

• Introduction & Project

History

• Dispense Assist (DA)

Process

• Implementation

• Records Management

• What’s on the Horizon?

• Website Review

• Q & A

Presenter Requests

• Step out when/if you need

to

• Please keep all side

conversations to a

minimum

• Remember, we are a local

health department, not a

vendor

PROJECT HISTORY

Needs for Mass

Dispensing

• Capacity

• Leveraging of current

resources

• Computer based

screening

• Tool to meet Urban and

Rural challenges

• Clean data

Wants for Mass

Dispensing

• Online capability

• Locally managed

• Sustainable

• Easy process

• Universal

• “Everyday” use

• Free for anyone

Work Group

• Reviewed San Francisco

Bay Area Meds work with

screening questions and

protocol

• Identified process

• Wanted simple and

sustainable

Development

• Use of the best of what

has already been done

• Electronic screening

• Online access

• Electronic data capture

• Developed in-house

• $4,000 in costs

System Use

• Engaging the public and

staff

• Clear directive with

actionable task

• Allows for practice during

non-emergency events

• Accessible anytime via

website

Closed Site Development

• Supports At-Risk

Populations Planning

• Existing-Client Model for:

• Mobility Issues

• Developmentally disabled

• Behavioral Health

• Institutionalized/homecare

• Schools, Businesses,

Local Governments

Testing

• DA will work for any jurisdiction

regardless of:

• Geographical size

• Population count

• Technical expertise

• Funding streams

Ave Kiosk

Time: 1m 51s

Ave

Dispensing

Time: 41.4s

PROCESS

Dispensing Process

No designated “screening” staff

• D = Doxy

• C = Cipro

• X = DO NOT DISPENSE

– cannot receive either medication and should be directed to medical assistance as your plan dictates.

• I = They can be vaccinated.

• Rearrangement• Renal Disease• Amoxicillin

DA Changes not reflected here

• “Ticket for Entry” aka DA Voucher

• Print your “ticket” before you arrive on site

• This will get you in and out faster

• Home, work or school

• 3+ Rule

• 85% with one message

• 90% with two messages

• 95%+ with three messages

• Save yourself time in line!!

• Print your voucher and bring it with you

• Make sure to print a voucher for each person being vaccinated

IMPLEMENATION

Video

• Target At-Risk and/or large populations• Mental Health

• Developmental Supports

• Human Services

• Schools

• Meals on Wheels

• Jails/Detention Facilities

• Public Sectors

• Private Businesses

• Home Health

• Assisted Living Centers

• Let them choose who their population will be:• Employee only

• Employee + Family

• Students only

• Students + Family

• High-Risk

• Mobility

• More Closed Sites = Less

Open Sites

• Use resources and

equipment you already

have

• Decide how DA best fits

• Work the process

• Use the tools on the

website

• Join the DA Users Group

• Keep it simple

• No really. It is this easy.

Closed Site Training

Video

RECORDS AND INVENTORY MANAGEMENT

WHAT’S NEXT FOR DA?

• Languages

• Top 10 for KC Metro =

Top 8 for the US

• New diseases

• Smallpox

• Tdap

• 50/50 Algorithm

• Online Training

• Closed Sites

• Hospitals

• PHEP Planners

• Dispensers

• Job Aides

• Publication

REVIEW