Download Domain 2: Investigate health problems and

Domain 2: Investigate health problems and environmental public health hazards to protect the community
Timely
investigations
(2.1)
Measure 2.1.1 A: Maintain protocols for investigation process
Documentation Checklist:
Current
Responsibilities clear
Examples:
Measure 2.1.2 L: Demonstrate expertise and capacity to conduct investigations of an infectious or communicable disease
Documentation Checklist:
Qualifications and credentials clear
Training documentation dated, detailed and attendance clear
Investigation reports audited or reviewed and follow up noted
AARs timely and produced after conducting investigation
Examples:
Tioga County Health Department
Measure 2.1.3 A: Demonstrate expertise and capacity to conduct investigations of non-infectious health problems and environmental/occupational public
health hazards
Documentation Checklist:
Qualifications and credentials clear
Training documentation dated, detailed and attendance clear
Completed investigation dated and thorough
Examples:
Measure 2.1.4 A: Work collaboratively through established governmental and community partnerships on investigations of reportable/disease outbreaks and
environmental public health issues
Documentation Checklist:
Agreements current
Agreements signed
Roles clear in MOUs or contracts
Demonstration of collaborations current
Laboratory list of services current
Examples:
Austin-Travis County Health Department
Measure 2.1.5 A: Monitor timely reporting of notifiable/reportable diseases, lab test results, and investigation results
Documentation Checklist:
Tracking log or report includes lab results
Tracking log or report includes investigation details
Applicable laws current
Examples:
Domain 2: Investigate health problems and environmental public health hazards to protect the community
Containment
and Mitigation
(2.2)
Measure 2.2.1 A: Maintain protocols for containment/mitigation of public health problems and environmental public health hazards, including disease-specific
procedures for outbreaks and conducting follow-up documentation and reporting
Measure 2.2.2 A: Demonstrate that protocols for containment/mitigation of public health problems and environmental public health hazards include
processes determining what triggers implementation of the AHEOP
Documentation Checklist:
Current
Includes disease-specific protocols
Must address listed elements
Highlight process for determining initiation of AHEOP
Specifically address environmental public health hazards
Include cluster evaluation
Include who will be involved
Include criteria for consideration
Examples:
Measure 2.2.3 A: Complete an AAR following communicable disease outbreaks, environmental public health risks, natural disasters, and other events that
threaten the health of the people
Documentation Checklist:
Criteria for requiring AAR and rationale is clearly included in current protocol
List of significant events from last five years updated and includes AAR-events and non-AAR-events
Two reports contain what worked well, issues that arose, potential improvement areas and recommended improvements
Examples:
Anonymous LHD; Norton County Health Department
Domain 2: Investigate health problems and environmental public health hazards to protect the community
Laboratory and
other public
health capabilities
(2.3)
Measure 2.3.1 A: Maintain provisions for 24/7 emergency access, including surge capacity, to epidemiological and environmental public health resources
capable of providing rapid detection, investigation, and containment/mitigation of public health problems and environmental public health hazards
Documentation Checklist:
Process details how support services are accessed during emergencies
Call down list current and updated
Contractors and MOUs current, signed and comprehensive
Laboratory capacity roles clear and certified
Protocols for handling specimens clear
Examples:
Measure 2.3.2 A: Maintain 2/7 access, including surge capacity, to laboratory resources capable of providing rapid detection, investigation and containment of
health problems and environmental public health hazards
Measure 2.3.3 A: Maintain access to other support personnel and infrastructure capable of providing additional surge capacity
Documentation Checklist:
Protocol, procedure or policy up to date
Staffing list includes staff information and clear roles
Method for accessing staff must be clear
Equipment list up to date and comprehensive
Surge capacity training documented and attendance clear
Contracts for additional staff current and signed
Examples:
Measure 2.3.4 A: Demonstrate that Tribal, state and local health departments work together to build capacity and share resources to address Tribal, state, and
local efforts to provide for rapid detection, investigation, and containment/mitigation of public health problems and environmental public health hazards
Documentation Checklist:
Must show participation of different agencies clearly
Records must be dated, current and reviewed
Examples:
Domain 2: Investigate health problems and environmental public health hazards to protect the community
Communications Measure 2.4.1 A: Maintain written protocols for urgent 24/7 communications
Documentation Checklist:
plan (2.4)
Updated at least annually
Includes health care providers
Includes response partners
Includes the media
Must include more than one way to contact each partner
Method of contacting HD must be current and clear to public and partners
Ability to contact HD 24/7 must be documented
Examples:
Measure 2.4.2 A: Implement a system to receive and provide health alerts and to coordinate an appropriate public health response with health care providers,
emergency responders, and communities, on a 24/7 basis
Documentation Checklist:
Tracking system documented
Tracking system tests at different times, dated and results provided
Examples:
Anonymous LHD
Measure 2.4.3 A: Provide timely communication to the general public during public health emergencies
Documentation Checklist:
Timeliness during an emergency demonstrated
Information accurate, accessible and actionable
Media communication timely and dated
Examples:
Miami-Dade County Health Department