Real-Time Planning and Training System to Improve Long-Term Care Disaster Prepare

描述（由申请人提供）：本项目的主要长期目标是开发一个用户友好的在线所有危害规划和现场特定培训系统，该系统具有信息共享框架，可供长期护理（LTC）设施、其他LTC设施以及辅助和合作机构访问实时数据汇总。REALPREP的总体目标是通过更好的计划、更好的培训和更多的信息共享，在实际执行备灾计划和应急反应期间改善长期培训中心设施的成果。2005年的一项调查显示，全国只有10%的长期卫生设施有应急计划。此外，2006年8月卫生和公众服务部监察长办公室的一份报告指出，报告所列的所有20个设施在卡特里娜飓风期间试图执行救灾计划时都存在重大问题; 3在报告的1,330例死亡中，71%的受害者年龄超过60岁，4这些研究结果显示，在制订有效和易于更新的计划时，需要更加注意支持长期护理设施。“全灾”备灾方法需要考虑到老年人在发生灾害或潜在生物恐怖威胁时身体和心理问题的脆弱性和风险。2此外，虽然应急规划软件有限，但只有一种已知应用程序试图解决LTC设施日益增加的挑战。严重的可用性问题和缺乏直观性，迫使感兴趣的LTC工作人员投入时间和金钱来使用资源，阻碍了其在市场上的接受。在这项研究中，我们的研究小组建议开发一个基于网络的工具，称为REALPREP（实时应急应用和学习准备），这将促进积极的所有危险准备计划和现场特定的培训，以满足LTC设施面临的独特需求和问题。这一快速可行的系统使LTC提供者、管理者和工作人员（预计将达到180万人）能够计划和应对生物恐怖主义威胁、自然灾害和其他公共卫生紧急情况，而无需事先接受培训。REALPREP使用RIA，并以TurboTax为模型，指导在灾难准备主题方面几乎没有背景的用户快速、准确和有效地生成所需的内容。基于先前对CTEE课程的工作，该系统使用与ICS概念和LTC灾难计划最佳实践集成的特定地点的配置文件信息，为所有15个DHS确定的场景自动化灾难计划的制定。第一阶段的赠款预计将用于支付原型的费用、对其效用的评估以及从投入中进行定制培训的可行性。 公共卫生相关性：REALPREP是一个在线的所有危险计划工具，可以帮助LTC设施轻松地创建，更新和沟通的所有危险计划的工作人员和应急响应机构通过一个直观的界面。REALPREP系统基于以用户为中心的设计原则和之前屡获殊荣的健康教育培训，将提供一种解决方案，解决长期护理中心在准备应对所有类型的公共卫生危害方面面临的挑战（例如持续的人员短缺、高流动性、独特的监管要求和老年人面临的脆弱性）。此外，REALPREP可以减轻LTC工作人员在中央安全存储库中维护其所有危险计划的负担。

DESCRIPTION (provided by applicant): The primary long-term goal of this project is to develop a user-friendly, online all-hazards planning and site- specific training system with an information sharing framework with real-time data aggregation available for access by the long term care (LTC) facility, other LTC facilities and ancillary and cooperating agencies. The overall goal of REALPREP is improved outcomes at the LTC facilities during actual disaster preparedness plan execution and emergency response via better plans, improved training and greater information sharing. A 2005 survey revealed that only 10% of the nation's long-term health facilities had an emergency response plan. Additionally, an August 2006 report from the Office of the Inspector General (OIG) of the Department of Health and Human Services (HHS) noted that all 20 of the facilities included in the report had major issues when attempting to implement disaster plans during Hurricane Katrina;3 Of the 1,330 deaths reported 71% of the victims were over age 60, and nearly half were older than 75.4 Such findings suggest that more attention need to be paid in supporting LTC facilities in developing effective and easily updatable plans.5 An "all- hazards" approach to disaster preparedness needs to take into consideration the fact that older adults are vul- nerable and at risk for physical and psychosocial problems during times of disaster or potential bio-terrorist threats.2 In addition, while limited emergency planning software exists, only one known application attempts to address the increased challenges of LTC facilities. Severe usability issues and a lack of intuitiveness, which forces in- terested LTC staff to invest time and money to use the resource has hindered its acceptance in the market. In this study, our research team proposes to develop a web-based tool called REALPREP (Real-time Emer- gency Application and Learning for Preparedness), which will promote active all-hazards preparedness plan- ning and site-specific training for the unique needs and issues facing LTC facilities. This fast actionable system enables LTC providers, managers, and staff-a number, which is projected to be 1.8 million--to plan and re- spond to bioterrorism threats, natural disasters, and other public health emergencies, with little or no prior training. REALPREP uses RIA and is modeled after TurboTax in its approach to guiding users with little or no background in the disaster preparedness subject matter in producing what it needs quickly, accurately and ef- fectively. Building on prior work on the PREPARE curriculum, the system automates disaster plan development using site-specific profile information integrated with ICS Concepts and best practices for LTC disaster plan- ning for all 15 DHS identified scenarios. A Phase I grant is expected to cover the costs of the prototype, an evaluation of its utility and the feasibility of custom training from the input. PUBLIC HEALTH RELEVANCE: REALPREP is the online all-hazards planning tool that can help LTC facilities to easily create, update and communicate the all-hazards plan to staff and emergency response agencies via an intuitive interface. The REALPREP system, based on user-centered design principles and previous award-winning PREPARE train- ing, will provide a solution which address the challenges (such as ongoing staffing shortages, high turnover, unique regulatory requirements, and vulnerabilities faced by older adults) facing LTCs in preparing staff for responding to all-types of public health hazards. Additionally, REALPREP can reduce the burden on LTC staff to maintain their all-hazards plans in a central secure repository.