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

描述（由申请人提供）：该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特定地点培训系统，该系统具有信息共享框架，具有实时数据汇总，可供长期护理（LTC）设施，其他LTC设施以及辅助和合作机构使用。REALPREP的总体目标是，通过改进计划、改进培训和加强信息共享，改善LTC设施在实际执行备灾计划和应急反应过程中的成果。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，卫生与公众服务部监察长办公室（监察长办公室）2006年8月的一份报告指出，报告中所列的所有20个设施在试图实施卡特里娜飓风期间的救灾计划时都存在重大问题；3在报告的1 330例死亡中，71%的受害者年龄在60岁以上，近一半的受害者年龄在75.4岁以上。这些调查结果表明，需要更加注意支持长期监禁中心设施制定有效和易于更新的计划对备灾采取“所有危险”的方法需要考虑到这样一个事实，即老年人在灾难或潜在的生物恐怖主义威胁期间是脆弱的，并且面临身体和心理问题的风险此外，虽然存在有限的应急规划软件，但只有一种已知的应用程序试图解决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员工投入时间和金钱来使用该资源，阻碍了其在市场上的接受度。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灾害准备计划和针对LTC设施面临的独特需求和问题的特定地点培训。这个快速可操作的系统使LTC提供者、管理人员和工作人员（预计将达到180万）能够在很少或根本没有事先培训的情况下，规划和应对生物恐怖主义威胁、自然灾害和其他公共卫生突发事件。REALPREP使用RIA，并以TurboTax为模型，指导在灾难准备主题方面很少或没有背景的用户快速、准确和有效地生产所需的东西。在PREPARE课程前期工作的基础上，该系统将针对所有15个国土安全部确定的场景，使用特定地点的概要信息，将ICS概念和LTC灾难规划的最佳实践相结合，实现灾难计划开发的自动化。第一阶段的赠款预计将用于支付原型的费用、评估其效用和根据投入进行定制培训的可行性。

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.