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![Page 1: Developing Effective Partnerships with State Government CDC Public Health Preparedness Conference 2005 Marsha Morien, MSBA, FACHE Nebraska Center for Rural.](https://reader035.fdocuments.in/reader035/viewer/2022062409/5697c0071a28abf838cc5d00/html5/thumbnails/1.jpg)
Developing Effective Partnerships with State
Government
CDC Public Health Preparedness Conference 2005
Marsha Morien, MSBA, FACHENebraska Center for Rural BiosecurityUniversity of Nebraska Medical Center
February 23, 2004
![Page 2: Developing Effective Partnerships with State Government CDC Public Health Preparedness Conference 2005 Marsha Morien, MSBA, FACHE Nebraska Center for Rural.](https://reader035.fdocuments.in/reader035/viewer/2022062409/5697c0071a28abf838cc5d00/html5/thumbnails/2.jpg)
Origins of University of Nebraska program 1997
• Provide public health related laboratory testing within University– STD
– Epidemiology
– Antibiotic resistance
– Emerging infectious disease
• Reduce costs
• Develop lab test electronic reporting system
![Page 3: Developing Effective Partnerships with State Government CDC Public Health Preparedness Conference 2005 Marsha Morien, MSBA, FACHE Nebraska Center for Rural.](https://reader035.fdocuments.in/reader035/viewer/2022062409/5697c0071a28abf838cc5d00/html5/thumbnails/3.jpg)
Laboratory Interoperability 2000-
• First Internet-based ordering and reporting system
• NEDSS Base System, alpha and beta site
– One of two nationally
• National Laboratory System Demonstration Project, NE, WA, MI, MN
![Page 4: Developing Effective Partnerships with State Government CDC Public Health Preparedness Conference 2005 Marsha Morien, MSBA, FACHE Nebraska Center for Rural.](https://reader035.fdocuments.in/reader035/viewer/2022062409/5697c0071a28abf838cc5d00/html5/thumbnails/4.jpg)
Nebraska State-wide ModelPurpose:
• Test concepts related to BT preparedness
• Develop Communication strategies
• Interface with agriculture and food production
• Enlist private sector
![Page 5: Developing Effective Partnerships with State Government CDC Public Health Preparedness Conference 2005 Marsha Morien, MSBA, FACHE Nebraska Center for Rural.](https://reader035.fdocuments.in/reader035/viewer/2022062409/5697c0071a28abf838cc5d00/html5/thumbnails/5.jpg)
Nebraska Model Strategic Planning
• State and National Leaders
• Military, Government, Industry
• Plan for continuity of operations in an emergency
• Maintain key services
• Develop working model
![Page 6: Developing Effective Partnerships with State Government CDC Public Health Preparedness Conference 2005 Marsha Morien, MSBA, FACHE Nebraska Center for Rural.](https://reader035.fdocuments.in/reader035/viewer/2022062409/5697c0071a28abf838cc5d00/html5/thumbnails/6.jpg)
Governor Appointed: Nebraska Homeland Security Policy
Group
• Lt. Governor, Director of Homeland Security• NE Emergency Management Agency• Health and Human Services System• State Patrol• State Fire Marshal• University of Nebraska• State Chief Information Officer
![Page 7: Developing Effective Partnerships with State Government CDC Public Health Preparedness Conference 2005 Marsha Morien, MSBA, FACHE Nebraska Center for Rural.](https://reader035.fdocuments.in/reader035/viewer/2022062409/5697c0071a28abf838cc5d00/html5/thumbnails/7.jpg)
University of Nebraska Center for Biosecurity
• Created in 2002
• Four campuses:– University of Nebraska Medical Center– University of Nebraska - Lincoln– University of Nebraska at Omaha– University of Nebraska at Kearney
![Page 8: Developing Effective Partnerships with State Government CDC Public Health Preparedness Conference 2005 Marsha Morien, MSBA, FACHE Nebraska Center for Rural.](https://reader035.fdocuments.in/reader035/viewer/2022062409/5697c0071a28abf838cc5d00/html5/thumbnails/8.jpg)
NU Center for Biosecurity
• Administrative Support
• Research Program Coordination
• Faculty Coordination
• Technology Development
• Critical Infrastructure Protection
![Page 9: Developing Effective Partnerships with State Government CDC Public Health Preparedness Conference 2005 Marsha Morien, MSBA, FACHE Nebraska Center for Rural.](https://reader035.fdocuments.in/reader035/viewer/2022062409/5697c0071a28abf838cc5d00/html5/thumbnails/9.jpg)
Mid America Alliance
University of Nebraska Center
forBiosecurity
University of Nebraska Center
forBiosecurity
Laboratory Automation
Laboratory Automation
NE Center for BioterrorismEducation
NE Center for BioterrorismEducation
Nebraska Center for
Rural Biosecurity
Nebraska Center for
Rural Biosecurity
BT Curriculum Development
For HealthProfessions
BT Curriculum Development
For HealthProfessions
State & LocalGovernment
State & LocalGovernment
Private Sector
Private Sector
University FacilitiesCritical
Infrastructure
University FacilitiesCritical
Infrastructure
Biological Weapons Infectious Organisms
Biological Weapons Infectious Organisms
![Page 10: Developing Effective Partnerships with State Government CDC Public Health Preparedness Conference 2005 Marsha Morien, MSBA, FACHE Nebraska Center for Rural.](https://reader035.fdocuments.in/reader035/viewer/2022062409/5697c0071a28abf838cc5d00/html5/thumbnails/10.jpg)
Center for Public Health Preparedness
• Improve biosecurity in rural, urban and frontier communities
• Involve traditional rural outreach programs
• Expand data repositories
![Page 11: Developing Effective Partnerships with State Government CDC Public Health Preparedness Conference 2005 Marsha Morien, MSBA, FACHE Nebraska Center for Rural.](https://reader035.fdocuments.in/reader035/viewer/2022062409/5697c0071a28abf838cc5d00/html5/thumbnails/11.jpg)
Key Elements of CPHP
• Connect Water and Food testing lab, Veterinary Diagnostic Lab
– Laboratory systems Interoperability
• Health Professions Tracking Center
• CPHP Networking
![Page 12: Developing Effective Partnerships with State Government CDC Public Health Preparedness Conference 2005 Marsha Morien, MSBA, FACHE Nebraska Center for Rural.](https://reader035.fdocuments.in/reader035/viewer/2022062409/5697c0071a28abf838cc5d00/html5/thumbnails/12.jpg)
Leveraging University Services for the State - HHSS/NEMA
• Information Technology
• GIS
• Critical Infrastructure
• Chemical Detection
• Facilities
![Page 13: Developing Effective Partnerships with State Government CDC Public Health Preparedness Conference 2005 Marsha Morien, MSBA, FACHE Nebraska Center for Rural.](https://reader035.fdocuments.in/reader035/viewer/2022062409/5697c0071a28abf838cc5d00/html5/thumbnails/13.jpg)
Information Technology Services
• Academic records
• Data repository
• Internet
![Page 14: Developing Effective Partnerships with State Government CDC Public Health Preparedness Conference 2005 Marsha Morien, MSBA, FACHE Nebraska Center for Rural.](https://reader035.fdocuments.in/reader035/viewer/2022062409/5697c0071a28abf838cc5d00/html5/thumbnails/14.jpg)
Center for Advanced Land Management (CALMIT)
Geographic mapping:• Bridges• Nuclear power plants• Feed lots• Water reservoirs
![Page 15: Developing Effective Partnerships with State Government CDC Public Health Preparedness Conference 2005 Marsha Morien, MSBA, FACHE Nebraska Center for Rural.](https://reader035.fdocuments.in/reader035/viewer/2022062409/5697c0071a28abf838cc5d00/html5/thumbnails/15.jpg)
Critical Infrastructure Protection
• Ad hoc advisory committee created by University President
• Reviewed needs of system for operations continuity and prevention/mitigation
• Established priorities• Commit to training and planning
activities
![Page 16: Developing Effective Partnerships with State Government CDC Public Health Preparedness Conference 2005 Marsha Morien, MSBA, FACHE Nebraska Center for Rural.](https://reader035.fdocuments.in/reader035/viewer/2022062409/5697c0071a28abf838cc5d00/html5/thumbnails/16.jpg)
Critical Infrastructure Priorities
• Access control for buildings storing toxic chemicals and infectious organisms
• Security for data storage including
backup to state government systems
• Security for large venues and power plants
![Page 17: Developing Effective Partnerships with State Government CDC Public Health Preparedness Conference 2005 Marsha Morien, MSBA, FACHE Nebraska Center for Rural.](https://reader035.fdocuments.in/reader035/viewer/2022062409/5697c0071a28abf838cc5d00/html5/thumbnails/17.jpg)
TEREX 2004November 4, 2004
• Statewide multi-agency exercise
• Simulated attack on critical infrastructures– Kingsley Dam at Lake McConaughy– Nebraska State Office Building in
Lincoln
![Page 18: Developing Effective Partnerships with State Government CDC Public Health Preparedness Conference 2005 Marsha Morien, MSBA, FACHE Nebraska Center for Rural.](https://reader035.fdocuments.in/reader035/viewer/2022062409/5697c0071a28abf838cc5d00/html5/thumbnails/18.jpg)
University of Nebraska Participation
Vision: Strive for preparedness excellence by analyzing exercise results
![Page 19: Developing Effective Partnerships with State Government CDC Public Health Preparedness Conference 2005 Marsha Morien, MSBA, FACHE Nebraska Center for Rural.](https://reader035.fdocuments.in/reader035/viewer/2022062409/5697c0071a28abf838cc5d00/html5/thumbnails/19.jpg)
Goals• Identify strengths to
maintain and build• Identify areas for
improvement• Recommend
exercise follow-up actions
![Page 20: Developing Effective Partnerships with State Government CDC Public Health Preparedness Conference 2005 Marsha Morien, MSBA, FACHE Nebraska Center for Rural.](https://reader035.fdocuments.in/reader035/viewer/2022062409/5697c0071a28abf838cc5d00/html5/thumbnails/20.jpg)
University of Nebraska Capabilities
• One Communications Pathway
• Coordinated campus security policies including building/campus closures
• Effective communications relating to emergencies involving students and staff
![Page 21: Developing Effective Partnerships with State Government CDC Public Health Preparedness Conference 2005 Marsha Morien, MSBA, FACHE Nebraska Center for Rural.](https://reader035.fdocuments.in/reader035/viewer/2022062409/5697c0071a28abf838cc5d00/html5/thumbnails/21.jpg)
University of Nebraska Capabilities (cont.)
• Identification of key media spokesperson
• Identification of resources to improve safety and security of facilities and staff
• Conduct risk and vulnerability assessments
![Page 22: Developing Effective Partnerships with State Government CDC Public Health Preparedness Conference 2005 Marsha Morien, MSBA, FACHE Nebraska Center for Rural.](https://reader035.fdocuments.in/reader035/viewer/2022062409/5697c0071a28abf838cc5d00/html5/thumbnails/22.jpg)
Major Successes
• Excellent teamwork
• Newly developed operations plans tested and need for changes identified
• Ability to adapt to changing situations
• Communications methods tested among and within campuses
![Page 23: Developing Effective Partnerships with State Government CDC Public Health Preparedness Conference 2005 Marsha Morien, MSBA, FACHE Nebraska Center for Rural.](https://reader035.fdocuments.in/reader035/viewer/2022062409/5697c0071a28abf838cc5d00/html5/thumbnails/23.jpg)
Lessons Learned
• Campuses should continue the UNS “Core Disciplines” Planning, Exercise, Training process
• Identified communication and facilities shortages to address in grant funding requests
• Continue development of emergency operations plans regarding evacuation and relocation
![Page 24: Developing Effective Partnerships with State Government CDC Public Health Preparedness Conference 2005 Marsha Morien, MSBA, FACHE Nebraska Center for Rural.](https://reader035.fdocuments.in/reader035/viewer/2022062409/5697c0071a28abf838cc5d00/html5/thumbnails/24.jpg)
Nebraska’s Model for Emergency Preparedness
Builds on academic/state/private sector Builds on academic/state/private sector partnershipspartnerships
Leverages University strength and expertise for State Leverages University strength and expertise for State benefitbenefit
Rapidly improves state public health readinessRapidly improves state public health readiness