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HomeMy WebLinkAboutContract 31535 PTF FT CITY SECRETARY CONTRACT NO. 1 x � � DEPARTMENT OF STATE HEALTH SERVICES 1100 WEST 49TH STREET AUSTIN, TEXAS 78756-3199 STATE OF TEXAS DSHS Document No.7560005286 2005 COUNTY OF'"- -4-05A09-55 R C V D Contract Change Notice No.09 The Department of State Health Services,hereinafter referred to as RECEIVING AGENCY,did heretofore enter into a contract in writing with FORT WORTH DEPARTMENT OF PUBLIC HEALTH hereinafter referred to as PERFORMING AGENCY. The parties thereto now desire to amend such contract attachment(s)as follows: SUMMARY OF TRANSACTION: ATTNO.05A: CPS-BIOTERRORISM PREPAREDNESS All terms and conditions not hereby amended remain in full force and effect. EXECUTED IN DUPLICATE ORIGINALS ON THE DATES SHOWN. CITY OF FORT WORTH Authorized Contracting Entity(type above if different from PERFORMING AGENCY)for and in behalf of: PERFORMING AGENCY: RECEIVING AGENCY: FORT WORTH EP NT OF PUBLIC DEPART ENT OF STATE HEALTH SERVICES HEALTH By: By (Signature I p s n bXorized to sign) (Signature of person authorized to sign) Joe Paniagua,Assistant City Manager Bob Burnette,Director Procurement and Contracting Services Division (Name and Ti e) (Name and Title) Date: 3 Date: D RECOMMENDED: 'Attested-W. By: (PERFORMING AGENCY Director,if different CL from person authorized to sign contract Marty Hetldfl. City Secrctul —�,�f� DL I'C3D-Rev.6/04 � P^1 Contract Auth rization CkL,U Date �� w�i- C,• OFFICIAL RECORD Cover Page 1 [A co siciffiff WITH, M. J DETAILS OF ATTACHMENTS Att/ DSHS Program ID/ Term Financial Assistance Direct Total Amount Amd DSHS Purchase Assistance (DSHS Share) No. Order Number Begin End Source of Amount Funds* 01C VWVf/LOCALS 01/01/04 08/31/05 State 93.268 95,508.00 0.00 95,508.00 0000001764 02 ZOONOSIS 09/01/04 08/31/05 State 11,664.00 0.00 11,664.00 C038065000 03A DIAB/CDSP 09/01/04 08/31/05 State 80,000.00 0.00 80,000.00 0038790000 04 OPHP/LPHS 09/01/04 08/31/05 State 93.991 40,000.00 0.00 40,000.00 0039223000 05A CPS[BIOTERR 09/01/04 08/31/05 93.283 495,512.00 0.00 495,512.00 0000300995 DSHS Document No.7560005286 2005 Totals $722,684.00 $ 0.00 $722,684.00 Change No. 09 *Federal funds are indicated by a number from the Catalog of Federal Domestic Assistance(CFDA),if applicable. REFER TO BUDGET SECTION OF ANY ZERO AMOUNT ATTACHMENT FOR DETAILS. Cover Page 2 � % � r a DOCUMENT NO. 7560005286-2005 ATTACHMENT NO. 05A PURCHASE ORDER NO. 0000300995 PERFORMING AGENCY: FORT WORTH DEPARTMENT OF PUBLIC HEALTH RECEIVING AGENCY PROGRAM: COMMUNITY PREPAREDNESS SECTION TERM: September 01, 2004 THRU: August 31, 2005 It is mutually agreed by and between the contracting parties to amend the conditions of Document No. 7560005286 2005 -05 as written below. All other conditions not hereby amended are to remain in full force and effect. SECTION I. SCOPE OF WORK is revised to include the following: PERFORMANCE MEASURES PERFORMING AGENCY shall complete the PERFORMANCE MEASURES as stated in the FY 05 Local Public Health Preparedness Work Plan, and as agreed upon by RECEIVING AGENCY, and hereby attached as Exhibit B. SECTION II. SPECIAL PROVISIONS: General Provisions, Terms and Conditions of Payment Article, Paragraph 3, is revised to include following: PERFORMING AGENCY'S request for reimbursement shall include State of Texas Purchase Voucher accompanied by supporting documentation that details monthly expenditures in a format specified by RECEIVING AGENCY. Ell ATTACHMENT—Page 1 +v44��'�� J � DEPARTMENT OF STATE HEALTH SERVICES RECEIVING AGENCY PROGRAM: COMMUNITY PREPAREDNESS SECTION PERFORMING AGENCY:FORT WORTH DEPARTMENT OF PUBLIC HEALTH CONTRACT TERM:09/01/04 THRU: 08/31/05 BUDGET PERIOD: 09/01/04 THRU 08/31/05 DSHS DOC. NO.7560005286 200505A CHG.09 REVISED CONTRACT BUDGET FINANCIAL ASSISTANCE OBJECT CLASS CATEGORIES CURRENT APPROVED CHANGE NEW OR REVISED BUDGET(A) REQUESTED(B) BUDGET(C) Personnel $240,116.00 $25,086.00 $265,202.00 Fringe Benefits 60,029.00 6,272.00 66,301.00 Travel 20,573.00 3,728.00 24,301.00 Equipment* 0.00 11,082.00 11,082.00 Supplies 14,255.00 324.00 14,579.00 Contractual 0.00 0.00 0.00 Other 160,539.00 (79,642.00) 80,897.00 Total Direct Charges $495,512.00 $(33,150.00) $462,362.00 Indirect Charges 0.00 33,150.00 33,150.00 TOTAL $495,512.00 $0.00 $495,512.00 PERFORMING AGENCY SHARE: Program Income 0.00 0.00 0.00 Other Match 0.00 0.00 0.00 RECEIVING AGENCY SHARE $495,512.00 $0.00 $495,512.00 PERFORMING AGENCY SHARE $0.00 $0.00 $0.00 Detail on Indirect Cost Rate Type: Rate 10.00 Base $331,503.00 Total $33,150.00 Budget Justification:Reallocation of funds to purchase equipment and reflect actual expenditures. Form No.GC-9 ECPS—Rev. 10/04 Financial status reports are due the 30th of December,30th of March,30th of June,and the 30th of November. *Equipment list attached. The negotiated indirect cost amount shown above is less than PERFORMING AGENCY'S current approved indirect cost rate on file at RECEIVING AGENCY, i PERFORMING AGENCY: FORT WORTH DEPARTMENT OF PUBLIC HEALTH RECEIVING AGENCY PROGRAM: COMMUNITY PREPAREDNESS SECTION DSHS DOC. NO: 7560005286 2005 ATTACHMENT NO: 05 A Change No. 09 EQUIPMENT LIST ITEM DESCRIPTION NO. OF UNIT EXTENSION UNITS COST 001 Display Booth-Skyline PS3000 Exhibit Booth with Bi-lingual display. 1 5,700.00 $ 5,700.00 002 Software-Pinnacle Liquid Vision Video Editor,Version 5.5. 1 550.00 $ 550.00 003 Printer-Signature Z6 CD/DVD Printer,up to 4800 x 1200 dpi,Windows 1 1,694.00 $ 1,694.00 XP/2000 rinter driver,accessory pack, extended warranty. 004 Camcorder- Sony Mini DV Hand cam, 3 cassettes, carry bag,tripod. 1 3,138.00 $ 3,138.00 TOTALS $ 11,082.00 Items may be brand name,if specified, or equivalent. Equipment List Page 1 EXHIBIT B FY 2005 Local Public Health Preparedness Work Plan For CITY OF FORT WORTH PUBLIC HEALTH DEPARTMENT FY2005 Workplan CITY OF FORT WORTH PUBLIC HEALTH DEPARTMENT For Local Public Health Preparedness Page 1 of 53 FOCUS AREA A WORK PLAN PREPAREDNESS PLANNING AND READINESS ASSESSMENT Focus Area A Goal: To continue to ensure statewide readiness,interagency collaboration,local and regional preparedness for bioterrorism,other outbreaks of infectious disease,and other public health threats and emergencies. Complete the table below by providing the activities that will be conducted to meet the stated deliverable,and specify the timeline to indicate when the activity will be completed. If an activity will be occurring multiple times,put the date the first occurrence will be schedule,and then clarify as "ongoing"or "quarterly"as necessary. After the last deliverable for each objective,provide information on the type of resources that will be necessary to achieve the objective. Each block to be completed will adjust as needed to include all required information. OBJECTIVE#1. Iwlainfain/trxin on,and exercise an effective, comprehensive public health emergency preparedness and response plan for the local jurisdiction served by the awardee. DELWERABL #1 '. DELTUEItABLE ACTIVITIES Tl]"LDW A written comprehensive public health all-hazards The grantee, represented by the Fort Worth Bioterrorism and Health emergency response plan that describes the rotes and Emergency Preparedness(BHEP)Team,will continue the development, responsibilities of organizations responsible for functions cultivation and refinement of a comprehensive emergency preparedness described,in ESF 9(Health apd Medical)ami standard and response plan. The Fort Worth/Tarrant County SNS/All Hazards March 2005 and operating guidelines relating to: plan will be approved and periodically updated. ongoing. • Healthcare facility based triage, • Short term acute psychosocial interventions, The grantee will continue to participate in planning meetings with • Support functions, Tarrant County Public Health Department, cross-county partners and • Activation of an Emergency Operation the DFW Hospital Council towards development and maintenance of Center(EOC), plans to assist in healthcare facility based triage, coordination of local • Deployment of Incident Command System hospital critical services delivery, special population needs, volunteer Quarterly and as (ICS), services and short term psychosocial interventions. needed. • Documented mutual aid agreements and/or compacts, • Protocols for coordination with local Memorandums of Understanding (MOU)and Mutual Aid Agreements hospitals for delivery of critical services, • Special popalation needs (MOA)with local,county and regional partners,including Independent Where applicable,protocols for School Districts, in support of an integrated response plan will be • verified, updated and maintained in conjunction with the grantee7s FY2005 Workplan CITY OF FORT WORTH PUBLIC HEALTH DEPARTMENT For Local Public Health Preparedness Page 2 of 53 coordination with Tribal or Mexican health Emergency Management Office. Several emergency response MOUS authorities for border communities, are already in existence through the Fort Worth Emergency Plan that • Where applicable, clear delineation of the was integrated into Metropolitan Medical Response System (MMRS). coordinated response of MMRS cities. These MOUS include inter-local agreements between Fire Departments, HAZMAT entities,Red Cross, Fort Worth Independent School District (FWISD)for sheltering,Salvation Army and local hospitals. February 2005 An additional MOU is in development between the FWISD, the Grantee organization and the Tarrant County Health Departments (TCHD) to mobilize school facilities to support dispensing sites. Grantee actions will be coordinated with the Fort Worth MMRS in accordance with state guidelines and continue to update response resources and capability to respond to disaster events. MOUS exist for February 2005 and local emergency responses as part of the MMRS. update as amended. Grantees actions will be coordinated with the Fort Worth MMRS in Ongoing. accordance with state guidelines and continue to update response resources and capability to respond to disaster events. The grantee will continue to assist in Emergency Operations Center operations upon activation and operate as directed under"Annex H"of the Fort Worth-Tarrant County Emergency Plan. Grantee will work closely with county partners in development of volunteer capabilities to assure a trained, competent and accessible response capability to significant natural,accidental or intentional public health emergencies. Quarterly and ongoing. The grantee Director will continue to be involved in Homeland Security Planning Team meetings, Special Events Planning Committee Meetings,exercise planning sessions and other activities as indicated to maintain involvement and clear lines of communication between the I"and 3`d Monday BHEP team and activities/departments throughout the grantee agency of each calendar (City of Fort Worth—CFW). month DELIVERABLE#2 DELIVERABLE ACTIVITIES TIMELINE FY2005 Workplan CITY OF FORT WORTH PUBLIC HEALTH DEPARTMENT For Local Public Health Preparedness Page 3 of 53 Documentation of meetings (rosters, aneeting agendas; Grantee will ensure all meetings with principle stakeholders are �D meeting r 0hiries),with key stakeholders and policy makers documented by providing a roster and/or minutes/description of event to that verifies incorporation of public health emergency ensure appropriate archive, record and reference of events. The grantee preparedness plans into the local jurisdiction's emergency will conduct interactions with stakeholders and policy makers from the response plan. perspective of integrating the public health emergency plans into the communit 's broader emergency initiatives. I Ongoing. RE �?URCS 1�lELSSARY TIS ADDRESS THIS QBrEC ! List the PHP staff responsible for addressing this objective. List equipment that will be purchased to address this objective. BHEP Director BHEP Coordinator N/A SNS Coordinator/Clinical Liaison Specify if travel will be required to address this objective. If yes, specify the type of travel required by placing an "X" on the appropriate line: X Yes No X In State Travel Out of State Travel Specify if service(s)/product(s)that need to be purchased to address this objective. If so,please describe. Office supplies/extant office support equipment(PC,printers,etc.)/mileage reimbursement. E#z lernentacoorilinatec eeedeiaate rational Stec q:(SNS Pr;. T► EtALE#1 A6W.BONverA Ies W 15 t V be.com teteds Lacr Heal[�i i uexrn is 1V Lit' 1tA13dX rTES 'Il► Ela][ iE A written plan describing all required components of the The grantee's SNS/All Hazards plan will be ratified by the Directors of SNS program,including: the Fort Worth and Tarrant County Public Health Departments and • Designation of an SNS coordinator and other routinely updated as conditions and key elements change. March 2005, identified personnel necessary to implement the program. The grantee's newly identified SNS Coordinator/Chnical Liaison position will be used to coordinate Fort Worth's capabilities relating to dispensing FY2005 Workplan CITY OF FORT WORTH PUBLIC HEALTH DEPARTMENT For Local Public Health Preparedness Page 4 of 53 • Standard operating guidelines that detail sites, volunteer coordination, training, credentialing, clinic support, and • How the functions will be addressed and by whom, staffing. Arrangements will be made to coordinate meetings between and Region 2/3 SNS Coordinator and grantee SNS Coordinator to establish • Tactical communications to identify communication communication, training and promote coordination of regional SNS methods between the command centers,the RSS activities. The grantee SNS Coordinator will pursue CDC-sponsored site,and dispensing clinics. training, as appropriate and required. These activities will be routinely • Maps,population,number of hospitals,treatment documented, regularly updated and reported to grantee staff and agency capacity of medical facilities,credentialing plans, stakeholders as appropriate. October 2004 and dispensing site information. • Identification of an adequate number of dispensing Blackberry communication devices will be expanded past the current role sites to medicate the entire population of the to include cell phone and direct communication radio. The grantee will jurisdiction within 48 hours. ensure redundant communication capabilities by maintaining 800mhz • Recruitment of staff and volunteers to provide radios on the CFW emergency net, both handheld and vehicle mounted minimum staffing for all sites. and GMRS hand held walkie-talkies for additional public health support • Details regarding monitoring,storing,managing and personnel.As agreed during cross-county meetings with regional partners, dispensing large quantities of smallpox vaccine to further synchronize communication and redundancy capabilities with within smallpox response resources. local and regional stakeholders, the grantee will purchase dual purpose • Information regarding the roles/responsibilities and satellite linked radios with land transmission backup and participate December 2004 how key partners will work with the awardee to cooperatively in the development of a HAM radio system. implement the SNS program,including: Grantee will develop MOU with the City of Fort Worth for employee • TDH/DSHS regional and Austin staff,and volunteers to be utilized during an event and identify training protocols. • Law enforcement to conduct security assessments Efforts towards creation of this MOU and an employee workforce and developing plans for ensuring appropriate volunteer pool have been initiated and are currently being reviewed by the November 2004 security at each dispensing site, i.e., perimeter grantee agency legal department. Once adopted,the MOU will be updated security,traffic control,and crowd control. every 2 years or as necessary to maintain currency In-kind contribution by City of Fort Worth Public Health Department (CFWPHD) Epidemiologist specializing in Geographic Information November 2004. Systems(GIS)will continue by developing detailed geo-configured maps to clearly identify dispensing sites, illustrate changing resource and response landscapes,and effectively assist in deployment activities. Dispensing sites specific to Fort Worth will continue to be identified consistent with the countywide plan. Distribution sites will be selected December 2004 based on equally accessible geographic radius and population densities that will afford the most efficient SNS dispersal (as coordinated with county representatives). I October 2004 and FY2005 Workplan CITY OF FORT WORTH PUBLIC HEALTH DEPARTMENT For Local Public Health Preparedness Page 5 of 53 monthly Cross-county partners and regional stakeholders will be included in area wide planning. Grantee will continue to meet with Cross-county partners on a monthly basis to coordinate plans. The grantee will pursue appropriate Memorandum of Understanding February 2005 (MOU) with the Fort Worth Independent School District (FWISD) to integrate school personnel, including nurses,to assist in the orderly and efficient dispensing of SNS assets in the event FWISD facilities are used. May 2005 and SNS Coordinators for Tarrant County and the BHEP program will work ongoing with the Emergency Management Office and the MMRS to arrange public and private security and law enforcement resources to provide adequate sec�far recei delive and distribution of SNS assets. I1EL1`rERA�I.E# Not+ �kelivtecables#m.tow.:Corti feted'b Loct�t Ifeattlt tus ne is ONLY, D�EI.I'trEl<tA�Y:E ACTT3�ITI1C ` LINE Job description of SNS Coordinator and other key SNS staff Complete job descriptions for the grantees' SNS Coordinator and other verifying SNS responsibilities. key personnel have been developed and will be reviewed bi-annually to ensure comprehensive description and completion of responsibilities. These are on file with the grantee and with the City of Fort Worth Human Resources Department. September 2004. DIELl1FEA8LE#3 Nofty I elivers. es. I�S.o be cum feted! bnt at wealth"De r�rfinei s t�NLY DrEL1 EttABI E ACTI**T MS I'Il Documentation verifying that orientations and training for The grantee will document coordination of orientations and training of key pensing Site Manager,Safety Lead,Security staff by and with community partners,including the Tarrant County Health unications Lead,Logistics Lead,regional staff) Department(TCHD),which is primarily responsible for SNS deployment/ gRiUrs has been developed and conducted. distribution and training of corresponding key personnel,FWISD,Region M ( orkplan CITY OF FORT WORTH PUBLIC HEALTH DEPARTMENT RV � Public Health Preparedness Page 6 of 53 OEMC=°t, 2/3 TDSHS and local volunteer organizations (United Way, Salvation Army, Red Cross) in collaboration with the TCHD Medical Reserve Jr Co s. December 2004 bR V ERAB <d 4 .. XX Note: Deliverables# 3 tt#be conn letd b LraruY�err�ts(Il�[LY DELERABLEe � Ea 'I'"IlEL1TE xxx Current,signed Memorandums of Agreement(MOA)with Grantee will negotiate and secure original MOUS as necessary and/or have dispensing sites,regions,and other key partners regarding on file copies of extant MOUs that establish commitment among necessary SNS activities/responsibilities. stakeholders and partners to mobilize required dispensing sites and support activities for the receipt and use of SNS and/or VMI assets. This will include, but is not limited to, the FWISD, the TCHD, American Red Cross, VOAD (Volunteer Organizations Active in Disasters), DFW Hospital Council and Salvation Army.Once timeline is met, review will be conducted quarterly or as instruments are revised. December 2004 DEIIVERAELE#5 Nate; Deliverables# tb be cokh le"b YLiu!I e k,000001imts ONLY DELIVERABLE E Documentation verifying coordination/integration of local The grantee has developed an integrated Tarrant County Preparedness and SNS activities/responsibilities with the TDH/DSHS region Response Plan and an SNS Plan in collaboration with the Tarrant County to ensure coverage of entire regional population. Health Department, the Fort WorthlTarrant County Emergency Management Office and the MMRS. These documents are under final review and will be submitted to the Region 2/3 office for approval.These plans will be combined with plans submitted by regional partners to effectively document preparedness and response plans inclusive of the February 2005 and re 'onal population. ongoing, novR"s N1 E ARY'i'i ADDRIE l�S bB IVE Ttir L' :4:id Mal*D ` m €DNLTx orkplan CITY OF FORT WORTH PUBLIC HEALTH DEPARTMENT Public Health Preparedness Page 7 of 53 rrus,ton, SSg-ter` FOCUS AREA B WORK PLAN SURVEILLANCE AND EPIDEMIOLOGY CAPACITY Focus Area B Goal: Enable local and regional health departments to develop,maintain,or enhance systems for rapid detection of unusual outbreaks of illness that may be the result of bioterrorism, other outbreaks of infectious disease, and other public health threats and emergencies. Establish expanded epidemiological capacity to investigate and mitigate such outbreaks of illness. Complete the table below by providing the activities that will be conducted to meet the stated deliverable,and specify the timeline to indicate when the activity will be completed. If an activity will be occurring multiple times, list the date the first occurrence will be scheduled,and then clarify as "ongoing"or"quarterly",as necessary. After the last deliverable for each objective,provide information on the type of resources that will be necessary to achieve the objective. Each block to be completed will ad'ust as needed to include all required information. UB.IECT�a;EI. Imp Xent a 2417',r�vrtin system to receive and evahratetar$e>rt disease reports,and coarmunicatie with said respl to the rlaancal or laboratory reporter Prfvrrttlaitce Goal: f The comer cart demon sera#e that a sell made to the Agency's telelshcxai ower 1br disease rWor.1 ng iEs answered 2417136 and ro£errcd to a knowledgeable public health professionw,within 15 Imputes ofrsceipt ofthe call. A knowledgeable public lzealih prefessioraal can take'the report asci confer with; taff/consuttantsr as appropriate,to assess the level of urgency n 4 trtinntes of receipt of the call(iachi les the is minutes!,a eferenced above) X. • For repeats determined m be uageast(suspicions or crmation of any i martedtately notifiable illneas,unusual disease,and outbreaks),an official uvitlt the authority to activate tl:e Public Flealth Agency's response becomes aaavpl�ed iai the decision maktg process. within GO minutes of call receipt{itaeludes tints for State Publ c Iealth 40fty.to contact the affected local Public I lealth Agency(i€call initially,comes to ijta#e),pr for local Pubhc Health Agency to crstact the State!1'ublic Iealth cn ii call ori 'nates iocall . (DELIVERABLE#I DELIVERABLEXX ACTIVITIES i TEtI i= Written protocols for the implemented 24/7 notification The grantee continually works with cross-county and regional partners system that meet the 24/7 Reporting Standards and include towards the maintenance of current communication and notification • Updated contact information list, information including contact information for Blackberries, land-lines, • documentation verifying that improvements/changes cellular phones,e-mail,pagers,HAN and faxes.All updates and revisions were made based on results of quarterly testing,and will be dated to ensure currency. The grantee will continue to use regular • date of latest update of document. meetings with regional partners and internal stakeholders (City Management,Fire,Police and other agency Departments)to maintain up- to-date information and to cultivate additional communication capabilities, including integrating HAM radio, satellite phones and 800 MHz radio FY2005 Workplan CITY OF FORT WORTH PUBLIC HEALTH DEPARTMENT For Local Public Health Preparedness Page 9 of 53 capabilities (Updated 10 September 2004). Corresponding written October 2004 and protocols will be generated and maintained. whenever amended The grantee will ensure that the extant BT Emergency Notification Chart remains current(Updated 25 August 2004). Chart will be updated and re- October 2004 and distributed whenever any contact is changed. whenever amended The grantee BHEP Coordinator will maintain record and documentation.of 24/7 contact and communication capabilities and testing. The BHEP Coordinator will work with administration and emergency communication plan and public health staff to update and disseminate valid contact information for all necessary personnel and maintain documentation describing the cataloging progress, improvements and changes to Quarterly and emergency contact lists and protocols. ongoing. BHEP staff members responsible for select professional populations(e.g.: Animal Control, Consumer Health) will continue to maintain current contact and communication information for key personnel within their areas of responsibility(professional population groups). All contact lists December 2004 will be updated and redistributed when any change take place. and as changed All BHEP staff members will continue to maintain documentation for communication protocols within their positions as part of their "position manuals" (manuals describing development and activities of position, including maintenance of historical archives, contact information, communication exercises and other documentation). Grantee will aggregate this information for demonstration of deliverables vs.focus area in a centralized archive. February 2005 DELIVERABLE#2 DELIVERABLE ACTIVITIES TIMELINE Documentation verifying that the contact information list The grantee participates in a"Cross-County"group that meets regularly. has been disseminated among community partners and Contact information is regularly updated and maintained by this group response team members. with the last update having taken place on 10 September 2004. Plans to expand contact and connectivity capability will be pursued through the FY2005 Workplan CITY OF FORT WORTH PUBLIC HEALTH DEPARTMENT For Local Public Health Preparedness Page 10 of 53 upcoming grant period to establish formalized protocols that ensure Quarterly and interoperability of communication systems and devices. ongoing. The BHEP team will assign a team member to conduct testing and analysis of internal emergency contact protocols, including testing the system at random intervals. Currently,the Consumer Health Food Safety officer conducts this activity for the BHEP team and will continue to do so for the proposed re-application period. This position will be/is responsible for conducting tests, recording and reporting results, maintaining Quarterly and documentation and ensuring that corrections are implemented. ongoing. The grantee's Animal Control and Consumer Health positions will conduct regular(quarterly)testing communication capabilities within their special population (professional) groups. Each position will be responsible for maintaining documentation and following up with Quarterly. remedial activities. DELNERABLE#3 DELIVERABLE ACTIVITIES TIMELIN Documentation verifying that 2417 notification protocols, Regular updates of region-wide communication and contact information contact information and testing results have been shared will be forwarded to the DSHS Region 2/3 office by the grantee or a with the TDH/DSHS region or TDHIDSHS-Austin. county partner.Internally,following quarterly and/or random testing of the communication system,the grantee will complete an After-Action Report indicating remedial plans for shortcomings identified through the exercise. This report will be routinely sent to TDH/DSHS either as an electronic attachment or included within the Quarterly Report. Quarterly RESOURCES NECESSARY TO ADDRESS THIS OBJECTIVE List the PHP staff responsible for addressing this objective. List equipment that will be purchased to address this objective BHEP Coordinator Satellite phones(x2) Animal Corn of Security Officer HAM radio system(x7 handheld units;base station) ConsumWU alth Safety Officer 'off for/Clinical Liaison qL orkplan CITY OF FORT WORTH PUBLIC HEALTH DEPARTMENT ublic Health Preparedness Page 11 of 53 wv o� Specify if travel will be required to address this objective. If yes, specify the type of travel required by placing an "X" on the r appropriate line: X Yes X No X hi State Travel Out of State Travel Specify if service(s)/product(s)will be purchased to address this objective_ If so,please describe. Monthly service for communication devices include Blackberry,Computers,Fax machine,Fax Broadcast Device,Satellite Phones,and Cell phones. General office supplies;mileage and travel reimbursement. OBJECTIVE#2: Train healthcare professionals regarding notifiable disease reporting. Performance Goal: • >50%of a random sample of the jurisdiction's health care`providers can accurately identify how and where to call in notifiable disease reports. DELIVERABLE#1 DELIVERABLE ACTIVITIES TIMELINE Directory of physicians,infection control practitioners, The grantee is working to update the infectious disease reporting system infectious disease specialists,ER staff,,and other health care with the Tarrant County Health Department. Remarkable disease events professionals or providers required to report notifiable are to be relayed to the City of Fort Worth Public Health Department as conditions. specified in reporting arrangement(managed by non-PHP contract). January 2005. The grantee will work closely with the county public health partner to list and train physicians, infection control practitioners, infectious disease specialists,ER staff and other health care professionals to report notifiable diseases and train these personnel to report other anomalous conditions. The grantee will continue efforts to share physician lists maintained on the Health Alert Network (HAN) in order to assure and provide redundant communication capabilities to and from area physicians.The grantee HAN Administrator and SNS Coordinator/Clinical Liaison positions will work December 2004 with local and regional partners towards maintenance of this directory. and ongoing. The Consumer Health Food Security Officer and the Animal Care and Control Educational Officer will list and develop redundant communication capabilities with professional representatives and groups within their areas of s ecialization. This includes establishing contact FY2005 Workplan CITY OF FORT WORTH PUBLIC HEALTH DEPARTMENT For Local Public Health Preparedness Page 12 of 53 databases within the HAN, constructing notification lists with several layers of communication alternatives,expanding auto dialing capabilities, and establishing detection and contact protocols to recognize and report anomalous symptoms or behavior events. These positions will also continue to develop and distribute educational materials to support recognition and reporting of food home and zoonotic events. Contact lists March 2005 and as will be updated and redistributed whenever a change is made. changed. DELIVERABLE#2 DELIVERABLE ACTIYTTIES' IMELItVE Copy of training materials relating to notifiable disease The SNS Coordinator/Clinical Liaison position,with support from other reporting,list of training date(s),and sign-in sheets BHEP team members,will conduct training courses for the local clinical verifying the curriculum,dates on which the training was community. These courses will be coordinated with county public health provided,pre-post tests,participant evaluation forms. activities to avoid duplication of efforts and maximize staffing resources. At this time these include,but are not limited to,the following: 1. Grand Round Presentations for Medical Organizations December 2004 2. State/County/Local Medical Doctor Organizations and December 2004 Association Meetings 3. Emergency Response Team Meetings for Medical Associations, February 2004 Copies of training materials will continue to be maintained by BHEP staff members in their ongoing "Position Manuals" as initiated in FY 2002- 2003. These manuals include training dates and copies of presented and distributed materials, a history of development of the position, and description of training curriculum. All data regarding training, including October 2004 and agendas, minutes and sign in sheets will be maintained in individual as events take manuals as well as centralized in an archive system by focus area. place. Pre and post-test instruments will be developed to quantify information retention and satisfaction of participants engaged in educational activities presented by BHEP staff. Additionally, a system of Performance Outcome Measures will be developed whereby random samples of participants will be surveyed to capture behavioral changes inspired by April 2005 and information efforts of BHEP curriculums. ongoing. The Animal Care and Control Educational Officer will continue to provide FY2005 Workplan CITY OF FORT WORTH PUBLIC HEALTH DEPARTMENT For Local Public Health Preparedness Page 13 of 53 educational presentations to animal control professionals and animal care- related agencies. The Consumer Health Food Safety Officer will also continue to provide education presentations to food delivery and food service organizations. These positions will develop pre and post-test measures and Performance Outcome Measures consistent with those April 2005 and described in the preceding paragraph. ongoing Maintenance of Position Manuals and development of pre and post-test evaluation protocols and Performance Outcome Measures as described in the preceding will also be pursued by the Public Information Officer,the HAN Administrator,the SNS Coordinator/Clinical Liaison and the BHEP April 2005 and Coordinator and reviewed bi-annually by the BHEP Director. ongoing. IDELIVERABLE#3 DEI. VERABI.E A TI11[E ► Copy of training materials relating to smallpox,list of Smallpox materials and program development will continue to be training date(s),and sign-in sheets verifying the curriculum, documented, cataloged and systematically archived. The SNS dates on which the training was provided,pre-post tests, Coordinator/Clinical Liaison will maintain documentation of smallpox participant evaluation forms. related activities and develop pre and post-test instruments and participant November 2004 evaluation forms to capture curriculum retention in order to drive and with each subsequent training needs and program development. event R .]URCE NECESSARY TO ADDRESS THIS OBJECTIVE List the PHP staff responsible for addressing this objective. List equipment that will be purchased to address this objective. Consumer Health Food Safety Officer DVD Burner Animal Care and Control Educational Officer To provide functional,efficient and economical means of providing SNS Coordinator/Clinical Liaison large amounts of information in a contemporary media format to Public Information Officer participants of educational presentations. BHEP Coordinator BHEP Executive Director Video Editing Software-Pinnacle Studio 9 To further enhance multimedia capability to cultivate creative educational materials. FY2005 Workplan CITY OF FORT WORTH PUBLIC HEALTH DEPARTMENT For Local Public Health Preparedness Page 14 of 53 Specify if travel will be required to address this objective. If yes, specify the type of travel required by placing an "X" on the appropriate line: X Yes No X In State Travel Out of State Travel Specify if services)/product(s)will be purchased to address this objective. If so,please describe. Printed educational materials for various medical professionals concerning reportable diseases and reporting protocols. Multimedia Educational Materials for various medical professionals concerning reportable diseases and reporting protocols. General office supplies,including CDs,CD label maker,binding supplies,and some outsourced lamination of education materials(clinical des). O .TECTTi�E 43 In►plement ata effective repprta6le disease system that assures necessary staiiing,supplies,egnipm�tat,and agreements witii kegiona�epidemiology To gams ornc` bori` co to stride stuveitlance activities if.66ded. I)ELNERABLE#1 XX iDELIVERABLE ACT TMS TIMELiItIE Documentation verifying regular(as outlined in approved Finalize contract with Tarrant County Public Health to assure accurate and work plan)communication or interaction with hospital timely reporting to the FWPHD of foodborne illnesses and complaints. January 2005 infection control practitioners,laboratory directors,ER managers,infectious disease physicians,and other health Develop documentation outlining reporting and response protocols care practitioners to promote disease reporting. between the City and County Health Departments regarding communication with hospital infection control practitioners, laboratory directors, ER managers and other health care professionals with disease reporting responsibilities. Establish the grantee's role in reporting or supporting laboratory referrals. Establish grantee's understanding of County laboratory capabilities by arranging for staff torus and developing reporting and access protocols that can be further relayed through FWPHD epidemiologists and BHEP team member's educational efforts. Febman'2005 Ensure that educational efforts by BHEP team members provides a framework for accessing information and for contacting infection control practitioners; laboratory directors, ER managers, infectious disease physicians,and other health care practitioners. This includes efforts by the Animal Care and Control Educational Officer,the Consumer Health Food Safety Officer, SNS Coordinator/Clinical Liaison and to a lesser extent, the Public Information Officer to work with their specific professional FY2005 Workplan CITY OF FORT WORTH PUBLIC HEALTH DEPARTMENT For Local Public Health Preparedness Page 15 of 53 groups to ensure that proper disease reporting protocols are maintained in support of the County's disease reporting system and laboratory. June 2005 . DELIVERABLE#2 DELIVERABLE ACTIVITIES TIMELINE NEDSS database or other documentation of a tracking Disease reporting and NEDSS database maintenance is conducted by the system outlining: Tarrant County Health Department. The grantee health department is • Receipt and investigation of disease reports; working on establishing a non grant-related contract to ensure regular and • Submission of reportable disease information to DSHS special event reporting protocols for notifiable diseases and unusual health Regional Office. events. The grantee will further pursue establishing regular notification procedures to provide BHEP support in the follow-up of anomalous disease events. March 2005 The Consumer Health Food Safety Officer(CHFSO)will establish Texas Foodborne Illness Tracking (TFIT) system for the City of Fort Worth through cooperation with Tarrant County Health Department. TFIT was researched as a means to communicate between cities, counties and state health authorities in 2003. Ongoing meetings will be held to incorporate the CHFSO into the generation of policies,protocols, and procedures for March 2005 and effective and appropriate use of system. ongoing All BHEP Team members will receive TDHJDSHS or accredited internet- based NEDSS training to promote redundant knowledge throughout the response community and cultivate smoother interface among local and regional partners. inquiry of October 2004 indicated that schedule is not As available from complete for FY 05 and classes are filled for most current dates. DSHS in FY04-05 DELIVERABLE#3 DELIVERABLE ACTIVITIES TIMELINE Documentation verifying that surveillance data has been Grantee will work with county partner to ensure disease reporting takes shared with local physicians,key partners,local place by all relevant professional groups and the general public. Formal FY2005 Workplan CITY OF FORT WORTH PUBLIC HEALTH DEPARTMENT For Local Public Health Preparedness Page 16 of 53 government,and others to increase community awareness of contracts are being negotiated between FWPHD and TCPHD (non-grant the importance of disease reporting. funds)to establish reporting protocols regarding general morbidity. The grantee SNS Coordinator/Clinical Liaison position will interface with the TCPHD to make establish clear communication channels for suspect disease events and coordinate integrated response by both city and county personnel resources. This position, as will all BHEP staff members involved with professional training, also incorporate disease awareness February 2005 and and reporting protocols into training curriculum. ongoing. The Consumer Health Food Safety_ Officer and the Animal Care and Control Educational Officer will continue to develop foodborne and zoonotic illness outbreak reporting information, explore establishing an integrated zoonotic disease reporting system and methods to encourage reporting of surveillance data to their respective professional communities. This will be completed using educational presentations coordinated with the TCPHD and utilizing website access. The use of the CFW HAN and/or auto-dialer in the event of an emergency will also be developed. April 2005. The HAN Administrator will assist in compilation and maintenance of contact documentation developed provided by the BHEP Team members. The HAN Administrator will also explore integration of contact information with the Fort Worth Police Department's OPEN (Operation Partnership Emergency Network). This activity has already been initiated November 2004 and provides redundant means of contacting business owners and their and as contacts supporting engineers and security personnel. added. RESOURCES NECESSARY TO ADDRESS TRIS OBJECTIVE List the PHP staff responsible for addressing this objective. List equipment that will be purchased to address this objective. Consumer Health Food Safety Officer Since stated objective have been identified in preceding proposals,necessary Animal Care and Control Educational Officer equipment has already been secured by grantee during prior grant activities. HAN Administrator SNS Coordinator/Clinical Liaison Public Information Officer nator B" Kiiii ive Director kiftra el will be required to address this objective. If yes, specify the type of travel required by placing an "X" on the _ rkplan CITY OF FORT WORTH PUBLIC HEALTH DEPARTMENT _FpPI lublic Health Preparedness Page 17 of 53 c< appropriate line: X Yes No X In State Travel Out of State Travel rr Specify if service(s)/product(s)will need to be purchased to address this objective. If so,please describe. Extant supplies,routine office supplies;possible postage costs. Training costs(travel,per diem,miles a reimbursement). f�BJE�TIYE#�4. I`. lenient$NEDSS Base S" S to effectivei mina a otrfrable diseaso VE1GIVE)IZAIlRI<.E#1 UEL�YEItBI,E AES;' 'i'TLIlE Documentation that training has been conducted for Grantee will secure training for all BHEP team members to effectively appropriate personnel relating to the NBS, i.e., copies of support NEDSS disease reporting activities.Training will be sought via training materials relating to smallpox, list of training TDH/DHSH (Regional and State) and TCHD or accredited intemet date(s),and sign-in sheets verifying the curriculum,dates on sources. Training and development of activities in support of local and which the training was provided,pre-post tests,participant regional partners will be thoroughly documented under the supervision of evaluation forms. the grantee,BHEP Coordinator. March 2005. DELIVERABLE#2 DELIVERABLE ACTrvrms I E .13vE Documentation verifying implementation/use of the NBS,to Functional NBS maintenance activities are the responsibility of the Tarrant include: County Health Department(TCHD)and associated PHP funded personnel. • V.00 ofstaudar ed data 3 prvGocols to;ensure r The grantee will ensure training of BHEP staff to effectively support these unifortri data'M keddin atthe state;regional and tonal activities through inclusion in training and educational curriculum. levels,:anel Reference to disease reporting protocols related to NEDSS by BHEP team • Timely data entry,case transfer and aotifccirtiort, members will be developed with collaboration, review, direction and approval of TCHD staff. February 2005 R SO C`E MCESSAI(7�'TO ADDRESS THIS QB.IEC tWE List the PHP staff responsible for addressing this objective. List equipment that will be purchased to address this objective. Consumer Health Food Safely Officer N/A FY2005 Workplan CITY OF FORT WORTH PUBLIC HEALTH DEPARTMENT For Local Public Health Preparedness Page 18 of 53 Animal Care and Control Educational Officer SNS Coordinator/Clinical Liaison RAN Administrator s Public Information Officer BHEP Coordinator BHEP Executive Director Specify if travel will be required to address this objective. If yes, specify the type of travel required by placing an "X" on the appropriate line: X Yes No X In State Travel Out of State Travel Specify if service(s)/product(s)will need to be purchased to address this objective. If so,please describe. General office supplies;travel and mileage reimbursement for in-state training travel. OBJECTIVE#5: Coordinate/integrate epidermologic response-specific plans with TDH/DSHS regions and hospitals. DELIVERABLE#1 DELIVERABLE ACTIVITIES TIMELINE Copies of public health response plans identified in Focus The grantee will coordinate efforts to maintain a current SNS plan, Area A that include roles/responsibilities of regional continue to develop a Departmental Emergency Response Plan and ensure epidemiology response teams and hospitals. that response emergency efforts cultivated by the BHEP team are effectively communicated and included in the All-Hazards and MMRS December 2004 response plans maintained by the City of Fort Worth. and quarterly. The grantee will further make epidemiological resources available to the broader regional response plan as requested and integrated into the county pian. The grantee has pursued CDC training for in-kind epidemiological staff,including training in Personal Protective Equipment(PPE),to ensure response capability in all environments or situations. The grantee will continue to pursue formal integration and development of policies and procedures governing Epidemiology staff response in the local county plan and subsequent broader regional plan. May 2005. FY2005 Workplan CITY OF FORT WORTH PUBLIC HEALTH DEPARTMENT For Local Public Health Preparedness Page 19 of 53 DELIVERABLE#2 DELIVERABLE ACTIVITIES TMIELINE Documentation verifying coordination/integration activities The grantee BHEP Coordinator and the BHEP Director are trained with TDHIDSHS regions and hospitals,i.e.,list of regularly graduate epidemiologists as are in-kind contributing epidemiologists of the scheduled meetings,meeting minutes/notes,sign-in sheets. staff of the Epidemiology and Assessment Division of the Fort Worth Public Health Department. These personnel have historically been available for integration into a comprehensive response plan requiring epidemiological investigations. The BHEP Coordinator will maintain documentation of activities related to the integration of epidemiological December 2004 activities by grantee and related staff into the county response plans as and reviewed negotiated with the TCHD and required in this deliverable. quarterly. RESOURCES NECESSARY TO ADDRESS THIS OBJECTIVE List the PHP staff responsible for addressing this objective. List equipment that will be purchased to address this objective. BHEP Coordinator N/A BHEP Executive Director (CFWPHD Epidemiologists) Specify if travel will be required to address this objective. If _yes, specify the type of travel required by placing an "X" on the appropriate line: X Yes No X In State Travel Out of State Travel Specify if service(s)/product(s)will be purchased to address this objective. If so,please describe. Ongoing Epidemiology investigations training;HAZMAT training;related travel costs. OBJECTIVE#6: Train epidemiology staff to perform effective surveillance and disease investigation activities. DELIVERABLE# 1 DELIVERABLE ACTIVTTIES TIMELINE Documentation,i.e.,training materials,participation Grantee Epidemiology staff will continue to pursue formal, documented December 2004 FY2005 Workplan CITY OF FORT WORTH PUBLIC HEALTH DEPARTMENT For Local Public Health Preparedness Page 20 of 53 certificate,updated annual training plan,etc.verifying inclusion into the county epidemiological investigation plan, including and quarterly participation in surveillance,disease investigation,and notification procedures, investigation protocols and deployment/reporting epidemiology training provided by the regional guidelines. Towards this end, grantee has obtained CDC and Personal ` epidemiology response team members. Protection Equipment training to ensure response capabilities in all environments. Grantee will also pursue and document all participation in broader regional opportunities and programs. The Consumer Health Food Security Officer will train CFWPHD September 2004 Consumer Health inspectors in the specialized aspects relating to (new employees intentional health emergencies and post event response. The following as needed; courses and their curriculum are currently being developed and will be refresher course reviewed by DSHS prior to release to avoid redundancy: for CHFSO staff 1. Basic Consumer Health Epidemiology and epidemiological investigation interviewing once a year) 2. Outbreak investigations reporting procedures. 3. Interpretations of clinical and laboratory information 4. Protection measures for emergency response workers 5. Communication systems 6. Management of secure information 7. Bioterrorism/Health Emergency Table Top Exercises Animal Control Security Officer will train CFWPHD Animal Care and May 2005. Control staff in matters relating to naturally occurring and international events and post-event response protocols. These courses and their curriculum are currently being developed and will be available during FY2004-05: BHEP Team Coordinator will monitor maintenance of required Ongoing documentation of training activities. The SNS Coordinator/Clinical Liaison will continue to develop access December 2001 protocols and training for use of Emergency Response and First Aid vehicle among municipal and county partners,including resource and updated bi- identification and sharing to permit utilization annually DELIVERABLE#2 DELIVERABLE ACTIVITIES TIMELINE FY2005 Workplan CITY OF FORT WORTH PUBLIC HEALTH DEPARTMENT For Local Public Health Preparedness Page 21 of 53 Documentation,i.e.,training materials,participation As indicated in the travel itemization and budget section of this proposal, certificate,updated annual training plan,etc. of grantee BHEP staff members will pursue epidemiological training r participation in additional training courses relating to commensurate with their responsibilities. These training activities will be surveillance,disease investigation,and epidemiology such monitored and documented by the BHEP coordinator including regional as Forensic Epidemiology or other similar courses. DSHS courses (e.g Epi 101, Field Investigations and Surveillance). Discussions have been held with with Dr. Flow(October 2004)related to availability of courses and resulted in referral to Shelley Stonsiepher. Appropriate epidemiological training opportunities had not yet been November 2004 identified by the time of this revision but were to be announced within the and as available. next two months. RESOURCES NECESSARY TO ADDRESS THIS OBJECTIVE List the PHP staff responsible for addressing this objective. List equipment that will be purchased to address this objective. All BHEP Team members including the Team Coordinator Specify if travel will be required to address this objective. If yes, specify the type of travel required by placing an "X" on the appropriate line: X Yes No X In State Travel X Out of State Travel Specify if service(s)/product(s)will be purchased to address this objective. If so,please describe. Registration and travel expenditures required for attending training activities. See Travel itemization for description,location and projected costs of identified training opportunities. Please note,training opportunities may be adjusted and reflected in subsequent amendment to reflect changes in needs and opportunities. OBJECTIVE#7: Create/maintain a comprehensive list of physicians and other experts necessary to diagnose/treat results of a terrorism-associated event. DELIVERABLE#1 DELIVERABLE ACTIVITIES TIMELINE Database containing list of all The grantee has requested that the HAN database maintained by the • physicians and other experts with skill/experience in the Tarrant County Health Department (TCPHD) be shared with the diagnosis and treatment of infectious,chemical,or grantee HAN Administrator to provide multi-level redundancy (I radiological diseases or conditions,including capabilities. The grantee will purchase the updated local physicians psychological and behavioral,and list during the upcoming year and make this list available to TCPHD • physicians and other providers who may serve as to ensure HAN information is current. This will provide for consultants during a public health emergency. redundant means of communication and provide access to the FY2005 Workplan CITY OF FORT WORTH PUBLIC HEALTH DEPARTMENT For Local Public Health Preparedness Page 22 of 53 grantee to physicians and other professional groups within the city limits for notifications and information sharing specific to the geographical boundaries of Fort Worth. An MOU for the sharing of the physician database will be regenerated to establish parameters for mutual use of the database. November 2004 RESOURCES NECESSARY TO ADDRESS THIS OBJECTIVE List the PHP staff responsible for addressing this objective. List equipment that will be purchased to address this objective. RAN Administrator N/A BHEP Coordinator BHEP Executive Director Specify if travel will be required to address this objective. If ves, specify the type of travel required by placing an "X" on the appropriate line: Yes X No In State Travel Out of State Travel Specify if service(s)/product(s)will be purchased to address this objective. If so,please describe. General office supplies. State licensed physician list. OBJECTIVE#8: Inform,educate community leaders regarding key public health preparedness activities/responsibilities. DELIVERABLE#I DELIVERABLE ACTIVITIES TIMELINE Written documentation that includes The grantee will generate and maintain a list that includes city council • List of key community leaders such as policy makers, members and mayor, department heads, city managers,and key local and response partners,and key stakeholders, regional stakeholders. This list will expand the extant emergency response December 2004; • Activities that were conducted to inform/educate notification chart and region-wide emergency contact list currently updated with community leaders regarding the nature and scope of maintained by the grantee. changes. public health surveillance,investigation,response and control,including the types of forums used to achieve The BHEP Coordinator and BHEP Director will ensure that presentation FY2005 Workplan CITY OF FORT WORTH PUBLIC HEALTH DEPARTMENT For Local Public Health Preparedness Page 23 of 53 this objective, opportunities to city leadership and stakeholders include informational and • List of dates on which the forums were conducted and educational components regarding PHP public health activities. Grantee sign-in/participation lists, will also encourage participation of elected officials in training • Copies of information provided to inform/educate opportunities to encourage and cultivate cross jurisdictional resources participants. sharing. The grantee will use community education opportunities and pre- planned educational forums to identify and integrate city leaders in PHP December 2004 programs and BHEP activities. and as training available. The BHEP Coordinator will maintain documentation of participants and contents of special educational presentations and opportunities as well as September 2004 archives of distributed information. and per each event, The Consumer Health Food Security Officer (CHFSO) will provide October 2004 and educational activities through multi-media presentations and as required and symposiums/seminars provided by the BHEP team. Some activities requested. include: 1. Contemporary Issues for Retail Food Security(Bi-yearly) 2. Food Security Training-On-site(As requested by retail vendors) 3. Food Security Audits(CHFSO will conduct threat analysis of any retail food facility-as requested) 4. Food Security/Handling training of Food workers(2x monthly) The CHFSO will provide multimedia educational DVD! CD-ROM to all December 2004 retail food establishments within jurisdiction. Materials will contain background in Bioterrorism, Bioterrorism events or potential events related to food service/delivery, food security training, and self-food security audit forms. This will include distribution to city leaders and stakeholders. Consumer Health Food Security Officer will create and update food April 2005 security website linked to current BHEP team web page. Website will include current Bioterrorism Education as well as educational opportunities and a methodology for community members, stakeholders and other key personnel to report foodborne illness complaints. RESOURCES NECESSARY TO ADDRESS THIS OBJECTIVE List the PHP staff responsible for addressing this objective. List equipment that will be purchased to address this objective. FY2005 Workplan CITY OF FORT WORTH PUBLIC HEALTH DEPARTMENT For Local Public Health Preparedness Page 24 of 53 Consumer Health Food Safety Officer Equipment as identified in Deliverable#3 will also be used to support • BHEP Coordinator this activity. ,y BHEP Executive Director Public Information Officer Specify if travel will be required to address this objective. If yes, specify the type of travel required by placing an "X" on the appropriate line: X Yes No X In State Travel X Out of State Travel Specify if service(s)/product(s)will be purchased to address this objective. If so,please describe. Various printed materials that will be developed and produced by the BHEP staff to develop printed and educational media. General office supplies. 0 BJE�"1`I Create an;ttte tell aordinated srrra oat a Mov contain the conse ences oda sinal oat Eautbreak llEI�NERAI�LE#Y DEL 'ERABLE AJI IYITIES; TIMELINE Written smallpox response plan that includes a list of all Grantee SNS Coordinator / Clinical Liaison position will continue to participating hospitals and describes their interface with the Tarrant County Public Health Department in the roles/responsibilities relating to post-event smallpox development and maintenance of the SNS plan. The grantee will pursue responses. ratification and regular update of the SNS and All Hazards plan in conjunction with the TCPHD,the Emergency Management Office and the city MMRS program. The grantee will also ensure that coordination takes place with the DFW Hospital Council and Emergency Physicians December 2005 Advisory Board. and ongoing. RLStIURM NECESSARY TO:ADDRESS.TAS 044CIM List the PHP staff responsible for addressing this objective. List equipment that will be purchased to address this objective. SNS Coordinator/Clinical Liaison BHEP Coordinator BHEP Executive Director Specify if travel will be required to address this objective. If yes, specify the type of travel required by placing an "X" on the appropriate line: X Yes No X In State Travel X Out of State Travel FY2005 Workplan CITY OF FORT WORTH PUBLIC HEALTH DEPARTMENT For Local Public Health Preparedness Page 25 of 53 Specify if service(s)/product(s)will be purchased to address this objective. If so,please describe. I�et�i the ttutnber attd c�healthrare and lit=hath ersKxrael ta' e as<mstttbers�a small i�c teat blkc�t;and healxr .::; DEtiI��BT�E#)f Iti .I .hAIIi� ': TIME ; 1E. Documentation verifying that all response team member The grantee will collaborate with the Tarrant County Health Department, information has been entered/updated in the Health Alert the Fort Wortlaanant County Emergency Operations Center and the Fort Network(HAN). Worth MMRS program to ensure that key SNS staff have been entered in the HAN database and that appropriate notification procedures have been documented and tested. February 2005. DELIVRABI, A'CTl[ �S` Documentation that response team members have been Grantee will work with the Tarrant County Public Health Department,the trained and vaccinated,and that vaccinations have been Fort Worth/Tarrant County Emergency Operations Center and the Fort entered into PVS. Worth MMRS program to ensure that key SNS staff have been trained, November 2004 vaccinated and vaccination records entered into the PVS. Local partners will continue to cultivate volunteer capabilities, provide Initiated in October inoculations, develop training, coordinate exercises, coordinate 2004 and credentialing activities and ensure mobilization capabilities of response continuous. team. I#ESt1iT)Eii'Ii,S N]EaCSY rI1wIDR1ESS T) © cr" Y ' List the PHP staff responsible for addressing this objective. List equipment that will be purchased to address this objective. SNS Coordinator/Clinical Liaison HAN Administrator BHEP Coordinator FY2005 Workplan CITY OF FORT WORTH PUBLIC HEALTH DEPARTMENT For Local Public Health Preparedness Page 26 of 53 BHEP Executive Director Specify if travel will be required to address this objective. If yes, specify the type of travel required by placing an "X" on the «+ appropriate line: X Yes No X In State Travel Out of State Travel Specify if smiee(s)/product(s)will be purchased to address this objective. If so,please describe. Credentialing materials in support of local and employee based volunteer identification program(coordinated with TCPHD). ADDGU !BUCSSE1URV FYSEA � US Awardees nary list'ar dit/c+rHat objecttve(sJ is 6e dddrt ssed in Focus Area A that wild be`accomplished dur9ng the FY 05 pru ect period. Sped y the crtttcaf capacity, crittcdl do WX.ty nr crlt#ealibenchmarkfromlthe CDC.gutdance document td which thf e�relates:' Atsa asst the deltweedhTe(s),dedwity(,es i%meltrte sk,and resources neeess to aahteve this ob e. Add dines and dtmdfbns as nec�ssa to cora fete this` rttort�the work tan. OB.Tl CT1VE 11 Rapidly and effectively investigaxe attd respond to a potential terrorist event astvidenced b ongcsing anti ef£eotive kocai respans� naturally, t ccurring lt>tlividual cases o£pubi c he*:_h.tnportance D IVERASL)C#l )1DELWERAM ACI IV�T][ES TIIIIEL34�tE Written documentation that includes The Consumer Health Food Safety Officer (CHFSO) will continue to • Lists of all foodborne illness complaints logged in conduct investigations of all reported anomalous food events. These jurisdiction include diseases investigation as requested by consumers, internal • Activities that were conducted to investigate foodborne divisions and the Tarrant County Health Department.The grantee CHFSO illnesses and inform/educate community regarding the will investigate unusual foodborne events to rule out intentionality, enter surveillance,investigation,and response and control results into departmental SWEEPS database and provide feedback and September 2004 • List of dates on which the investigations were conducted After Action Reports to appropriate agencies. and continuous • Copies of information provided to inform/educate stakeholders in situations. The CHFSO will develop and disseminate a "Foodborne Illness Investigation"summary to food retail establishments that were the subject ols and documentation for Epidemiological of a complaint,a food borne illness investigation or a confirmed outbreak. This form will include speck information about the alleged/confirmed event,the actions taken by the CHFSO,the results of the investigation and the expected remedial actions by the investigated entity. The CHFSO will 9MV04plan CITY OF FORT WORTH PUBLIC HEALTH DEPARTMENT blic Health Preparedness Page 27 of 53 continue to provide on-site information and education as well as distribute original educational handouts that include food security tips and methods to prevent future food bome events.The CHFSO will continue to maintain archive information and document protocols for epidemiological investigations of foodborne events as part of ongoing"position manual." B14EP Team activities require community and regional partner education. Towards this end, a comprehensive foodborne emergency preparedness multimedia campaign is being developed. A variety of printed and multimedia educational information will be disseminated to 1 food retail owners,managers and workers.Existing information developed 11 and printed in prior grant years will be reprinted for dissemination. This includes the printed brochures Contemporary Issues for Retail Food Operators"in both English and Spanish versions,as well as the"3Rs Food January 2005 and Security"poster. ongoing. A multimedia DVD for Food Retailers will be developed for select dissemination that will train food workers to idcntifv common food security threats and teach basic response to a perceived/confirmed contamination to the food supply. The program will also contain background in bioterronsm, intentional events or potential events related to food service/delivery, food security training, and self-food security audit forms. Extant video editing software and digital video camera equipment will be used to produce this activity. Prior to production of the DVD,submittal to DSHS for review will be accomplished. April 2005 The CHFSO will continue development and implementation of protocols for epidemiological investigations concerning Consumer Health Issues. (i.e. Foodbome Illness) Protocols will contain information on basic investigative techniques for naturally occurring events and supplement Consumer Health Staff training by CHFSO in Emergency Preparedness Response involving Food/Water contamination. These documents will Ongoing. include methods of distinguishing between natural and intentional events and the appropriate methods for mitigating the effects of these events. FY2005 Workplan CITY OF FORT WORTH PUBLIC HEALTH DEPARTMENT For Local Public Health Preparedness Page 28 of 53 FOCUS AREA C WORK PLAN Laboratory Capacity-Biologic Agent Focus Area C Goal: Continue to ensure laboratory capacity for conducting rapid and accurate diagnostic and reference testing for select biologic agents likely to be used in a terrorist attack. Complete the table below by providing the activities that will be conducted to meet the stated deliverable, and specify the timeline to indicate when the activity will be completed. If an activity will be occurring multiple times,put the date the first occurrence will be schedule, and then clarify as "ongoing"or "quarterly"as necessary. After the last deliverable for each objective,provide information on the type of resources that will be necessary to achieve the objective. Each block to be completed will adjust as needed to include all required information. OBJECTIVE#1. Continue to develop/maintain Level A(sentinel)laboratory capability. Performance Goal • The Public Health Agency has provided Level A laboratory training to 80%of Level A capable laboratories. • LRN Laboratory Director correctly provides the following information about each sentinel laboratory: • Sentinel Laboratory Director's name and contact information; • Proficiency in ruling-out applicable CDC's Category A Agents; • Level A laboratory training and training updates provided to the sentinel lab's personnel within the last 12 months • The primary and redundant communications methods the Agency uses to alert the sentinel lab. DELIVERABLE#1 DELIVERABLE ACTIVITIES TIMELINE Documentation verifying that training of Level A N/A laboratories has been conducted Laboratory activities are conducted and maintained by the Tarrant • Training agendas County Public Health Department. • Sign-in sheets This section not included in re-application. • Copies of evaluations from participants. FY2005 Workplan CITY OF FORT WORTH PUBLIC HEALTH DEPARTMENT For Local Public Health Preparedness Page 29 of 53 FOCUS AREA E WORK PLAN Health Alert Network/Communications and Information Technology Focus Area E Goal: Maintain/enhance capacity to establish and maintain a network that will: a. Support exchange of key information and training over the Internet by linking public health and private partners on a 24/7 basis; b. Provide for rapid dissemination of public health advisories to the news media and the public at large; c. Ensure secure electronic data exchange between public health partners' computer systems,and d. Ensure protection of data, information, and systems, with adequate backup, organizational, and surge capacity to respond to bioterrorism and other public health threats and emergencies, e. Develop redundant communication systems to provide the above-described capabilities. Complete the table below by providing the activities that will be conducted to meet the stated deliverable,and specify the timeline to indicate when the activity will be completed. If an activity will be occurring multiple times,put the date the first occurrence will be schedule, and then clarify as "ongoing"or "quarterly"as necessary. After the last deliverable for each objective,provide information on the type of resources that will be necessary to achieve the objective. Each block to be completed will adjust as needed to include all required information. OBJECTIVE#1. Implement an effective plan for 24/7 connectivity of key stakeholders involved in a public health detection and response. Performance Goal: The Public Health Agency has a system and procedures for alerting clinicians and response partners that: • Specifies the audience(i.e.,role-based), • -Maintains current contact information, • Specifies message priority, • Uses multiple notification methods that are based on the priority level of the message, • Determines methods and timeline for acknowledgment based on message priority,and • Is archived and retrievable according to time,audience,and topica' DELIVERABLE#1 DELIVERABLE ACTIVITIES TIMELINE Written procedures reflecting TDHIDSHS RAN The grantee will continue to maintain written policies and procedures policies/procedures for utilizing the HAN web portal for the operation of the HAN. Negotiations with local partners will database for contacting key stakeholders 24/7 to include: continue to secure contact lists for physicians,other clinical resources, • Description of communication devises used for contact key personnel contacts,access to volunteer groups and communication (pagers,cells phones or other devises), redundancy.The database will describe the communication devices and • Database containing contact information for key connection information for each contact and maintain contacts FY2005 Workplan CITY OF FORT WORTH PUBLIC HEALTH DEPARTMENT For Local Public Health Preparedness Page 30 of 53 stakeholders for 24/7 notification,and staff designation of individually and in select group categories. The grantee HAN system job category(Director/Commissioner,HAN will be used to provide redundant databases support the CFW Police Administrator,or Epidemiology Response. Department's Operation Partnership Emergency Network (OPEN) system linking area businesses, facility engineers and private security Dec 2004 and resources. ongoing DELIVERABLE#2 DELIVERABLE ACTIVITIES TIMELINE Written plan for 24/7/365 staff responsible for responding to Grantee will formalize extant system of assured 24/7/365 access and alerts during non-business hours,including on-call schedule, connectivity. BHEP staff members will maintain written policies and communication devices,and documentation of process for procedures for the use of communication equipment and protocols for providing the on-call schedule to key staff. contact and accessibility. The grantee agency currently practices a departmental 24/7/365 on-call system inclusive of the BHEP team. The BHEP Coordinator will develop a written system of on-call activities representative of each position on the BHEP team On call schedules and up-to-date contact information will be provided to key stakeholders and established for special event coverage. The BHEP Director will continue to participate in the grantee agency's Special Events Planning committee to ensure that emergency response and BHEP personnel resources are integrated into emergency response planning, including identification of Oct 2004 and key personnel and corresponding contact information. ongoing DELIVERABLE#3 DELIVERABLE ACTIVITIES TIMELINE Documentation verifying that alerts(natural or simulated) The grantee HAN Administrator will regularly test the connectability and were sent to the following response persons: contact capability of the HAN system, Records will be kept of natural and • Key health department staff involved in detection and simulated (test) alerts and documentation generated identifying gaps and response remedial activities.The grantee will work with local partners including the • Local hospital emergency department staff, Tarmat County Health Department and DFW Hospital Council to generate • Infection control practitioners as indicated,and/or and maintain inventories of local hospital staff,including infection control • Local law enforcement. practitioner. The grantee will maintain select emergency, intelligence and law enforcement contacts and host a redundant backup of the CFW Police FY2005 Workplan CITY OF FORT WORTH PUBLIC HEALTH DEPARTMENT For Local Public Health Preparedness Page 31 of 53 Operation Partnership Emergency Network (OPEN) database to ensure contact with business owners/managers and their respective maintenance February 2005 and engineers and security personnel. ongoing. DELIVERABLE#4 DELIVERABLE ACTIVITIES" TEV ELIhTE Job description outlining roles/responsibilities as HAN Job description of the HAN administrator is available through the BHEP administrator. team and on file with the grantee agency's Human Resources Department and will be provided to the funding agency as requested. The Job Description includes a definition of the position, supervision received and exercised, essential and marginal function statements, qualifications, experience and training guidelines. The HAN Administrator is also classified as an Epidemiologist by the grantee agency. Additional responsibilities and ongoing changes to role of the HAN Administrator will continue to be reflected in the position manual. September 2004. DELIVERABLE#5 DELIVERABLE ACTIVITIES TIMELINE Documentation verifying HAN administrator has The newly hired HAN Administrator will attend the HAN Administrator participated in TDH/DSHS Han Administration training, initial certification training as provided by DSHS and attend quarterly i.e.,date of training,copy of participant certificate. HAN meetings thereafter(either in person or via teleconference).Grantee maintains and will provide documentation,as requested,certifying that the HAN Administrator has completed DSHS HAN Administrator training. The HAN Administrator will continue lead role is maintaining the North Texas HAN user's group to promote continued development of consistent HAN applications by regional partners. Documentation will continue to include the dates of training events, certificates and report on training November 2004 content. and quarterly. DELIVERABLE#6 } 'workplan CITY OF FORT WORTH PUBLIC HEALTH DEPARTMENT l tical ublic Health Preparedness Page 32 of 53 DELIVERABLE ACTIVITIES TIMELINE Documentation verifying that 24171365 contact information Grantee will continue to update and distribute contact information for all of all response team members has been provided to all response team members in conjunction with local and regional partners. response partners,including regional and local health Regional contact list updated 10 September 2004. The grantee department partners. organization's Bioterrorism Notification Chart has been updated on 13 September 2004. The BHEP Coordinator will ensure that updated contact lists are maintained and distributed among key participants and September 2004 local/regional stakeholders,including health department partners. and as revised. DELIVERABLE#7 DELIVERABLE ACTIVITIES TIMELINE Database containing a minimum of 100 key contacts The grantee will establish a HAN database comprised of local physicians, (stakeholder)records in the HAN web portal. (If necessary, select other clinical groups (nurses, infectious disease practitioners, etc:.), smaller jurisdictions may submit a request/justification to key regional personnel, emergency response staff, departmental, BHEP amend this deliverable to 50 key contacts.) and locaUrcgional PHP staff. The local physician inventory has been identified as over 600 individuals. The grantee will purchase the licensed physician's list from the Texas Board of Medical Examiners and explore adding other clinical groups to the HAN database. November 2004. DELIVERABLE#8 DELIVERABLE ACTIVITIES TIMELINE Description and implementation of a local redundant system Grantee currently has a redundant communication system that includes for alerting,i.e.,911 call down,dialogic based rapid dial Blackberries, landline telephones, cellular phones, intemetle-mail, pagers system,2-way radios,email systems,or HAN-blast dial for GMRS radios,HAN blast fax,a dialogic rapid dial system(Winlead)and regional systems. 800mhz radios. The grantee will expand this capability to include HAM radios to connect key public health staff, BHEP personnel and the Emergency Operations Center(EOC)and satellite linked phones to ensure connection between public health/BHEP leadership and the EOCMcident Command. The grantee is also exploring integration of BHEP and public health emergency communication capabilities with the local citizenry December 2004 through a"reverse 911"system. and ongoing. FY2005 Workplan CITY OF FORT WORTH PUBLIC HEALTH DEPARTMENT For Local Public Health Preparedness Page 33 of 53 DELIVERABLE#9 DELIVERABLE ACTIVITIES TIMELINE Quarterly updates on communications inventory to Grantee will provide a comprehensive communications inventory to DSHS TDH/DSHS 14AN staff using the Quarterly Key Contact HAN staff using the Quarterly Key Contact Update form on a quarterly November 2004 Update form. basis. and quarterly RESOURCES NECESSARY TO ADDRESS THIS OBJECTIVE List the PHP staff responsible for addressing this objective. List equipment that will be purchased to address this objective. HAN.Administrator Handheld HAM radios(x7)and HAM base station. BHEP Coordinator Satellite linked telephones(x2)with terrestrial telephony backup BHEP Director Specify if travel will be required to address this objective. If yes, specify the type of travel required by placing an "X" on the appropriate line: X Yes No X In State Travel X Out of State Travel Specify if service(s)/product(s)will be purchased to address this objective. If so,please describe. Office supplies;service contracts for communication devices. ADDITIONAL FOCUS AREA E OBJECTIVES TO BE ADDRESSED DURING FY 05 Awardees may list additional objective(s) to be addressed in Focus Area A that will be accomplished during the Fy OS project period. Specify the critical capacity, critical activity, or critical benchmark from the CDC guidance document to which this objective relates. Also list the deliverable(s), activity(ies), timeline(s),and resources necessary to achieve this objective.'Add lines and directions asnecessaryto complete this portion of the worJ�plan. OBJECTIVE: DELIVERABLE#1 DELIVERABLE ACTIVITIES'; TIMELINE FY2005 Workplan CITY OF FORT WORTH PUBLIC HEALTH DEPAR'TME'.NT For Local Public Health Preparedness Page 34 of 53 RESOURCES NECESSARY TO ADDRESS THIS OBJECTIVE List the PHP staff responsible for addressing this objective. List equipment that will be purchased to address this objective. Specify if travel will be required to address this objective. If yes, specify the type of travel required by placing an "X" on the appropriate line: Yes No In State Travel Out of State Travel Specify if service(s)/product(s)will be purchased to address this objective. If so,please describe. FY2005 Workplan CITY OF FORT WORTH PUBLIC HEALTH DEPARTMENT For Local Public Health Preparedness Page 35 of 53 FOCUS AREA F WORK PLAN Communicating Health Risks and Health Information Dissemination Focus Area F Goal: Enhance the capacity for effective risk communication that provides for timely information dissemination to citizens during a bioterrorist attack, outbreak of infectious disease, or other public health threat or emergency. Such a capacity should include training for key individuals in communication skills,the identification of key spokespersons(particularly those who can deal with infectious diseases), printed materials, timely reporting of critical information, and effective interaction with the media. Complete the table below by providing the activities that will be conducted to meet the stated deliverable,and specify the timeline to indicate when the activity will be completed If an activity will be occurring multiple times,put the date the first occurrence will be schedule, and then clarify as "ongoing"or "quarterly"as necessary. After the last deliverable for each objective,provide information on the type of resources that will be necessary to achieve the objective. F_ach blocic to be completed will adjust as needed to include all required information. OBJECTIVE 41. Implementation of an effective Crisis and Emergency Risk Communication(CERC)plan DELIVERABLE#1 DELIVERABLE ACTIVITIES TIMELIl'VE Written plan that includes: The grantee BHEP Public Information Officer(PIO)will ensure the Crisis • Signature of the agency director, and Emergency Risk Communication Plan (CERC) is updated and • A description of how information will be disseminated to endorsed by the Fort Worth Public Health Department's (FWPHD) educate the media,public,partners,and stakeholders director. November 2004 regarding risks associated with a real or apparent threat • Identification of a key spokesperson,and backup if The BHEP P10 and the FWPHD, in partnership with the Department of necessary State Health Services Region 2/3 Regional Office and the Fort Worth • Identification of participants in public information Emergency Management Office (representing the MMRS)will update the system,including call-down lists of public health and CERC Plan as needed. The grantee's organization will document the December 2004 and clinical contacts that can be activated to address inclusion and involvement of all key community partners and stakeholders, as revise/amendcd communications and information dissemination with bi-lingual information provided as required. • Documentation of changes/additions,including revision The BHEP PIO will be responsible for updating any and all contact dates,incorporated in the plan based on results of information of local printed and broadcast media representatives in the exercises/drills. CERC Plan on a regular basis or as needed. The BHEP PIO will also continue to cultivate relationship with local media outlets to maintain their cooperation to support consistent messages to the general public in the November 2004 and FY2005 Workplan CITY OF FORT WORTH PUBLIC HEALTH DEPARTMENT For Local Public Health Preparedness Page 36 of 53 event of an act of Bioterrorism or other public health emergencies. as revised The BHEP PIO will continue to develop written educational materials and regular press releases reminding the citizenry of informational resources and basic messages in response to disasters or assessment specific to bioterrorism to gauge public information needs and target promotional and educational interventions accordingly.The BHEP PIO will further examine current communication needs, barriers within public and professional communities, and identify corrective and enhanced means of communication with the media, professional populations, and the general September 2004 and public during health threats and emergencies. All educational materials as required will fust be submitted to DSHS for review in order to prevent redundancy. The BHEP PIO will increase partnership with Tarrant County Health Department (TCHD) PIO to continue and broaden plans of identifying participants in a public information system that can be activated to address communication and information dissemination needs. The grantee organization's chief PIO and PIO representatives from city departments will coordinate efforts with the TCHD PIO.The grantee will be in charge October 2004 and as of updating and documenting in the CERC Plan any change/addition to revised/amended call-down lists of public health and clinical contacts. The BHEP PIO, Coordinator, Director and other representatives from the grantee organization will implement any change/addition to the CERC Plan November 2004 and bases on results of exercises and drills.The results and changes pursuant to as events indicate. drills and exercises, as well as remedial activities and after action reports will be documented and archived by Focus Area. EL DELIVERABLE ACTIVITIES TIl1�IELINE Documentation verifying that CERC plan has been reviewed Documentation to verify that the CERC plan has been reviewed and exercised,and revised based on results of exercise. revised based on results of exercise will include description of exercises or actual events, after action reports and any remedial action required. hr FY2005 Workplan CITY OF FORT WORTH PUBLIC HEALTH DEPARTMENT For Local Public Health Preparedness Page 37 of 53 addition, mandated, routine and random exercises held by the grantee organization's Emergency Management Office,the BHEP team,local and January 2005 and regional partner organizations will further validate response activities. post event/exercise. 777777 RESOi1RCES NECESSARY TO ADDRESS THS flB�ECTTUE List the PHP staff responsible for addressing this objective. List equipment that will be purchased to address this objective. BHEP Public Information Officer(PIO) I. Sony MiniDV Handyeam Camcorder with 3 Advanced HAD CCDs and 2.5" BHEP Director SwirelScreen LCD. B14EP Coordinator Fort Worth Public Health Department Director 2. Go-Video Dual-Deck 4-Head Hi-Fi Stereo VCR,Model:DDV3110. Fort Worth Public Health Department PIO 3. Pinnacle Studio Moviebox DV Version 9 (Studio version 9 provides tools to effectively capture and edit video,edit,add titles,music,narration and special effects and then output the presentation to videotape,DVD and/or the web). 4. SKYLINE Multi-faceted exhibition booth, with bi-lingual components, to be used for large population exhibitions and provides a portable and multi-functional exhibition format. Specify if travel will be required to address this objective. If yes,specify the type of travel required by placing an"X"on the appropriate line: X In State Travel X Out of State Travel X Yes No Specify if service(s)/product(s)will be purchased to address this objective. If so,please describe. Special supplies for development of exhibition booth;laminating services,display artwork;general supplies. Mileage and travel reimbursement. ADDITIONAL F{ICUS AREA F OBJEC'T'IVES TO BE ADDRESSEWDURING FY:05: tlwardees may l#s#tddttiorxal abjcttvesl lo:::ft exddressed In tivcusra�+1 fiha#will be acc©mpt#shed during the OSrr3ec€period. �S�ecify the':eiticc�l eapc#ty, rtiica!ac#twityr ar#ir}eat ba �hnarrk frpm the CDS guidance d�arzent to whteh this rtbjeetive relates. WAlso 1#st the eliverzrble(t. aGtivi#y(xes), t indin e s aid resources necessa in achieve this r+b eetive. Addlines'end directions as 4ecessa to eo leie this rti©n n the work lan. (IBTECT. M. Meet's Gi c needs of s eeisl o uaationo. FY2005 Workplan CITY OF FORT WORTH PUBLIC HEALTH DEPARTMENT For Local Public Health Preparedness Page 38 of 53 DELIVERABLE#1 DELIVERABLE ACTIVITIES TIMELINE Continue activities that will be implemented to meet the The grantee organization will continue developing and integrating a specific needs of special populations that include but not strategy, as part of its Crisis and Emergency Risk Communication Plan limited to people with disabilities,people with serious (CERC) in conjunction with the Fort Worth/Tarrant County Emergency mental illness,minority groups,the non-English speaking, Management Office and local community organizations to ensure that the children,and the elderly. pre-event educational needs and post-event communication needs are being met. The BHEP PIO, Coordinator and Director will identify elements J required to meet the needs of special populations and complete a plan for meeting those needs. As part of the CERC plan printed and electronic anuary 2005 and as media will be used to meet the needs of the different public,professional expanded and special communities and populations. The BHEP PIO will generate educational interventions inclusive of the special populations,appropriate in cultural context and language including December 2004 and preparedness materials to homebound elderly via the Meals on Wheels as generated. program and for elementary and middle school children thru the FWISD. As requested by DSHS representative Emily Palmer, specific descriptions of special populations and corresponding intervention plans will be generated. Discussions with TCHD in October 2004 indicates that video production October 2004 and as equipment requested by the grantee will be used to support reproduction of requested. approved TCHD educational materials The BHEP PIO will create a video documentary through the grantee agency's cable service that clearly identifies the timeframes involved with morbidity and mortality from biological and, to a lesser extent, chemical events. These curricula will be reviewed by DSHS prior to production to avoid creating duplicate materials.The intent is to foster an understanding by the general citizenry of the timelines involved in acquiring prophylaxis �z-- treatment pursuant to exposure in order to avoid panic response and .ted ' N promote orderly compliance with instructions by authorities. It is expected ? that knowledge regarding orderly response as more important than g�J n immediate access to medication will increase the likelihood of success in June 2005 rkplan CITY OF FORT WORTH PUBLIC HEALTH DEPARTMENT ;ffl"oeal ublic Health Preparedness Page 39 of 53 CQ� administering response activities. To further provide preparedness to the Fort Worth community,the BHEP PIO will provide bi-hngual copies of the Emergency Preparedness Video March 2005. to all 21 local and 13 high school libraries for students and their families to borrow. RESOURCES NECESSARY TO ADDRESS THIS OBJECTIVE List the PHP staff responsible for addressing this objective. List equipment that will be purchased to address this objective. BHEP Public Information Officer(PIO) Signature Z6 CD/DVD Printer and Signature Z6 CD/DVD Color Printer Extended Warranty BHEP Director BHEP Coordinator Fort Worth Public Health Department PIO Specify if travel will be required to address this objective. If yes,specify the type of travel required by placing an"X"on the appropriate line: X Yes No X In State Travel X Out of State Travel Specify if service(s)/product(s)will be purchased to address this objective. If so,please describe. • Postage: According to the Fort Worth Community Relations Department, 22 percent of it's residents are disabled, which indicates that one out of every five people(reporting having a disability)may have difficulty transporting themselves to community centers,churches, neighborhood associations meetings,etc.to receive the BHEPT's educational materials. Postage funds will be used to mail out educational materials to people who have no convenient way to access BHEP information on-line or otherwise. • Reproduction of Emergency Preparedness Videos into DVDs: Emergency preparedness, to many of Fort Worth citizens, is a very new topic and in certain occasions difficult to understand. The BHEP PIO created four emergency preparedness videos(Natural Disasters,Weapons of Mass Destructions,Terrorism and Preparing Your Family and Home). BHEP team members have expressed interest to show videos during their community and professional presentations. The proposed funds will be used by the BHEP PIO to reproduce the all four videos (also available in Spanish) from VHS forrnat to DVDs. Material will submitted to DSHS for review prior to production to avoid duplication of efforts and to utilze existing materials. • Funds will be used to print brochures,pamphlets,fliers and other educational materials. • With the assistance of the City Cable Office,the BHEP PIO will create a series of biological agents videos to educate the general citizenry after first submitting to DSHS for review in order to avoid redundancy.. • Classic cut Heavy-Duty Paper Trimmers 30 sheet capacity(GBC 1530LE) FY2005 Workplan CITY OF FORT WORTH PUBLIC HEALTH DEPARTMENT For Local Public Health Preparedness Page 40 of 53 FOCUS AREA G WORK PLAN ° Training and Education Focus Area G Goal: Continue to assess the training needs of and provide training to key public health professionals,infectious disease specialists,emergency department personnel,and other healthcare providers related to preparedness for and response to bioterrorism,other outbreaks of infectious disease,and other public health threats and emergencies. Complete the table below by providing the activities that will be conducted to meet the stated deliverable, and specify the timeline to indicate when the activity will be completed If an activity will be occurring multiple times,put the date the first occurrence will be schedule, and then clarify as "ongoing" or "quarterly", as necessary. After the last deliverable for each objective,provide information on the type of resources that will be necessary to achieve the objective. Each block to be com feted will adjust as needed to include all required information. imp xx rotre c' of ll is heaidi' r a i t ss HP workforce_ DEIfTYERa�BLE i#'1 D)CLIVERABIE1.CTIYITIF.S! TIllIELINE X. Completed assessments for all PHP funded staff member The BHEP Coordinator will ensure all PHP funded staff members utilizing software tools specified by TDH/DSHS. complete the TDH/DSHS on-line Self Assessment instrument. Results of this assessment,staff member's own evaluation of training needs and input from managerial staff will culminate as the basis for an individualized, comprehensive,training plan for each staff member in September 2004 order to cultivate professional skills and capabilities in response to and as required for routine and emergency events. staff development. X. XX DEl< EL) # BEL LE AlYtY I�Tom` TWLI�1E Copies of updated training plans for each PHP funded staff The training plan will be updated as events occur and forwarded to DSHS member based on the results of the assessment,including on a quarterly basis with the goal of identifying and obtaining training • Additional training identified through the assessment, opportunities. The BHEP Coordinator will monitor maintenance of training logs and compliance with indicated training needs by each PHP November 2004 FY2005 Workplan CITY OF FORT WORTH PUBLIC HEALTH DEPARTMENT For Local Public Health Preparedness Page 41 of 53 • Updates on training completed after the plan was funded staff member. and quarterly, developed,and/or • Changes to the plan based on the assessment results DELIVERABLE#3 DELIVERABLE ACTIVITIES TIMELINE Written report submitted to TDHIDSHS outlining progress The BHEP Coordinator will submit a quarterly report to the BHEP in implementing each PHP staff's training plan. Director and TDHIDSHS identifying compliance,progress and/or changes November 2041 of each PHP funded staff member's training plan. and quarterly. RESOURCES NECESSARY TO ADDRESS THIS OBJECTIVE List the PHP staff responsible for addressing this objective. List equipment that will be purchased to address This objective. BHEP Coordinator N/A (BHEP Director) Specify if travel will be required to address this objective. If yes, specify the type of travel required by placing an "X" on the appropriate line: X Yes No X In State Travel X Out of State Travel List the service(s)/product(s)will need to be purchased to address this objective. if so,please describe. General office supplies OBJECTIVE#2. Identify and train staff to support large-scale clinic operations DELIVERABLE#I DELIVERABLE ACTIVITIES TIMELINE FY2005 Workplan CITY OF FORT WORTH PUBLIC HEALTH DEPARTMENT For Local Public Health Preparedness Page 42 of 53 List or database of staff identified for large-scale clinic Grantee will continue to work with local partners and stakeholders towards operations. identifying, training, credentialing and assigning staff and volunteers for f large scale clinic operations. The grantee is also working with the City of Fort Worth Emergency Operations Center and Human Resources Department to develop programs that would mobilize employees for response in large-scale clinic operations. As personnel are identified, the list will be maintained on the HAN. April 2005 DELIVERABLE N 2 DELIVERABLE ACTIVITIES TIMELINE Documentation or written 1-2 page report verifying the Grantee will maintain reports describing training event and copies of sign- following items: in sheets and provide these as required to TDH/DSHS. The grantee will • Dates when training was conducted, provide required reports detailing necessary data in conjunction with • sign-in sheets of participants to include vaccinators, regional partners to document time, place, person, events, outcomes and security personnel,traffic control staff, evaluation. As required. vaccine/pharmaceutical storage and handling staff,clinic managers,screeners,medical staff,and antibiotic dispensing clinic; • copies of pre/post tests from participants • copies of evaluation of training from participants RESOURCES NECESSARY TO ADDRESS THIS OBJECTIVE List the PHP staff responsible for addressing this objective. List equipment that will be purchased to address this objective. All BHEP Team members including Team Coordinator and Team Director N/a Specify if travel will be required to address this objective. If yes, specify the type of travel required by placing an "X" on the appropriate line: _X—Yes No x In State Travel Out of State Travel List the service(s)/product(s)will need to be purchased to address this objective. If so,please describe. General office supplies FY2005 Workplan CITY OF FORT WORTH PUBLIC HEALTH DEPARTMENT For Local Public Health Preparedness Page 43 of 53 7777 ADDITIONAL FOCUS AREA G OBJECTIVES TO BE ADDRESSED DURING FY 05 `• Awardees may listadditional objective(s) to be addressed in Focus.Area A that will be accomplished during the FY 05 project period Specify the cr#t}Ci�t capacity, critical activity, or critical benchmark from the CDC guidance document to which this objective relates. Also list the deliverable(s); aetivite9q timeline(s),and resources necessary to achieve this objective. Add lines and directions as necessary to,complete this;portion of the work plan. OBJECTIVE: DELIVERABLE#1 DELIVERABLE ACTIVITIES TIMELINE NIA RESOURCES NECESSARY TO ADDRESS THIS OBJECTIVE List the PHP staff responsible for addressing this objective. List equipment that will be purchased to address this objective. Specify if travel will be required to address this objective. If yes, specify the type of travel required by placing an "X" on the appropriate line: Yes No In State Travel Out of State Travel List the ser-vice(s)/product(s)will need to be purchased to address this objective. If so,please describe. FY2005 Workplan CITY OF FORT WORTH PUBLIC HEALTH DEPARTMENT For Local Public Health Preparedness Page 44 of 53 FY 05 PUBLIC HEALTH PREPAREDNESS EXERCISE PLAN r Section Goal: Verify enhanced detection/response capacity through regular testing of all public health response plans/systems. Improve response plans/systems by revising them to address the gaps/weaknesses identified through the exercise/drill. Complete the table below by providing the activities that will be conducted to meet the stated deliverable, and specify the timeline to indicate when the activity will be completed. If an activity will be occurring multiple times,put the date the first occurrence will be schedule, and then clarify as "ongoing"or "quarterly"as necessary. After the last deliverable for each objective,provide information on the type of resources that will be necessary to achieve the objective. Each block to be completed will ad fust as needed to include all required information. OBJECTIVE#1. Evaluate and improve the agency's capacity to detect and respond to a bioterrorism threat,infectious disease outbreak,or other public health emergency by conducting an annual exercise or drill of the comprehensive public health emergency response plan. Performance Goals: Staff are aware of public health and other community responder roles. 85%of a random sample of staff with response roles can: • Describe their job functions during a response AND the description matches the employee's role and responsibilities as written in the Agency's plan and the jurisdiction's plan. • Identify by name and/or job title of the person they report to in a disaster. • Demonstrate the correct use of equipment used in their emergency job function(e.g. conferencing equipment,blast faxing;two-way radios). • Name by position,job title,or function,the response partners with whom you are likely to interact in a disaster response. • Describe the role and responsibilities of response partners whom they are likely to interact with as they carry out disaster role functions. • Show documentation of training jointly with response partners whom they are likely to interact with as they carry out disaster role functions. During exercises and drills,external partners demonstrate an understanding of public health's role in a response. DELIVERABLE#1 DELIVERABLE ACTIVITIES TIMELINE Copy of notification document verifying that TDHfDSHS The grantee will participate in local and regional planning efforts in the was notified about the exercise/drill,and was forwarded a construction of comprehensive training exercises and drills. The objective copy of exercise objectives. of these exercises will be to test the capability of PHP personnel and community stakeholders to detect, respond and recover from intentional, October 2004 and Documentation,of joint training with external partners on natural or accidental adverse or disaster disease events. The goal is to as indicated by response plan and exercise objectives. attain a minimum of 85%compliance with stated deliverables. events/exercises. Documentation that exercise injects tested response plans Grantee will ensure that"Notification of Planned Exercise"and an"After- I As indicated by FY2005 Workplan CITY OF FORT WORTH PUBLIC HEALTH DEPARTMENT For Local Public Health Preparedness Page 45 of 53 and corresponded with material presented in provider - Action Report (AAR)" are submitted to TDHIDSHS as required. exercises and tramings Exercises will also assess participant's Emergency Response Plan. events. After-action report that corresponds to the exercise Grantee and exercise participants will collaboratively design AAR and objectives. identify remedial strategies built on consensus following performance As indicated by Revised public health emergency response plans that include during exercises. Results and follow-up plans will be documented, filed exercises and improvements based on the results of the exercise/drill and for reference and referral and submitted to TDHIDSHS events. the date of the last revision. Grantee will follow the routine of planning an exercise,train on the plan, perform the exercise and submit after action report within 30 days and perform necessary remediation within 30 days thereafter. Grantee has requested training schedule from cross county partners to maximize the opportunity for collaborative activity. The exercise of November 15,2004 (full scale exercise at Texas International Motor Speedway)will represent As indicated by such an activity. The grantee is scheduled to attend planning sessions and exercises and be incorporated into the exercise scenario. events. OBJECTIVE#2: Evaluate the agency's ability to efficiently/effectively notify public health response,teams and key stakeholders 24/1 through quarterly testing. Performance Goal: In jurisdictions that share Tribal,International,or military installation borders,the Public Health Agency has written evidence of. • Joint participation in PHP planning meetings • Exchange of health alert messages. • Mutual aid agreements. • Collaborative training for exercises and response to exercise scenarios. • Collaborative evaluation of exercise performance. Written evidence includes letters,call logs,;meeting agendas,meeting minutes OR written signed agreements,exercise calendar,sign-in sheets for joint training,,, drills,and exercises': DELIVERABLE It 1 DELIVERABLE ACTIVITIES- _TIMELINE Qitte ntation listing testing dates and results, The grantee will utilize the HAN to test contactabitity and response of key community stakeholders. The grantee will internally test response wed olicies,protocols,and contact lists that include I capability of the BHEP team and key departmental staff(Director and 445_Workplan CITY OF FORT WORTH PUBLIC HEALTH DEPARTMENT f_gr;tApal Public Health Preparedness Page 46 of 53 C?� a improvements based on the results of the test and the date of Division Mangers) using a random testing method. The grantee will - the last revision. periodically test the Bioterrorism Emergency Notification Chart in OF collaboration with county partners. Copies of these contact lists are on file with the grantee, updated regularly and will be provided to TDH/DSHS November 2004 with evaluation and remediation plans pursuant to tests. and quarterly. bB.TECTi 3: valteate and' v$the eteCtiveuess 4fthe'SN an aannu�le�cisr/dnl I>ELdYERtL) YX t +CTX' ITW TIlVIELII�TE Copy of notification document verifying that TDH/DSHS The grantee will work with county,regional and state partners to construct was notified..about the exercise/drill,and was forwarded a and/or participate in a full-scale,functional SNS exercise(s). The grantee ........ ....................... copy of exercise dkjcetives. will collaborate with contributors/sponsors to develop exercise, design injects, monitor response/activity and generate a comprehensive After- cuirtentation ofyariittinng with t�xteru8l patois ort Action Report. All participants, including law enforcement and school Vow and earcrcise c�bleetn+es'; districts, will be identified and included in the post-exercise evaluation. Revisions, based upon exercise results, will be documented and used to T�ocutxteuta iott that exer0.140 11100 tented xcsltotise p..atis modify procedures pursuant to testing and response activities. Remedial As indicated by and correcpoiid l`t�nth materiaal presented in pm. Id r efforts will be reviewed for compliance to recommendations within 60 exercises,drills and dugs days of the AAR. events. Ater-acirntreport thatcavrnsponds the execiae Grantee will participate with exercise participants in post-event evaluation abjeetives and construction of the After-Action Report (AAR). Reports will be completed within 30 days. All participants will be involved in the editing Revised SNS plans that include improvements based on the process and generation of the finalized version of the AAR.The AAR will results of the exercise/drill and the date of the last revision. be forwarded to TDH/DSHS with specific documentation on how the As dictated by results of the exercise will be used to modify the extant SNS plan and exercises,drills and incorporated into remedial actions by participants. events. Evaluatto."urisdie�cxn's disease o fQr 2117pa bilit throu an att®aal errercise/drill X. FY2005 Workplan CITY OF FORT WORTH PUBLIC HEALTH DEPARTMENT For Local Public Health Preparedness Page 47 of 53 DELIVERABLE ACTIVITIES TIMELINE Written documentation listing testing dates and results. Grantee will participate in a drill/exercise that will incorporate the disease reporting system as maintained by the Tarrant County Health Department Revised policies,protocols,and contact lists that include (TCHD). Collaborative planning efforts will isolate the disease detection improvements based on the results of the test and the date of and reporting system and evaluate the interface between the local/regional the last revision. health departments.An After Action Report(AAR)will be collaboratively generated by participants that identifies remedial activities indicated by the December 2004 & exercise and subsequent revision to policies,protocols,and/or contact lists. following drills and A copy of the AAR will be sent to TDH/DSHS.No specific drills/exercise exercises. or anticipated timeline has yet been identified although a disease-reporting contract between the City of Fort Worth and the TCHD is in development. OBJECTIVE#5: Evaluate the agency's capability to receive and respond to reports of urgent cases, outbreaks, or other public health emergencies, including any events that suggest intentional release of a biologic;chemical,or radiological agent through an annual exercise/drill. Performance Goal: • Public Health Agency can demonstrate that a call made to the Agency's telephone number for disease reporting is answered 24/7/365 and referred to a knowledgeable public health professional,within 15 minutes of receipt of the call: • A knowledgeable public health professional can take the report and confer with consults,if necessary,to assess the level of urgency within 45 minutes of receipt of the call(includes the 15 minutes referenced in Measure 12.) • For reports determined to be urgent(suspicion or confirmation of any immediately notifiable illness,unusual disease;and outbreaks),an official with the authority to activate a response can be involved in the decision making process within 60 minutes of call receipt. DELIVERABLE#1 DELIVERABLE ACTIVITIES _TIMELINE Copy of notification document verifying that TDH/DSHS The grantee will work with county, regional and/or state partners to was notified about the exercise/drill,and was forwarded a construct and/or participate in a functional exercise(s)that test the local copy of exercise objectives. capability to detect anomalous disease activities indicative of intentional biological events_The grantee will collaborate with contributors/sponsors Documentation of joint training with external partners on to develop exercise design injects, monitor detection capabilities and response plan and exercise objectives. communication protocols and generate a comprehensive After-Action Report (AAR) within 30 days of the event. The AAR will evaluate the Documentation that exercise injects tested response plans community's capability to detect, confirm, communicate and respond to November 2004 and corresponded with material presented in provider the identified suspect disease events. Revisions, based upon exercise Full-scale exercise FY2005 Workplan CITY OF FORT WORTH PUBLIC HEALTH DEPARTMENT For Local Public Health Preparedness Page 48 of 53 trainings results, will be documented and used to modify pursuant testing and planne(f for August response activities. Remediation will occur within 30 days of the AAR. 2005. After-action report that corresponds to the exercise objectives. Grantee will construct exercise activities to test and reinforce training received in presentations and provide Texas DSHS with AAR and Revised policies/procedures that include improvements evaluation identifying specific compliance or inadequacies regarding based on the results of the exercise/drill and the date of the timelines as specified in this deliverable.Remedial plans for resolution of last revision. problem areas, including educational and training needs, reporting December 2004& modifications, communication enhancements and response coordination following tests and will be submitted and integrated into participant response plans. evaluations. OBJECTIVE#6: Evaluate the agency's capability of quickly and efficiently implementing their smallpox response plan to control and contain the consequences of a smallpox outbreak,in conjunction with participating hospitals,through an annual exercise/drill. DELIVERABLE#I DELIVERABLE ACTIVITIES TIMELINE Copy of notification document verifying that TDH/DSHS The grantee will work with local, regional and state partners in was notified about the exercise/drill,and was forwarded a constructing at least an annual functional exercise that tests the response copy of exercise objectives. capabilities of the detection,reporting and recovery system involved with smallpox contingencies. Specifically, the grantee, stakeholders and Documentation of joint training with external partners on hospital partners will test the capability to mobilize smallpox response -November 2004: response plan and exercise objectives. activities. Hospital surge capacity and staffing capabilities as well as TMS Exercise. isolation and alternate treatment capabilities will be evaluated. The -Full-scale Documentation that exercise injects tested response plans Emergency Physicians Advisory Board, DFW Hospital Council, local exercise:August and corresponded with material presented in provider EMS and appropriate representatives of area hospitals,police and fire will 2005. tramings also be included. -Quarterly/events. After-action report that corresponds to the exercise Participants and sponsors of the exercise will participate in the After objectives. Action Report (AAR) process within 30 days. The AAR will collaboratively reflect effectiveness of response and establish a plan for Revised smallpox response plans that include improvements rehabilitating aspects of the response found to be inadequate. based on the results of the exercise/drill and the date of the Rehabilitating efforts will commenced within 30 days of the AAR. Prior Exercises and drills last revision. notice and post-event evaluation of the event will be provided to will be planned TDHtDSHS. I quarterly. FY2005 Workplan CITY OF FORT WORTH PUBLIC HEALTH DEPARTMENT For Local Public Health Preparedness Page 49 of 53 FOR AGENCIES WITH STATE LRN LABORATORIES ONLY OBJECTIVE#7:' Evaluate the laboratory's response readiness and capability through an annual exercise/drill. Performance Goal: ; • The laboratory's specimen/sample transportation system complies with current packaging and shipping regulations on infectious substances and dangerous goods •= At least once every 12 months,the laboratory tests the capability of its transportation system to deliver specimens/samples to a confirmatory reference lab on nights,weekends,and holidays. • Written documentation of successful delivery,including dates,time package is sent from originating lab,and time package arrives at reference lab is required. • Documentation from successful deliveries occurring on nights,weekends,or holidays during the Agency's normal course of business is accepted; otherwise deliberate testing to provide such evidence is necessary. DELIVERABLE#1 DELIVERABLE ACTIVITIES TIMELINE Copy of notification document verifying that TDHIDSHS was notified about the exercise/drill,and was forwarded a copy of exercise objectives. N/A Documentation of joint training with external partners on response plan and exercise objectives. Documentation that exercise injects tested response plans and corresponded with material presented in provider trainings After-action report that corresponds to the exercise objectives. Revised laboratory response plans that include improvements based on the results of the exercise/drill and the date of the last revision. FY2005 Workplan CITY OF FORT WORTH PUBLIC HEALTH DEPARTMENT For Local Public Health Preparedness Page 50 of 53 OBJECTIVE#8: Evaluate the HAN notification system's ability to receive and send critical health information to at least 90%of key stakeholders involved in local public health r response through quarterly tests using the TDHIDSHS HAN Testing Procedures. DELIVERABLE#1 DELIVERABLE ACTIVITIESTIMELINE' Written documentation listing testing dates and results. The grantee will conduct quarterly tests of the HAN using the TDH/DSHS testing procedures to establish the system's capability to receive and send Revised policies,protocols,and contact lists that include critical information to/from at lest 90%of key stakeholders. The grantee improvements based on the results of the test and the date of will further organize tests to identify specific contingencies and examine the last revision. capability to access select contact groups.All tests will be documented and evaluated by BHEP personnel to determine if procedural or training November 2004 modifications need to be implemented to improve system efficacy. and quarterly. OBJECTIVE#9:" Evaluate the local redundant communications stem's ability to notify key stakeholders involved in public health response through quarterly testing. DELIVERABLE#1 DELIVERABLE ACTIVITIES TIMELINE Written documentation listing testing dates and results. Grantee will construct communication exercises that test contact capability with key stakeholders beyond efforts afforded through the HAN. Grantee Revised policies;protocols,and contact lists that include will develop exercise, independently or jointly with local partners,to test improvements based on the results of the test and the date of alternate and redundant contact capabilities. These include landlines,fax, the last revision. cellular, Blackberries,pagers,auto dialers, 800 MHz and satellite phones. The grantee will evaluate efforts through feedback from stakeholders and November and intended contacts and document results and remedial activities. quarterly. OBJECTIVE#10: Evaluate the Critical and Emergency Risk Communication Plan to ensure timely and effective channels of communication to inform the public,partners,and stakeholders about recommendations during public health emergencies through an annual exercise/drill. DELIVERABLE#1 1 os. orkplan CITY OF FORT WORTH PUBLIC HEALTH DEPARTMENT ftl ublic Health Preparedness Page 51 of 53 FJ r�u VIM %taw DELIVERABLE ACTIVITIES TIMELINE j Copy of notification document verifying that TDH/DSHS Grantee will construct an exercise, independently or collaboratively,, to was notified about the exercise/drill,and was forwarded a evaluate the Crisis and Emergency Risk Communication(CERC)plan.by copy of exercise objectives. exercising contact capabilities of key stakeholders, partners and the general public. Contact capabilities and communication effectiveness with Documentation of joint training,with external partners on select professional groups including hospitals, EMS, Police and Fire response plan and exercise objectives. Departments, City/County leadership, Agency Departments, Public Information Officers (JIC), and other emergency response personnel will Documentation that exercise,injectstested response plans be examined. Specific situational injects will be developed that test and corresponded with material presented in provider training and response plans. An After Action Report (AAR), jointly trainings produced by planning and operational participants, will evaluate contact capabilities of critical responders and groups. Response performance will After-action report that corresponds to the exercise be further isolated by exercise injects and by responder/group. Evaluation objectives. of communication and response performance will be used to drive remedial activities. Notification of the exercise and thorough December 2004 Revised crisis and emergency risk communication response documentation will be provided to TDH/DSHS. and bi-annually plans that include improvements based on the results of the exercise/drill and the date of the last revision. Grantee will help organize and conduct a tabletop exercise for the National Atmospheric Release Advisory Center (NARAC) system currently being piloted by the grantee to assess GIS and responder January 2005. readiness. Results will be documented and any required departmental and/or procedural improvements cultivated. RESOURCES NECESSARY TO ADDRESS THE EXERCISE OBJECTIVES LISTED ABOVE List the PHP staff responsible for addressing this objective. List equipment that will be purchased to address this objective HAN Administrator Satellite linked telephone(s),HAM radios as specified. SNS Coordinator/Clinical Liaison BHEP Director BHEP Coordinator Specify if travel will be required to address this objective. If yes, specify the type of travel required by placing an `X" on the X Yes No appropriate line: X In State Travel X Out of State Travel Specify if services)/product(s)will be purchased to address this objective. If so,please describe. Monthlv service to all communication devices and reconfiguring of BlackBerry devices to provide radio,telephone and email port. FY2005 Workplan CITY OF FORT WORTH PUBLIC HEALTH DEPARTMENT For Local Public Health Preparedness Page 52 of 53 1M • FY2005 Workplan CITY OF FORT WORTH PUBLIC HEALTH DEPARTMENT For Local Public Health Preparedness Page 53 of 53 INS UCTIONS FOR OUARTERLY/FINAL-FINANCIAL STATUS REPORT FORM 269A(TDH FORM GC-4a) SEC-11014 ENTRY 1 Contractor Name: Legal name of contractor as reflected in the contract attachment 2 TDH Program: TDH program name as indicated in the contract attachment document 3 Payee Account No.: Account number or other identifying number assigned by the contractor for the contractor's internal use. not required by TD 4 Enter the unique identifying number that has been assigned to the contract attachment. The number normally consists of your agency's 9 digit IRS's Employer ID# plus 1 digit assigned by TDH and the number of the fiscal year in which the attachment term ends plus a two digit attachment number. (see "Cover Page 2'of your contract document. S Payee 14 Digit Vendor ID No: Number assigned by the State of Texas Comptrollees Office (which also incorporates your a e 's 9 digit 1RS Employer ID# 6 Accounting Basis: Indicate the principal accounting method used by your agency to account for the expenses relating to time contract attachment by placingan"X"in the appropriate space. 7 Payee: Enter the Payee's complete mailing address. This information must coincide with the State Com trolleys Office records and Vendor 1D number in Section 5 above. 8 Contract Term: Enter the beginning and ending date of the contract attachment.(e.g.,9/1/99- 8/31/00). (See "Cover Pa 2'ofyour contract document. 9 Period Covered by this Report: Enter the beginning and ending dates of the contract quarter covered by this rerL (month,day and ear to Final Re rt: Check"No"for quarteft reports and preliminary"finals"•check"Yes"for the final report. i Standard Bud et Categories (iii) Approved Budget: Approved budget figures as reflected in the fully executed contract attachment. The -figures be changed 2g&by a formal bud et amendment. (i ii) Project Cost this Period: Contractor's allowable expenditures incurred,on the attachment during the quarterly (Iv) Cumulative Project Cost: Contractor's cumulative allowable expendibnvs incurred on the attachment from the cummt quarterly rmorting periodL (v) Remaining Budget Balance: Subtract Cumulative Project Cost (Column iv) from the approved budget Column if). k(iii) Program Income Coffected: Enter the amount of program income(Pre collected during the quartan. The sum of the program hu*me deducted from the reimbursement vouchers for the quarter should equal this amount. k(iv) Enter the cumulative program income collected during the attachment tecta. This amount should be equal to the total program income deducted from all reimbursement vouchers submitted under the attachment since inceptim l(iv) lion-TDH Funding: If the effort for this contract attachment is partially funded by non-TDH sources(from other agencies or with local funds)and all costs of the effort are reflected in the report,enter the cumulative amount of non-TDH k1ft here. m iii Advance Received: Eater the amount of advance p!Ment if an out agency has received from TDH. m(iv) Advance Repaid: Enter the cumulative amount of the advance which has been repaid-either by reduction of reimbursement or by refired Em(v) Balance Owed: Subtract the amount of the advance repaid(m(iv))from the amount of the advance received Win n(iv) Cumulative Reimbursement Requested: Enter the sum of all reimbursement vouchers submitted for reimbursement of expenditures incurred since the beginning date of the attachment term. o(iv) Total Reimbursement Received: Enter the total of all cash received for both an advance(if any)and actual cumulative reimbursement oayments since the beginning date of the attachment term For additional Information call the Grants Management Payments Section®(512)458-7520. Send Reports to: Texas Department of Health (harts Management Division 1100 West 49th Said 05/2002 Austin,Texas 78756-3199 Department of State Health Services FINANCIAL STATUS REPORT 1100 West 49th Street FSR269A Fiscal Division/Accounts Payable Austin,Texas 78756-3199 Phone(512)458-7435 Contractor Name: FORT WORTH DEPARTMENT OF PUBLIC DSHS Program: CPSBIOTERR HEALTH DSHS Document# Year Attachment# Payee Acct'No.: 7560005286 2005 05A Payee Vendor ID No.: 17560005286051 Basis: [ ] Cash [ ] Accrual Payee Name: CITY OF FORT WORTH Contract Term: (Month/Day/Year) From: 09/01/2004 To: 08/31/2005 Address: 1000 THROCKMORTON ST Period Covered by this Report: City,ST,Zip: FORT WORTH,TX 76102-6311 From: 12/01/2004 To: 02/28/2005 PO Number: 0000300995 Final Report? [ ]Yes[X No (v) Project Cost per General Ledger Remaining (ii) Budget Approved (iii) (iv) Balance (i) Budget Categories Budget This Period Cumulative (ii minus iv) a.Personnel [ ] 265,202.00 b.Fringe Benefits [ ] 66,301.00 c.Travel [ ] 24,301.00 d.Equipment ( ] 11,082.00 e. Supplies [ ] 14,579.00 f.Contractual [ ] 0.00 g.Other [ ] 80,897.00 h.Total Direct Charges 462,362.00 i. Indirect Charges [ ] 33,150.00 J.Total Charges 495,512.00 LESS:k.Program Income Collected 1. Non-DSHS Funding m. ADVANCE:Received(Col.iii)/Repaid(Col.ivY Balance Owed Col.v n. Total Reimbursement Requested o. Total Reimbursement Received Prepared by: Title: Phone#: CERTIFICATION:I certify to the best of my knowledge and belief that this report is correct and complete and that all outlays and unliquidated obligations are for the purposes set forth in the award documents. Signature of Authorized Certifying Official Date Submitted: Typed or Printed Name and Title of Certifying Official Telephone: DSHS Form GC-4a(269a)Revised 6/04 P - Department of State Health Services FINANCIAL STATUS REPORT 1100 West 49th Street FSR269A Fiscal Division/Accounts Payable Austin,Texas 78756-3199 Phone(512)458-7435 Contractor Name: FORT WORTH DEPARTMENT OF PUBLIC DSHS Program: CPS/BIOTERR HEALTH DSHS Document# Year Attachment# Payee Acct.No.: 7560005286 2005 05A Payee Vendor ID No.: 17560005286051 Basis: [ ] Cash [ ] Accrual Payee Name: CITY OF FORT WORTH Contract Term: (Month/Day/Year) From: 09/01/2004 To: 08/31/2005 Address: 1000 THROCKMORTON ST Period Covered by this Report: City,ST,zip: FORT WORTH,TX 76102-6311 From: 03/01/2005 To: 05/31/2005 PO Number: 0000300995 Final Report? [ ]Yes[N No (v) Project Cost per General Ledger Remaining (ii) Budget Approved (iii) (iv) Balance (i) Budget Categories Budget This Period Cumulative (ii minus iv) a. Personnel [ ] 265,202.00 b.Fringe Benefits [ ] 66,301.00 c.Travel [ ] 24,301.00 d.Equipment [ ] 11,082.00 e.Supplies [ ] 14,579.00 f.Contractual [ ] 0.00 g.Other [ ] 80,897.00 h.Total Direct Charges 462,362.00 i. Indirect Charges [ ] 33,150.00 '.Total Charges 495,512.00 LESS:k.Program Income Collected 1. Non-DSHS Funding m. ADVANCE:Received(Col.iii)/Repaid(Col.ivy Balance Owed Col. v In. Total Reimbursement Requested o. Total Reimbursement Received Prepared by: Title: Phone#: CERTIFICATION:I certify to the best of my knowledge and belief that this report is correct and complete and that all outlays and unliquidated obligations are for the purposes set forth in the award documents. Signature of Authorized Certifying Official Date Submitted: Typed or Printed Name and Title of Certifying Official Telep ng,: 'r 'V, DSHS Form GC- K4) evisr&&64 J i Department of State Health Services FINANCIAL STATUS REPORT 1100 West 49th Street FSR269A Fiscal Division/Accounts Payable Austin,Texas 78756-3199 Phone(512)458-7435 Contractor Name: FORT WORTH DEPARTMENT OF PUBLIC DSHS Program: CPSBIOTERR HEALTH DSHS Document# Year Attachment# Payee Acct.No.: 7560005286 2005 05A Payee Vendor ID No.: 17560005286051 Basis: [ ] Cash [ ] Accrual Payee Name: CITY OF FORT WORTH Contract Term: (Month/Day/Year) From: 09/01/2004 To: 08/31/2005 Address: 1000 THROCKMORTON ST Period Covered by this Report: City,ST,zip: FORT WORTH,TX 76102-6311 From: 06/01/2005 To: 08/31/2005 PO Number: 0000300995 Final Report? [X Yes[ ]No (v) Project Cost per General Ledger Remaining (ii) Budget Approved (iii) (iv) Balance (i) Budget Categories Budget This Period Cumulative (ii minus iv) a.Personnel [ ] 265,202.00 b.Fringe Benefits [ ] 66,301.00 c.Travel [ ] 24,301.00 d.Equipment [ ] 11,082.00 e.Supplies [ ] 14,579.00 f.Contractual [ ] 0.00 g.Other [ ] 80,897.00 h. Total Direct Charges 462,362.00 i. Indirect Charges [ ] 33,150.00 J. Total Charges 495,512.00 LESS:k.Program Income Collected 1. Non-DSHS Funding m. ADVANCE:Received (Col.iii)/Repaid(Col.ivy Balance Owed Col.v n. Total Reimbursement Requested o. Total Reimbursement Received Prepared by: Title: Phone#: CERTIFICATION:I certify to the best of my knowledge and belief that this report is correct and complete and that all outlays and unliquidated obligations are for the purposes set forth in the award documents. Signature of Authorized Certifying Official Date Submitted: Typed or Printed Name and Title of Certifying Official Telephone: 41 SI. is aq'Revis d 6/04 Ir About your DSHS Contract Your agency recently entered into a contract with the Department of State Health Services. The provisions of the contract may require that your agency complies with all or a portion of the standards and procedures set forth in the Uniform Grant Management Standards, the Texas Department of Health Financial Administrative Procedures Manual, and applicable federal cost principles. The provisions further require your agency to submit request for reimbursement using a State of Texas Purchase Voucher (DSHS Form B-13). If the special provisions of your contract contain a matching funds requirement, your agency will also be required to submit a Form B-13a. For your convenience, these documents are available on-line at the following locations: Uniform Grant Management Standards: http://www.governor.state.tx.us/divisions/stategrants/guidelines/files/UGMS01200 1.doc Financial Administrative Procedures Manual: http://www.tdh.state.tx.us/grants/fapmanual.pdf Appendices to the Financial Administrative Procedures Manual: hfti)://www.tdh.state.tx.us/grants/manuall.[)df State of Texas Purchase Voucher hftp://www.tdh.state.tx.us/qrants/b1 3form.pdf http://www.tdh.state.tx.us/grants/bl 3form.doc Instructions for completing State of Texas Purchase Voucher hftp://www.tdh.state.tx.us/grants/bI 3 i n st.pdf Documentation requirements for claiming In-Kind Match http://www.tdh.state.tx.us/grants/IKGUIDE.PDF Form B13a (Match Certification) http://www.tdh.state.tx.us/grants/bl 3aform.doc Form B13a Instructions http://www.tdh.state.tx.us/grants/bl 3ainst.pdf Office of Management and Budget (OMB Circulars) http://www.whitehouse.gov/omb/circulars/ More information pertaining to managing your grant funds is available on TDH's Compliance Policy and Monitoring web site: (i.e. Form GC-11 for reporting personal property, Form B-1 3X required for Title X Contracts) http://www.tdh.state.tx.us/grants/default.htm If you have any questions or need further information regarding DSHS contracting requirements, please contact the Enterprise Contract and Procurement Services Division at 512/458-7470. The Texas Department of Health is consolidating Accounts Payable with several other agencies into a new entity. Beginning September 1 , 2004 we will be called the Department of State Health Services (DSHS). You can assist us by directing your invoices to: Department of State Health Services Fiscal Division/Accounts Payable 1100 West 49th Street Austin, TX 78756 Other Options: You may fax invoices to: Fax# (512) 458-7442 You may email invoices (.doc, .xls, or .pdf formats) to: invoicesv,dshs.state.tx.us To inquire call: (512) 458-7435 or email us at the above address. On all invoices, please continue to furnish the complete ten-digit Purchase Order Number, Vendor Identification Number, and any other identifying information such as Program name. Thank you for your cooperation City of Fort Worth, Texas Mayor and Council Communication COUNCIL ACTION: Approved on 8/5/2004 - Ordinance No. 16060 DATE: Thursday, August 05, 2004 LOG NAME: 50BIOGRANT REFERENCE NO.: C-20186 SUBJECT: Adoption of Appropriation Ordinance and Authorization to Execute a Contract with Texas Department of Health for a Public Health Preparedness and Bioterrorism Response Grant for September 1, 2004 through August 31, 2005 RECOMMENDATION: It is recommended that the City Council: 1. Authorize the City Manager to execute a contract with the Texas Department of Health for $495,512.00 to be used for public health preparedness and bioterrorism response during the period September 1, 2004, to August 31, 2005. 2. Adopt the attached appropriation ordinance increasing estimated receipts and appropriation in the Grants Fund by $495,512.00. 3. Approve an indirect cost rate of 10% of salaries, as approved by TDH. DISCUSSION: For the third year, the Centers for Disease Control and Prevention (CDC) has provided funding to the TDH to enhance the capacity of the public health system to prepare for and respond to terrorism, infectious outbreaks and other public health threats and emergencies. The funding last year for the Fort Worth Public Health Department was $500,517.00, as approved in M&C C-19651, on July 8, 2003. A total of $34,766,854.00 in funds is to be allocated this year among TDH, the regional offices and local health departments in Texas. Each county will receive a base amount of$20,000 plus an additional amount based upon $1.30 per capita. Tarrant County will receive $2,052,375.00, which will be appropriated between the City of Fort Worth and Tarrant County Public Health departments according to a needs assessment and plan jointly developed by the departments and approved by the Regional Health Director. The estimated apportionment will be approximately $495,512.00 for the City and $1,556,863.00 for Tarrant County. This division of labor is consistent with the City Council's policy direction in reorganizing public health in Fort Worth and Tarrant County and with previous year's activities. The CDC and and TDH require each local health department continue to address six focus areas: 1. Preparedness, Planning and Readiness Assessment; 2. Surveillance and Epidemiology Capacity; 3. Laboratory Capacity-Biological and Chemical Agents; 4. Health Alert Network/Communications and Information Technology; 5. Risk Communication and Health Information and Dissemination; and 6. Education and Training Logname: 50BIOGRANT Page I of 2 Local health departments are required to continue to assure their need assessments and plans are coordinated with plans of cities that have received funds for the Metropolitan Medical Response System (MMRS) development, as well as regional plans with other jurisdictions. Fort Worth is a MMRS city. The grant funded activity will cover the period of September 1, 2004 through August 31, 2005. The projected activites will continue to build upon accomplishments achieved during the funding period from September 1, 2003 through August 31, 2004. These accomplishments include the design and presentation of educational programs for public and professional communities, development of mass prophylaxis immunization protocols and the revision and enhancement of disaster preparedness plans at the local and regional level. These activities have served to better prepare Fort Worth citizens for a variety of emergency events. The requested funding will be used to further cultivate and disseminate educational and preparedness activites throughout Fort Worth and enhance communication and response capabilities for the six positions already in place. FISCAL INFORMATION/CERTIFICATION: The Finance Director certifies that upon approval of the above recommendations and adoption of the attached appropriation ordinance, funds will be available in the current operating budget, as appropriated, of the Grants Fund. TO Fund/Account/Centers FROM Fund/Account/Centers GR76 451923 050301968000 $495,512.00 GR76 5(N ARIOUS) 05030968010 $495,512.00 Submitted for City Manager's Office W. Libby Watson (6199) Originating Department Head: Dan Reimer (871-8903) Additional Information Contact: Dan Reimer (871-8903) Logname: 50BIOGRANT Page 2 of 2