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U.S. Public Health Service (USPHS) Service Access Teams (SAT)

U.S. Public Health Service (USPHS) Service Access Teams (SAT). LT Cody Thornton LCDR Nicole Gaskin- Laniyan Service Access Team #1. USPHS SAT - Overview. Mission:

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U.S. Public Health Service (USPHS) Service Access Teams (SAT)

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  1. U.S. Public Health Service (USPHS) Service Access Teams (SAT) LT Cody Thornton LCDR Nicole Gaskin-Laniyan Service Access Team #1

  2. USPHS SAT - Overview Mission: To provide resources and assistance to local health authorities throughout the United States to assess and monitor ongoing health and human services needs of affected populations and support “at-risk” individuals and populations. The primary areas of SAT activities and reporting include: 1. Needs Assessment 2. Plan Development/Cultural Sensitivity 3. Advocating/Connecting 4. Clinical Care Coordination 5. Continuity/Transition Management 6. Psycho -Social Management 7. Re-integration 8. Confidentiality assurance

  3. At-Risk Individuals Generally Supported by SAT • People who are unable to plan, advocate/or obtain resources and/or services to meet basic health and safety needs. • The subgroup of individuals most likely to be impacted/supported include: elderly, developmentally disabled, mentally ill and minors separated from guardians. • Five Distinct Roles Historically: • Coordination of Evacuee Return • Medical Case Management • Coordinate Non-Patient Evacuee Travel • Coordinate Human Services (Basic Needs) • Data Collection

  4. SAT support: Activation and/or Request • SATs were created as part of the National Response Framework’s ESF-8 public health and medical asset provisions. • Like all Commissioned Corps response teams, they may be deployed in response to an ESF-8 or non-ESF-8 public health emergency. • Additionally, the Secretary and Assistant Secretary for Health have the authority to independently activate a SAT or in response to requests made through the Surgeon General.

  5. Scenario 1 – Establishment of SAT Rapid Deployment Force (RDF 1) Case Scenario – Hurricane Katrina • MISSION: The disaster recovery response included numerous federal government agencies and tens of thousands of volunteers and troops responded/deployed to the disaster - most in the affected area but also throughout the U.S. at shelters set up in at least 19 states. The goal of this mission was to provide support with psycho-social management and relocation/re-integration efforts. • LENGTH OF DEPLOYMENT: 23 Days • SUMMARY OF DEPLOYMENT & SERVICES: Received orders from OFRD to deploy to the designated area. At this time the SAT team did not exist. The work was carried out through the RDF-1 (150 PHS Officer s) • Requirement to identify all special needs patient shelters and sites throughout the state of Louisiana. In order to carry this out, each morning over 10 teams would head out, identify and make contact with the various shelters and sites that served the special needs populations and check on patient safety. Required up to 12 hours a day and at times, several days on the road without returning to base to complete contact/assessments

  6. Scenario 2 – Establishment of SAT Rapid Deployment Force (RDF 1) Case Scenario – Hurricane Gustav/IKE MISSION: The 2008 hurricane season was one for the record books. On September 1, 2008, the eye of Hurricane Gustav made landfall in south Louisiana prompting the largest evacuation in that state’s history - 2 million people impacted. The United States Public Health Service (USPHS) was deployed with the mission of assisting with the provision of medical care, establishment of shelter and relocation for hundreds of families who lost their homes and belongings due to the flooding. LENGTH OF DEPLOYMENT: 15 Days SUMMARY OF DEPLOYMENT & SERVICES: assisted with the set up and maintenance of medical and support care in the Texas A&M performance gymnasium. During this mission, PHS Officers served over 1000 patients per day in areas such as acute and chronic medical care, case management and relocation coordination support. Through this deployment and associated duties, the structure of the SAT Team was finalized and then implemented.

  7. Scenario 3 – Haitian Repatriation Service Access Team (SAT) Case Scenario – Haitian Repatriation Mission MISSION:The Haitian Repatriation mission was implemented to serve individuals who sustained injuries resulting from the Haitian earthquake in January 2010 and were transported to the United States for medical care.The Service Access Team (SAT) were instrumental in this mission. Tracking patients, assessing their medical needs, performing case management and assisting with returning individuals back to Haiti if they so desired. Specifically, the team tracked 79 National Disaster Medical System (NDMS) patients brought to hospitals in the United States from Haiti for medical intervention from February 2-28, 2010. LENGTH OF DEPLOYMENT: 23 days Continued on next slide….

  8. Scenario 3 - continued SUMMARY OF DEPLOYMENT & SERVICES: assisted with the development of the clinical/medical forms, interviewed/supported case managers, nurses, doctors and therapists. Engaged in conversations about reimbursement. SAT developed, with ASPR, a mechanism for Haitian patients to return to Haiti once medically cleared and verbalized their desire to return. Developed inpatient medical status and discharge status assessment tools to evaluate current medical care, follow on care and long term medical needs, and to determine return to Haiti. Requested by Regional Emergency Coordinators in Region IV to deploy to Atlanta, Georgia to initiate field operations, established face-to-face contact and interviewed injured victims in the hospital and discharged patients in the community to determine their medical status, follow on care needs and offer them the return back to Haiti. Met with governmental, non-governmental and hospital representatives to discuss the role/mission of the team. Conducted site visits at area hospitals, Long Term Acute Care Hospitals, skilled nursing facilities, specialized treatment centers and discharged patients at extended stay facilities in the community.

  9. SAT In Review USPHS SAT can be deployed for an official ESF-8 or non-ESF-8 public health emergency to provide assistance and augmentation of the local health work force, as well as liaise and advise health decision-makers, and ensure access to essential services and to preserve the lives and the health of affected, displaced, returning and vulnerable individuals and populations.

  10. Questions? For more information: Contact: Office of Force Readiness and Deployment OFRD Office of the Surgeon General Main Phone Number: 301.443.3859 General Questions for OFRD: ofrd@hhs.gov Or Visit: OFRD Main page - http://ccrf.hhs.gov/ccrf/ OFRD Teams Page- http://ccrf.hhs.gov/ccrf/current%20teams.htm

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