As part of its collaborative work with the Centers for Disease Control and Prevention (CDC) Children's Preparedness Unit, the American Academy of Pediatrics (AAP) offered a funding opportunity to AAP chapters, states or regions to support implementation of state-level activities designed to improve pediatric infectious disease and natural disaster emergency preparedness. Six AAP chapters and 1 district as listed below were approved to receive support in 2017.
Arizona AAP Chapter (Contact: Anne Stafford, MA)
The Arizona AAP Chapter (AzAAP) partners with the Arizona Department of Health Services to implement a Pediatric Prepared Emergency Care (PPEC) program. This program is a voluntary certification opportunity that recognizes hospitals that have demonstrated an ability to stabilize and/or manage pediatric medical emergencies. With AAP state preparedness funding, the AzAAP will plan and conduct a PPEC Disaster Preparedness and Planning Workshop for rural, urban, and tribal certified hospitals and free-standing emergency departments, employees, and community members.
AAP District IX in California (Contact: Kris Calvin)
The 4 California-based AAP chapters will collaborate on regional projects to educate and prepare pediatricians for pediatric disasters and/or emergencies across the state. Each chapter will host continuing medical education seminars and other activities to share information regarding available resources for specific regional disasters. Target audiences for this education and information sharing opportunity include pediatricians, other healthcare providers, school health professionals, and state and community stakeholders.
Maryland AAP Chapter (Contact: Richard Lichenstein, MD, FAAP)
The Maryland Chapter is currently working with chapter leaders to implement a pediatric needs assessment for disaster preparedness within the state. Chapter leaders are in the process of developing a comprehensive competency and gap assessment of Maryland's pediatric disaster preparedness capabilities based upon literature review and a focus group that will be disseminated via an electronic survey. This effort will include activities to identify planning, training, and resource inadequacies, as well as to learn about existing commitments and status within the pediatric and Emergency Support Function 8 (ESF-8) health care communities. To date, we have completed two focus groups that have focused on Eastern Shore concerns and have identified three key areas of concerns:
Resiliency in pediatric communities and healthcare providers
The need for situation specific protocols and
Increased transparency and knowledge of interstate patient transfer of care protocols.
We are currently developing the statewide survey tool with key stakeholders and a sample of pediatricians throughout the state.
Massachusetts AAP Chapter (Contact: Cathleen Haggerty)
Building on AAP national efforts to create a hospital family reunification planning template, the Massachusetts AAP Chapter will finalize the hospital reunification planning template, vet the template in 2 states (MA and MO) and pilot test the template in 4 hospitals. The final planning tool will be formatted for easy-use and broadly shared.
Michigan AAP Chapter (Contact: Teresa Holtrop, MD, FAAP)
The Michigan AAP Disaster Chapter Contact, along with other leaders will design and conduct a Web-based tabletop exercise of a pediatric mass casualty incident. Pediatric champions from the 8 Michigan regions (HHS Designated Healthcare Coalitions) will lead teams in their region to "play" throughout the exercise, react to scenarios, and discuss how each region would manage the mass casualty (in this case a school bus fire with multiple injured children).
Minnesota AAP Chapter (Contact: Katherine Cairns, MPH, MBA)
The Minnesota AAP Chapter and the Minnesota Department of Health are collaborating to develop a Minnesota Pediatric Surge Education Curriculum. This state preparedness funding opportunity will be used to create and distribute materials and educate both medical and community stakeholders on how to handle large volumes of sick or injured children. We are hosting 8 webinars this spring that will describe the Pediatric Surge Project and introduce our Education Curriculum to the Minnesota Health Care Coalitions. In late spring, we are recording video versions of the 5 trainings that will be posted on the Internet for free access.
Ohio AAP Chapter (Contact: Deanna Dahl-Grove, MD, FAAP)
The Ohio Pediatric Disaster Coalition will create a Neonatal Intensive Care Unit (NICU) disaster exercise to expand on the AAP clinical report, "Emergency Preparedness in Neonatal Intensive Care Units". The Ohio-based AAP members have expressed concerns regarding transportation, evacuation, and surge among the many aspects of caring for this vulnerable population, especially during a disaster, and this project will better prepare Ohio hospitals for a disaster.