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Lessons Learned fromTOPOFF 3

Horizon Health Center Jersey City, NJ

All Grantees Meeting 2005Presented by:Marilyn Cintron

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Our History

1963 began as a family planning clinic runout of a church

1993 became an FQHC look alike 1999 became a section 330e funded

program 2002 expanded into a second site

2003 Received JCAHO accreditation Collaborated with NJPCA for Disaster

Preparedness.

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TOPOFF 3

Horizon participated in NJPCAs Disaster Preparedness under the direction of MiriamCohen

We linked with county efforts and the NewJersey Hospital Association

Participated in the planning process on a countyand state level

Received training coordinated by NJPCA

Trained staff and collaborated with NorthHudson Community Health Center in planningthe exercise and conducting a drill prior to Play

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TOPOFF 3

We were contacted by HRSA and NJPCAabout formally volunteering to participateas a JCAHO accredited health center

Participated in conference calls with Capt.Braden and Amy Chanlongbutra fromBPHC Division of Quality Management as

well as Laura McNally, George Smith, andVan Morfit from HRSA.

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What Went Right

NJPCA was very helpful with gettinginformation to Horizon quickly

Horizon had direct lines of communicationwith BPHC and HRSA

North Hudson and Horizon worked closelyon this project

Horizon was able to get the NJ HospitalAssociation to provide information andmaterials for play

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What Went Right

Horizon was able to test our systems of security, incident command andcommunications

Staff became more aware of need andrationale for policies for BioterrorismPreparedness at the health center level

Succeeded in processing patients, whileaddressing injects during play

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What Went Wrong

During the county meetings and Statewidemeetings the health centers seemed to bean afterthought

Communication with the outside world wasvery limited

Internal communications needed

improvement Incident commander went right into doer role

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What Went Wrong

HR did not have family plans set up for easy mass prophylaxis

Communication from the outside world tous was non-existent

We created our own injects Internal supplies were not coordinated

according to policy

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Lessons Learned

Communicate, communicate, communicate Have clear policies with roles rather than names Train doers to delegate Front Desk is key! Drills are extremely valuable to truly test your

system

In an emergency staff really come through

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