T. Etherington, M. Zadeh, P. Wan, A. Carcelen, & K. Douglass,Global AIDS Program, US Centers for Disease Control and Prevention, Atlanta, GA

CDC Haiti Cholera Response 2010—11 Policy Unit Challenges & Strategies

The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.

1World AIDS Day 2009 Latest PEPFAR Result, 22009 Annual Report to Congress on PEPFAR Program Results, 3MindJet®

Learning Objectives

► Discuss Situational Analysis Modeling Framework Methodology. ► Describe Mind Mapping utility examples. ► Describe cross cutting communication, staffing, resource allocation, and document clearance performance indicators. ► Describe the methods in identifying decision-maker challenges and strategies in emergency preparedness operations.

backgrOund

Improve Operational Efficiencies

Mind Manager Mapping prOcess

pOLicy tOOL bOx

Secondary Tools Functionality

Job Action Sheets Describe staff function and facilitate transitioning

Conference Calls Maintain partner relationships and provide in-country support

Employee Database Ensure adequate and qualified staff

5 Primary Tools FunctionalityMS Outlook e-mail Manage information flow internally

Weekly Calendar Manage appointments and meetings with internal and external partners

Emergency Operation Management System Archive documents for use by multiple sectors

Document Clearance Flowchart Manage information flow to external partners

Organizational Chart Clarify current staff and chain of command

Mind Manager Applications Mapping Process Improvements

CS216145

Impact/Results:

► Recent Haiti Cholera outbreak response has received world-wide attention ► The CDC Emergency Operations Center responded with approximately 410 staff and $27 million budget obligations in 2010 -11► The Policy Unit within CDC’s Incident Management System played a vital role in supporting CDC’s Haiti Cholera Response

1. Gather Data

5. E

valu

ate-

Take

Act

ion 2. Analyze D

ata

3. Identify Solutions

4. Implement Policy

(Solutions)

situatiOnaL anaLysis MOdeLing( CYCLICAL PROCESS )

Policy Products

EmployeeHandbook

Staff RolesCross TrainingMentoring

RecordsManagement

Agency-wide TaskforceDecision Memo

Shared drive accessPartnerCollaborations

Inter/Intra Agency WorkgroupsConsultation

Common Operating Picture

ResourceFinancial Allocations

Contract/Grant AwardsReporting Accountability

HistoricalTimeline

DecisionsActions

Activities

Results / Conclusions

5 Policy - Solutions (7-26-11).mmap - 8/8/2011 - Mindjet

resuLts / cOncLusiOns

Solutions

StaffingRecruitment

Subtopic

Orientation

Document ClearanceProtocol Types/Levels(i.e. controlled correspondences)Regulatory Oversight(i.e. Freedom of Information Act)

ResourceAllocation

Fiscal BudgetFacility

CommunicationExecutive/Congress

Agency - InternalStakeholders

Identify Policy (Challenges)

Freedom of Information Act

2 Policy Solutions (7-19-11].mmap - 8/31/2011 - Mindjet

identify pOLicy (chaLLenges)

Freedom ofInformation Act

3. Redaction -(9 Exemptions i.e. Personal Identifier )

4. Report2. Collection

1. Identification

Document ClearanceRegulatory Oversight

4 Regs #1 (7-22-11].mmap - 8/31/2011 - Mindjet

dOcuMent cLearance reguLatOry Oversight

freedOM Of infOrMatiOn act

Identify Policy Challenges 1. Mind Mapping

2. Organize

3. Prioritize

4. Streamline

5. Products

Data Mining & Probing1. Emails2. International Cables

3. Common Operating

Picture Portal4. Meetings 5. Conference Calls6. Spreadsheets & Power

Points

MethOds

Step 1 – Gather DataThe first step was to retrieve operational information through a variety of data sources Step 2 – Analyze DataAfter gathering the data, an analysis was done to identify opportunities and challenges

Step 3 – Identify Solutions Policy Products were developed and standardized

Step 4 – Implement Policy (Solutions)Evidence based Operational Policy integration driven by proactive organizational leadership’s timely, accurate, relevant, strategies and guidance

Step 5 – Evaluate – Take Action ► Gather / Analyze DataDomains were categorized in achieving operational efficiency and effectiveness

Artibonite

Centre

Grande AnseNippes

Nord

Nord-Est

Nord-Ouest

Ouest

Sud Sud-Est

Port-au-

Prince

1.0% - 2.7%

2.8% - 4.1%

4.2% - 5.0%

5.1% - 5.9%

Attack Rate

Port-au-Prince includes the following communes: Carrefour, CitéSoleil, Delmas, Kenscoff, Petion Ville, Port-au-Prince, and Tabarre

Data Sources: MSPP, Institut Haitien de Statistique et d'Informatique, Centre National de l'Information Géo Spatiale

6,1400

50,000

100,000

150,000

200,000

250,000

300,000

350,000

400,000

450,000

Cases Hospitalizations Deaths

Total Cases, Hospitalizations, and Deaths October 20, 2010 through August 1, 2011 Haiti Cholera