Impact of the Global Medical Supply Chain on SNS Operations and Communications Proceedings of a Workshop (2018) / Chapter Skim
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3 Delivering the Assets: Supply Chain Issues Between the SNS and State and Local Public Health
3 Delivering the Assets: Supply Chain Issues Between the SNS and State and Local Public Health
Pages 21-30
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From page 21... ...
It may also entail overcoming obstacles -- such as a longshoremen's strike that once disrupted the shipping of latex into western U.S. ports -- to ensure that raw materials reach manufacturers of those products.
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From page 22... ...
Marshals Service, the Maryland Air and Army National Guards, and the Maryland State Police, he stated. Laura Runnels asked two Standing Committee members -- Paul Petersen, director of the Emergency Preparedness Program for the Tennessee Department of Health, and Karen Remley, executive director and CEO of AAP -- to comment on their perceptions of the role of the SNS at local and clinical levels.
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From page 23... ...
Burel placed the SNS within the Public Health and Medical Services component -- denoted Emergency Support Function Eight (ESF#8) -- of the National Response Framework, led by HHS.
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From page 24... ...
Thus, he observed, the members of the partnership overcame a breakdown of communication at the state level, which also affected clinical guidance being distributed to local partners and the health care system. In assessing shortages, Romanosky asked, who is responsible for calculating the immediate and long-term risks involved: decision makers at the local health department or those at the state level?
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From page 25... ...
In Tennessee, local public health workers are entirely responsible for implementing emergency plans, including distributing SNS assets, Petersen noted. The state conducts some warehousing operations, which are staffed in part by local public health workers.
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From page 26... ...
Lewis Rubinson, professor of medicine at the University of Maryland and assistant chief medical officer for Critical Care at the university's Medical Center, remarked that his hospital was constantly adapting to shortages, and that federal or state involvement in that process under normal circumstances would slow it down, as it would draw attention to liability. "We have a patient in front of us right now, so while everyone is talking about the liability issues, we're solving it," he said.
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From page 27... ...
Sara Roszak, senior director of research programs at the National Association of Chain Drug Stores (NACDS) , asked: In cases where a critical medical product is derived both from the commercial supply chain and the SNS, is it ever important to maintain separate stocks and identify them by source?
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From page 28... ...
In Maryland, a program called HC Standard allows public health officials to query hospital inventories for specific drugs and equipment, Romanosky noted. The state also employs syndromic surveillance; emergency departments throughout the state automatically upload their patients' chief complaints, clinician impressions, final diagnoses, and other relevant information, some of which is linked to electronic medical records.
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From page 29... ...
Grossman observed that it is important for the entire health care community to become aware of this resource, and he said that improving FDA's timeliness in updating the list could better serve the needs of health care providers and third-party distributors.
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