Task Force Reports: Policies and Procedures

1982 ◽  
Author(s):  
2021 ◽  
Author(s):  
Christian Medby ◽  
Sandra Larsen Clifford ◽  
Miranda Norquay ◽  
Therese Killi Hansen ◽  
Jennifer Gurney

ABSTRACT Introduction Hamid Karzai International Airport is a NATO military base connected to the international airport in Kabul, Afghanistan. It is one of the larger NATO installations in Afghanistan, and with its location being one of the main hubs for international transit, the base has been at the frontline since the beginning of the COVID-19 pandemic. Hamid Karzai International Airport base commanders and medical staff have been at the forefront, continually developing policies and procedures to mitigate the pandemic in a deployed setting. Material and Methods On base, approximately 4,000 people from 58 different nations lived within 0.5 km2. Diagnosis of COVID-19 was made by the detection of nucleic acid from the SARS-CoV-2 virus in nasopharyngeal/oropharyngeal swabs using real-time polymerase chain reaction (BioFire or GeneXpert). Serological tests (detecting IgM and IgG antibodies) were used as a screening tool. Data were reported from April 1 to September 12, 2020. Results Three thousand four hundred and sixty-six PCR tests were run in the reported period. Four hundred and seventy-eight positive cases were identified. Of these, only 106 reported symptoms. Seventy-eight presented spontaneously to the emergency room, while the remaining positive cases were identified as a result of aggressive testing of close contacts, base screening and surge testing. Twenty-two patients required oxygen treatment. One patient required mechanical ventilation and later died after strategic evacuation. Discussion Mitigation of COVID-19 was achieved by measures to reduce the spread of the virus, measures to reduce the population, and a medical response plan. To manage the logistic burden of isolating and quarantining a large portion of the population, a multinational and multidisciplinary COVID Task Force was formed. Conclusions In a military population of mostly young and healthy individuals, the majority of COVID-positive patients will have fewer symptoms, and therefore, the aggressive screening of asymptomatic personnel is necessary. Outbreaks of COVID-19 in a military base could have a detrimental impact on missions but may be contained and controlled with quarantine, isolation, and aggressive contact tracing.


Author(s):  
Lisa A Wilbert ◽  
William E Lawson ◽  
Elisa Horbatuk ◽  
Susan Boudreau ◽  
Deneen Hastings ◽  
...  

Background: New York State (NYS) began monitoring and reporting back hospital’s adherence to the Appropriate Use Criteria for Coronary revascularization (AU) in 2010. NYS plans to publicly report as well as decrease payments for procedures deemed rarely appropriate based on these data. Utilizing the data in these reports on AU, our hospital made strenuous efforts to improve documentation and decrease inappropriate procedures. Results from NYS data from 2011 through 2013 were continuously tracked and charted to monitor progress and to identify areas to focus on for needed remediation. Methods: 2010 data from NYS was utilized as the baseline. A multipronged approach was taken to improve appropriateness. A monthly multidisciplinary task force was organized to review opportunities, change policies and procedures, and review ongoing results. A worksheet was developed and used to provide education and data collection. The electronic catheterization report was changed to incorporate appropriateness criteria documentation previously missing from the chart. Challenges included education and achieving compliance from a diverse group of faculty captive and private cardiology groups supported by a large and constantly changing group of support staff. The summary of data from NYS was compared from 2010 through 2013 against the hospitals results and NYS as a whole. Results: Cases rated appropriate increased from 26% (102 of 391) in 2010 to 62% (75 of 121) in 2013. Cases rated inappropriate decreased from 24.8% (97 of 391) in 2010 to 8.3% (10 of 121) in 2013. The cases rated uncertain also decreased from 49% (192 of 391) in 2010 to 29.8% (36 of 121) in 2013. This is statistically significant with p < 0.05 by chi-square. Conclusions: Appropriate use dramatically improved with the effective implementation of a multipronged strategy utilizing: a task force, AU worksheet, electronic documentation tools, data review, practitioner feedback and education. Compliance with appropriate use metrics is assuming increasing importance with QHIP in 2015 designating 2 AU measures (unclassifiable and inappropriate) as determinants of hospital payments. Our effective improvement of AU results serves as an institutional template for other ongoing quality improvement efforts.


2008 ◽  
Vol 12 (2) ◽  
pp. 2156759X0801200
Author(s):  
Norma L. Day-Vines ◽  
Veronica Terriquez

This article presents an overview of a strengths-based school discipline initiative that was developed in response to the high suspension and expulsion rates of African American and Latino male students at a racially diverse, urban high school in California. A school task force made up of adult and youth stakeholders devised a series of interventions that included student-led efforts to improve discipline policies and procedures. The initiative builds on the Strengths-Based School Counseling framework explicated by Galassi and Akos (2007), which stimulates and promotes personal accountability, leadership, resiliency, self-management, and social competence in students as opposed to merely reducing student deficits.


2016 ◽  
Vol 34 (10) ◽  
pp. 1983-2012 ◽  
Author(s):  
Tara N. Richards

It has been more than a decade since Karjane, Fisher, and Cullen reviewed a nationally representative sample of Institutions of Higher Education (IHEs) and documented “sexual assault on college campuses” and “what colleges are doing about it.” The current research aimed to examine the current state of IHE’s response to campus sexual assault as well as any changes in IHE’s response over the previous decade. To this end, the present study provides a comparison of data reported in Karjane et al. and 2015 data from a statistically equivalent sample ( n = 820). IHE’s utilization of policies and procedures that reflect recent guidance by the Department of Education’s Office for Civil Rights (OCR) and best practices indicated by the 2014 White House Task Force to Protect Students From Sexual Assault are also presented and discussed.


CJEM ◽  
2008 ◽  
Vol 10 (04) ◽  
pp. 325-328 ◽  
Author(s):  
Sarah McClennan ◽  
Andrew Worster ◽  
Harriet MacMillan

ABSTRACTObjective:We sought to determine the proportion of Canadian emergency departments (EDs) that have intimate partner violence (IPV) universal screening programs and intervention policies and procedures. Of the EDs with programs, we determined what proportion had made changes in their practices during the past 10 years and since the 2003 Canadian Task Force on Preventive Health Care recommendations.Methods:Using the same sampling methods as a 1994 study, we mailed questionnaires to nurse managers of a stratified, random sample of 250 out of 638 (39%) Canadian EDs and followed up with a series of telephone calls.Results:Of the 250 EDs initially contacted, 6 were excluded before the surveys were mailed. The response rate was 78.3% (191/244). Sixty-one (31.9%) of the studied EDs reported the existence of IPV policies and procedures. In this group, 26 (42.6%) applied universal screening and 13 (21.3%) implemented their screening policies after the 2003 national recommendations were published. When these results were compared with those of the 1994 study, there was no difference in the proportion of EDs with IPV policies and procedures or in the proportion of EDs that applied universal screening.Conclusion:Despite increased research into IPV there was no significant change between 1994 and 2004 in the existence of IPV polices or universal screening in Canadian EDs. Policies and procedures that address appropriate responses to patients exposed to IPV should be a priority, with most emphasis directed toward developing effective interventions to which women can be referred.


2005 ◽  
Vol 31 (6) ◽  
pp. 849-857 ◽  
Author(s):  
Curtiss B. Cook ◽  
Mary E. Boyle ◽  
Nancy S. Cisar ◽  
Victoria Miller-Cage ◽  
Peggy Bourgeois ◽  
...  

Purpose Individuals whose diabetes is being treated in the outpatient setting via an insulin pump often wish to maintain this therapy during hospitalization. The authors propose guidelines for management of patients on insulin pumps who require a hospital admission. Methods A collaborative interinstitutional task force reviewed current available information regarding the use of insulin pumps in the hospital. Results There was little information in the medical literature on how to manage individuals on established insulin pump therapy during a hospital stay. The task force believed that a policy that promotes patient independence through continuation of insulin pump therapy while ensuring patient safety was possible. A set of contraindications for continued use of pump therapy in the hospital are proposed. A sample patient consent form and order set are presented. Finally, measures that can be used to assess effectiveness of an inpatient insulin pump policy are outlined. Conclusions Patients on established insulin pump therapy do not necessarily have to discontinue treatment while hospitalized. However, clear policies and procedures should be established at the institutional level to guide continued use of the technology in the acute care setting.


2018 ◽  
Vol 54 (1) ◽  
pp. S70-S80 ◽  
Author(s):  
Quyen Ngo-Metzger ◽  
Virginia Moyer ◽  
David Grossman ◽  
Mark Ebell ◽  
Meghan Woo ◽  
...  

1997 ◽  
Vol 1997 (1) ◽  
pp. 605-607
Author(s):  
Jean R. Cameron ◽  
Jon Neel

ABSTRACT The States/British Columbia Oil Spill Task Force adopted a Mutual Aid Plan in July 1993 in which the members agreed to expedite all decisions relating to mutual aid requests among themselves. However, the plan was limited to reciprocal efforts by the task force member agencies and did not affect private sector response resources. It was understood that in order to cascade response resources into other jurisdictions, certain task force members might have to release some local facility and vessel owners (plan holders) from full compliance with their response plans. To address this problem, the task force established a Mutual Aid Workgroup that consisted of government and industry participants, and it tasked its members to evaluate options and recommend policies and procedures that would maximize the opportunity for rapid mutual aid. Based on the recommendations of this work group, a 1996 Mutual Aid Agreement was signed that established policies and implementation procedures whereby mutual aid, if requested through the unified command, can be preapproved during responses to West Coast spills. The agreement also includes related recommendations regarding private sector agreements, equipment inventories, and transboundary spill response.


2020 ◽  
Vol 47 (1_suppl) ◽  
pp. 70S-74S
Author(s):  
Kevin M. Swartout ◽  
Leila Wood ◽  
Noël Busch-Armendariz

Hundreds of U.S. institutions of higher education have conducted campus climate surveys recently to assess students’ experiences with sexual misconduct and perceptions of institutions’ related policies and procedures. Many of these surveys were implemented in response to the recommendation by the 2014 White House Task Force to Protect Students from Sexual Assault. The several options for campus climate surveys, ranging from free measures campuses can implement themselves to full-service survey implementation packages, have streamlined and facilitated the climate data collection process. Unfortunately, there is little guidance on how institutions can use and respond to their climate data. This article presents a framework that institutions could use to develop an action plan based on findings from their campus climate survey, predicated on a process that begins before the survey is implemented and lasts long after data collection concludes. Each institution of higher education is different, and individual campus action plans can vary based on campus structure, dynamics, and climate survey findings.


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