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Building Laboratory Capacity Building Laboratory Capacity at the Local Levelat the Local Level
Angela Van Houten, MSAngela Van Houten, MS
Wyoming Public Health LaboratoryWyoming Public Health Laboratory
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ObjectivesObjectives
• Describe the development and implementation of a capacity building grant program aimed at sentinel labs throughout Wyoming
• Discuss the program-wide value of a preparedness funding project, including the impact on statewide lab connectivity
• Describe the laboratory outcomes of the grant project at a local, sentinel lab level
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Wyoming Laboratory Wyoming Laboratory Response NetworkResponse Network
Food
Veterinary
Wildlife
Clinical
Public Health
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Wyoming LRNWyoming LRN
National Labs: CDC & USAMRIID
Confirmatory Labs: WPHLWSVL WG&F
Sentinel Labs: 35 Clinical Laboratories (First Responders) WASL
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Wyoming LRNWyoming LRN - - Sentinel LabsSentinel Labs
35 Sentinel Laboratories
• 22/23 Counties
• 29 Community Hospitals
• 1 Free standing lab
• 2 VA Hospitals
• 1 Air Force Base Clinic
• 2 Indian Health Services Facilities
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Initial Survey & GrantsInitial Survey & Grants
2001 • 2 page survey of basic capabilities• Identified areas of need
– Class II BSC– Training on packaging and shipping– Training on presumptive ID of bacterial BT agents
2002-2003 Supplemental BT Grant• $80k for Class II BSC (10 sentinel labs)• BSC purchase, training & certification
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Birth of ‘Bioterrorism Community Birth of ‘Bioterrorism Community Laboratory Capacity Building Grant’Laboratory Capacity Building Grant’
• 2003-2004 – Focus Area C: >$280K – HRSA Hospital Bioterrorism Program: $180K
• Laboratory Capacity Steering Committee– 10 volunteer sentinel laboratorians– WPHL-BRL personnel– Oversaw development of grant concept– Grant Scoring Task Force
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Grant DocumentsGrant Documents
• Grant Guidance– Eligibility– Goals and Objectives– Funding Mechanism
• Grant Application– Cookie cutter approach
• Needs Assessment– 16 pages – In-depth capability and capacity assessment
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Grant FocusGrant Focus
• Primary Goals– Personnel and Facility Safety– Training & Educational Resources– Communications infrastructure– Microbiology lab instrumentation & equipment
• Obtain comprehensive baseline data on sentinel lab’s capacity & capability– 16 page needs assessment survey– Completion mandatory to receive funding
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Response in Year ONEResponse in Year ONE
• 30 Labs participated (30/34 eligible)
• Awards ranged from $4,800-$20,250– 63% (19/30) safety, 3 BSC– 93% (28/30) education, conferences, etc.– 30% (9/30) communication equipment– 43% (13/30) IT equipment– 97% (29/30) lab enhancement (incubator,
microscope, centrifuge, blood culture system)
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Grant Year ONE- AwardsGrant Year ONE- Awards
• Contracts with each sentinel lab– Flexibility was the key
• CAP-Lab Preparedness Survey supported– 2002: 10 sentinel labs volunteered for ‘pilot’– 2003: 27 sentinel labs– 2004: $250 added to each labs grant
• Progress reporting requirements– 3 throughout the year
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Progress ReportProgress Report
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Year TWO Year TWO
• 2004-2005 – Focus Area C: >$340K – HRSA Hospital Bioterrorism Program: >$150K
• Addition to Primary Goals– Recruitment and retention of lab professionals
• Expectation that lab met requirements of goals and reports for year 1– Progress Reporting Requirements– Expenditure of funds as described
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Year TwoYear Two Recruitment and Retention GoalRecruitment and Retention Goal
• Encourage creative use of funds to either recruit or retain highly skilled microbiologists in community laboratory facilities.
• Funding for development of involvement of skilled microbiologist in community preparedness activities
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Response to Year 2Response to Year 2
• 32/35 Labs participated, awards ranged from $6,600-$20,000– 41% (13/32) recruitment & retention– 50% (16/32) safety, 2 additional BSCs– 88% (28/32) conferences, education, etc.– 9% (3/32) communication equipment– 22% (7/32) IT equipment– 94% (30/32) lab equipment enhancement
• Progress reporting requirements
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Status of 1Status of 1oo Goals GoalsYear One & Two AccomplishmentsYear One & Two Accomplishments
• Sentinel Labs in WY have BSCs• Sentinel Labs in WY have personnel
trained on packaging and shipping requirements
• Sentinel Labs in WY have capacity for electronic communication
Additionally, Sentinel Labs purchased CAP-LPS for 2005
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BenefitsBenefits For Sentinel Labs and LaboratoriansFor Sentinel Labs and Laboratorians
• Increased involvement/membership in Wyoming state laboratory societies
• Increased participation at both state & national conferences
• Increased personnel and facility safety– BSC, PPE, Training, Packaging & Shipping
• Improved electronic communication capability at local labs
• Enhanced local lab capacity overall
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BenefitsBenefitsFor Preparedness ProgramFor Preparedness Program
• Increased awareness of preparedness efforts in local communities throughout state
• Developed positive relationships between community laboratories and WPHL-BRL
• Promoted partnering between HRSA/CDC grant activities
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BenefitsBenefits
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It takes a Team!It takes a Team!
Many Thanks To:
Sandra Novick, PhD, MT (ASCP)
Laboratory Capacity Steering Committee
Merit Thomas, HRSA Hospital BT Coordinator