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Innovations to Save Lives in the Next Pandemic Stanford Social Innovation and Entrepreneurship Program June 7, 2007

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Page 1: Innovations to Save Lives in the Next Pandemic•What form will the next pandemic take? –Cannot depend on medical system. Problem •Tension in a pandemic between keeping people

Innovations to Save Livesin the Next Pandemic

Stanford Social Innovation andEntrepreneurship Program

June 7, 2007

Page 2: Innovations to Save Lives in the Next Pandemic•What form will the next pandemic take? –Cannot depend on medical system. Problem •Tension in a pandemic between keeping people

Three Innovations

1. Plan for Community Resiliency2. Pandemic Hotline3. Pandemic Homepage

Page 3: Innovations to Save Lives in the Next Pandemic•What form will the next pandemic take? –Cannot depend on medical system. Problem •Tension in a pandemic between keeping people

Community Resiliency

Page 4: Innovations to Save Lives in the Next Pandemic•What form will the next pandemic take? –Cannot depend on medical system. Problem •Tension in a pandemic between keeping people

The Reality

• A pandemic is inevitable• In 2007, we are no safer than in 1918• Vast majority of Americans will be under

prepared• We cannot rely on a vaccine

Page 5: Innovations to Save Lives in the Next Pandemic•What form will the next pandemic take? –Cannot depend on medical system. Problem •Tension in a pandemic between keeping people

How Will the Pandemic Affect You?

• Vulnerable populations may suffer– Similar to Hurricane Katrina

• Pandemic may target youngest andhealthiest– Similar to 1918 pandemic

• What form will the next pandemic take?– Cannot depend on medical system

Page 6: Innovations to Save Lives in the Next Pandemic•What form will the next pandemic take? –Cannot depend on medical system. Problem •Tension in a pandemic between keeping people

Problem

• Tension in a pandemic between keepingpeople connected and physicallyseparated

• Self-imposed isolation• Hysteria and chaos• Community resiliency is a challenge• Need for community infrastructure

Page 7: Innovations to Save Lives in the Next Pandemic•What form will the next pandemic take? –Cannot depend on medical system. Problem •Tension in a pandemic between keeping people

Existing Groundwork in California

• Health Framework for California Schools• California Codes• Schools

Page 8: Innovations to Save Lives in the Next Pandemic•What form will the next pandemic take? –Cannot depend on medical system. Problem •Tension in a pandemic between keeping people

Opportunities for Innovation

• Build a community infrastructure– Community networks– Community coordinators– Reaches out to vulnerable populations

• Diffusion of responsibility– Mobilize individuals– Foster community resilience

• Organize communities through publicschools

Page 9: Innovations to Save Lives in the Next Pandemic•What form will the next pandemic take? –Cannot depend on medical system. Problem •Tension in a pandemic between keeping people

Innovation Overview

• Two main components– Curriculum for public schools

• Pandemic preparedness• Community programming

– Community Resiliency Plan• Fosters and mobilizes support networks

Page 10: Innovations to Save Lives in the Next Pandemic•What form will the next pandemic take? –Cannot depend on medical system. Problem •Tension in a pandemic between keeping people
Page 11: Innovations to Save Lives in the Next Pandemic•What form will the next pandemic take? –Cannot depend on medical system. Problem •Tension in a pandemic between keeping people
Page 12: Innovations to Save Lives in the Next Pandemic•What form will the next pandemic take? –Cannot depend on medical system. Problem •Tension in a pandemic between keeping people
Page 13: Innovations to Save Lives in the Next Pandemic•What form will the next pandemic take? –Cannot depend on medical system. Problem •Tension in a pandemic between keeping people
Page 14: Innovations to Save Lives in the Next Pandemic•What form will the next pandemic take? –Cannot depend on medical system. Problem •Tension in a pandemic between keeping people
Page 15: Innovations to Save Lives in the Next Pandemic•What form will the next pandemic take? –Cannot depend on medical system. Problem •Tension in a pandemic between keeping people

Resources Coordinators

• Food Coordinator– In touch with organizations that can provide

food to the community– Pivot point for food

• Supply Coordinator– In touch with organizations that can provide

supplies• Toiletries, diapers, cleaning supplies, etc.

– Pivot point for supplies

Page 16: Innovations to Save Lives in the Next Pandemic•What form will the next pandemic take? –Cannot depend on medical system. Problem •Tension in a pandemic between keeping people

Services Coordinators

• Medical Outreach Coordinator– Liaisons between community and medical services– Keep track of information for hospitals, clinics, etc.– Keep track of medical supplies

• Community Services Coordinator– Pivot point for services

• Special Needs Coordinator– Vulnerable individuals

Page 17: Innovations to Save Lives in the Next Pandemic•What form will the next pandemic take? –Cannot depend on medical system. Problem •Tension in a pandemic between keeping people

Community Immunity LeadershipGuide

• Sent to those who volunteered forleadership roles

• Basic information• Community leaders• Responsibilities/tasks• If you are unable to fulfill tasks• Contact information• Volunteer chart

Page 18: Innovations to Save Lives in the Next Pandemic•What form will the next pandemic take? –Cannot depend on medical system. Problem •Tension in a pandemic between keeping people

Moving Forward

• Need support from:– Departments of Education– Departments of Public Health– Schools– PTA and other organizations

• Curriculum• Letter• Pamphlet• Community leadership guide

Page 19: Innovations to Save Lives in the Next Pandemic•What form will the next pandemic take? –Cannot depend on medical system. Problem •Tension in a pandemic between keeping people

Hotline

Page 20: Innovations to Save Lives in the Next Pandemic•What form will the next pandemic take? –Cannot depend on medical system. Problem •Tension in a pandemic between keeping people

SARS: Ontario 2004

Page 21: Innovations to Save Lives in the Next Pandemic•What form will the next pandemic take? –Cannot depend on medical system. Problem •Tension in a pandemic between keeping people

SARS Ontario vs. Flu U.S.A.

• 12.7 Million People• .0003% Sick• 400,000 Calls

• 300 Million people• 25-35% Sick• Calls?

Page 22: Innovations to Save Lives in the Next Pandemic•What form will the next pandemic take? –Cannot depend on medical system. Problem •Tension in a pandemic between keeping people

Opportunities for Innovation

• No comprehensive, national pandemic fluhotline

• Call centers will probably not work as is• No plans integrate volunteers on any large

scale• Many hotlines for many purposes• Limited volunteer resources• Inconsistent data collection

Page 23: Innovations to Save Lives in the Next Pandemic•What form will the next pandemic take? –Cannot depend on medical system. Problem •Tension in a pandemic between keeping people

Our Innovation: An Overview

• Volunteer-based• Distributed calling• Consistent, up to date information• Data collection

Page 24: Innovations to Save Lives in the Next Pandemic•What form will the next pandemic take? –Cannot depend on medical system. Problem •Tension in a pandemic between keeping people

Our Target Callers

• Households with flu• Households without reliable internet

Page 25: Innovations to Save Lives in the Next Pandemic•What form will the next pandemic take? –Cannot depend on medical system. Problem •Tension in a pandemic between keeping people

Hotline Services• Information• Medical help• Sense of comfort

Page 26: Innovations to Save Lives in the Next Pandemic•What form will the next pandemic take? –Cannot depend on medical system. Problem •Tension in a pandemic between keeping people

Overarching Goals

• Reduce strain on hospital/emergency lines• Provide vulnerable with support and

information• Help people care for family at home

Page 27: Innovations to Save Lives in the Next Pandemic•What form will the next pandemic take? –Cannot depend on medical system. Problem •Tension in a pandemic between keeping people
Page 28: Innovations to Save Lives in the Next Pandemic•What form will the next pandemic take? –Cannot depend on medical system. Problem •Tension in a pandemic between keeping people

Volunteer Walkthrough

• Register• Train• Inform• Connect

Page 29: Innovations to Save Lives in the Next Pandemic•What form will the next pandemic take? –Cannot depend on medical system. Problem •Tension in a pandemic between keeping people
Page 30: Innovations to Save Lives in the Next Pandemic•What form will the next pandemic take? –Cannot depend on medical system. Problem •Tension in a pandemic between keeping people

Caller Walkthrough

• Queue• Data collection

Page 31: Innovations to Save Lives in the Next Pandemic•What form will the next pandemic take? –Cannot depend on medical system. Problem •Tension in a pandemic between keeping people

Moving Forward

Continue what we’ve been doing…

Bring technology and public health together!

Page 32: Innovations to Save Lives in the Next Pandemic•What form will the next pandemic take? –Cannot depend on medical system. Problem •Tension in a pandemic between keeping people

Hotline Demonstration at 8:30!

Page 33: Innovations to Save Lives in the Next Pandemic•What form will the next pandemic take? –Cannot depend on medical system. Problem •Tension in a pandemic between keeping people

Homepage

Page 34: Innovations to Save Lives in the Next Pandemic•What form will the next pandemic take? –Cannot depend on medical system. Problem •Tension in a pandemic between keeping people

Opportunities for Improvement

1. Lack of uniform, centralized, localinformation

2. Lack of ease of use3. Lack of technology to strengthen

community resiliency

Page 35: Innovations to Save Lives in the Next Pandemic•What form will the next pandemic take? –Cannot depend on medical system. Problem •Tension in a pandemic between keeping people

Three Solutions for Improvement

1. One location for easily updatablelocalized information

2. Summarized, accessible, and accuratebasic information

3. One easy way to connect to otherpeople in one's community

Page 36: Innovations to Save Lives in the Next Pandemic•What form will the next pandemic take? –Cannot depend on medical system. Problem •Tension in a pandemic between keeping people
Page 37: Innovations to Save Lives in the Next Pandemic•What form will the next pandemic take? –Cannot depend on medical system. Problem •Tension in a pandemic between keeping people

Overall Design: Key Findings

• Less is Best• Inspired by websites such as flufacts.com• Cover pre and during time spans• Written for a 6th grade reading level• Wide range of bandwidths

Page 38: Innovations to Save Lives in the Next Pandemic•What form will the next pandemic take? –Cannot depend on medical system. Problem •Tension in a pandemic between keeping people

Testing

• Card Sorting• Human Interface Design Experts• Public Information Officers• Vulnerable Populations

Page 39: Innovations to Save Lives in the Next Pandemic•What form will the next pandemic take? –Cannot depend on medical system. Problem •Tension in a pandemic between keeping people

• Support from an Internet provider withmassive server capacity

• Collaboration from health departments

Moving Forward

Page 40: Innovations to Save Lives in the Next Pandemic•What form will the next pandemic take? –Cannot depend on medical system. Problem •Tension in a pandemic between keeping people

Connecting Our Innovations

Page 41: Innovations to Save Lives in the Next Pandemic•What form will the next pandemic take? –Cannot depend on medical system. Problem •Tension in a pandemic between keeping people

How They Work Together

• Cross-referential publicity• Consistency in information• Redundancy in information

Page 42: Innovations to Save Lives in the Next Pandemic•What form will the next pandemic take? –Cannot depend on medical system. Problem •Tension in a pandemic between keeping people

Thank you!

Reports can be found atsie-panflu.stanford.edu