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<title>Adapting Community Call Centers for Crisis Support: A Model for Home-Based Care and Monitoring. Appendix 4-D</title>
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<meta name="datecreated" content="October 2007" />
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<p><strong>You Are Here:</strong> <span class="crumb_link"><a href="/" class="crumb_link">AHRQ Archive Home</a> &gt; <a href="/prep/" class="crumb_link">Public Health Preparedness Archive</a> &gt; <a href="." class="crumb_link">Adapting Community Call Centers for Crisis Support</a> &gt; Appendix
4-D </span></p>
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<td height="30px"><h2><span class="title">Adapting Community Call Centers for Crisis Support</span></h2></td>
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<td><div id="centerContent"><p><strong>Public Health Emergency Preparedness</strong></p> <div class="headnote">
<p>This resource was part of AHRQ's Public Health Emergency Preparedness program, which was discontinued on June 30, 2011, in a realignment of Federal efforts.</p>
<!-- <p>Now this resource is supported by the <a href="http://emergency.cdc.gov/">Centers for Disease Control and Prevention</a> (CDC).</p> -->
<p>This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: <a href="https://info.ahrq.gov/">https://info.ahrq.gov</a>. Let us know the nature of the problem, the Web address of what you want, and your contact information. </p>
<p>Please go to <a href="https://www.ahrq.gov/">www.ahrq.gov</a> for current information.</p></div>
<h2>Appendix 4-D. POD Evaluation Form</h2>
<h3>North Central Region Exercise</h3>
<h4>POD Information Line Test Instructions</h4>
<p>In addition to the quarantine calls you will be receiving over the next 2
days, the Interactive Response (IR) system has other possible uses in a public
health emergency. As a volunteer, we request your assistance in testing one
of these additional capabilities. </p>
<p>You have been requested to test the <strong>Point of Dispensing (POD) Information
Line</strong>. In the event of a biologically based public health emergency,
it may be necessary to distribute antibiotics to the entire Denver Metro
region within 48 to 72 hours. This POD Information Line will assist
callers in finding the closest POD location based on the entered zip code
and county. Please follow the instructions below and fill out
the evaluation after you complete the call. Thank you for your assistance
in testing this communication tool.</p>
<p>Volunteer Name: _____________________________________________________</p>
<ol>
<li>Please call XXX-XXX-XXXX. </li>
<li>Please follow the prompts, using the phone keypad to enter the zip code
recorded on your volunteer registration form.</li>
<li>Please provide this entered zip code: ___________________</li>
<li>Please provide your county of residence: ___________________</li>
<li>Continue to follow the prompts to receive the location of your county's POD.</li>
<li>Which POD location did the IR message indicate for your county?</li>
</ol>
<blockquote>
<p>_____________________________________________________</p>
<p>_____________________________________________________</p>
</blockquote>
<p>Please fill out the evaluation questions on the second page, and thank you
for your assistance in testing the POD Information Line.</p>
<h4>(Page Two)</h4>
<p>Dear Quarantine Exercise Volunteer:</p>
<p>Please answer the following questions regarding your experience using the
POD Information Line.</p>
<p>Questionnaire responses will use a scale of 1 to 5: </p>
<p><strong>1 = Strongly Disagree</strong><br />
<strong>2 = Disagree</strong><br />
<strong>3 = Undecided</strong> <br />
<strong>4 = Agree</strong><br />
<strong>5 = Strongly Agree</strong> </p>
<p>Please tell us how much you agree or disagree with the following statements:</p>
<table border="1" cellspacing="0" cellpadding="3" width="80%">
<thead>
<tr valign="bottom">
<th scope="col">Question</th>
<th scope="col">Strongly Disagree</th>
<th scope="col">Disagree</th>
<th scope="col">Undecided</th>
<th scope="col">Agree</th>
<th scope="col">Strongly Agree</th>
</tr>
</thead>
<tr valign="bottom">
<td scope="row" width="55%">1. The directions given
by the IR were easy to follow.</td>
<td align="center" width="5%">1</td>
<td align="center" width="5%">2</td>
<td align="center" width="5%">3</td>
<td align="center" width="5%">4</td>
<td align="center" width="5%">5</td>
</tr>
<tr valign="top">
<td scope="row">2. The voice on the IR message was
easy to understand.</td>
<td align="center">1</td>
<td align="center">2</td>
<td align="center">3</td>
<td align="center">4</td>
<td align="center">5</td>
</tr>
<tr valign="top">
<td scope="row">3. The recorded voice on the IR went
at a proper speed.</td>
<td align="center">1</td>
<td align="center">2</td>
<td align="center">3</td>
<td align="center">4</td>
<td align="center">5</td>
</tr>
<tr valign="top">
<td scope="row">4. &nbsp;The recorded voice on the IR was
at a proper volume.</td>
<td align="center">1</td>
<td align="center">2</td>
<td align="center">3</td>
<td align="center">4</td>
<td align="center">5</td>
</tr>
<tr valign="top">
<td scope="row">5. The POD information
I received from the IR was accurate based on my county of residence.</td>
<td align="center">1</td>
<td align="center">2</td>
<td align="center">3</td>
<td align="center">4</td>
<td align="center">5</td>
</tr>
<tr valign="top">
<td scope="row">6. I am satisfied with my experience
using the IR.</td>
<td align="center">1</td>
<td align="center">2</td>
<td align="center">3</td>
<td align="center">4</td>
<td align="center">5</td>
</tr>
<tr valign="top">
<td scope="row">7. &nbsp;If I were actually needing
antibiotics, I would trust receiving health department information via
an automated system like the IR.</td>
<td align="center">1</td>
<td align="center">2</td>
<td align="center">3</td>
<td align="center">4</td>
<td align="center">5</td>
</tr>
<tr valign="top">
<td scope="row">8. &nbsp;Based on my experience
with the IR, I would prefer to receive information from an automated system
vs speaking to a live person.</td>
<td align="center">1</td>
<td align="center">2</td>
<td align="center">3</td>
<td align="center">4</td>
<td align="center">5</td>
</tr>
</table>
<p>Comments (Please use the back of this sheet for additional room if necessary)</p>
<p>______________________________________________________________________________________</p>
<p>______________________________________________________________________________________</p>
<p>Thank you again for your assistance in evaluating this communication tool. Your
assistance will allow us to provide important information to a large portion
of the region's population in a public health emergency. We believe
these tools have the greatest potential to reduce patient surge demands on
the traditional health care delivery system facilities and allow public health
agencies to focus on epidemiology and control measures.</p>
<p>If you have questions
about this tool or the testing process, please contact &lt;Insert
Test Coordinator Name&gt; at the &lt;Insert Their Agency Name&gt;: &lt;Insert
Their Phone#&gt; or &lt;Insert Their
E-mail Address&gt;</p>
<p class="size2"><a href="callapp4.htm#Contents">Return to Appendix 4 Contents</a><br />
<a href="index.html#contents">Return to Report Contents</a><br /><a href="callapp4e.htm">Proceed to Next Section</a></p>
<p>&nbsp;</p>
<div class="footnote">
<p> The information on this page is archived and provided for reference purposes only.</p></div>
<p>&nbsp;</p>
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