This document provides best practices for using the FoodSHIELD system to share information during food and feed safety incidents. It was created by the Partnership for Food Protection to facilitate real-time communication between FDA, state and local officials responding to incidents. The document outlines how to build and manage workgroups on FoodSHIELD to coordinate incident response efforts. It recommends consistent practices for naming files and documents shared within the system. The goal is to promote effective information exchange among stakeholders investigating or responding to food safety issues.
This three paragraph document provides guidance for drug and biological product development when human efficacy studies are not ethical or feasible. It introduces the "Animal Rule" regulations that allow approval of such products based on adequate and well-controlled animal studies, along with other human safety information. The guidance is intended to help sponsors design animal studies that adequately address efficacy as required by the Animal Rule. It revises previous FDA guidance on essential elements for acceptable animal models and study designs to demonstrate effectiveness.
This document provides a summary of key resources for understanding infection control and preventing catheter-associated urinary tract infections (CAUTIs). It outlines 10 important articles, guidelines, and reports that cover the epidemiology of CAUTIs, national prevention initiatives, surveillance and definitions, payment programs incentivizing reduction of hospital-acquired infections, evidence-based practices for prevention, and state-by-state data on infection rates. The resources highlighted would enable one to understand the clinical and economic issues surrounding CAUTIs and serve as an expert on preventing these infections.
Lessening the Negative Impact of Human Factors Linking Staffing Variables & P...API Healthcare
This document discusses how human factors such as staffing levels, skill mix, and competency assessment are frequently cited as root causes of medical errors based on reviews of sentinel events. It summarizes research showing connections between various staffing variables like nurse-to-patient ratios, overtime, experience levels, and patient outcomes including falls, hospital-acquired infections, pressure ulcers, mortality, readmissions, and length of stay. The document advocates for data-driven workforce management strategies like acuity-based staffing and competency management to optimize staffing and improve patient outcomes.
This document discusses leveraging food safety data to improve management practices and reduce foodborne illness. It provides an overview of foodborne illness statistics globally and in various countries. Restaurant inspections commonly cite improper holding temperatures, poor hygiene, and contaminated equipment as contributing factors. The document analyzes inspection data and outbreak reports to identify correlations. It recommends using such data to guide focused training, procedures, and product offerings to effectively address risk areas. Connecting data insights to action is key to advancing food safety.
The document discusses the importance of food safety management programs in retail food businesses. It argues that an effective program requires commitment from organizational leadership, appropriate structure and resources, and knowledge of foodborne illness hazards that could arise from business operations. A key responsibility of the food safety management team is to define risks by investigating hazards in all areas of the business, including suppliers and retail food preparation. This helps ensure the business is prepared for potential food safety issues rather than learning about risks only after problems occur.
Efsa: best practice for crisis communicators cercalanotizia
This document provides best practice recommendations for communicating during food or feed safety incidents. It outlines key principles such as taking control of communication, being transparent, and collaborating across borders. It describes a communications workflow with four elements - information gathering, preparation, communication, and monitoring & review - that are often repeated as an incident develops. The document provides detailed guidance on tasks within each element, such as developing clear messaging, distributing holding statements, preparing spokespeople for interviews, and collaborating with EFSA and other organizations.
New Millennia Health introduces HealthyTutor, a web-based learning platform that helps healthcare managers systematically analyze, enhance, and monitor patient self-care using interactive educational content and analytics. The platform engages patients through a 5-stage algorithm to improve retention of self-management knowledge and identify at-risk patients. This results in greater medication adherence, program participation, and decreased healthcare costs. HealthyTutor is a cloud-based solution that is low-bandwidth, browser-based, and integrates analytics reporting for initiatives like Meaningful Use.
This three paragraph document provides guidance for drug and biological product development when human efficacy studies are not ethical or feasible. It introduces the "Animal Rule" regulations that allow approval of such products based on adequate and well-controlled animal studies, along with other human safety information. The guidance is intended to help sponsors design animal studies that adequately address efficacy as required by the Animal Rule. It revises previous FDA guidance on essential elements for acceptable animal models and study designs to demonstrate effectiveness.
This document provides a summary of key resources for understanding infection control and preventing catheter-associated urinary tract infections (CAUTIs). It outlines 10 important articles, guidelines, and reports that cover the epidemiology of CAUTIs, national prevention initiatives, surveillance and definitions, payment programs incentivizing reduction of hospital-acquired infections, evidence-based practices for prevention, and state-by-state data on infection rates. The resources highlighted would enable one to understand the clinical and economic issues surrounding CAUTIs and serve as an expert on preventing these infections.
Lessening the Negative Impact of Human Factors Linking Staffing Variables & P...API Healthcare
This document discusses how human factors such as staffing levels, skill mix, and competency assessment are frequently cited as root causes of medical errors based on reviews of sentinel events. It summarizes research showing connections between various staffing variables like nurse-to-patient ratios, overtime, experience levels, and patient outcomes including falls, hospital-acquired infections, pressure ulcers, mortality, readmissions, and length of stay. The document advocates for data-driven workforce management strategies like acuity-based staffing and competency management to optimize staffing and improve patient outcomes.
This document discusses leveraging food safety data to improve management practices and reduce foodborne illness. It provides an overview of foodborne illness statistics globally and in various countries. Restaurant inspections commonly cite improper holding temperatures, poor hygiene, and contaminated equipment as contributing factors. The document analyzes inspection data and outbreak reports to identify correlations. It recommends using such data to guide focused training, procedures, and product offerings to effectively address risk areas. Connecting data insights to action is key to advancing food safety.
The document discusses the importance of food safety management programs in retail food businesses. It argues that an effective program requires commitment from organizational leadership, appropriate structure and resources, and knowledge of foodborne illness hazards that could arise from business operations. A key responsibility of the food safety management team is to define risks by investigating hazards in all areas of the business, including suppliers and retail food preparation. This helps ensure the business is prepared for potential food safety issues rather than learning about risks only after problems occur.
Efsa: best practice for crisis communicators cercalanotizia
This document provides best practice recommendations for communicating during food or feed safety incidents. It outlines key principles such as taking control of communication, being transparent, and collaborating across borders. It describes a communications workflow with four elements - information gathering, preparation, communication, and monitoring & review - that are often repeated as an incident develops. The document provides detailed guidance on tasks within each element, such as developing clear messaging, distributing holding statements, preparing spokespeople for interviews, and collaborating with EFSA and other organizations.
New Millennia Health introduces HealthyTutor, a web-based learning platform that helps healthcare managers systematically analyze, enhance, and monitor patient self-care using interactive educational content and analytics. The platform engages patients through a 5-stage algorithm to improve retention of self-management knowledge and identify at-risk patients. This results in greater medication adherence, program participation, and decreased healthcare costs. HealthyTutor is a cloud-based solution that is low-bandwidth, browser-based, and integrates analytics reporting for initiatives like Meaningful Use.
Coping with Overdose Fatalities: Tools for Public Health WorkersFranklin Cook
Created by Franklin Cook of Unified Community Solutions for the Massachusetts Bureau of Substance Addiction Services, "Coping with Overdose Fatalities: Tools for Public Health Workers" covers basic practices that are likely to be helpful to frontline service providers in the immediate aftermath of a death from substance-use-related causes. It includes principles for agencies to consider and practical information about acknowledging death in the moment, coping with strong emotions, building a support system, getting extra support, and understanding this kind of grief.
Essential Package of Health Services Country Snapshot Series: 24 Priority Cou...HFG Project
The document summarizes findings from analyzing essential packages of health services (EPHS) in 24 priority countries. Key findings include:
- 23 of 24 countries defined an EPHS, though specificity of packages varied. Most included the majority of priority reproductive and maternal health interventions.
- Countries delivered EPHS through community health workers and public facilities. Some used EPHS to standardize private sector provision.
- Governments addressed equity through EPHS-related policies on populations and financial protection, though mechanisms varied.
- Priority setting for EPHS appeared limited, with most listing all services rather than prioritizing based on resources. EPHS purposes also varied between guiding service delivery,
NURS 6050 GCU Nursing in Florida Presentation.docxstirlingvwriters
This document discusses a presentation for NURS 6050 on nursing regulation in Florida. It provides an overview of boards of nursing and professional nursing associations. The presentation assignment requires describing differences between these groups, the board that regulates nursing in Florida, and how federal and state regulations influence nursing practice and healthcare delivery, costs, and access. Key sources on nursing organizations are also provided.
How can Food Safety Practitioners prepare for the FSMA Regulations?Beth Mitchell
The document discusses how food safety practitioners can prepare for new FSMA regulations. Key points:
1) The FSMA represents the biggest reform of US food safety laws in over 70 years, shifting the focus from responding to contamination to preventing it.
2) The new regulations include requirements for hazard analysis and preventive controls, environmental monitoring, supplier verification, recall plans, and ensuring qualified staff.
3) Companies must improve processes, documentation, communication and ensure competent staff understand hazards and controls to comply with the risk-based regulations. Independent certification helps verify effectiveness and drive continuous improvement.
Assignment 1 Legal Aspects of U.S. Health Care System Administrat.docxbraycarissa250
Assignment 1: Legal Aspects of U.S. Health Care System Administration
Due Week 3 and worth 200 points
Prevailing wisdom reinforces the fact that working in U.S. health care administration in the 21st Century requires knowledge of the various aspects of health laws as they apply to dealing with medical professionals. Further, because U.S. health care administrators must potentially interact with many levels of professionals beyond the medical profession, it is prudent that they be aware of any federal, state, and local laws that may be applicable to their organizations. Thus, their conduct is also subject to the letter of the law. They must evaluate the quality of their professional interactions and be mindful of the implications and ramifications of their decisions.
Nearly 65 million surgical operations were performed in 2015 in the U.S. resulting in an estimated 200,000 deaths from complications or other post-operative issues (Ghaferi, Myers, Sutcliffe, & Pronovost, 2016). Ongoing innovation in healthcare can improve patient outcomes. According to the Harvard Business Review article, The Next Wave of Hospital Innovation to Make Patients Safer, over the past several decades, there have been three distinct waves of surgical improvement: technical advancements, standardizing procedures, and high reliability organizing.
Assume the role of a top health administrator at We Care Hospital. You are interested in propelling the hospital to the next level by applying for the Malcolm Baldrige National Quality Award. However, you want to ensure surgical outcomes for patient morbidity and mortality rates. You begin by researching the Surgical Care Improvement Project (SCIP) aimed to improve adherence to quality protocols. You need to ensure the hospital policy is consistent with the law and that the hospital is correctly reporting Sentinel Events to the Joint Commission, a hospital regulatory agency.
Note: You may create and / or make all necessary assumptions needed for the completion of this assignment.
Write a three to four (3-4) page paper in which you:
1. Analyze how standardizing procedures and documenting steps can improve outcomes when performing a complex procedure. Review the peer-reviewed journal article, The Next Wave of Hospital Innovation to Make Patients Safer. Articulate your position as the top administrator concerned about the importance of professional conduct and negligence in SCIP quality guidelines.
2. High Reliability Organizing emphasizes the varying actions that can affect patient safety given that standardized systems ignore the fact that each patient is different. Ascertain the major ramifications when the health care team “fails to rescue” the patient. Identify what hospital policies should be in place and identify previous case laws.
3. Analyze the four (4) elements required of a plaintiff to prove medical negligence.
4. Discuss the overarching duties of the health care governing board in mitigating the effects of medical non- ...
ENHANCING THE MONITORING SYSTEM OF SFDA IN SAUDI MARKETSijseajournal
In the present market, most of the public and private sector entities are using various mobile applications
for communication with their customers. Whether it is a notification, information or an alert, the means of
communication using mobile applications made life easy so as to reduce the relevant risks. Recently the
health related issues due to imported food in Saudi Arabia (SA) raised many concerns to consider serious
reforms. The Saudi Food and Drugs Authority (SFDA) is responsible to control, examine and save the
citizens of SA from any kind of serious health related issues or deaths. The present research aims to
facilitate a runtime monitoring system to check the quality of food imported from various countries and to
assure the safety of citizens. This runtime monitoring system is based on the proposed integration model of
SFDA policy to attain both safety and quality property with respect to manageability property. Such
practice will surely help the consumers, suppliers and authorities to ensure a quality health of citizens in
SA. Above and all the SFDA policy during runtime can control the flow of imported food supplies, validate
the food products and can establish a fair communication between consumers and suppliers.
This document discusses international efforts to harmonize standards for veterinary products. It describes the roles of organizations like Codex, OIE, VICH, and CVM in developing consensus standards. The goals are to ensure veterinary products are safe, effective, and of high quality globally in order to protect public health, animal health, and facilitate trade. Efforts focus on harmonizing requirements for product approval and regulation.
The National Environmental Health Association (NEHA) has been awarded a five-year, $5 million cooperative agreement by the FDA to develop and implement training for state, local, territorial, and tribal food safety agencies. This training will help the FDA meet the requirements of the Food Safety Modernization Act and develop an integrated food safety system. Under the agreement, NEHA will research training needs, train instructors, deliver food safety courses, and develop new courses based on feedback. The training will help agencies easily receive FDA-sanctioned courses and support FDA's efforts to maintain training records and issue certificates.
Sehat Co. - A Smart Food Recommendation SystemIRJET Journal
This document describes a proposed food recommendation system called Sehat Co. that uses image processing and deep learning techniques to predict ingredients from uploaded food images. It then matches the predicted ingredients against a database of ingredients known to fight COVID-19 to display relevant recipes, stats on COVID-fighting ingredients, and a recommendation for a second recipe. The system aims to help users track their food intake and choose meals containing ingredients that may increase immunity against COVID-19. It was developed using the Recipe1M dataset containing over 1 million recipes and trained on a multi-task deep learning model to perform ingredient prediction and recipe generation and recommendation.
Total Quality Management Presentation.pptxDebelaTekabe
The document discusses ISO 22000 food safety management standards and Hazard Analysis Critical Control Points (HACCP). It provides an overview of these standards and their requirements. It also discusses a case study of African Food Processing PLC, identifying problems the organization faced in complying with food safety standards and how it could address challenges. The document contains sections on ISO 22000 scope and requirements, food safety management systems, HACCP principles, differences between ISO 22000 and HACCP, and an overview of African Food Processing PLC.
This document outlines six minimum standards for safeguarding children in emergencies. The standards provide a benchmark for measuring practice and ensuring accountability. They aim to minimize the risk of abuse and exploitation of children. The standards are for international and local organizations working in emergencies to assess their child safeguarding measures and strengthen protections for children. Users are directed to additional documents that provide guidance on implementing the standards and examples of relevant policies and procedures.
This literature review summarizes evidence on the linkages between livelihoods, food security, economic strengthening, and HIV/AIDS outcomes. It finds mixed conclusions on the relationship between poverty and HIV risk. While HIV/AIDS can contribute to poverty, the impact of poverty on HIV risk is unclear with some studies finding higher rates among wealthier groups. The review also examines relationships between food insecurity and HIV/AIDS, economic strengthening and food security/poverty, and economic strengthening and HIV/AIDS outcomes. It aims to inform a logic model for the LIFT project by assessing these linkages and identifying gaps in knowledge.
Adverse Event from My Professional Nursing Experience.docxwrite22
1) A nurse experienced an adverse event during their professional nursing career where a patient's medical management led to an unintended outcome rather than their underlying condition.
2) The event was caused by missed steps and protocol deviations by the interprofessional team. It impacted stakeholders in both short-term and long-term ways.
3) To prevent similar events, the nurse proposes a quality improvement initiative for their organization that incorporates lessons learned from other institutions and utilizes relevant metrics and technologies to enhance patient safety.
The document outlines minimum requirements for infection prevention and control (IPC) programmes at the national and healthcare facility level based on the World Health Organization's 8 core components of IPC. It provides guidance on setting up IPC programmes, developing guidelines, training healthcare workers, conducting surveillance, implementing multimodal strategies, monitoring and evaluation, ensuring adequate staffing and infrastructure, and more. The goal is to establish the basic standards and framework needed to implement effective IPC programmes worldwide.
Case Study: Improving Care through Patient-Centered Clinical Pharmacy Service...HFG Project
The Clinical Pharmacy activity in Ethiopia from 2012-2016 aimed to promote patient-centered pharmaceutical services. It trained over 200 pharmacists through a one-month in-service program. As a result, 53 of 65 hospitals implemented clinical pharmacy services. Key factors for its success included a supportive policy environment, stakeholder commitment, and an implementation plan to build staff capacity according to existing guidelines. The activity was part of broader Systems for Improved Access to Pharmaceuticals and Services (SIAPS) project in Ethiopia led by Management Sciences for Health.
This document provides an executive summary and overview of a research paper on the South African food security paradox. The research objectives were to assess food (in)security in urban and rural areas, review government interventions, evaluate private sector programs, and identify opportunities for corporate social investment. Key findings include that while South Africa produces enough food, 54% of the population experiences hunger or food insecurity, particularly in rural (37%) and urban informal (32%) areas. The document then outlines various government policies and programs, as well as case studies of four private sector food security initiatives focusing on food gardens, school feeding, and smallholder agriculture. It concludes with recommendations around partnership opportunities between government and business to address this issue.
Nationwide Interoperability Roadmap draft version 1.0Ed Dodds
This document presents a draft nationwide interoperability roadmap with the goal of achieving a learning health system over 10 years. The roadmap identifies barriers to current interoperability and lays out a vision, principles, and critical actions for stakeholders. The near-term focus is enabling individuals, providers, and care teams to send, receive, find and use a common set of clinical data by 2017. This includes standardized elements to improve data matching and aggregation for issues like research, personalized medicine, and disparities. The roadmap provides a path from today's landscape to an expanded future state with more ubiquitous sharing of information beyond clinical records for person-centered care and a learning health system.
Health care interoperability roadmap released by HHS ONCDavid Sweigert
This document provides a draft nationwide interoperability roadmap with the goal of achieving an interoperable health IT system to support a broad scale learning health system by 2024. It lays out critical actions that need to be taken by public and private stakeholders in areas such as rules of engagement and governance, supportive business and regulatory environments, privacy and security, certification and testing, core technical standards and functions, and tracking progress. The roadmap was developed through collaboration with federal, state and private partners and is intended to be a living document that will continue to evolve based on input from stakeholders. It identifies priority actions that various stakeholders can commit to in order to advance the country towards the goal of nationwide health information interoperability.
INTEGRATED APPROACH TO NATIONAL FOOD SAFETY SURVEILLANCE- SBSohrab Mr.
An integrated national food safety surveillance system is proposed to reduce foodborne illness. The system would [1] build on current collaborations between agencies, [2] provide stronger and more uniform surveillance coverage from farm to table, and [3] maintain credibility through oversight. This would result in reduced incidence of foodborne illness through a prevention-oriented approach across the food system.
Coping with Overdose Fatalities: Tools for Public Health WorkersFranklin Cook
Created by Franklin Cook of Unified Community Solutions for the Massachusetts Bureau of Substance Addiction Services, "Coping with Overdose Fatalities: Tools for Public Health Workers" covers basic practices that are likely to be helpful to frontline service providers in the immediate aftermath of a death from substance-use-related causes. It includes principles for agencies to consider and practical information about acknowledging death in the moment, coping with strong emotions, building a support system, getting extra support, and understanding this kind of grief.
Essential Package of Health Services Country Snapshot Series: 24 Priority Cou...HFG Project
The document summarizes findings from analyzing essential packages of health services (EPHS) in 24 priority countries. Key findings include:
- 23 of 24 countries defined an EPHS, though specificity of packages varied. Most included the majority of priority reproductive and maternal health interventions.
- Countries delivered EPHS through community health workers and public facilities. Some used EPHS to standardize private sector provision.
- Governments addressed equity through EPHS-related policies on populations and financial protection, though mechanisms varied.
- Priority setting for EPHS appeared limited, with most listing all services rather than prioritizing based on resources. EPHS purposes also varied between guiding service delivery,
NURS 6050 GCU Nursing in Florida Presentation.docxstirlingvwriters
This document discusses a presentation for NURS 6050 on nursing regulation in Florida. It provides an overview of boards of nursing and professional nursing associations. The presentation assignment requires describing differences between these groups, the board that regulates nursing in Florida, and how federal and state regulations influence nursing practice and healthcare delivery, costs, and access. Key sources on nursing organizations are also provided.
How can Food Safety Practitioners prepare for the FSMA Regulations?Beth Mitchell
The document discusses how food safety practitioners can prepare for new FSMA regulations. Key points:
1) The FSMA represents the biggest reform of US food safety laws in over 70 years, shifting the focus from responding to contamination to preventing it.
2) The new regulations include requirements for hazard analysis and preventive controls, environmental monitoring, supplier verification, recall plans, and ensuring qualified staff.
3) Companies must improve processes, documentation, communication and ensure competent staff understand hazards and controls to comply with the risk-based regulations. Independent certification helps verify effectiveness and drive continuous improvement.
Assignment 1 Legal Aspects of U.S. Health Care System Administrat.docxbraycarissa250
Assignment 1: Legal Aspects of U.S. Health Care System Administration
Due Week 3 and worth 200 points
Prevailing wisdom reinforces the fact that working in U.S. health care administration in the 21st Century requires knowledge of the various aspects of health laws as they apply to dealing with medical professionals. Further, because U.S. health care administrators must potentially interact with many levels of professionals beyond the medical profession, it is prudent that they be aware of any federal, state, and local laws that may be applicable to their organizations. Thus, their conduct is also subject to the letter of the law. They must evaluate the quality of their professional interactions and be mindful of the implications and ramifications of their decisions.
Nearly 65 million surgical operations were performed in 2015 in the U.S. resulting in an estimated 200,000 deaths from complications or other post-operative issues (Ghaferi, Myers, Sutcliffe, & Pronovost, 2016). Ongoing innovation in healthcare can improve patient outcomes. According to the Harvard Business Review article, The Next Wave of Hospital Innovation to Make Patients Safer, over the past several decades, there have been three distinct waves of surgical improvement: technical advancements, standardizing procedures, and high reliability organizing.
Assume the role of a top health administrator at We Care Hospital. You are interested in propelling the hospital to the next level by applying for the Malcolm Baldrige National Quality Award. However, you want to ensure surgical outcomes for patient morbidity and mortality rates. You begin by researching the Surgical Care Improvement Project (SCIP) aimed to improve adherence to quality protocols. You need to ensure the hospital policy is consistent with the law and that the hospital is correctly reporting Sentinel Events to the Joint Commission, a hospital regulatory agency.
Note: You may create and / or make all necessary assumptions needed for the completion of this assignment.
Write a three to four (3-4) page paper in which you:
1. Analyze how standardizing procedures and documenting steps can improve outcomes when performing a complex procedure. Review the peer-reviewed journal article, The Next Wave of Hospital Innovation to Make Patients Safer. Articulate your position as the top administrator concerned about the importance of professional conduct and negligence in SCIP quality guidelines.
2. High Reliability Organizing emphasizes the varying actions that can affect patient safety given that standardized systems ignore the fact that each patient is different. Ascertain the major ramifications when the health care team “fails to rescue” the patient. Identify what hospital policies should be in place and identify previous case laws.
3. Analyze the four (4) elements required of a plaintiff to prove medical negligence.
4. Discuss the overarching duties of the health care governing board in mitigating the effects of medical non- ...
ENHANCING THE MONITORING SYSTEM OF SFDA IN SAUDI MARKETSijseajournal
In the present market, most of the public and private sector entities are using various mobile applications
for communication with their customers. Whether it is a notification, information or an alert, the means of
communication using mobile applications made life easy so as to reduce the relevant risks. Recently the
health related issues due to imported food in Saudi Arabia (SA) raised many concerns to consider serious
reforms. The Saudi Food and Drugs Authority (SFDA) is responsible to control, examine and save the
citizens of SA from any kind of serious health related issues or deaths. The present research aims to
facilitate a runtime monitoring system to check the quality of food imported from various countries and to
assure the safety of citizens. This runtime monitoring system is based on the proposed integration model of
SFDA policy to attain both safety and quality property with respect to manageability property. Such
practice will surely help the consumers, suppliers and authorities to ensure a quality health of citizens in
SA. Above and all the SFDA policy during runtime can control the flow of imported food supplies, validate
the food products and can establish a fair communication between consumers and suppliers.
This document discusses international efforts to harmonize standards for veterinary products. It describes the roles of organizations like Codex, OIE, VICH, and CVM in developing consensus standards. The goals are to ensure veterinary products are safe, effective, and of high quality globally in order to protect public health, animal health, and facilitate trade. Efforts focus on harmonizing requirements for product approval and regulation.
The National Environmental Health Association (NEHA) has been awarded a five-year, $5 million cooperative agreement by the FDA to develop and implement training for state, local, territorial, and tribal food safety agencies. This training will help the FDA meet the requirements of the Food Safety Modernization Act and develop an integrated food safety system. Under the agreement, NEHA will research training needs, train instructors, deliver food safety courses, and develop new courses based on feedback. The training will help agencies easily receive FDA-sanctioned courses and support FDA's efforts to maintain training records and issue certificates.
Sehat Co. - A Smart Food Recommendation SystemIRJET Journal
This document describes a proposed food recommendation system called Sehat Co. that uses image processing and deep learning techniques to predict ingredients from uploaded food images. It then matches the predicted ingredients against a database of ingredients known to fight COVID-19 to display relevant recipes, stats on COVID-fighting ingredients, and a recommendation for a second recipe. The system aims to help users track their food intake and choose meals containing ingredients that may increase immunity against COVID-19. It was developed using the Recipe1M dataset containing over 1 million recipes and trained on a multi-task deep learning model to perform ingredient prediction and recipe generation and recommendation.
Total Quality Management Presentation.pptxDebelaTekabe
The document discusses ISO 22000 food safety management standards and Hazard Analysis Critical Control Points (HACCP). It provides an overview of these standards and their requirements. It also discusses a case study of African Food Processing PLC, identifying problems the organization faced in complying with food safety standards and how it could address challenges. The document contains sections on ISO 22000 scope and requirements, food safety management systems, HACCP principles, differences between ISO 22000 and HACCP, and an overview of African Food Processing PLC.
This document outlines six minimum standards for safeguarding children in emergencies. The standards provide a benchmark for measuring practice and ensuring accountability. They aim to minimize the risk of abuse and exploitation of children. The standards are for international and local organizations working in emergencies to assess their child safeguarding measures and strengthen protections for children. Users are directed to additional documents that provide guidance on implementing the standards and examples of relevant policies and procedures.
This literature review summarizes evidence on the linkages between livelihoods, food security, economic strengthening, and HIV/AIDS outcomes. It finds mixed conclusions on the relationship between poverty and HIV risk. While HIV/AIDS can contribute to poverty, the impact of poverty on HIV risk is unclear with some studies finding higher rates among wealthier groups. The review also examines relationships between food insecurity and HIV/AIDS, economic strengthening and food security/poverty, and economic strengthening and HIV/AIDS outcomes. It aims to inform a logic model for the LIFT project by assessing these linkages and identifying gaps in knowledge.
Adverse Event from My Professional Nursing Experience.docxwrite22
1) A nurse experienced an adverse event during their professional nursing career where a patient's medical management led to an unintended outcome rather than their underlying condition.
2) The event was caused by missed steps and protocol deviations by the interprofessional team. It impacted stakeholders in both short-term and long-term ways.
3) To prevent similar events, the nurse proposes a quality improvement initiative for their organization that incorporates lessons learned from other institutions and utilizes relevant metrics and technologies to enhance patient safety.
The document outlines minimum requirements for infection prevention and control (IPC) programmes at the national and healthcare facility level based on the World Health Organization's 8 core components of IPC. It provides guidance on setting up IPC programmes, developing guidelines, training healthcare workers, conducting surveillance, implementing multimodal strategies, monitoring and evaluation, ensuring adequate staffing and infrastructure, and more. The goal is to establish the basic standards and framework needed to implement effective IPC programmes worldwide.
Case Study: Improving Care through Patient-Centered Clinical Pharmacy Service...HFG Project
The Clinical Pharmacy activity in Ethiopia from 2012-2016 aimed to promote patient-centered pharmaceutical services. It trained over 200 pharmacists through a one-month in-service program. As a result, 53 of 65 hospitals implemented clinical pharmacy services. Key factors for its success included a supportive policy environment, stakeholder commitment, and an implementation plan to build staff capacity according to existing guidelines. The activity was part of broader Systems for Improved Access to Pharmaceuticals and Services (SIAPS) project in Ethiopia led by Management Sciences for Health.
This document provides an executive summary and overview of a research paper on the South African food security paradox. The research objectives were to assess food (in)security in urban and rural areas, review government interventions, evaluate private sector programs, and identify opportunities for corporate social investment. Key findings include that while South Africa produces enough food, 54% of the population experiences hunger or food insecurity, particularly in rural (37%) and urban informal (32%) areas. The document then outlines various government policies and programs, as well as case studies of four private sector food security initiatives focusing on food gardens, school feeding, and smallholder agriculture. It concludes with recommendations around partnership opportunities between government and business to address this issue.
Nationwide Interoperability Roadmap draft version 1.0Ed Dodds
This document presents a draft nationwide interoperability roadmap with the goal of achieving a learning health system over 10 years. The roadmap identifies barriers to current interoperability and lays out a vision, principles, and critical actions for stakeholders. The near-term focus is enabling individuals, providers, and care teams to send, receive, find and use a common set of clinical data by 2017. This includes standardized elements to improve data matching and aggregation for issues like research, personalized medicine, and disparities. The roadmap provides a path from today's landscape to an expanded future state with more ubiquitous sharing of information beyond clinical records for person-centered care and a learning health system.
Health care interoperability roadmap released by HHS ONCDavid Sweigert
This document provides a draft nationwide interoperability roadmap with the goal of achieving an interoperable health IT system to support a broad scale learning health system by 2024. It lays out critical actions that need to be taken by public and private stakeholders in areas such as rules of engagement and governance, supportive business and regulatory environments, privacy and security, certification and testing, core technical standards and functions, and tracking progress. The roadmap was developed through collaboration with federal, state and private partners and is intended to be a living document that will continue to evolve based on input from stakeholders. It identifies priority actions that various stakeholders can commit to in order to advance the country towards the goal of nationwide health information interoperability.
INTEGRATED APPROACH TO NATIONAL FOOD SAFETY SURVEILLANCE- SBSohrab Mr.
An integrated national food safety surveillance system is proposed to reduce foodborne illness. The system would [1] build on current collaborations between agencies, [2] provide stronger and more uniform surveillance coverage from farm to table, and [3] maintain credibility through oversight. This would result in reduced incidence of foodborne illness through a prevention-oriented approach across the food system.
INTEGRATED APPROACH TO NATIONAL FOOD SAFETY SURVEILLANCE- SB
PFP_BestPracticesFoodFeed
1.
1
Partnership for Food Protection’s
Surveillance, Response and Post Response Workgroup presents
Best Practices for Use of FoodSHIELD
During Food and Feed Incidents
Summer 2015
2.
2
Table
of
Contents:
Cover
Page:
Best
Practices
for
Use
of
FoodSHIELD
During
Incidents
....................................................................................
1
Table
of
Contents
...................................................................................................................................................................
2
Executive
Summary
................................................................................................................................................................
3
Best
Practices
for
using
FoodSHIELD
to
Share
Information
during
Incidents
.........................................................................
4
Purpose
Statement:
............................................................................................................................................................
4
Scope:
.................................................................................................................................................................................
4
Background:
.......................................................................................................................................................................
4
User
Benefits
of
Using
FoodSHIELD
for
Incident
Response
Efforts
....................................................................................
5
Guidelines
for
Federal/State/Local
Organizational
Roles
&
Responsibilities
in
FoodSHIELD:
................................................
5
FDA
Users.…………………………………………………………………………………………………………………………………………………………………….5
State
/Local
Users………………………………………………………………………………………………………………………………………………………….6
Workgroup
Best
Practices
......................................................................................................................................................
7
Initiation
of
a
workgroup:
...................................................................................................................................................
7
Document/Email/Activity
Feed/Discussion
Board:
............................................................................................................
8
Sharing
between
Workgroups:
...........................................................................................................................................
9
Deactivation:
....................................................................................................................................................................
10
References:
...........................................................................................................................................................................
11
Glossary
................................................................................................................................................................................
12
3.
3
Executive
Summary
The
Best
Practices
for
use
of
FoodSHIELD
during
food
and
feed
incidents
document
was
created
by
the
Partnership
for
Food
Protection’s
(PFP)
Surveillance,
Response,
and
Post
Response
Workgroup
as
a
guide
to
facilitate
information
sharing
and
communication
for
FDA,
state
and
local
food
safety
officials
responding
to
a
food
or
feed
safety
incident.
FoodSHIELD
is
a
secure,
web-‐based
communication,
coordination,
education,
and
training
platform
for
food
safety
and
defense.
FDA
and
state
and
local
agencies
use
FoodSHIELD
during
incident
response
efforts
to
share
information.
This
document
provides
instructions
for
utilizing
the
FoodSHIELD
web-‐based
system
to
share
response
information
in
real
time
among
food
and
feed
safety
stakeholders.
It
provides
instructions
for
building
and
managing
a
workgroup
and
recommends
using
a
consistent
nomenclature
for
naming
files
and
documents
while
sharing
information
within
the
system.
4.
4
Best
Practices
for
using
FoodSHIELD
to
Share
Information
During
Incidents
Purpose
Statement:
Provide
best
practices
for
using
the
FoodSHIELD
web-‐based
system
to
food
and
feed
regulatory
stakeholders
and
promote
integration
of
food,
feed,
cosmetic,
and
all-‐hazards
incident
response
to
enhance
mutual
coordination,
communication,
and
collaboration.
This
document
is
meant
to
provide
best
practices
for
using
FoodSHIELD
as
a
tool
to
improve
real
time
communication
among
stakeholders
during
food
and
feed
incidents.
Scope:
The
FoodSHIELD
Best
Practices
outlines
FoodSHIELD
functionalities
and
stakeholder
roles
during
an
incident,
and
provides
expectations
and
benefits
for
organizations
involved.
This
document
is
intended
for
those
who
have
basic
knowledge
of
FoodSHIELD.
This
document
will
not
focus
on
routine
projects,
routine
inspections,
or
other
activities
outside
of
an
incident.
Background:
FoodSHIELD
is
a
secure,
web-‐based
system
for
communication,
coordination,
education,
and
training
for
food
safety
and
defense
officials.
FDA,
state,
and
local
agencies
use
FoodSHIELD
during
incident
response
efforts
to
share
information,
increase
collaboration
and
communication,
and
provide
training
and
education.
FoodSHIELD
has
11,461
total
users
and
140
workgroups,
consisting
of
public
health
and
food
regulatory
officials
from
federal,
state,
and
local
government
agencies.
Information
sharing
via
FoodSHIELD
has
become
an
integral
part
of
outbreak
investigations.
By
inviting
state
commissioned
officials
to
the
FoodSHIELD
workgroups,
FDA
is
able
to
share
both
trade
secret
and
Confidential
Commercial
Information
(CCI)
that
pertains
to
the
workgroup
topic.
Only
state
officials
that
hold
an
FDA
commission
are
able
to
view
both
trade
secret
information
and
CCI.
In
order
for
all
regulatory
and
investigative
partners
to
take
full
advantage
of
the
FoodSHIELD
system,
best
practices
are
established
to
set
roles,
responsibilities,
and
procedures
for
officials
who
use
the
system
during
incidents.
To
help
determine
best
practices,
representatives
in
MN,
TX,
IA,
and
various
FDA
offices
participated
in
an
online
exercise
to
test
FoodSHIELD’s
capabilities
in
a
mock
outbreak
response
scenario.
Each
stakeholder
received
a
specified
task
list
and
timetable
to
work
from
during
the
exercise.
The
task
list
contained
several
communication
and
collaboration
functionalities
to
be
tested.
The
outcome
of
the
pilot
set
expectations
for
what
the
system
should
be
used
for
during
outbreak
investigations
and
which
best
practices
should
be
followed
by
all
agencies
during
incident
response
efforts.
This
Best
Practice
document
is
the
result
of
outcomes
from
this
exercise.
When
using
this
Best
Practices
document,
it
is
helpful
for
participants
to
have
prior
knowledge
of
FoodSHIELD
and
to
have
taken
the
FoodSHIELD
training
(see
references).
5.
5
User
Benefits
of
FoodSHIELD
for
Incident
Response
Efforts:
FoodSHIELD
allows
computer
access
for
all
users,
is
free
to
join
and
easy
to
use.
It
allows
for
real-‐time
communication,
information
sharing,
coordination,
and
collaboration
between
users
from
all
levels
of
government.
FoodSHIELD
meets
the
federal
government
National
Institute
of
Standards
and
Technology
(NIST)/
Federal
Information
Security
Management
Act
(FISMA)
Standards
so
it
provides
a
secure
environment
that
agencies
can
use
to
collaborate
and
communicate
with
each
other.
Best
Practices
for
Federal/State/Local
Organizational
Roles
&
Responsibilities
in
FoodSHIELD
FDA
Users:
FDA
FoodSHIELD
users
may
include
participants
such
as
the
Center
for
Veterinary
Medicine
(CVM),
the
Center
for
Food
Safety
and
Applied
Nutrition
(CFSAN),
the
Coordinated
Outbreak
Response
and
Evaluation
Network
(CORE),
the
Office
of
the
Commissioner
(OC),
and
the
Office
of
Regulatory
Affairs
(ORA).
• FDA
users
may
utilize
FoodSHIELD
for
information
sharing
o The
webinar
function
is
routinely
used
by
FDA
o The
activities
feed
(for
incident
requests/updates)
and
email
functions
will
not
be
routinely
used
due
to
the
need
to
capture
similar
information
into
the
existing
FDA
Emergency
Operations
Network
(EON)
system
• FDA
members
may
accept
invitations
to
join
state/local
workgroups
when
invited
during
incidents
• For
incidents,
FDA
may
create
a
workgroup
and
add
members
o When
FDA
CORE
is
leading
an
outbreak
for
FDA,
a
CORE
representative
will
usually
set
up
and
be
the
owner
of
the
workgroup
o CORE
and
district
personnel
will
be
assigned
as
administrators
of
the
FDA
workgroup
while
other
personnel
in
the
workgroup
will
serve
as
members
o CORE
may
change
user
access
to
the
workgroup
after
an
incident
is
concluded
o FDA
workgroup
owners
may
invite
other
federal
partners
(i.e.
CDC,
USDA,
DOD)
to
their
workgroup
if
FDA
has
determined
that
it
is
permissible
to
share
the
specific
non-‐public
information
under
21
CFR
20.85
• FDA
ORA
District
office
personnel
are
requested
by
the
workgroup
owner
or
designee
to
add
state
commissioned
officials
to
the
FDA
workgroup
as
appropriate
providing
one
avenue
for
FDA
to
share
information
with
state
commissioned
officials
o Once
state
commissioned
officials
are
invited
to
join
the
FDA
workgroup,
response
information
will
be
shared
through
the
workgroup.
o To
avoid
duplicative
efforts
FDA
will
no
longer
upload
documents
into,
or
share
folders
with,
state
owned
workgroups
created
to
manage
information
for
the
same
response.
6.
6
• Types
of
documents
to
be
shared
under
identified
folders:
o trackback
documents
o major
laboratory
information
o Incident
Command
System
forms
o Other
documents
as
appropriate
(e.g.
inspectional
documents)
• When
CORE
is
managing
an
outbreak,
they
will
upload
relevant
documents
received/created
into
the
workgroup
State/Local
Users:
State
and
local
users
include
regulatory
officials,
environmental
health
specialists/sanitarians,
epidemiologists,
and
laboratorians.
• State/local
lead
investigator
may
set
up
a
FoodSHIELD
workgroup
for
the
incident
and
invite
strategic
partners
(e.g.
state,
local
and
FDA
partners)
• State/local
users
should
have
two
administrators
in
their
workgroup
to
invite
their
agency’s
participants
allowing
for
continued
administrative
management
if
one
of
the
administrators
is
away
from
the
office
• State/local
administrators
should
designate
a
Point
of
Contact
(POC)
to
upload
documents
to
streamline
the
process
and
avoid
duplication
of
work
• Examples
of
documents
state/local
users
might
upload
are:
o traceback
documents
o epidemiology-‐related
o inspectional
reports
o laboratory
results
• State/local
users
can
utilize
the
activity
feed
email
and
webinar
features
in
FoodSHIELD
as
needed
• State/local
users
may
share
folders,
import
workgroups,
and
create
associations
with
external
partners
• State/local
users
may
join
workgroups
when
invited
• State/local
workgroup
owner
can
either
close
a
workgroup
or
change
user
roles
within
the
workgroup
after
the
investigation
is
finished
for
long-‐term
access
to
the
workgroup
documents
• State/local
officials
that
are
commissioned
by
the
FDA
may
be
invited
to
join
FDA
FoodSHIELD
workgroups
• Given
that
both
trade
secret
and
CCI
may
be
shared
in
these
workgroups,
state/local
officials
with
20.88
agreements
only
and
state/local
officials
with
no
confidentiality
agreements
are
not
able
to
be
FDA
workgroup
members
in
outbreak
scenarios
o Trade
secret
information
shared
may
consist
of
any
commercially
valuable
plan,
formula,
process,
or
device
that
is
used
for
the
making,
preparing,
compounding,
or
processing
of
trade
commodities
and
that
can
be
said
to
be
the
end
product
of
either
innovation
or
substantial
effort.
Examples
of
trade
secret
information
include
product
formulation
and
manufacturing
processes.
CCI
information
shared
consists
of
information
which
is
used
in
a
business
and
is
of
7.
7
such
type
that
it
is
customarily
held
in
strict
confidence
or
regarded
as
privileged
and
not
disclosed
to
any
member
of
the
public
by
the
entity
to
which
it
belongs.
Examples
of
CCI
would
include
business
documents
related
to
production,
distribution,
and
quality
assurance.
Workgroup
Best
Practices
Initiation
of
a
Workgroup
Nomenclature
for
Incident
Files:
Consistency
in
presenting
information
is
important
in
order
to
enhance
communication
and
coordination
among
government
officials.
Best
practices
for
naming
conventions,
are
outlined
below
for
incident
files.
Incident
Workgroup
Title:
Best
Practices
include
at
minimum
your
Agency,
the
Pathogen,
and
Year
in
your
workgroup
title
so
other
members
can
search
for
your
workgroup
in
FoodSHIELD.
Workgroup
titles
may
be
altered
due
to
other
outbreaks
simultaneously
occurring.
When
creating
the
incident
workgroup
title,
consider
including
the
following
templates
and
examples:
• Gold
standard
template
for
titling
:
“Agency
creating
the
workgroup
/pathogen
(more
specific
with
Pulsed-‐field
Gel
Electrophoresis
(PFGE),
if
needed)/vehicle
(with
status,
if
known)/states
involved/month/year”
o Example:
MDA/Salmonella
Newport
166/lettuce
(suspect)/ML/May/2012
o Standard
FDA
CORE
Workgroup
Title:
CORE/E.
coli
O121/lettuce/ML/November
2014
Note:
ML
stands
for
multiple
states
o Additional
examples:
MDA/Salmonella
Newport/tomatoes(suspect)/2014;
2014/Salmonella
Newport/MN/MDA;
Salmonella
Newport/tomatoes
(suspect)/April/2014
• If
your
Agency
decides
to
include
a
date
in
the
Workgroup
Title,
take
these
findings
into
consideration:
o Ability
to
calculate
the
length
of
time
between
identification
of
the
cluster
via
surveillance
and
onset
of
1st
case’s
illness
o Ability
to
measure
the
time
between
onset
and
surveillance
will
aid
in
defining
the
average
time
your
agency
takes
to
identify
it
as
an
outbreak
o FDA
CORE’s
date
in
the
incident
title
is
the
date
that
CORE
Signals
and
Surveillance
is
notified
of
the
incident
Folder
Titles:
When
creating
the
incident
folders
within
your
workgroup,
there
are
four
categories
that
should
be
created.
Of
course,
other
folders
can
be
added
(as
well
as
subfolders)
as
needed.
8.
8
• Folder
categories:
o Agency
creating
workgroup/Epidemiology
o Agency
creating
workgroup/Traceback
Flow
Diagrams
&
Timelines
o Agency
creating
workgroup/Laboratory
o Agency
creating
workgroup/Incident
summary
documents
• Additional
folders/subfolders
categories:
o Traceback
Records
(Invoices,
Bill
of
Lading,
and
receipts)
o Environmental/Investigation/Inspection
(for
inspection
reports
or
investigation
summaries)
o Public
Media
Response/Public
Information
Note:
Although
the
agency
name
is
listed
at
the
beginning
of
the
folder
title,
this
doesn’t
necessarily
mean
this
agency
produced
the
document
within
the
folder.
For
example,
CORE
may
have
a
“CORE/Epidemiology”
folder
which
contains
epidemiological
documents
provided
by
state
partners
and/or
CDC.
Designating
the
agency
at
the
beginning
of
the
folder
name
just
designates
which
agency
is
housing
the
material.
Subfolders
and/or
document
titles
can
convey
who
actually
created
the
documents.
Document
Titles:
Be
clear
and
descriptive
when
naming
the
type
of
document
being
uploaded.
For
example,
don’t
include
a
line
list
and
label
it
as
“epi
info.”
It
could
be
more
appropriately
labeled
as:
“MN
Draft
line
list
updated
4/12/14.”
• Webinar
and
Email
subject
lines:
o Be
descriptive
to
convey
the
purpose
of
the
webinar
and
email
o For
a
webinar
include
meeting
subject,
date,
and
time
occurring
(with
the
time
zone)
• Roles
when
inviting
participants
to
a
workgroup:
o The
owner
will
invite
each
participant
to
be
either
an
administrator
or
member
of
the
workgroup.
It
is
noted
that
owners
have
three
asterisks
(***)
after
their
administrator
title
in
FoodSHIELD.
Document/Email/Activity
Feed/Discussion
Board
Document
Disclaimers/Version
controls:
Consider
the
need
to
add
disclaimers
and
version
control
within
documents
depending
on
your
agency
protocols.
• Example
of
disclaimer:
“This
document
is
an
internal
FDA
document
and
should
not
be
distributed
beyond
its
intended
audience
without
express
permission
from
FDA.”
9.
9
• Standard
statement
about
distribution
of
documents
should
be
on
each
document
per
your
agency
requirements
(restricted
access,
publicly
accessible)
• Example
of
a
document
title
with
date
and
version
control:
“MN
diagram
for
Distributor
A_traceback
leg_Created
4/14/14,
Version
1”
• FoodSHIELD
has
the
capability
of
automatic
version
control
which
should
be
tested
by
agencies
Email:
There
are
three
ways
to
use
email
in
FoodSHIELD
(see
the
user
guide).
The
appropriate
email
type
should
be
used
based
on
the
type
and
size
of
information
being
sent.
Certain
agencies
may
choose
not
to
use
the
email
feature,
based
on
existing
protocols.
• Secure
send
–
Can
be
used
to
send
very
large
files
• Communications
Application
–
Can
be
used
to
send
regular
correspondence
to
the
whole
group
or
selected
members
• Document
email
–
Can
be
used
to
send
document(s)
without
downloading
them
to
your
desktop.
Activity
Feeds:
There
are
limitations
when
directly
typing
information
into
the
activity
feed.
• It
will
not
send
the
message
in
an
email
to
workgroup
members;
it
will
only
appear
in
the
FoodSHIELD
system
• Information
posted
to
the
feed
is
listed
according
to
the
date/time
it
was
posted
and
it
is
not
a
threaded
discussion,
meaning
a
user
can’t
directly
respond
to
a
particular
post
in
the
feed
• It
is
not
captured
for
downloading
outside
the
FoodSHIELD
system
• Important
information
could
be
easily
overlooked
due
to
the
long
chain
of
some
activity
feeds
Webinars:
During
complex
investigations
when
explanations
of
documents
and
materials
need
to
be
understood
by
multiple
workgroup
participants,
a
webinar
is
very
helpful.
Desktop
sharing
for
viewing/editing
of
documents
can
be
used
during
webinars.
• Webinar
capacity
is
70
separate
connections
across
the
entire
system
at
one
time
• If
several
webinars
are
scheduled
at
one
time
that
prevent
your
webinar
from
taking
place,
please
contact
the
FoodSHIELD
helpdesk
(helpdesk@foodshield.org)
to
request
a
seminar
room
that
allows
more
than
70
connections
Sharing
between
Workgroups
Sharing
Folders:
10.
10
Before
folders
are
shared,
they
should
be
named
appropriately
so
the
agency
name
(the
agency
that
created
the
folder)
is
at
the
beginning,
right
before
the
folder
name.
• Ensure
that
folders
are
shared
only
with
parties
deemed
appropriate
by
your
agency
• If
you
want
to
share
a
folder,
send
an
email
to
the
party
you
want
to
share
with
through
your
agency
email
system,
and
ensure
the
party
agrees
to
the
folder
being
shared.
• If
sharing
a
folder,
the
party
receiving
the
folder
should
not
edit/delete/add
documents
to
this
folder.
• There
is
no
way
in
the
documents
view
to
determine
which
folders
have
been
shared
with
whom.
Therefore,
adding
a
copy
of
the
email
exchange
requesting
folder
sharing
to
the
document
folder
that
is
being
shared
is
helpful.
• Shared
folders
are
color
coded
by,
one
way
sharing
(green)
vs.
two
way
sharing
(red).
• When
a
folder
is
shared,
the
folder
automatically
updates
so
the
same
documents
are
available
to
all
partners.
• Certain
agencies
may
choose
to
not
share
folders,
based
on
agency
protocols
Importing
Workgroup
Members:
This
can
be
valuable
if
there
is
more
than
one
workgroup
created
by
different
agencies
or
even
within
the
same
agency
for
an
incident.
It
is
an
easy
way
to
add
people
from
one
workgroup
to
another.
Deactivation
Deactivation
Procedure:
If
you
are
an
owner
of
a
workgroup,
you
should
create
a
deactivation
procedure
for
your
workgroup
ahead
of
time.
There
are
several
mechanisms
to
further
secure/archive
information
within
a
workgroup,
once
your
agency
deems
it
is
appropriate
to
do
so.
• Closing
a
workgroup
so
only
the
owner
retains
access
to
it
• Changing
user
roles
so
workgroup
members
can
only
view
the
documents
and
can’t
edit/upload
new
documents
• Completely
removing
the
workgroup
by
emailing
the
FoodSHIELD
administrators
at
helpdesk@foodshield.org
• Based
on
your
agency’s
decision,
email
the
workgroup
members
of
the
incident
to
inform
them
regarding
further
securing
of
your
workgroup
information
• Some
information
in
these
workgroups
may
help
assist
with
prevention
activities
in
the
future
• Ensure
that
final
incident
documents
are
uploaded
into
the
workgroup
prior
to
taking
steps
to
deactivate
the
workgroup
11.
11
References
1. FoodSHIELD
a. User
Guide/Knowledgebase
i. The
user
guide
can
be
downloaded
from
the
FoodSHIELD
Knowledgebase
located
under
the
Support
Materials
Section.
The
Knowledgebase
can
be
found
by
clicking
the
Helpdesk/Support
icon
on
the
menu
bar.
b. Hour
Long
Webinar
Training
and
recording
i. https://www.foodshield.org/index.cfm/about-‐learn-‐more/training/
c. How
to
gain
membership
to
FoodSHIELD
i. https://www.foodshield.org/member/register/index.cfm
d. Live
Helpdesk:
1-‐877-‐960-‐2007,
live
chat
feature,
helpdesk@foodshield.org
i. Hours
7am
-‐7pm
CST
ii. http://support.foodshield.org/support/home
2. Commissioning
Process
&
Information
Sharing
Procedures
a. Overview
of
Commissioning
i. http://www.fda.gov/ForFederalStateandLocalOfficials/CommunicationbetweenFDAS
tateLocalandTribalOfficials/default.htm
b. Regulatory
Procedures
Manual
-‐
Ch.
3
i. http://www.fda.gov/ICECI/ComplianceManuals/RegulatoryProceduresManual/ucm1
76712.htm
12.
12
Glossary
Centers
for
Disease
Control
and
Prevention
(CDC)
–
CDC
works
24/7
to
protect
America
from
health,
safety,
and
security
threats,
both
foreign
and
domestic.
Whether
diseases
start
at
home
or
abroad,
are
chronic
or
acute,
curable
or
preventable,
human
error
or
deliberate
attack,
CDC
fights
disease
and
supports
communities
and
citizens
to
do
the
same.
CDC
increases
the
health
security
of
our
nation.
As
the
nation’s
health
protection
agency,
CDC
saves
lives
and
protects
people
from
health
threats.
To
accomplish
our
mission,
CDC
conducts
critical
science
and
provides
health
information
that
protects
our
nation
against
expensive
and
dangerous
health
threats,
and
responds
when
these
arise.
CDC
is
involved
in:
o Detecting
and
responding
to
new
and
emerging
health
threats
o Tackling
the
biggest
health
problems
causing
death
and
disability
for
Americans
o Putting
science
and
advanced
technology
into
action
to
prevent
disease
o Promoting
healthy
and
safe
behaviors,
communities
and
environment
o Developing
leaders
and
training
the
public
health
workforce,
including
disease
detectives
o Taking
the
health
pulse
of
our
nation
http://www.cdc.gov/about/organization/mission.htm
Department
of
Defense
(DOD)
–
The
Department
of
Defense
is
America's
oldest
and
largest
government
agency.
The
mission
of
the
Department
of
Defense
is
to
provide
the
military
forces
needed
to
deter
war
and
to
protect
the
security
of
our
country.
http://www.defense.gov/about/
Epidemiology
–
The
study
of
the
occurrence
of
disease
or
other
health-‐related
conditions
or
events
in
defined
populations.
The
control
of
disease
in
populations
is
also
often
considered
to
be
a
task
for
epidemiology.
Epidemiologists
conduct
surveillance
and
carry
out
investigations
using
hypothesis
testing
and
analytic
research
to
identify
the
causes
of
diseases,
including
the
physical,
biological,
social,
cultural,
and
behavioral
factors
that
influence
health.
(Based
on
the
definition
identified
in
the
Council
to
Improve
Foodborne
Outbreak
Response
(CIFOR)
Guidelines
for
Foodborne
Disease
Outbreak
Response.
Appendix
1:
Glossary)
http://www.cifor.us/documents/CIFORGuidelinesAppendices.pdf
Food
and
Drug
Administration
(FDA)
–
FDA
is
responsible
for
protecting
the
public
health
by
assuring
the
safety,
efficacy
and
security
of
human
and
veterinary
drugs,
biological
products,
medical
devices,
food
and
feed,
cosmetics,
and
products
that
emit
radiation.
FDA
is
responsible
for
advancing
the
public
health
by
helping
to
speed
innovations
that
make
medicines
more
effective,
safer,
and
more
affordable,
and
by
helping
the
public
get
the
accurate,
science-‐based
information
they
need
to
use
medicines
and
foods
to
maintain
and
improve
their
health.
FDA
also
has
responsibility
for
regulating
the
manufacturing,
marketing
and
distribution
of
tobacco
products,
to
protect
the
public
health,
and
to
reduce
tobacco
use
by
minors.
FDA
plays
a
significant
role
in
the
Nation’s
counterterrorism
capability.
FDA
fulfills
this
responsibility
by
ensuring
the
security
of
the
13.
13
food
supply
and
by
fostering
the
development
of
medical
products
to
respond
to
deliberate
and
naturally
emerging
public
health
threats.
http://www.fda.gov/aboutfda/whatwedo/default.htm
FDA
Commissioned
Official
–
Commissioning
is
a
process
that
permits
State
and
local
officials
to
conduct
examinations
and
investigations
under
the
authority
of
the
FD&C
Act.
In
other
words,
state
and
local
officials
who
are
commissioned
can
conduct
examinations,
inspections,
and
investigations,
as
well
as
collect
and
obtain
samples,
and
copy
and
verify
records
under
the
FD&C
Act
even
when
state
and
municipal
laws
do
not
give
them
this
authority.
Because
they
are
acting
under
FDA’s
authority,
commissioned
officials
may
have
access
to
non-‐public
information,
including
deliberative
documents,
Commercial
Confidential
Information
(CCI),
and
trade
secret
information
when
acting
in
their
capacity
as
commissioned
officials.
Commissioned
officials
may
not
further
share
non-‐public
information
obtained
in
this
capacity.
http://www.fda.gov/downloads/ForFederalStateandLocalOfficials/UCM358066.pdf
FDA
20.88
Agreement
–
A
20.88
agreement
permits
FDA
to
share
certain
non-‐public
information
with
various
state
and
local
officials
who
have
signed
a
written
agreement
in
accordance
with
21
CFR
20.88.
In
the
agreement,
the
state
or
local
government
agency
confirms
it
has
the
authority
to
protect
non-‐public
information
from
public
disclosure
and
it
promises
to
not
further
disclose
such
information
without
written
permission
from
FDA.
Unlike
Commissioning,
FDA
cannot
share
trade
secret
information
under
20.88
agreements.
http://www.fda.gov/downloads/ForFederalStateandLocalOfficials/UCM358066.pdf
FDA’s
Center
for
Food
Safety
and
Applied
Nutrition
(CFSAN)
–
The
Center
for
Food
Safety
and
Applied
Nutrition,
(CFSAN),
is
one
of
six
product-‐oriented
centers,
in
addition
to
a
nationwide
field
force,
that
carry
out
the
mission
of
the
Food
and
Drug
Administration
(FDA).
CFSAN,
in
conjunction
with
the
Agency's
field
staff,
is
responsible
for
promoting
and
protecting
the
public's
health
by
ensuring
that
the
nation's
food
supply
is
safe,
sanitary,
wholesome,
and
honestly
labeled,
and
that
cosmetic
products
are
safe
and
properly
labeled.
http://www.fda.gov/AboutFDA/CentersOffices/OfficeofFoods/CFSAN/default.htm
FDA’s
Center
for
Veterinary
Medicine
(CVM)
–
The
mission
of
the
Center
for
Veterinary
Medicine
(CVM)
is:
“Protecting
Human
and
Animal
Health.”
To
achieve
this
broad
mission,
CVM:
• Makes
sure
an
animal
drug
is
safe
and
effective
before
approving
it.
The
center
approves
animal
drugs
for
companion
(pet)
animals,
such
as
dogs,
cats,
and
horses;
and
for
food-‐producing
animals,
such
as
cattle,
pigs,
and
chickens.
If
the
drug
is
for
a
food-‐producing
animal,
before
approving
it,
the
center
also
makes
sure
that
food
products
made
from
treated
animals
(meat,
milk,
and
eggs)
are
safe
for
people
to
eat;
• Monitors
the
safety
and
effectiveness
of
animal
drugs
on
the
market;
• Makes
sure
food
for
animals(which
includes
animal
feed,
pet
food,
and
pet
treats)is
safe,
made
under
sanitary
conditions,
and
properly
labeled;
14.
14
• Makes
sure
a
food
additive
for
use
in
food
for
animals
is
safe
and
effective
before
approving
it;
• Conducts
research
that
helps
FDA
ensure
the
safety
of
animal
drugs,
food
for
animals,
and
food
products
made
from
animals;
and
• Helps
make
more
animal
drugs
legally
available
for
minor
species,
such
as
fish,
hamsters,
and
parrots;
and
for
minor
(infrequent
and
limited)
uses
in
a
major
species,
such
as
cattle,
turkeys,
and
dogs.
http://www.fda.gov/aboutfda/centersoffices/officeoffoods/cvm/default.htm
FDA’s
Coordinated
Outbreak
Response
and
Evaluation
(CORE)
–
CORE
was
created
to
manage
not
just
outbreak
response,
but
surveillance
and
post-‐response
activities
related
to
incidents
involving
multiple
illnesses
linked
to
FDA-‐regulated
human
and
animal
food
and
cosmetic
products.
The
goal
of
the
CORE
Network
is
to
build
upon
the
best
of
what
we
currently
do
across
FDA
in
incident
response,
and
not
only
to
streamline,
but
to
strengthen
FDA’s
efforts
to
prevent,
detect,
investigate,
respond
to,
and
learn
from
incidents
and
outbreaks.
http://www.fda.gov/Food/RecallsOutbreaksEmergencies/Outbreaks/ucm272347.htm
FDA’s
Office
of
the
Commissioner
(OC)
–
The
Food
and
Drug
Administration
(FDA)
is
headed
by
the
Commissioner
of
Food
and
Drugs.
Organizations
within
the
Office
of
the
Commissioner
(OC)
report
to
the
Commissioner.
The
Office
of
the
Commissioner
provides
centralized
agency-‐wide
program
direction
and
management
services
to
support
effective
administration
and
FDA's
consumer
protection
efforts
within
its
regulatory
framework
and
to
put
available
resources
to
the
most
efficient
use.
This
office
reports
to
the
FDA
Commissioner.
http://www.fda.gov/AboutFDA/CentersOffices/oc/default.htm
FDA’s
Office
of
Regulatory
Affairs
(ORA)
–
The
U.S.
Food
and
Drug
Administration’s
Office
of
Regulatory
Affairs
(ORA)
is
the
lead
office
for
all
agency
field
activities.
ORA
inspects
regulated
products
and
manufacturers,
conducts
sample
analyses
of
regulated
products
and
reviews
imported
products
offered
for
entry
into
the
United
States.
Besides
executing
its
mission
through
its
federal
workforce,
ORA
also
works
with
its
state,
local,
tribal,
territorial
and
foreign
counterparts
to
further
the
agency’s
mission.
http://www.fda.gov/AboutFDA/CentersOffices/OfficeofGlobalRegulatoryOperationsandPolicy/ORA/default.ht
m
Incident
–
An
occurrence
or
event,
natural
or
human-‐caused
that
requires
an
emergency
response
to
protect
life
or
property.
Incidents
can
include
major
disasters,
emergencies
(like
foodborne
outbreaks),
terrorist
attacks,
terrorist
threats,
wild
land
and
urban
fires,
floods,
hazardous
materials
spills,
nuclear
accidents,
aircraft
accidents,
earthquakes,
hurricanes,
tornadoes,
tropical
storms,
war-‐related
disasters,
public
health
and
medical
emergencies
(i.e.
outbreak),
and
other
occurrences
requiring
an
emergency
response.
Incident
Command
System
(ICS)
–
According
to
FEMA,
Incident
Command
System
(ICS)
is
a
standardized
management
tool
for
meeting
the
demands
of
small
or
large
emergency
or
nonemergency
situations.
ICS
15.
15
represents
"best
practices"
and
has
become
the
standard
for
emergency
management
across
the
country.
It
may
be
used
for
planned
events,
natural
disasters,
and
acts
of
terrorism
and
is
a
key
feature
of
the
National
Incident
Management
System
(NIMS).
The
ICS
is
a
management
system
designed
to
enable
effective
and
efficient
domestic
incident
management
by
integrating
a
combination
of
facilities,
equipment,
personnel,
procedures,
and
communications
operating
within
a
common
organizational
structure,
designed
to
enable
effective
and
efficient
domestic
incident
management.
A
basic
premise
of
ICS
is
that
it
is
widely
applicable.
It
is
used
to
organize
both
near
and
long-‐term
field-‐level
operations
for
a
broad
spectrum
of
emergencies,
from
small
to
complex
incidents,
both
natural
and
manmade.
ICS
is
used
by
all
levels
of
government—federal,
state,
local,
and
tribal—as
well
as
by
many
private-‐sector
and
nongovernmental
organizations.
ICS
is
also
applicable
across
disciplines.
It
is
normally
structured
to
facilitate
activities
in
five
major
functional
areas:
command,
operations,
planning,
logistics,
and
finance
and
administration.
http://training.fema.gov/EMIWeb/IS/ICSResource/assets/reviewMaterials.pdf
Rapid
Response
Team
(RRT)
–
The
Food
Protection
Rapid
Response
Teams
(RRTs)
conduct
integrated,
multiagency
responses
to
all
hazards
food
and
feed
emergencies
in
various
states
across
the
nation.
RRTs
are
developed
through
a
multiyear
cooperative
agreement
between
FDA
and
state
food
regulatory
partners.
There
are
currently
eighteen
(18)
RRTs
within
the
Program.
This
cooperative
agreement
requires
that
these
teams
engage
partners
across
disciplines
and
jurisdictions
to
build
core
capabilities
and
explore
innovative
approaches
to
response.
The
RRTs
vary
from
each
other
in
accordance
with
differences
in
government
structures,
geographies,
laws,
resources,
etc.
The
RRTs
activate
in
response
to
food
emergencies
in
their
states,
drawing
on
the
resources
and
partnerships
developed
through
this
project
to
accomplish
responses
characterized
by
improvements
in
areas
such
as
interagency
communication,
established
plans
and
procedures,
and
jointly
trained
and
exercised
staff.
http://www.fda.gov/ForFederalStateandLocalOfficials/CooperativeAgreementsCRADAsGrants/ucm297407.ht
m
Status
(of
vehicle)
–
When
a
vehicle
is
not
confirmed,
agencies
may
use
the
word
“suspect”
in
the
incident
title
after
the
vehicle
name.
Traceback
–
The
method
used
to
determine
the
source
and
scope
of
the
product/processes
associated
with
an
outbreak,
and
document
the
distribution
and
production
chain
of
the
product
that
has
been
implicated
in
a
foodborne
illness
or
outbreak.
(Multistate
Foodborne
Outbreak
Investigations
Guidelines
for
Improving
Coordination
and
Communications.
Glossary)
http://www.cifor.us/clearinghouse/tooldetail.cfm?id=212
Trade
Secret
–
Trade
secret
information
shared
may
consist
of
any
commercially
valuable
plan,
formula,
process,
or
device
that
is
used
for
the
making,
preparing,
compounding,
or
processing
of
trade
commodities
and
that
can
be
said
to
be
the
end
product
of
either
innovation
or
substantial
effort.
Examples
of
trade
secret
information
include
product
formulation
and
manufacturing
processes.
16.
16
Confidential
Commercial
Information
–
CCI
information
shared
consists
of
information
which
is
used
in
a
business
and
is
of
such
type
that
it
is
customarily
held
in
strict
confidence
or
regarded
as
privileged
and
not
disclosed
to
any
member
of
the
public
by
the
entity
to
which
it
belongs.
Examples
of
CCI
would
include
business
documents
related
to
production,
distribution,
and
quality
assurance.
United
States
Department
of
Agriculture
(USDA)
–
The
United
States
Department
of
Agriculture
(USDA)
provides
leadership
on
food,
agriculture,
natural
resources,
rural
development,
nutrition,
and
related
issues
based
on
sound
public
policy,
the
best
available
science,
and
efficient
management.
http://www.usda.gov/wps/portal/usda/usdahome?navid=MISSION_STATEMENT
Vehicle
–
This
term
is
used
to
refer
to
an
item
that
is
known
to
have
been
the
source
of
infection
or
intoxication,
and
caused
an
illness.
In
foodborne
outbreaks,
this
would
be
a
food.
Document
History
Version
#
Revision
Date
Author
Name
Organizations
1.0
4/29/2014
PFP
F2F
Leads
FDA/
MN
2.0
5/6/14
Pierquet/LeBlanc
FDA/MN
2.1
6/5/14
Pierquet/LeBlanc
FDA/MN
2.2
7/16/14
Pierquet/LeBlanc
MN/FDA
2.3
7/28/14
Pierquet/LeBlanc
MN/FDA
2.4
8/1/14
Pierquet/LeBlanc
MN/FDA
2.5
3/5/15
Pierquet/Goodman
MN/FDA