Purpose & Scope
The Plan itself provides guidance and structure to all involved stakeholders regarding initiation, continuance and release from I & Q. The purpose of the Plan describes the circumstances, authority and events that may necessitate specific leadership decisions, response actions, and communications mechanisms. The scope of the plan is to describe specific responsibilities for key response partners are included to highlight points of coordination between agencies during situations involving I&Q.
Planning assumptions for the process of developing a plan are different then the assumptions that are listed in the plan itself.
Assumptions listed in the Plan help clarify what the Plan does and does not include as a part of I & Q implementation. Be sure to identify and include assumptions that fit for your local jurisdiction.
It is essential to clearly state the State laws and regulations that provide your jurisdiction with the authority to take action to control diseases that are threats to public health. In Washington, state laws and rules do not contain procedures governing Local Health Officers" activities to achieve voluntary compliance with instructions for isolation and/or quarantine. However, the Local Health Officer must follow specific procedures when initiating involuntary detention for purposes of isolation and/or quarantine. These procedures must be clearly identified in the Plan.
Identification of I & Q as only two of a number of measures that may be used to stop or slow the spread of communicable disease is important to include in the Plan. This section should clarify that response measures may be applied to individuals and to groups, on a voluntary or involuntary basis.
The Responsibilities section specifically states the role of each involved organization in an I & Q response. Responsible parties identified are:
- Public Health
- Local Law Enforcement
- Prosecuting Attorney's Office
- Community Based Organizations
In addition to the Responsibilities, the following operational actions must be defined in the Plan and assigned to the appropriate involved agency for action.
- Concept of Operation
- Direction and Control
- Establishment of Isolation or Quarantine
- Voluntary Compliance with Isolation or Quarantine
- Involuntary Detention
- Release from Isolation or Quarantine
Health & Medical
Public Health must ensure that the healthcare needs of those isolated or quarantined are met expeditiously and described in the Plan. Coordination with the local healthcare delivery system is vital for effective I & Q response and should also be described.
The Health and Medical section of the Public Health I & Q Response Plan is handled by the Isolation and Quarantine Response Center (IQRC). The IQRC staff determines if the person has a provider, if not Public Health becomes the provider. Transportation, home health care, and hospitalization needs are also assessed and provided if necessary.