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17 <br /> <br />Critical information that will be collected for situational awareness will include functionality of <br />public health operations, healthcare facilities, infrastructure, along with number of disease cases <br />and/or fatalities attributed to the incident. Additional information may include client or patient <br />identification, location of client or patient, the identified potential or confirmed disease or health <br />risk, date of onset, any related symptoms associated with the potential or identified disease, as well <br />as individuals who may also have been potentially exposed. Sources of information may include <br />local law enforcement, local healthcare providers, laboratories, KITTCOM, a complaint from the <br />general public, national, state, or regional partner. <br />Collected information will be used only for the investigation and response of any identified disease <br />threats or health risks. Information will be shared in accordance with the Health Insurance <br />Portability and Accountability Act (HIPAA) regulations. Only emergency responders who are <br />required to comply with HIPAA regulations will receive confidential medical information relating <br />to the investigation or response. <br />IX. COMMUNICATIONS: <br />KCPHD has access to 24/7 support services and resources outside of the department, which require <br />communication in a timely manner. Communication may be through various means including by <br />fax, telephone landline, and in person requests. Communications procedures are outlined in the <br />Communications Annex, Annex E. <br />Staff will be notified of an incident or mobilization either via the emergency phone tree, email, <br />WA Secures, or in person. <br />X. ADMINISTRATION, FINANCE, AND LOGISTICS: <br />Memorandum of Understandings as well as local resources will be utilized first in response to <br />emergencies. KCPHD and Kittitas County polices for financial accounting and auditing will be <br />adhered to in regards to financial records, reporting, and tracking resources. All financial records <br />will be kept in accordance with archiving requirements. Special purchasing policies under Kittitas <br />County will require a Board of County Commissioners’ declaration of emergency in order to <br />utilize. <br />XI. PLAN DEVELOPMENT AND MAINTENANCE: <br />A. KCPHD staff training regarding this plan will be performed regularly. <br />B. This plan will be exercised, evaluated, and updated at least once annually based on after action <br />reports completed after KCPHD and/or county wide drills and exercises. Evaluations will include <br />improvements as a result from exercise analysis completed and challenges identified. Updates <br />will be based on recommended changes.