Adapting Community Call Centers for Crisis Support: A Model for Home-Based Care and Monitoring. Appendix 4-D

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Adapting Community Call Centers for Crisis Support

Appendix 4-D. POD Evaluation Form

North Central Region Exercise

POD Information Line Test Instructions

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.

You have been requested to test the Point of Dispensing (POD) Information Line. 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.

Volunteer Name: _____________________________________________________

Please call XXX-XXX-XXXX.
Please follow the prompts, using the phone keypad to enter the zip code recorded on your volunteer registration form.
Please provide this entered zip code: ___________________
Please provide your county of residence: ___________________
Continue to follow the prompts to receive the location of your county's POD.
Which POD location did the IR message indicate for your county?

_____________________________________________________

_____________________________________________________

Please fill out the evaluation questions on the second page, and thank you for your assistance in testing the POD Information Line.

(Page Two)

Dear Quarantine Exercise Volunteer:

Please answer the following questions regarding your experience using the POD Information Line.

Questionnaire responses will use a scale of 1 to 5:

1 = Strongly Disagree
2 = Disagree
3 = Undecided
4 = Agree
5 = Strongly Agree

Please tell us how much you agree or disagree with the following statements:

Question	Strongly Disagree	Disagree	Undecided	Agree	Strongly Agree
1. The directions given by the IR were easy to follow.	1	2	3	4	5
2. The voice on the IR message was easy to understand.	1	2	3	4	5
3. The recorded voice on the IR went at a proper speed.	1	2	3	4	5
4. The recorded voice on the IR was at a proper volume.	1	2	3	4	5
5. The POD information I received from the IR was accurate based on my county of residence.	1	2	3	4	5
6. I am satisfied with my experience using the IR.	1	2	3	4	5
7. If I were actually needing antibiotics, I would trust receiving health department information via an automated system like the IR.	1	2	3	4	5
8. Based on my experience with the IR, I would prefer to receive information from an automated system vs speaking to a live person.	1	2	3	4	5

Comments (Please use the back of this sheet for additional room if necessary)

______________________________________________________________________________________

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.

If you have questions about this tool or the testing process, please contact <Insert Test Coordinator Name> at the <Insert Their Agency Name>: <Insert Their Phone#> or <Insert Their E-mail Address>

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