Case Studies  //

Innovation. Execution. Results. A dynamic world demands a fresh approach. Every client has its own unique situation and challenges. What works may be enhanced; what does not work should be replaced.  Diogenec delivers – applying innovation, executing effectively, and producing positive outcomes.  Past successes offer proof of value.  See some of our case studies to learn how we’ve created results for our clients.

Quality Improvement of the U.S. Department of Veterans Affairs Mental Health Residential Rehabilitation Treatment Programs

 

When Mathematica Policy Research was contracted to conduct a comprehensive quality review of the Department of Veterans Affairs mental health residential treatment program, they turned to Diogenec Group for clinical and technical guidance and for insight into the cultures of military and veteran populations.

  • Improving the Delivery of Mental Health Services for Veterans—Meeting the needs of veterans who are homeless, have seriousmental illness, and suffer co-morbidities such as substance abuseand posttraumatic stress disorder is a




    national policy concern. The U.S. Department of Veterans Affairs (VA) recently completed astrategic transformation plan for improving its mental health services. Since fall 2008, Mathematica has been working with the VA to provide high quality, comprehensive, and timely assessments of how this plan is working to meet the needs of these veterans.—

  • This project includes on-site reviews of 187 programs at 101 facilities nationwide and interviews with up to 1,600 veterans and a similar number of staff. Each review includes analyses of veterans' medical records, program policies, and documents; program observations; interviews with program leaders; and surveys of staff and veterans.

  • —Mathematica has drawn on a network of resources and collaborated with nationally recognized experts at the Ascellon Corporation and Diogenec Group to develop the assessment mechanismand to conduct on-site quality reviews.

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Surge and Mobile Infrastructure Systems

 

Diogenec draws from experience evaluating deployable medical materiel for the United States Air Force and for multiple public and private organizations. Diogenec integrates best of breed equipment into customized surge capacity systems to meet any organization’s contingency needs.

 

Custromized Deplpoyable Infrstructure (CDI) systems have been delivered to •US Navy  •Texas National Guard  •Johns Hopkins-Bayview Medical Center  •Washington DC Department of Health  •University of Maryland Medical Center-Shock Trauma  •Maryland General Hospital  •Baltimore City (MD) Fire Department  •Anne Arundel (MD) Fire Department  •Frederick County (MD) Emergency Services Division  •Washington County (MD) Fire Department  •St Mary’s County (MD) Health Department

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Social Distancing Law Project

 

The specter of a deadly H5N1 outbreak prompted a project funded by Centers for Disease Control and Prevention (CDC) and the Association of State and Territorial Health Officers (ASTHO) to examine the efficacy of social distancing laws in the nation’s capitoland the 20 states that contain U.S.quarantine stations.Early identification and isolation of infected individuals will be an essential aspect of stemming apandemic. Conversely, individual rights must be preserved andthe fabric of society – the ability to continue commerce,education, entertainment, worship, and public safety – protected. This will require an intricate balance of public health policy, effective statutes, and extensive inter-jurisdictional coordination.

Operational Test and Evaluation

 

When the Surgeon General wanted to identify the most rugged equipment to meet the global mission of the Air Force Medical Services, Diogenec experts were there to provide the answer. Working for a legacy firm, Diogenec staff designed and helped create the Air Force Medical Evaluation Support Activity (AFMESA), a permanent medical test and evaluation facility located at Fort Detrick, Maryland.“

 

AFMESA’s product analyses
give the Air Forcesurgeon
general an objective view of
new medicaltechnologies,”
said Brig. Gen. (Dr.) Joseph
Kelley,assistant surgeon
general for exeditionary
medicine and science and
technology. “The surgeon
generalcan then ensure it
purchases only those items
thatare safe, cost-effective, and fully capable.”

 

Kelley said a critical part of AFMESA’s mission is toevaluate and analyze products to identify their deficiencies before they are purchased or deployed by the Air Force. It also experiments with commercial off-the-shelf (COTS) products since they can often be more capable, less expensive, and more ready for immediate use than products the military might need to create from scratch. “

 

AFMESA determines what our tools and equipment medical warfighters need to do their job in the field,” said Kelley. “Then it assesses the best way to quickly acquire, deploy, and use [these products]. Working with the Fort Detrick garrison and Headquarters, US Army Medical Research and Material Command (USA MRMC), AFMESA was given twelve acres of land on Fort Detrick for its test and evaluation facility. The facility includes offices, a medical logistics warehouse, and an exercise/demonstration area and a hospital pad for the Expeditionary Medical Support (EMEDS) plus 10 equipment set that is considered the “living lab” for AFMESA’s effort.

Domestic Medical Intelligence Course

 

Public health departments entered the 21st century facing new and evolving threats , requiring innovative and flexible competencies. Incidents of terrorism from domestic and supra-national antagonists, the emergence of novel diseases, and the use of pathogens as a weapon against civilian targets place public health agencies in theposition of working directly with law enforcement and across otherdepartmental and jurisdictional lines. Prospective developmentof health threat assessments — a form of intelligence used tosupport advanced planning and tailor prevention, response, andrecovery activities—has been increasingly needed; yet the skill set necessary to develop such assessments has not been part of public health training or professional practice. Diogenec experts designed, delivered, and evaluated a research study to assess and ` facilitate this capability in conjunction with the District of Columbia Department of Health. This comprehensive study involved three best practices: development and administration of a health threat intelligence assessment course for the sponsoring department of health, application of tools to evaluate the effectiveness of the instruction and the department’s ensuing ability to discern indicators and collectively develop a threatprojection, and implementation of a standard operating procedure,which focused the educational effort, provided customization to specific departments of health and threat agents, and detailed the process for implementing this study locally and replicating it nationally.

Preparedness and Risk Communication

 

Even the most inspired leadership will fail if the message does not get across, or if it prompted unexpected consequences. Diogenec teams with leading risk communications experts to design, deliver, and evaluate your organization’s message.

 

Effective communications and actionable plans live before, during, and after an event. Diogenec contributions to organization’s resiliency have included:—

  • Developing, implementing, and testing hospital emergency preparedness and response plans for— Woodhull Medical and Mental Health Center, Brooklyn, NY and —HSC Pediatric Center, Washington, DC—

  • Providing education concerning anthrax threat, prophylaxis, and treatment to uniformed Public Health Service response teams, regional reference laboratory staff, and others in support of the CDC effort following the 2001 postal anthrax attacks. —

  • Developing force health protection programs for the military.—

  • Furnished strategic planning, product development, and marketing services advice to an interactive wellness, health education and promotion, and population health surveillance consortium including expert advice on content and delivery mechanisms for health promotion, medical and dental readiness, mental health, and support resources for military members and their families.—

  • Conducting webinars on pandemic influenza preparedness for the financial sector in the state of Georgia and the Association of Independent Maryland Schools.

 

Diogenec Group offers tailored Communication Training workshops in Risk Communication, Crisis Management and Communication, Team Building and Organizational Dynamics, Improving Individual Communications Skills, Communicating Technical Information to Nontechnical Audiences, Media Relations, and Message Development and Delivery.

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Disaster Drill in an Urban Medical Center

 

A disaster drill can be a major distracter, especially inan emergency department seeing 140,000 patients ayear. The value of this required exercise can bemaximized via creative, multi-focused application.

 

A Diogenec Group expert planned an external disasterdrill for an inner city medical center and executed itthe day before the hospital’s scheduled Joint Commission survey. Rather than approach the task as a diversion from daily operations, the evaluation team proposed the exercise be used as a major community relations event. Simulated disasters can be generic, requiring only generating a flow of casualties to stress the institution’s capabilities. To highlight the hospital’s critical role in the area and its delivery of community benefit, the exercise team engaged a local high school for role players. The exercise scenario involved a motor vehicle accident between a chemical tanker and a full school bus. Adolescent “victims” from the highschool made excellent actors for the exercise.Their parents assumed the natural roles ofconcerned parents as well as the media, law enforcement, and other emergency department patients.

 

The community relations boost was substantial, demonstrating the valuable asset and the services that would be delivered in the event of a real disaster.  Lessons learned from the exercise were incorporated into the facility emergency plan, with the active engagement cited as an institutional strength by the Joint Commission survey team.

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