title: Mass medication modeling in response to public health emergencies: outcomes of a drive-thru exercise.
abstract: This article presents the outcomes of a full-scale training exercise utilizing a drive-thru clinic model for dispensing of Strategic National Stockpile medication. The Hawaii Department of Health developed a clinic design for vehicles based on previous exercises and research on sample throughput rates. The streamlined model selected includes a triage area near the entrance and consecutive stations for the public to register, have an evaluation for drug contradictions, and receive the medication. During the 2-hour exercise held in April 2005, a total of 622 patients were processed in their vehicles for an overall rate of 5.2 persons per minute. Although patient services were reduced in comparison to current walk-in clinic models, the public was able to receive prophylactic medication in a timely manner with a high rate of accuracy and minimal human-to-human contact. These results demonstrate that local health departments, particularly in rural areas, can provide essential medications, vaccinations, or rations through a drive-thru clinic, thus limiting morbidity and mortality during a public health emergency.
authors.affiliation: Hawaii Department of Health, Kauai District Health Office, Lihue, Hawaii 96766, USA. Tyler.Zerwekh@doh.hawaii.gov
authors.forename: Tyler
authors.initials: T
authors.lastname: Zerwekh
authors.forename: Jason
authors.initials: J
authors.lastname: McKnight
authors.forename: Nathaniel
authors.initials: N
authors.lastname: Hupert
authors.forename: Daniel
authors.initials: D
authors.lastname: Wattson
authors.forename: Lisa
authors.initials: L
authors.lastname: Hendrickson
authors.forename: David
authors.initials: D
authors.lastname: Lane
mesh_terms: D023482:Bioterrorism; D003157:Community Pharmacy Services / Q000458:organization & administration*; D017598:Efficiency, Organizational; D004632:Emergency Medical Services; D006254:Hawaii; D006801:Humans; D004364:Pharmaceutical Preparations / Q000600:supply & distribution*; D015397:Program Evaluation; D011634:Public Health
chemical_list: D004364:Pharmaceutical Preparations