7. Summary of Scenarios

The following process times and population proportions are used in this model for the Process Time and Event Scenarios, respectively. Part 1 lists the values used for the Communicable agent scenario (based on Smallpox vaccination) and Part 2 lists values used for Non-communicable agents (based on Anthrax antibiotic dispensing).

NOTE: Recent publication of data from the New York City anthrax response indicates that approximately 10% of all patients seen in the U.S. Postal Service antibiotic dispensing clinic required medical evaluation and 1% required immediate transportation to a medical facility.

PART 1: COMMUNICABLE AGENT (e.g., SMALLPOX) SCENARIOS

A) PROCESS TIMES
I. Non-contact Area Stations	SLOW	BASELINE	FAST
1. Greeting:	1.00 min	0.50 min	0.25 min
2. Form Distribution:	0.50 min	0.25 min	0.17 min
3. Triage:	3.00 min	2.00 min	1.00 min
4. Testing:	15.00 min	10.00 min	5.00 min
5. Vaccination:	3.00 min	2.00 min	1.00 min
6. Crisis Counseling:	15.00 min	10.00 min	5.00 min
7. Form Collection & Counseling:	2.00 min	1.50 min	1.00 min
II. Contact Precaution Area Stations
1. Medical Evaluation:	6.00 min	5.00 min	4.00 min
2. Transportation:	4.00 min	3.00 min	2.00 min
IIA. Contact Area, False Positive
1. Form Distribution:	0.50 min	0.25 min	0.17 min
2. Testing:	15.00 min	10.00 min	5.00 min
3. Vaccination:	3.00 min	2.00 min	1.00 min
4. Form Collection & Counseling:	2.00 min	1.50 min	1.00 min
5. Crisis Counseling:	15.00 min	10.00 min	5.00 min
IIB. Contact Area, True Case/Contact
1. Form Distribution:	2.00 min	1.00 min	0.50 min
2. Vaccination:	3.00 min	2.00 min	1.00 min
3. Isolation Counseling:	20.00 min	15.00 min	10.00 min
4. Form Collection & Counseling:	4.00 min	3.00 min	2.00 min

B) EVENT SCENARIOS / POPULATION PROPORTIONS
	PRE-EVENT	SMALL-EVENT	LARGE-EVENT
A0. Total referred for Medical Evaluation	5.0%	10.0%	15.0%
A1. Evaluated: Requires transport to medical facility	1.0%	1.0%	1.0%
A2. Evaluated: Confirmed or potential contact	0.0%	1.0%	20.0%
A3. Evaluated: Confirmed or potential case	0.0%	0.0%	1.0%
A4. Evaluated: Negative (false positive screen)	99.0%	98.0%	78.0%
B0. Decline or contraindication to vaccination without testing	10.0%	5.0%	2.5%
B1.Suspected case or contact, decline vaccination without testing (sent to isolation)	0.0%	2.5%	1.0%
B2. Decline or contraindication to vaccination with testing (if available)	30.0%	30.0%	30.0%
B3. Same as B2, but applies to patients in A4: False positive entry screen	30.0%	30.0%	30.0%
B4. Same as B0, but applies to patients in A4: False positive entry screen	10.0%	5.0%	2.5%
C1. Total requesting testing (if available)	10.0%	5.0%	2.5%
C2. Same as C1, but applies to patients in A4: False positive entry screen	10.0%	5.0%	2.5%
D1. Total patients requesting crisis counseling	5.0%	10.0%	15.0%
D2. Same as D1, but applies to patients in A4: False positive entry screen	5.0%	10.0%	15.0%

PART 2: NON-COMMUNICABLE (e.g., ANTHRAX) SCENARIOS

A) PROCESS TIMES
	SLOW	BASELINE	FAST
1. Greeting/	1.00 min	0.50 min	0.25 min
Form Distribution	0.50 min	0.25 min	0.15 min
2. Triage	3.00 min	2.00 min	1.00 min
3. Medical Evaluation	10.00 min	5.00 min	2.50 min
4. Mental Health	15.00 min	10.00 min	5.00 min
5. Drug Triage	2.00 min	1.00 min	0.50 min
6. Express Drug Dispensing	1.00 min	0.50 min	0.25 min
7. Pharmacist-Assisted Drug Dispensing	5.00 min	2.50 min	1.00 min
8. Form Collection/Exit Education	1.00 min	0.50 min	0.25 min
9. Transport Assistance	4.00 min	3.00 min	2.00 min

B) EVENT SCENARIOS / POPULATION PROPORTIONS
	Pre-Event	Small Event	Large Event
A. Require Immediate Medical Evaluation (Greeting --> Medical Evaluation)	5.00%	10.00%	20.00%
B. Positive Triage (Triage --> Medical Evaluation)	0.00%	2.00%	5.00%
C. Negative Medical Evaluation (False Positive) (Evaluation --> Briefing)	99.00%	50.00%	75.00%
D. Crisis Counseling (Triage --> Crisis Counseling)	1.00%	5.00%	10.00%
E. Require Assistance with Drug Dispensing (Drug Triage --> Pharmacist-Assisted Dispensing)	15.00%	10.00%	5.00%

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