{"c9374286-f051-4a4a-a20b-da25d3c319ff": "<h2>Chapter Summary</h2><p>Compared with outbreaks affecting a single healthcare facility with responsibility for investigation falling squarely within the jurisdiction of a single local/state/federal agency, outbreaks involving multiple healthcare facilities or multiple jurisdictions are more complex and often more difficult to detect, coordinate, and investigate. </p><p>In Chapter 7, Multifacility and Multijurisdictional Outbreaks, we examine the unique aspects of these types of investigations. Compared with single facility outbreaks, those that involve multiple facilities or multiple jurisdictions are more complex and are often more difficult to detect, coordinate, and investigate. As the numbers of involved facilities, agencies, and levels of organizations across jurisdictions increase, the need for special efforts to maintain effective communication and coordination increases as well.</p><p>This chapter contains information on: </p><ul><li><a>Examples scenarios investigators may encounter </a></li><li>Coordination and information sharing needs beginning with initial detection of a potential multifacility/multijurisdictional outbreak </li><li>Designation of a coordinating agency, assembly and management of a multidisciplinary outbreak response team, and regular assessment of the scope of the outbreak and the resources needed</li><li>Considerations for ramping down and concluding an interagency response</li></ul>"}