Pandemic Influenza Plan - Questar III

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Section 3: Healthcare Planning and Emergency Response o Essential medical services – identify those services that must be maintained (e.g., dialysis) and develop a plan to ensure their continuance. • Educate and train staff on Surge Plan; conduct and evaluate drills on Surge Plan. Local Health Departments: • Recruit volunteers that could be used to enhance hospital staffing. • Identify space in the community that could be used as an alternative non-traditional care site. • Ensure that key staff members have current HPN accounts and that an adequate number of staff is trained and assigned roles in HERDS. State Health Department: • Assess capacity and capability of health care and emergency response systems to meet needs in a pandemic. • Develop HERDS templates in anticipation of resource needs in a pandemic. Pandemic Period Hospitals: • Implement emergency response plans to rapidly identify changing patterns of need and modify or redirect policy accordingly. • Request local OEM to activate and deploy volunteers as necessary. • Implement pandemic response activities. • As needed, request LHD and OEM to establish inpatient medical care in non-traditional facilities to provide hospital bed surge capacity. • Report any resource needs via HERDS. Local Health Departments: • Coordinate the activation of HERDS with the NYSDOH. • Work with the NYSDOH and other members of the OEM Health Desk within the incident command structure to review and make recommendations regarding the priority of healthcare resource requests. • Work with local OEM to establish non-traditional care sites if necessary. • Recommend activation and deployment of volunteers to local OEM to assist facilities. State Health Department: • Coordinate the activation of HERDS with the LHD. • Work with the LHD and other members of the OEM Health Desk within the incident command structure to review and make recommendations regarding the priority of healthcare resource requests. February 7, 2006 3-29
Section 3: Healthcare Planning and Emergency Response • Expedite any necessary approvals for hospitals to temporarily exceed bed capacity and/or establish extension sites to address surge issues. • Apprise healthcare providers of any determinations relating to altered standards of care. D. HERDS: Resource Allocation Interpandemic and Pandemic Alert Periods Hospitals: • Ensure that multiple staff on all shifts are assigned to and trained in HERDS roles. • Ensure that internal systems have been established to accurately gather information on hospital resources (staff, medical supplies and equipment) in a timely manner. • Ensure that internal HERDS reporting system is linked to hospital ICS. Local Health Departments: • Ensure that adequate staff is trained in use of the HERDS system and roles. State Health Department: • Create a HERDS template to monitor the impact of the pandemic on hospitals in the community. The information HERDS will collect and communicate will include: o Staffing relative to number of patients o Number of available Intensive Care Unit beds (adult and pediatric) o Number of available medical beds (adult and pediatric) o Number of available emergency department (ED) beds o Number of patients and/or waiting time in the ED o Number of admitted patients waiting for inpatient beds (in ED or elsewhere) o Number of hospitals on ED diversion o Morgue capacity o Shortages of medical supplies or equipment Pandemic Period Healthcare Providers: • Implement emergency response plans including ongoing collection of data concerning medical and material supplies and their allocation. • Complete HERDS survey information in accordance with required frequency based on needs and the evolving pandemic. February 7, 2006 3-30
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February206 Pandemic Plan NewYorkSt
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Introduction Pandemic influenza occ
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example, at this time, it is realis
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Acronyms (cont.) IND IHANS IRB ISHS
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Section 1: Command and Control I. O
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Section 1: Command and Control pers
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February 7, 2006 Appendix 1-A
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Appendix 1-B The Public Health Law
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Appendix 1-B communicable diseases
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Appendix 1-C Management Office or t
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Appendix 1-E Suspension of Public M
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Appendix 1-G A Guide to New York St
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Appendix 1-G health commissioner. P
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Appendix 1-G 8. State Institutions
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Appendix 1-G b. Governor May Invoke
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Appendix 1-G may direct, pursuant t
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Appendix 1-G c. Commissioner of Gen
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Appendix 1-G Designation of emergen
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Appendix 1-G physician’s assistan
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Appendix 1-H Summary of Public Offi
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Section 2: Surveillance and Laborat
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Section 4: Infection Control • Up
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Section 4: Infection Control Health
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Appendix 4-A Soiled linen and laund
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Appendix 4-B Respiratory Hygiene/Co
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Section 5: Clinical Guidelines I. O
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Section 5: Clinical Guidelines incu
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Section 5: Clinical Guidelines 1) N
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Section 5: Clinical Guidelines infe
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Section 5: Clinical Guidelines Alth
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Section 5: Clinical Guidelines Infe
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Section 5: Clinical Guidelines •
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Appendix 5-B Clinical Evaluation of
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Appendix 5-C Special Situations and
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Appendix 5-D handling soiled laundr
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DRAFT Appendix 5-E Footnotes to App
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Appendix 5-F February 7, 2006 1
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Appendix 5-F 7. Guidance on the eva
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Appendix 5-H Source: U.S. Departmen
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February 7, 2006 2 Appendix 5-I
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Appendix 5-J Clinical Presentation
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Appendix 5-J diabetes mellitus), re
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Appendix 5-J resistant S. aureus (M
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Appendix 5-K eight patients—all o
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Appendix 5-L Guidelines for Managem
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Appendix 5-L testing should be perf
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Appendix 5-L February 7, 2006 5
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Section 6: Vaccine Procurement, Dis
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Appendix 6-A Vaccine Priority Group
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Appendix 6-B Mass Clinic Planning O
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Appendix 6-C Vaccine and Antiviral
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Appendix 6-C 1. Request Phase The r
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Appendix 6-C 3. Receipt and Sign-of
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Appendix 6-C • Work with local he
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Section 7: Antiviral Medication Pro
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Appendix 7-A Characteristics of Ant
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Appendix 7-B a The drug package ins
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Appendix 7-C 7 HCWs in emergency de
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Section 8: Travel-Related Disease C
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Appendix 8-A Home or Community-Base
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Appendix 8-B Contact Identification
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Appendix 8-B • Determine the time
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Appendix 8-C Administrative Data: S
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Appendix 8-D CONTACT DAILY TEMPERAT
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Appendix 8-F Definitions: Intervent
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Appendix 8-F facility. No specific
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Appendix 8-F • Resources Required
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Appendix 8-G Business Pandemic Infl
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Appendix 8-G 4. Allocate resources
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Appendix 8-H CDC guidelines suggest
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Appendix 8-H If I am not masked I
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Appendix 8-H NYSDOH Model Influenza
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Appendix 8-H I understand that if
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Section 9: Communications I. Overvi
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Section 9: Communications and commu
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Section 9: Communications web pages
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Section 9: Communications Local Hea
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Section 9: Communications • A JIC
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Section 9: Communications backup to
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Section 9: Communications • In th
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Appendix 9-A Public Health Risk Com
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Appendix 9-C New York State Departm
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Appendix 9-C PRE-EVENT MESSAGE MAP:
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Appendix 9-C PROTECTIVE MESSAGE MAP
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Appendix 9-C TREATMENT MESSAGE MAP:
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Appendix 9-C BUSINESS CONTINUITY PR
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Section 10: Training and Education
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Appendix 10-A NYSDOH STAFF PRIVATE
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FACILITY- BASED RNs FACILITY- BASED
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Section 11: Workforce Support I. Ov
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Section 11: Workforce Support Pande
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Section 12: Highly Pathogenic H5N1
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Section 12: H5N1 in Non-Human Anima
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Section 13: Public Health Preparedn
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Appendix 13-A NYSDOH Roles Notified
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Appendix 13-B Notifications sent by
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Appendix 13-B HAN posting is used a
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Appendix 13-B notification system t
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Appendix 13-C Overview of the Healt
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Appendix 13-C • Ongoing surveilla
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Table 1. Summary of HERDS Use To da
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Appendix 13-D Commerce Access and A
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Appendix 13-D Table 3. Organization
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