Pandemic Influenza Plan - Questar III

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Section 3: Healthcare Planning and Emergency Response G. Home Health Agencies Interpandemic and Pandemic Alert Periods Home Health Agencies: • Develop emergency preparedness plans which include: 24/7 contact telephone number; a current staff call-down list; and a patient locator system; and a plan to enhance capacity (surge plan). • Maintain a contact list of key community partners including the LHD, local emergency manager, NYSDOH Regional Office and other healthcare providers. • Maintain an up-to-date patient roster which utilizes the Patient Classification System in Appendix 3-A. • Ensure that key staff members have current HPN accounts and maintain complete and current information in the Communication Directory. • Educate staff on disease prevention strategies, including infection control techniques (including use of PPE) should be reviewed and reinforced. • Review with staff at all levels the identification of symptoms to promote early detection and minimize the spread of disease. • Arrange for or provide immunizations to staff. • Recruit and train volunteers in coordination with LHDs, OEM, hospitals and other health care facilities/agencies. Local Health Departments: • Work with NYSDOH to provide public education on influenza. • Recruit and train volunteers in coordination with OEM, hospitals and other health care facilities/agencies. State Health Department: • Review HHAs emergency preparedness plans for completeness and adequacy during the initial and recertification survey process. • Provide technical assistance and guidance as well as disseminate up-todate pertinent information and advisory alerts. • Utilize the HPN to update and communicate information such as the release of annual Influenza Prevention and Control advisories and the monitoring of vaccine supply. • Work with Home Health Provider Organizations to assist in the provision of educational updates, maintaining resources and disseminating information. • Continue to recruit volunteers on the NYSDOH Public Health Preparedness Volunteer Practitioner Database. February 7, 2006 3-37
Section 3: Healthcare Planning and Emergency Response Pandemic Period Home Health Agencies: • Implement surge plan; work with all available resources including other agencies, family and facility based providers such as hospitals and nursing homes to provide necessary services to Level 1 patients. • Maintain frequent contacts with Level 2 and Level 3 patients to assess their needs and the continued availability of back up caregiver support will be necessary as the conditions of these individuals may change rapidly and unpredictably. • Conduct frequent monitoring of patients and staff for signs and symptoms of disease and the need for potential quarantine. • Continue immunization efforts. • Report information on influenza cases, patient census, staffing and ability to provide care in accordance with NYSDOH requests. • Work with LHD and county OEM to secure volunteers if necessary. • Alert OEM health desk regarding any emergency resource needs. • Activate and deploy recruited and trained volunteers. • Request additional volunteers from OEM if necessary. Local Health Departments: • Work with NYSDOH to update public regularly as the influenza pandemic unfolds. • Activate and deploy volunteers to assist in public health efforts (e.g., public health home care visits, isolation/quarantine visits) • Request additional volunteer resources from local OEM to assist public health if necessary. If not necessary, assist as needed or directed by OEM. State Health Department: • Continue to provide information through the HPN, and other communication channels to the HHAs. • Assist agencies’ efforts to obtain additional resources by facilitating approval for agencies to provide care in counties not on their license. • Assist LHDs that operate HHAs with their Public Health activities (e.g., POD) to free staff to care for Level 1 patients. • Monitor hotline activities and contact individual HHAs as necessary. • Communicate with the appropriate level of SEMO to determine the status of needed health care volunteers. • Activate and deploy volunteers as demand for volunteers at the local level exceeds local resources in accordance with ICS. February 7, 2006 3-38
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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 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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