Pandemic Influenza Plan - Questar III

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Section 13: Public Health Preparedness Informatics II. Overview A. Purpose NYSDOH has evolved an array of informatics capabilities, which support preparedness and response to <strong>Pandemic</strong> <strong>Influenza</strong>. These include the NYSDOH secure health commerce system, its related applications and information systems as well as supportive infrastructure related to alerting and notification; distance learning and remote meeting/collaboration; and availability/recovery. NYSDOH critical internal infrastructure systems are also essential to the Agency’s response to any event. These internal infrastructure systems include: lotus notes office automation; network management and services (internet services, external e-mail routing, WAN/LAN interconnectivity); critical server management and operation; and security infrastructure. The purpose of this Section is to describe these capabilities and how they are to support the NYSDOH planning, preparedness and response to a pandemic influenza event. B. Overall Responsibility Bureau of Healthcom Network Systems Management (BHNSM) within the Information Systems and Health Statistics Unit (ISHSG) has the overall technical and project responsibility for Public Health Preparedness (PHP) Informatics infrastructure and critical internal infrastructure systems. BHNSM is responsible for all of the systems listed above with the exception of Security Infrastructure, which is partially shared with the Security Unit within the Healthcom Services Bureau (HSB) within ISHSG. The Security Unit is responsible for overall security Policy, intrusion detection/vulnerability assessment, remote access/VPN, NYSDOH authentication and identity management, change control management over security architecture and rule sets. BHNSM works with HSB in operating and implementing security policy rule sets within specific electronic architecture devices. C. Contact Information, Incident Command/Response and Alert Notifications Notification processes are in place to activate response within BHNSM in the event of an infrastructure problem/failure, a PHP event, receipt of Health Alert Network notifications (aka HAN alerts) or emergent commerce or HAN posting requests. BHNSM maintains two 24/7 on-call rosters: one for response to infrastructure problems and contacts regarding emergent events, the other for off-hours HAN postings. An incident commander is established in the event of a critical service outage or in a PHP event. These are identified in Appendix VI.A. The infrastructure on-call roster is accessible during off-hours through the BHNSM main number, 518-473-1809. The HAN coordinator and HAN–on-call roster is accessible through the contact information provided in the Communications Directory (ComDir) and via automated processes as described below. February 7, 2006 13-4
Section 13: Public Health Preparedness Informatics Automated processes monitor viability of critical systems within the agency network and within the commerce system. An automated notification is sent to the infrastructure response on-call roster and the incident commanders in the event of an outage or problem with these systems. There are several pathways for health alerting, and/or notification of need for posting of a health alert. Specific external entities (CDC HAN, CDC Epi-X, CDC/Other, NYS OHS, NYCDOHMH) may send an alert notification or alert content for posting on the NYS commerce HAN to Health Alert BML (healthalert@health.state.ny.us.) This will trigger automated notification of the Public Health Preparedness Unit (Appendix 13-A) who will review the notification and post on the NYS HAN system using the Commerce Alert Tool. The PHP Unit may also forward the posting responsibility to hinweb@health.state.ny.us which will in turn trigger automated notification of the HAN Coordinator and HAN on-call roster for posting using the alert tool. Specific DOH executive staff (Appendix 13-A) may directly request posting of an alert to the NYS Commerce HAN by forwarding the content and request to hinweb, which will in turn trigger an automated notification to the HAN on-call staff to post the alert. Request for posting of Alerts and/or notification of alert situations may also be made to NYSDOH using the Duty officer System (see Appendix 13-A). Regional Offices and Local Health Departments may also use the Alert Tool to initiate alerts within their regions or jurisdictions. D. NYSDOH Health Commerce 1. Background The Health Commerce System (Figure 1, next page) is entirely web-based and designed to be the Department’s strategic infrastructure to support and integrate all of its information interchange activities with external agencies. It is accessible via the internet and by other venues supporting IP protocol communications. It is based on standards espoused by DHHS HIT framework and CDC PHIN. The Health commerce system is comprised of three domains, each tailored to the specific information exchange needs of the intended audience. The Health Information Network 1 (HIN) is the web ‘portal’ by which Local Health Departments access the Commerce system. The Health Provider Network (HPN) is the portal by which the clinical/Health provider organizations access the commerce system. The Health Alert Network (HAN) is a third domain on the NYSDOH Health Commerce System which provides health alerting for public Health Preparedness for both the HIN and HPN. The commerce system is available at https://commerce.health.state.ny.us. 2. Basis In 1996 NYSDOH Commissioner of Health memorandum (DOHMEM 96-10) promulgated HIN as the official Department platform for health information 1 The term network as it is used here is not a dedicated data communications network. Health commerce is a web based system. Rather it is to denote a network of organizations affiliated with the NYSDOH Health commerce system for the purpose of health information interchange. February 7, 2006 13-5
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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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Appendix 2-A • Surveillance Crite
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Appendix 2-A • In New York City,
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NYSDOH Novel Influenza Case Report
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Appendix 2-C to health care provide
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Virus Detection History NYS Lab Num
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Section 3: Healthcare Planning and
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Section 4: Infection Control I. Ove
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Section 4: Infection Control I. Ove
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Section 4: Infection Control A. Bas
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Section 4: Infection Control Drople
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Section 4: Infection Control • Pe
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Section 4: Infection Control o Noti
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Section 4: Infection Control E. Coh
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Section 4: Infection Control If wid
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Section 4: Infection Control Policy
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Section 4: Infection Control The ma
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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-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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Appendix 7-A Characteristics of Ant
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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 web pages
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