Pandemic Influenza Plan - Questar III

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Section 13: Public Health Preparedness Informatics Others Figure 1. NYSDOH Health Commerce System: Routine Information Interchange & Public Health Preparedness Health Facilities/Providers/Other •Hospitals – 269 •Hospital Clinics - 997 •Nursing Homes– 672 •Nursing Homes(ADHCP)-181 •Diagnostic & Treatment Clinics main – 501 •Diagnostic & Treatment Clinics extension – 664 •Home Health Personal Care (LHCSA)-1477 • Licensed Practitioners 15300 (5200 in process) target: 120,000 , including Physicians,Dentists, Veterinarians, P.A.s, Nurse practitioners. •Medical Office practices – 2,500 •Managed Care Orgs. -70 •Clinical, Env. Labs – (1844) •Pharmacies (1113) Federal: DHHS NYState: OHS, CSCIC (CyberSecurity), Dept. of Agriculture & Markets, State Police, SEMO, Insurance Dept., Mental Health, Environmental Conservation NYC: FDNY Other States: NJ DOH; CT DOH Local Public Health All County Health Depts. – (57) NY City DOH NYSDOH Health Alert Network Current Status 40,000 accounts 13,000 Organizations 2,800 User logins /day 450,000 access hits/day 150 mission critical applications February 7, 2006 13-6
Section 13: Public Health Preparedness Informatics interchange with Local Health. This was endorsed by NYSACHO in 1996. In 2003, Commissioner memorandum promulgated the Commerce Health Emergency Response Data System (HERDS), its GIS, and the communications directory and alerting system as the Official Health Response communications system for health events to local health, hospitals, SEMO and County Emergency Managers. In 2004, NYS Public Health Law (Section 400.10) was amended to require all Article 28, 36, 40 facilities to use the HPN, maintain an available cadre of active users on the system and maintain communications directory information up to date. 3. Capacity and Scope The Commerce system and the applications within its domains provide both routine and PHP-related information interchange for all regulated health facilities and health related providers of health services in NY (Figure 1). As of January 2006, Commerce supports over 40,000 users and 13,000 organizations. All local health Departments (including NYCDOHMH ), regulated health facilities (e.g. hospitals, nursing homes, home health and personal care, clinics) use the system. Licensed practitioners and their practices (physicians, dentists, veterinarians, nurse practitioners) are joining the system at a rate of approximately 500 practitioners per week through the NYSDOH Bureau of Narcotics Enforcement (BNE) prescription registration program. Other PHP partner organizations, NY state agencies and other state health departments in the Northeast region have access to the system. The organizations include practitioner practices (i.e., physician’s offices). All health facilities and Local Health Departments (LHDs) in NYS have been trained in the use of the commerce system. Commerce training information for LHDs may be found at: https://commerce.health.state.ny.us/hin/training/index.html And for health facilities at: https://commerce.health.state.ny.us/hpn/training/index.html 4. Core Systems a. Internal NYSDOH Office Automation (OA) and workflow support. All agency staff (Central Office, Regional Offices and District Offices) utilize Lotus notes (domino) OA systems for internal/external e-mail communication, coordination and electronic support of workflow processes. The system supports mail logs (Bureau Mail Logs, i.e., BMLs), internal discussion databases, agency-wide applications and a workflow processing system, TeamRoom. These OA systems are supported within the agency Disaster Recovery and availability architecture (below) and provide a central platform for Agency communications and workflow required to support any Public Health preparedness (PHP) event. b. Communications Directory (ComDir). A central integrated repository for electronic role and contact information on the Commerce System. Coordinators appointed by a Public Health Director or CEO of participant organizations maintain their organizations’ entries in the directory using web tools. Health facilities are required by NYSDOH regulation to maintain active coordinators and to maintain this information up to date. Roles in the February 7, 2006 13-7
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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 • En
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Section 4: Infection Control should
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Section 4: Infection Control Policy
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Section 4: Infection Control o Staf
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Section 4: Infection Control • De
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Section 4: Infection Control • Pr
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Section 4: Infection Control The ma
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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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Page 389 and 390: Appendix 13-A NYSDOH Roles Notified
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