Pandemic Influenza Plan - Questar III

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Section 13: Public Health Preparedness Informatics directory are linked to electronic roles in the workflow process of applications such as HERDS. • Each organization is therefore empowered to: (1) identify and appropriately assign in the directory those personnel who should function in electronic roles and access applications on commerce; and to (2) specify their own contact (personal and business) information. • Communications directory entries contain contact information for both non-person (place) locations and person-based roles. Organization’s directory coordinators and persons within roles are able to interactively prioritize method and time of contact depending on alert/notification level. Roles are customized by organization type. • Directory Coordinators have access to tools that facilitate management of their organizations view of the directory. Reports and alerts are periodically sent to coordinators regarding the quality, completeness of their data in the directory, ensuring their entries are up to date. • Coordinators and users of the IHANS (below) are able to create and store customized lists to be used in the alerting process. • Business rules established in collaboration with partner organizations allow for access to non-personal contact information. • Utilities for updating contact information, looking up contact information by organization and role and creation of contact lists are available on the commerce system at: https://commerce.health.state.ny.us/hpn/direct/hincomm.html • A lotus Notes interface to ComDir is also available to NYSDOH executive staff. c. Integrated Health Alerting and Notification System (IHANS). Sends and receives emergency notifications and informational messages using contact information listed for targeted roles in the Communications Directory. IHANS transmits notifications to individuals via multiple modes, e.g. e-mail, fax, secure web posting and phone call out (cell, pager, office or home phone), depending on level of incident (Appendix 13-B). IHANS is CAP/PHIN compliant. Business rules of use, access and notification level definitions are provided in Appendix 13-B. • Notification Tool. A web-based commerce application allows for sending electronic notifications. It is available for use only by defined roles at the State, regional and local level. It provides for notification as well as secure posting of content. Business rules for access, use and scope of alerting allowed are provided in Appendix 13-B. Tabular reports are available for monitoring completion and success rates of all notifications types. Redundant IVR systems (Interactive Voice Response) support phone and pager notifications. Phone notifications include confirmation of receipt functions. Notification content can be automatically posted on the NYSDOH HAN using the Notification tool (Appendix 13-B). Notifications can be made open to any commerce user or restricted to specific organizations and roles. February 7, 2006 13-8
Section 13: Public Health Preparedness Informatics Regional and Local Health Offices are currently being trained and certified in the use of the alert tool. The alerting tool is available at: https://commerce.health.state.ny.us/hpn/cgi-bin/applinks/ams/mainmenu . Notification recipients may be targeted by organization, roles, geographic location and by custom lists from the ComDir. The list creation tool is available at: https://commerce.health.state.ny.us/hpn/direct/hincomm.html. • Automated Notification functions. IHANS also supports automated notification generation using XML messages. This supports alerting functionality of PHP applications such as HERDS. Thus, HERDS can automatically transmit alert level notifications to all affected health facilities and health jurisdictions when it is activated. • Testing and response. Local Health has participated in drills and just in time HERDS surveys for public health events (such as vaccine shortage in 2004), where the notification system was used. Response rate was 95% within the time frames allotted for LHDs to respond to the alert/ or information request. Drill involving cascade of Epi-X alert through NYSDOH commerce alert system to 180 recipients across 57 LHDs shoed 88% response rate in less than 30 min and 95% under 1.5 hrs. Statewide activation of HERDS for hospitals (250 facilities) with automated alerting for electronic surveys related to actual public health events (e.g., Vaccine shortage, Threat level Orange, Hurricane Isabel ) shows hospital response rates at 90-95% within time allotted for hospitals to respond to information requested through HERDS. First time statewide activation of HERDS for nursing homes (672 facilities) for influenza vaccine inventory/needs survey resulted in 99% response rate. Individual practitioner contact information entered into ComDir through the BNE practitioner recruitment process was used to e-mail (27,000 practitioners) and fax (21,000) notifications to individual practitioners, 85% of the notifications were successfully delivered. d. Duty Officer System. NYSDOH maintains a duty officer system that provides for call routing and triaging of health emergency calls to appropriate PHP response personnel, including Epidemiology and Wadsworth public health lab. Contact information is provided in Appendix 13-A. e. Commerce Accounts Management. The Commerce Account Management Unit (CAMU) is responsible for establishment of accounts on the commerce system. An account ‘help desk’ is available for questions regarding account establishment (Appendix 13-A). Coordinators at health facilities and local health departments have access to electronic tools that allow them to request and monitor accounts for staff in their organizations. Health Facility (HPN) Coordinator account tools are available at: https://commerce.health.state.ny.us/hpn/help/hpncoord.html. Local Health Coordinator (HIN) account tools are available at https://commerce.health.state.ny.us/hin/software/coord.html February 7, 2006 13-9
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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 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 web pages
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Appendix 9-A Public Health Risk Com
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