Pandemic Influenza Plan - Questar III

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Section 13: Public Health Preparedness Informatics counsel and BHNSM have the lead in developing data sharing agreements to address control over rules of data access, data protection, secondary disclosure and assurance multi-lateral data provision. A multi-program workgroup inclusive of epidemiology, Wadsworth Center, public health preparedness, hospital program and house counsel developed the data sharing documents for DOH executive and NYSACHO/LHD review/approval. ‣ Action items: o Implement agreements statewide. 7. Real Time Situational Awareness and Decision Suooprt Real-time data feeds from core PHP commerce systems will be summarized, linked, visualized and made available to executive decision makers, local health officials, health facility incident command and other key response partners through the executive dashboard on the Commerce system. Processes will build on the model used to instantiate and populate the dashboard deployment used in support of the RNC and include decision support. Rich internet architecture, SAS processing and HERDS GIS systems provide the underlying integration and visualization infrastructure for the dashboard. Data feeds will be linked to the dashboard from existing commerce systems described in Parts I.D.4 and I.D.5 inclusive of: • Event detection and surveillance systems: ED reporting, syndromic surveillance systems, HERDS surveillance at health facilities, NORA and ECLRS • Case reporting, contact tracking and isolation: CDESS and HERDS functions supporting isolation and quarantine. • Outbreak tracking as implemented in HERDS. • HERDS health facility reporting: attributes, personnel, equipment, supplies, assets, pharmaceutical, vaccine and antivirals, surge, resource needs and availability • Volunteer rosters. • Communications Directory. • HERDS SNS/MERC reporting/tracking. • Counter Measure Response Administration. • Avian and mammal surveillance. Decision support and visualization made available through the dashboard include • Time series monitoring of event detection information, surveillance, outbreak and case reporting. • Outbreak tracking of geographic and demographic extent of event. • Static, time series and spatial display of medical personnel resources, facility resources, vaccine inventory and needs, counter measure administration (as described in Part I). • Resource materials. Functionality provided through the dashboard include • Health alerting • Secure collaboration February 7, 2006 13-22
Section 13: Public Health Preparedness Informatics • Webinar access • Cross jurisdictional communications directory contact lookup B. Surveillance 1. Routine surveillance and Event detection • Community-Acquired Influenza. All hospitals in NY state report weekly through HERDS on patients (and associated age demographics) admitted with laboratory-confirmed influenza (Type A, B, or Unspecified). This information is available on commerce as live data feeds to local health, state and regional offices as soon as it is reported by Facilities. HERDS GIS system provides a spatial visualization of these live data feeds. ECLRS clinical lab test results for influenza are also monitored and tracked. ‣ Action items: o Extend HERDS instances to primary care clinics, home health agencies and adult care facilities to enable routine influenza surveillance at these facility types. • Facility-Acquired (Nosocomial) Influenza and ILI Outbreaks. Nosocomialacquired infection outbreaks (including Influenza ILI) are reported on a routine basis by hospitals and long-term care. The data is available in real time via the NORA system on commerce to LHDs, state and regional offices. • Syndromic Surveillance. Time series and trends in OTC (RODS data) medications and Medicaid prescription data is monitored statewide on an ongoing basis. • Practitioner Surveillance. The BNE practitioner recruitment process for BNE and medical volunteers can be leveraged to include recruitment of volunteer sentinel physician ILI reporting through the commerce system. • Avian and Animal Surveillance. The statewide arbovirus reporting system reporting system supports ad hoc reporting of symptoms and deaths of mammals and birds. This system can be adapted for reporting of influenza symptoms/events within these populations. As veterinarians and their offices are being brought onto commerce as part of the BNE prescription pad registration rollout, they will be part of the commerce system and available to report to the NYSDOH reporting system. The NYS Department of Agriculture and Markets operates a separate site for veterinary reporting, the New York State Animal Incident Notification and Tracking System (NYSAINTS). • The NYS Department of Agriculture and Markets (NYSDAM) operates its own site for veterinary reporting, the New York State Animal Incident Notification and Tracking System (NYSAINTS) and has been designated as the point of collection for data regarding symptoms and death in mammal and wild bird populations, as well as for poultry flocks. A process for automatically transferring summary data from NYSAINTS to NYSDOH Commerce data visualization tools for posting on the executive dashboard will enable decisions of where intense epidemiological human case surveillance may need to be focused and provide data for analyzing the relationship February 7, 2006 13-23
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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 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 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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Section 10: Training and Education
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