Pandemic Influenza Plan - Questar III

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Section 13: Public Health Preparedness Informatics between avian and mammal illness and a subsequent human outbreak indicating viral shift. • NYSDAM are currently users of the NYSDOH IHANS tool for sending alerts and other level notifications. 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 their contact information will be available for updating and for use by the IHANS tool for sending notifications to veterinarians regarding urgent information. ‣ Action items: o Routine sharing, linking and exchange of mammal/avian and human data is a critical component of influenza planning. NYSDOH will need to engage NYSDAM in an agreement for establishing an automated mechanism for exchange of data with NYSDOH health commerce system as related to enabling an integrated dashboard visualization of human and mammal/avian surveillance. Reports, data exchange protocols and data sharing agreements will need to be established with NYSDAM. o The HPN editorial board for practitioner outreach should include recruitment of volunteer practitioners and office practices in the process of reporting ILI symptoms in patients presenting at their practices. 2. Heightened Surveillance • HERDS reporting systems deployed to health provider organizations and local health departments can be rapidly modified to change or add fields reported on and the intensity at which reports are made. These may be separately targeted to specific regions of the state and expanded statewide as needed. The IHANS system can rapidly alert the target organizations to begin reporting on new forms and increased frequency or reporting. The reports from these new forms are instantaneously available to state, regional and local health. • The Dashboard will be updated in real time with any changes made in the HERDS surveillance forms. • The IHANS system will be used to alert medical practitioners on the commerce HAN system to the increased need for surveillance and reporting on the HPN. ‣ Action items: o Related NYSDOH program areas will need to define and design uniform HERDS electronic reporting forms to support enhanced surveillance across all providers and organizations. The forms must be defined in advance as part of the planning process for pandemic influenza event occurrence. o Provider and practitioner outreach will be needed to provide guidance and information on enhanced surveillance and reporting needs for pandemic influenza response using the commerce system. 3. Case reporting, Contact tracking and Laboratory Testing • The CEDSS system supports statewide electronic <strong>Influenza</strong> case reporting by Local Health departments. CEDSS is integrated with clinical laboratory February 7, 2006 13-24
Section 13: Public Health Preparedness Informatics reporting of positive test results through ECLRS. The CDESS system allows reports to be initiated at hospitals and made available to the local health department of jurisdiction for official case report processing to the state. The most recent version of CDESS as released to local health departments in January 2006 also supports contact tracking, isolation and quarantine for both novel influenza and SARS. Public health laboratory testing of human samples. The Wadsworth Center processes specimens for laboratory testing for influenza. Laboratory test requests, specimen accessioning, tracking and results are processed electronically within the Wadsworth Clinical Laboratory Information Management System (CLIMS). The results are reported daily through ECLRS. Test requests for specimens sent to Wadsworth by local health can be can be processed through the CDESS workflow through electronic linkage of the test request form (https://commerce.health.state.ny.us/hpn/hanweb/flu/virussurvrefhistoryform.pdf) to the CEDSS case number. ‣ Action items: o Wadsworth CLIMS development unit will be implementing this linkage. 4. Outbreak tracking The HERDS system is available to support outbreak tracking. Preliminary forms and data elements compatible with CEDSS have been developed and have been deployed for a large outbreak of Cryptosporidiosis during the summer of 2005. The implementation in HERDS will allow rapid entry of abbreviated or summary information on a large scale outbreak, permitting tracking of extent and impact of an outbreak when thousands of cases are emerging. The HERDS system deployed at LHDs will provide an integrated interface for outbreak reporting as well as vaccine/antiviral tracking/requisition, SNS and other key resource report/request functions The HERDS GIS system and the dashboard will display this information as it is reported to the HERDS system. ‣ Action items: o NYSDOH program will need to complete definition of outbreak tracking data elements for HERDS and assess requirements for linkage to CEDSS. C. Public Health and Clinical Laboratories 1. Surge and Laboratory Capacity. Testing capacity, resource needs and current sample processing, request status and backlogs can be assessed through the deployment of HERDS to LRN and clinical BSL2 laboratories in NYS. Data reported by clinical labs can be viewed in real-time via the dashboard and GIS System. The GIS system will enable assessment of best transportation route (nearest lab with available capacity) for samples being re-routed to accommodate surge. February 7, 2006 13-25
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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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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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