Pandemic Influenza Plan - Questar III

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Section 13: Public Health Preparedness Informatics 2. Inform Clinicians and Laboratories. • Clinicians. The BNE recruitment process can be leveraged through the HPN executive staff editorial board to inform clinicians of protocols for safe specimen collection and mechanism for submitting specimens to referral laboratories. The practitioners’ pages on HPN can point to specimen protocols, diagnosis and treatment information and the IHANS system can be used to notify them as to its availability. A clinician-targeted discussion group can be set up on the commerce secure discussion forum to allow individual practitioners to dialogue with state epidemiology and laboratory staff regarding questions and case specifics. • Clinical laboratories. With maintenance if inclusive and accurate contact information in ComDir for clinical laboratories, the IHANS systems can be used to notify laboratory personnel of availability of training materials and sample protocols for safe collection testing, how and the mechanism for submitting specimens to referral Wadsworth. The commerce access and logging system is also able to confirm that labs have actually accessed the materials. ‣ Action items: o Commerce executive editorial board, Wadsworth Center, and PHP program will need to coordinate with BNE, and task responsible program areas with posting of needed materials on commerce and publishing their availability for labs and clinicians. The concept and availability of a clinician discussion form focused on pandemic influeza or other disease events will need to be promoted to clinicians joining the commerce system. o NYSDOH will need to task medical epidemiologists and laboratorians with monitoring a clinician discussion forum on commerce. D. Countermeasure Response Administration 1. Isolation and Quarantine. Beyond initial epidemiological investigation needs of a pandemic covered in CDESS, the HERDS system as deployed to local health and health facilities statewide can provide general summarization, tracking and reporting of support, service, and monitoring for those affected by community containment measures in healthcare facilities, other residential facilities, homes, community facilities, and other related settings. ‣ Action items: o Related NYSDOH program areas will need to design and define HERDS reporting forms for isolation and quarantine. 2. Distribution and Use of Vaccine and Antiviral Medications. • Facility Vaccine and antiviral inventory and needs assessment. <strong>Influenza</strong> Vaccine Inventories and vaccination needs are currently reported by risk category at hospitals and nursing homes through HERDS. Vaccine inventory, vaccination needs and antiviral medication inventories were also tracked in February 7, 2006 13-26
Section 13: Public Health Preparedness Informatics HERDS via health facility and local health reporting during the 2005 vaccine shortage. This data is made available through HERDS to State, Regional Offices and local health departments. Home health care and clinics can be included vaccine needs and inventory assessment with deployment of HERDS to these entities. Reporting and tracking forms for vaccines and antiviral medication resource requirements by priority groups at the facility and local health level will occur via a dedicated instance of HERDS architecture customized to implement a Counter Measure Resource Tracking System (CMRTS). Data reporting streams with the system will flow from targeted health facilities to local health departments to State, allowing each step on the reporting hierarchy to view and submit countermeasure resource needs within jurisdictions. • Acquisition, Distribution, Tracking. Inventory and distribution of counter measure medications and vaccines derived from the SNS, Emergency Response Cache (MERC) and State vaccine bank will be tracked through the CMRTS. Local health departments will be provided access to counter measure resource needs from facilities within their jurisdiction. LHDs will additionally report to the state POD and other response partner priority needs to the state via the CMRTS. Local health will request SNS MERC resources via the CMRTS system and report on inventory utilization within their jurisdiction. Linkage with CDMS data base will provide state and local health with assessment of dosages provided out through PODs. Reports and visualization products from the system will be available to through the dashboard. Automated standards based reporting to Federal agencies (CDC) will occur via standards-based messages and PHNMS transport. Advisories regarding availability of vaccine and or antiviral medications will be transmitted to target facilities, PODS and organizations using the IHANS system and NYSDOH HAN. ‣ Action items: o Related NYSDOH program areas and CDMS developer will need to design and define linkage architecture required to integrate CDMS with CMRTS. o Related NYSDH program areas will need to complete definitions required for SNS/MERC tracking within CMRTS. • Pharmacy Inventories. BNE has required all pharmacies dispensing controlled substances in NY to have and maintain commerce accounts. Presence of pharmacies en mass on the commerce system presents the opportunity to assess availability vendor inventories of critical medications including antivirals. HERDS instances can be deployed to these organization for this purpose as well as meeting BNE reporting needs for this organization. Communications directory entries for inventory contacts at pharmacy organizations will enable the IHANS system to rapidly contact them during an event. February 7, 2006 13-27
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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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Appendix 10-A NYSDOH STAFF PRIVATE
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