Pandemic Influenza Plan - Questar III

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Section 13: Public Health Preparedness Informatics staff vaccination status and other needed information can be rapidly added to reporting from existing HERDS templates and forms. Electronic Incidents activated in HERDS allow for the reporting of resources needs and available for incident command allocation between facilities. Similar HERDS reporting forms can be deployed to additional facility types as required. Home Health, Adult Homes and Primary Care Clinics are will be added to the HERDS system. ‣ Action items: o Activate existing critical asset reporting forms for Nursing homes statewide. o Implement HERDS instances for Home Health Care and Primary Care Clinics and deploy critical assets survey. 2. Facility-based Isolation and Infection Control. The statewide inventory of Hospital AIIR room capacity is available through the HERDS system. Complementary HERDS reporting forms can be established to track and mass balance occupancy and availability. Hospital staff vaccination status, PPE inventory and training status is also available through HERDS Critical Asset survey and HRSA Baseline surveys. Long term care infection control, isolation and cohorting capacities are assessed in the Nursing Home Critical asset survey. Nosocomial-acquired influenza in hospitals and Nursing homes is tracked in the NORA system. 3. Event Patient Tracking. Event patients presenting at health facilities can be reported through the HERDS patient locator system which includes support for PCR and EMS Triage Tags. A public facing query component of the patient locator allows for de-identified look-up of facility locations of probable matches for families searching for hospitalized relatives. The public facing look-up query is accessed by a link from the public web site to an unauthenticated, yet secure certified link to the commerce system. IV. Alerting and Notification Infrastructure A. Interactive Voice Response (IVR) Systems. The IHANS system and HERDS alerts utilize phone-based notifications. Health alerting and notification protocols are in Appendix VI.B. On activation the HERDS system can use the IHANS system to initiate alerting of affected facilities and jurisdictions. Phone (land, cell, satellite, pager) notification infrastructure is supported by two IVR systems one at the NYSDOH ESP main site and one at its DR site (800 North Pearl St.). Each supports outbound text to speech for outbound notification messages and keypad acknowledgement of receipt of notifications. Each IVR supports 48 lines. Five lines are available to support the Duty Officer Call in system these can be rapidly expended in an emergency. The IVR systems also have the capacity to support call centers and in-bound phone surveys, however, program requirements for implementation have not been developed. B. Mass Fax. The IHANS system and HERDS supports fax notifications/alerting. The fax appliance and capacity is upgraded to two digital appliances: one at the main site at ESP and one at the DR site, each with 24 lines, for a total capacity February 7, 2006 13-30
Section 13: Public Health Preparedness Informatics of 48 lines. Lotus Notes has a separate capacity (8 lines) for routine bulk faxing. C. BlackBerry. NYSDOH supports Blackberry wireless communications for key NYSDOH executive and PHP response staff. There are currently 129 users. DOH owns 150 licenses and the current servers can support up to 2000 licenses. Redundant Blackberry servers are available at both the main ESP computer site and the DR site. D. HF Radio. The HF radio system, located at 800 North Pearl, covers the frequency range from 3 to 30 MHz and uses Single Sideband (SSB) Suppressed Carrier and, at reduced power, Amplitude Modulation with carrier. It is a Mobat model 500E with four power output settings ranging from about 100 watts to 500 watts peak envelope power (PEP). The radio is Automatic Link Establishment (ALE) capable. The radio is also equipped with digital mode communication using an external laptop computer and an MFJ –1275 soundcard interface. Software in the laptop allows use of the radio for RTTY (radio teletype) and weak signal PSK-31 (phase shift keying) modes. The antenna system consists of two separately fed radiators mounted on the roof of the building at 800 North Pearl. One antenna is a B&W broadband folded dipole 90 feet in length and up about 15 feet from the roof surface. The other radiator is an east-west longwire about 280 feet in length supported 40 feet above the roof, tuned with an SGC model 235 automatic antenna tuner. At the radio, an antenna switch allows selection of either antenna as well as a dummy load for “off air” testing. The system is currently licensed to operate on 14 channels, each 6 kHz wide. CDC has obtained the frequencies for use with CDC related operations. The radio is also equipped to operate on amateur radio frequencies from the 80-meter band up through the 10-meter band using SSB, RTTY and PSK-31. The last CDC sponsored SSB (voice) testing was completed in the summer of 2005. Digital mode communication has been tested on the amateur frequencies with PSK-31 working especially well in weak signal conditions. E. Satellite Phone. The NYSDOH maintains a Health Operations Center collocated with the DR site at 800 North Pearl Street Menands, NY. The DR site includes a fixed satellite base station (GlobalStar Network) for alternate voice communications using satellite phone. V. Distance Learning and Remote Meeting/Collaboration A. Video Conference (VC). All 57 LHDs and 4 regional Offices have video conference capacity. Some 100 hospitals report VC capacity. Hospital video conference capacity and contact information is available through the HERDS critical asset system. NYSDOH supports two video conference bridges: one at the main computer room site and one at the DR site at 800 North Pearl Street. Depending on the resolution desired, each bridge supports 15 ISDN connections at 384k or 23 ISDN connections at 256k. The bridges may be cascaded to double the number of concurrent sessions. The bridges can also be cascaded with external commercial providers to add additional sessions to a conference. Internal to February 7, 2006 13-31
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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 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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