Pandemic Influenza Plan - Questar III

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Appendix 13-B that the highest priority notifications are apportioned the system resources appropriate for the urgency level of their notification. These queuing rules are currently being built into the system but are not available at this time. 1. Priority by Notification Urgency levels: Alert> High Advisory>Advisory>Update>Informational, i.e., Alerts are sent before High Advisories, High Advisories before Advisories 2. Priority by Organization type within an equivalent urgency level: State DOH >Regional>State Agency>LHD>Facility Within State NYSDOH: first in, first out Within region: by population order [vertical down/up > horizontal (area)] Across State Agencies: emergency management, surveillance and response agencies, followed by others across LHDs: By population: NY City> LHD alliances>highly populated counties, etc. [vertical down/up > horizontal (area)] Across facilities: associations>networks>opcerts>individual PFIs (vertical down/up > horizontal) 3. Across Organization types and Priority levels: Alert>Advisory>Update>Informational, etc., i.e., LHD Alert goes out before a State level Advisory Cascading Notifications: Preserving jurisdictional and organizational authority -- Protocols for NYSDOH Reviewing and Sending Notifications. Multiple agencies share alerts with the NYSDOH and multiple programs within NYSDOH may wish to send notifications. Prior to disseminating these alerts to local health agencies, healthcare providers and other emergency responders through the HIN/HPN/HAN, some may require review. Following national protocols for emergency notifications and communications, each agency preserves the right to notify its own constituents, e.g., NYSDOH notification regarding foodborne illness is sent to Department of Agriculture and Markets, central office staff who in turn will determine appropriateness of notification, appropriate recipient group, and ultimately will send out the notification using the Notification System tool on Commerce. NYSDOH does not supercede the authority of Ag & Markets by directly notifying their constituent group. 1. NYSDOH asks the CDC and other agencies such as OPS to forward their alerts, advisories and updates to the Lotus Notes HealthAlert BML. When a message is received in the bml by an approved agency, specific individuals in the NYSDOH Office of Public Health Preparedness and BHNSM Health Alert Network receive a text message on their cell phones indicating there is a message in the bml needing review for possible posting and sending notifications to NYSDOH constituents. These reviewers may need additional approval of NYSDOH Executive staff, or they may post the message on the HAN and send out a notification using the February 7, 2006 5
Appendix 13-B notification system tool on Commerce to post and send the notification themselves. As a backup, they may forward the notification to HINWeb. BHNSM staff members are available on a 24/7 basis to follow programmatic instructions on posting and/or sending the message. 2. NYSDOH program area generated notifications: program area staff within NYSDOH that are designated as valid senders of notifications may send a request for posting and sending a notification to HINWEB. 3. Agreements on format of the message to be posted and mode of receipt must be obtained with submitting agencies. 4. Organizations issuing an original notification are the only valid senders for any subsequent updates to that notification. Cascading Notification Flow across agencies Federal Agencies other NYSDOH agencies, or agencies from other states Hospitals and other regulated entities, e.g., long term care. All other hospitals; other entities within their jurisdiction, i.e., LHD, long term care. Other state agencies e.g. SEMO, CSCIC, AG & Markets, State Insurance Dept. Each agency’s own constituents NYSDOH Central Office (Health alert bml) Additional appropriate local LHD personnel as well as all other LHDs. NYSDOH regional offices LHDs; NYCDOHMH For local event, local jurisdiction hospitals and other facilities, e.g., nursing homes. Local jurisdiction emergency response partners Homeland Security Threat Levels Although the Federal government may choose to elevate the National Homeland Security threat level, NYS may not change the NYS Homeland Security threat level in conjunction with Federal activity. It is important, however, to notify NYSDOH partners in public health preparedness of the status of the State’s decision with respect to Federal action. Therefore, an advisory message will be sent by NYSDOH to its constituents notifying them of this status. A guide booklet has been distributed to all the counties outlining the set of actions each constituent group should take under each specific threat level. This set of standard activities is available on the HAN under the “Public Health Preparedness and <strong>Plan</strong>ning” subsection of the “Public Health Preparedness and Response to Bioterrorism” homepage and will accompany any alert or advisory that changes the State threat level. February 7, 2006 6
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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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FACILITY- BASED RNs FACILITY- BASED
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Section 11: Workforce Support I. Ov
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