Pandemic Influenza Plan - Questar III

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Appendix 13-C • The HERDS system can map its reports to database tables for linkage and view to other existing applications. • Archived reports show historic data entered into repeating surveys and allow for trending. • SAS internet integration allows for real time graphical display of snapshots of resource groups, specific resources and facility reporting or trends in a given resource or across resource groups over the course of event. 3. System Access HERDS is an access restricted application available on the secure NYS Commerce (HPN) website which authorized users may log in to using standard, commercial, internet browsers. All state and local health departments, all NYS hospitals, and several out-of-state hospitals in New Jersey and Connecticut have users that are currently accessing HERDS. • Roles based access: Access to the HERDS application itself is via role-based assignment in the NYSDOH Communications Directory. Roles in the communications directory reflecting hospital or public health functional titles, as well as specific HERDS functional roles are automatically linked to various application roles that have varying levels of access to HERDS for read only, read/write, and available report and analysis views that are restricted by jurisdictional differences and differences in an individual’s incident command responsibility. Each organization determines which of their personnel are appropriate to serve in each role, and by virtue of entering the name, contact information, and user ID of those individuals to those roles, they are given immediate and appropriate access to HERDS. Each role is clearly defined to assist organizations in proper assignment of their personnel. • Emergency Access: special, organization-level Commerce accounts are available to organizations for use of HERDS during emergencies, under the extenuating circumstance where no regular HERDS or Commerce users with active accounts are available to access the system. These “Emergency Response Accounts (ERA)” are only active during emergencies and are held in secure location within the facility for use only in the circumstance described above. Unlike normal user accounts, these accounts are deactivated immediately and passwords are changed at the end of the event. 4. Technical Architecture HERDS is fully compliant with PHIN and NHII information technology functions and standards. HERDS is assembled using J2EE compliant and database agnostic, enhanced, NYS developed, transportable general application tools (modules/classes): foundation classes and beans containing transportable business logic controlling environmental information, logging and permission/access and application level classes that control presentation and application functionality under the BEA application server environment, as well as class for role based application access control via our NYSDOH Communications Directory. These classes are extensively used in NYSDOH application development for exchange and sharing of critical data between healthcare provider, state and local health departments. The GIS system is based on a COTS product, ArcIMS. February 7, 2006 4
Table 1. Summary of HERDS Use To date with Hospitals. Type Date Name/Lead Organization Description Location / Geographic extent of Activation Announced or Planned Drills Emergency Response Public Health Response Surveillance Preparedness Survey Assets/Capac ity Survey Preparedness 11/14/02 GNYHA Drill Dirty Bomb Scenario NY City Metro Area Appendix 13-C Number Local Health Departments Involved 14 60 6/3/03 GNYHA Drill SmallPox Scenario NY City 12 75 Metro Area 8/6/03 Iroquois Healthcare Toxic Spill Scenario Central NYS 3 7 Consortium Drill 8/17/03 Champlain Valley Physicians Nerve Agent Scenario Northeastern 6 11 Hospital Drill Region 11/12/03 GNYHA Drill SARS Scenario NY City 18 65 Metro Area 4/10/04 West Point Military Academy Trauma/Chemical Exposure Hudson Valley 1 4 Drill Scenario Region 4/19/04- NY State/SNS Exercise Tularemia Agent Scenario NY City 10 31 4/22/04 Metro Area 5/18/04 GNYHA Drill Subway Explosions/ trauma NY City 10 65 Scenario Metro Area 6/6/04 Albany Co. SNS Exercise Albany - Capital District 1 4 Region 6/10/04- Erie Co./Western NY SNS Exercise Buffalo - Western Region 8 33 6/11/04 5/26/05 Nassau/Suffolk Co. RRC Drill Long Island 2 25 6/7/05 Westchester Co./ Hudson RRC Drill Hudson Valley 7 27 Valley Region 9/21/05 Monroe Co. / Train car rupture release of Rochester - Central Region 9 17 Finger Lakes Region chemical agent 10/13/05 Erie Co. / Western Region POD Drill Buffalo – Western Region 8 26 8/14/03- NY State Emergency NorthEast Blackout Statewide 57 117 8/15/03 Declaration / Response to NorthEast Blackout 10/04 – 12/04 NY State / Response to vaccine shortage 8/10/04 NY State / Response to Blood Shortage 10/6/03 NY State/ Weekly Bed to Availability Current 8/28/04 – 9/03/04 10/4/04 to 5/2/05 10/13/05 to current 12/18/03 – 5/3/04 NY State/ Republican National Convention NY State / Influenza Surveillance NY State / Pediatric Influenza Surveillance 10/04/02 NY State / HRSA Preparedness Needs Assessment 6/17/05 NY State / HRSA Baseline Survey 12/15/02 NY State/ Airborne Infection Isolation Room (AIIR) Capacity 8/10/04 NY State / Critical Asset Survey 02/24/03 NY State /Threat Level Orange. Three Vaccine And Antiviral Surveys Statewide 57 224 Blood Shortage Survey NY City 10 123 Metro Area Weekly Bed Availability Statewide 57 231 RNC Surveillance of lab confirmed Influenza Hospitalizations NYCity Region 10 123 Statewide 57 237 Pediatric Influenza related Statewide 57 192 deaths HRSA Needs Assessment Statewide 53 149 Airborne Infection Isolation Room Capacity Statewide 57 234 Statewide 57 224 Critical Asset Survey Statewide 57 269 Sodium Thiosulfate Inventory Statewide 57 194 Number Hospitals Involved 5/20/03 NY State / Preparedness Survey 9/16/03 NY State / Hurricane Preparedness 12/10/03 NY State / Influenza Preparedness Pharmaceutical Inventory Statewide 57 210 Hurricane Isabel Statewide 57 225 Influenza Vaccine Inventory Statewide 57 213 February 7, 2006 5
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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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Section 11: Workforce Support Pande
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Section 12: Highly Pathogenic H5N1
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Section 12: H5N1 in Non-Human Anima
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Pandemic Influenza Plan - Questar III

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