Pandemic Influenza Plan - Questar III

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Section 3: Healthcare Planning and Emergency Response a method to efficiently collect and aggregate data from hospitals and in the near future other healthcare facilities. HERDS serves four principle functions: • collection of information necessary for effective resource planning; • surveillance of specific disease conditions or detection of patterns of illness via hospital and ED admissions; • monitoring the resource needs and availabilities of healthcare facilities during a public health emergency; and • tracking of patients involved in a mass casualty event. For the past several years, data has been collected through various HERDS survey instruments that have allowed the NYSDOH to better monitor hospital utilization rates and to profile the critical assets of hospitals statewide. This information has greatly assisted NYSDOH and LHDs in both their routine and emergency preparedness planning activities. 2. Tracking Resources in an Emergency During an emergency event, the HERDS is a critical component of New York State’s emergency response system. It promotes efficient collection of standardized information. When HERDS is activated during an emergency event, hospitals are required to complete a survey that lists specific resources and asks the hospital to indicate whether it needs these resources or can provide them. Before indicating the need for a resource, the hospital must first make an effort to acquire it through its normal channels which include its vendors and network partners. HERDS can provide a snapshot view of critical data, needs and surpluses across a locality, a region or the state during an event or a longitudinal view of data across designated reporting periods through specially designed reports. HERDS provides a mechanism to ensure that hospital resource needs are formally registered with the health desk of the Office of Emergency Management. This information can then be reviewed, analyzed and evaluated by the NYSDOH, local health departments (LHDs) and/or a Multi-agency Coordinating Committee (MACC) which in turn makes recommendations on necessary actions through the Incident Command System at the state or local Office of Emergency Management (OEM). Various incident specific data collection templates have been developed. These templates are designed to collect concise and accurate information on the hospital’s staffing and materiel needs and what surpluses are available for deployment. The templates may be modified by NYSDOH as necessary during or between events, and new templates may be developed as needed. During a pandemic, information that would be collected might include: • Staffing relative to number of patients • Number of available intensive care unit beds (adult and pediatric) • Number of available medical beds (adult and pediatric) • Number of available emergency department (ED) beds February 7, 2006 3-13
Section 3: Healthcare Planning and Emergency Response • Number of patients and/or waiting time in the ED • Number of admitted patients waiting for inpatient beds (in ED or elsewhere) • Number of hospitals on ED diversion • Morgue capacity • Shortages of medical supplies or equipment 3. Activation HERDS may be activated by personnel from one of three different entities: • LHDs, • Regional Offices of the New York State Department of Health, or • Central Office of NYSDOH. The level at which the system is activated and administered will be dependent upon the nature and scope of the incident. 4. Requirements To perform any administrative function within HERDS, state or local health department staff must have an active NYSDOH Commerce account and must also be assigned to at least one of the roles in the NYSDOH Commerce Communications Directory that grants access to HERDS. The value of HERDS is highly dependent upon hospital cooperation. Hospitals must ensure that: • an adequate number of staff members are trained in HERDS across all shifts; • HERDS is integrated with the hospital ICS structure; • internal systems are created in the hospital to facilitate timely and accurate channeling of information to HERDS data reporters; • all resource needs and surpluses are accurately entered into HERDS • computers with internet access should also be available in areas where emergency generator power supply is available in the event of power failures; • as a backup to high speed internet access lines, at least one account with a phone dial-up or wireless cellular internet provider is maintained as an alternative means of accessing HERDS under conditions of communications infrastructure failure. Drills will be conducted by the NYSDOH to test hospital HERDS readiness. IV. Non-Hospital Healthcare Planning during the Interpandemic and Pandemic Alert Period The inclusion of non-hospital healthcare partners including nursing homes, homecare, adult care facilities and primary care health centers in pandemic planning is critical to the successful management of a pandemic situation. This planning should focus on February 7, 2006 3-14
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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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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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Section 13: Public Health Preparedn
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Appendix 13-A NYSDOH Roles Notified
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Appendix 13-B Notifications sent by
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Appendix 13-B HAN posting is used a
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Appendix 13-B notification system t
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Appendix 13-C Overview of the Healt
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Appendix 13-C • Ongoing surveilla
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Table 1. Summary of HERDS Use To da
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Appendix 13-D Commerce Access and A
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Appendix 13-D Table 3. Organization
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Pandemic Influenza Plan - Questar III

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