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New York State Department of Health. HANYS' Nursing Home Emergency Preparedness Webconference May 9, 2007. Avian Influenza Situation Report. Spreading prevalence in migratory birds Continued outbreaks among domestic poultry Mammalian infection (cats, pigs, etc.) lethal Virus is evolving

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new york state department of health

New York State Department of Health

HANYS' Nursing Home Emergency Preparedness Webconference

May 9, 2007

avian influenza situation report
Avian Influenza Situation Report
  • Spreading prevalence in migratory birds
  • Continued outbreaks among domestic poultry
  • Mammalian infection (cats, pigs, etc.) lethal
  • Virus is evolving
  • Sporadic human cases (more than 170 reports to date)
    • Most in the young and healthy
    • Case-fatality 50%
    • Rare person-to-person transmission
pandemic influenza planning
Pandemic Influenza Planning
  • Supposition: Hospitals will be beyond maximum capacity & staff will be overtaxed
  • There will have to be decisions made at the state level to alter standards of care
transmission
Transmission
  • Typical incubation

2 days Range: 1-4 days

  • Viral shedding
    • Can begin 1 day before symptom onset
    • Peak shedding first 3 days of illness
    • Subsides usually by 5-7th day in adults
      • can be 10+ days in children
slide5
Nursing homes should focus planning on enhancing ability to:
      • accept more fragile, sicker patients from hospitals
      • retain their residents
      • surge beyond licensed capacity
  • How?
to be reviewed reinforced with staff
To be reviewed & reinforced with staff:
  • Disease prevention strategies
  • Infection control techniques
  • Hand washing
  • Cough etiquette
  • (include residents!)
  • Identification of symptoms to:
        • Promote early detection
        • Minimize spread
what to expect staff grief exhaustion
What to expect?Staff grief & exhaustion
  • Admission of sicker residents/patients
  • Altered standards of care
  • Retention rather than transfer
  • Surge
  • Potential for significant increase in resident mortality

Staff should be monitored closely for stress & intervention should be made available as indicated

slide8
HAN & the Communications Directory

are the official NYSDOH

directory

&

alerting system

for emergencies

health alert network han
Health Alert Network (HAN)
  • Contains information about disaster preparedness
  • Contains articles & web site links
  • Posts current health advisories & alerts
        • Avian flu
        • Measles
        • Lead poisoning
        • Meningococcal disease
        • Polio in Minnesota
        • Rabies in Texas
        • 9/15—to ACFs, Nsg. Homes, LHDs—Bagged fresh spinach
        • Alert to vets re: psittacosis
  • HAN library
note health notifications originate from a variety of sources including
Note:HEALTH NOTIFICATIONS originate from a variety of sources, including:
  • New York State Department of Health (NYSDOH)
  • New York City Department of Health and Mental Hygiene (NYCDOHMH)
  • New York State Office of Homeland Security (NYSOHS)
  • Centers for Disease Control and Prevention (CDC)
han health notification viewer
HAN Health Notification Viewer
  • , Click RECIPIENTS: LHD Commissioners/Directors| NYS| All Hospital CEOs| NYS| All Hospital ICPs| NYS| LHD Dir of Disease Control| NYS| All Hospital ED Directors| NYS| LHD CD Investigative Staff| NYS| Epi Informational List| NYS| Hospital Food Prep| NYS| Hospital Food Directors| NYS| Hospital Risk Management| NYS| LTCF Food Service Directors| NYS| Adult Homes Administrator| NYS| Adult Homes Food Service| NYS| Adult Homes HPN Coordinators| NYS| LTCF Administrators| NYS|LTCF Directors of Nursing| NYS| LTCF Medical Directors| NYS| LTCF ICP| NYS
  • Click DESRIPTION: Detailed description of alert
hpn communications directory
HPN Communications Directory

The purpose of the Communications Directory is to have the most current & accurate contact information available in the event of an emergency

slide13
NYSDOH will rely upon this data’s accuracy, which is why your diligence and participation in maintaining current information are vital to the success of the Directory. It is expected that updates will be made on a periodic basis.
section 400 10 hpn access reporting requirements
Section 400.10 HPN Access & Reporting Requirements
  • HPN accounts
  • Ensure that sufficient, knowledgeable staff will be available
  • Maintain & keep current such accounts
  • At a minimum, 24/7 contacts for emergency communication & alerts must be designated
  • Sufficient staff users to ensure rapid response to requests for information from NYSDOH and/or LHD
  • Current & complete updates reflecting changes to general information & personnel role changes as they occur
  • At a minimum, on a monthly basis
emergency response coordinator
Emergency Response Coordinator

Individual(s) who serves as coordinator of a facility's emergency operations center

What roles should serve?

Director, Nursing…

Director, Safety/Security…

Plant Manager…

…Other…

slide16
For NYSDOH business hours contact information, call the

NYSDOH Regional Office

    • For non-business hours theNYSDOHcontactis the

NYSDOH Duty Officer

@ 866-881-2809

  • Contact numbers should be current and available to key staff 24/7
communications directory drills scheduled for june 2007
Communications Directory DrillsScheduled for June 2007
  • Roles to be contacted:
      • Administrator
      • Designated Pharmacist
      • Director, Nursing
      • Director, Patient & Family Services
      • Director, Safety/Security
      • Emergency Response Coordinator
      • HPN Coordinator
      • HPN Organizational Security Coordinator
      • Infection Control Practitioner
      • Medical Director
      • CHRC AP
      • 24 hour contact [found in Emergency Contacts (Any Time)]
drill purpose
Drill Purpose
  • Evaluate & ensure accuracy of Communications Directory
  • Evaluate provider response to NYSDOH notifications to emergency contacts identified in the Communications Directory
  • NOTE: Continuous non-compliance will result in deficiency citations
collaborate with planning partners
Collaborate with planning partners
  • May mean meeting some for the first time
      • Regional Resource Center (RRC)
      • LHD (Local/public Health Department)
      • Office of Emergency Management (OEM)
hanys deliverables 2006 to 2007
HANYS Deliverables 2006 to 2007
  • Deliverables
    • Tasks to be completed withspecific outcomes, timeframes, & target audiences
    • Reporting to NYSDOH
slide22
Deliverables
  • Categorize regulatory barriers to emergency preparedness & response
  • Appoint at least one individual to the OEM link role in the HPN
  • Ensure that individuals identified in the OEM link role take ICS 100, 200, 700, & 800
  • Modify &/or provide comments & recommendations to HHS pan flu questionnaire
  • Work with nursing homes to:
      • Appoint at least one individual to the Emergency Response Coordinator role in the HPN Communications Directory
      • Encourage the Emergency Response Coordinator to take ICS 100, 200, 700, & 800 (on line)
  • Monitor nursing home compliance & report status of ICS training to NYSDOH
slide23
Work with DOH to issue a pan flu questionnaire & work with nursing homes to ensure proper completion & timely submission
  • Ensure that at least one individual identified in theOEM linkrole participates in quarterly meetings with NYSDOH & disseminates relevant information to nursing homes
  • Assist nursing homes in entering complete contact information in the Communications Directory, & remind nursing homes to keep information current
  • Assist NYSDOH in securing timely & complete responses to HERDS surveys issued to nursing homes
  • Perform outreach to non-members, including posting information on publicly accessible websites
recent events
Oneida, 3/13Recent events

Highland, 4/17

Winter ’07 in Mexico!

lessons learned
Lessons learned
  • Some HPN data for healthcare facilities remains either incomplete or outdated
  • This incomplete or outdated information makes it difficult to obtain accurate facility status reports in an emergency
  • The Incident Command System (ICS) not always followed by all groups, creating back ups
  • The Regional Office is able to be reached 24/7. Some facilities still do not have the correct numbers.
katharine logan
Katharine Logan

Health Emergency Preparedness Program

NYSDOH

Non-acute Care

Hedley Park Place

433 River Street

Troy, NY 12180-2299

Phone: 518-408-5163

E-mail: [email protected]

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