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The New York City Health Care System Preparedness Annual Report

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The New York City Health Care System Preparedness Annual Report New York City Health Care System Preparedness ANNUAL REPORT 07. 2016 —06. 2017 New York City Department of Health and Mental Hygiene Office of Emergency Preparedness and Response Annual Report New York City Department of Health and Mental Hygiene July 2016 to June 2017 Office of Emergency Preparedness and Response CONTENTS 4 Section 1: Overview 6 Section 2: 8 NYC Health Care System Section 3: The NYC Health Care Coalition 10 Section 4: Highlighting the NYC 12 Pediatric Disaster Coalition Section 5: Facility Participation by the Numbers 16 Section 6: 18 Long-Term Care Facilities Section 7: Preparing to Respond to Highly Infectious Diseases 23 Conclusion: Continuing Our Mission 2 3 Annual Report New York City Department of Health and Mental Hygiene July 2016 to June 2017 Office of Emergency Preparedness and Response SECTION 1: hospitals now have pediatric-specific plans Overview The New York City Department of Health and Mental Hygiene (the Health Department) helps health care providers across the city respond safely and effectively to emergencies. To further this mission, the Health Department: Ù Promotes collaboration Ù Ensures all health care Ù Supports the New York City between health care providers facilities have the necessary (NYC) health care system’s and public health stakeholders tools and resources to care for ability to meet acute health 30 to prioritize and address patients and residents during and medical needs during emergency preparedness an emergency event and after emergencies and response gaps This report summarizes the Health Department’s accomplishments in these areas during 2016 and 2017. Ù 70% The Health Department advanced health care intensive care unit services within NYC. Surge and of NYC long-term care facilities improved their system emergency readiness through planning evacuation plans improve the ability of hospitals and exercises focused on how the health care to coordinate with emergency management emergency preparedness capabilities system works together during mass casualty operations and protect the lives of New York City’s incidents and coastal storms (p. 6). children (p. 10). Ù New York City Health Care Coalition members Ù By June 30, 2017, nearly 70% of NYC long-term care advanced their own emergency preparedness facilities improved their emergency preparedness capabilities; four innovative approaches are capabilities by participating in technical described in this report (p. 8). assistance programs (p. 16). Ù With the help of the Health Department, the NYC Ù NYC’s seven hospital networks trained 4,639 4,639 3,463 Pediatric Disaster Coalition (PDC) worked frontline staff on Ebola plans and trained3,463 staff trained on staff trained on with 14 hospitals during 2016-2017 to complete staff on wearing and removing personal protective Ebola plans wearing and removing pediatric-specific surge and evacuation plans for equipment (PPE), ensuring that frontline staff in personal protective each hospital, bringing the total number of NYC hospitals and clinics were up-to-date on best equipment (PPE) hospitals with pediatric-specific plans to 30. This practices for infection control and personal number includes all hospitals that offer pediatric protective equipment (p. 18). The Health Department’s health care system preparedness programs are primarily funded by the Assistant Secretary for Preparedness and Response (ASPR) Hospital Preparedness To learn more about the Health Department’s health care preparedness, Program (HPP), with additional support from the Centers for Disease Control and Prevention’s visit nyc.gov/health and search hospitals. (CDC) Public Health Emergency Preparedness Program (PHEP) 4 5 Annual Report New York City Department of Health and Mental Hygiene July 2016 to June 2017 Office of Emergency Preparedness and Response SECTION 2: Spotlight on an Exercise: Mass Casualty Discussion-Based NYC Health Exercise In January 2017, the Health Department organized a discussion about the response Care System structure of City agencies and hospitals during a mass casualty event. More than 70 participants attended, including representatives from the FDNY, the NYC Police Department (NYPD), NYC Emergency Management, the Health Department, GNYHA and 18 NYC hospitals. New York City’s health care system is large and complex. It serves 8.5 million residents in The exercise depicted a scenario with multiple many types of facilities and employs hundreds of thousands of New Yorkers. shooters at protests in two boroughs. The Health Department has a key role in preparing the health care system for emergencies. Participants discussed how City agencies work As part of its preparations the Health Department connects health care delivery system with hospital response structures; protocols for stakeholders and includes them in citywide planning and exercises. initial triage, transportation and admission of patients from a mass casualty scene; and notification and public information during such an event. Findings from the exercise included ways to improve coordination between agencies, The Health Department is a founding member of the Health and hospitals and law enforcement, and how to Medical Executive Advisory Group (HMExec). HMExec is comprised of emergency planning and strengthen information-sharing systems. operations leaders from the Health Department, New York City Fire Department (FDNY), Greater NY Hospital Association (GNYHA), NYC Health + Hospitals, NYC Emergency Management and New York State Department of Health (NYSDOH). HMExec meets monthly to address priority health and medical preparedness planning initiatives, support collaboration and coordination between agencies and the health care delivery system, and make progress on Spotlight on Planning: issues that affect the NYC health care system. NYC Coastal Storm Operations Overview for NYC Health Greater NY Hospital Health Care Facilities Department HMExec Association Working with HMExec members, the Health Department helped develop and distribute the “NYC Coastal Storm Operations Overview for NYC Emergency NYC Fire NYC Health New York State Health Care Facilities.” This document Management Department + Hospitals Department of Health summarizes the City’s coastal storm planning assumptions and citywide operations likely to be implemented during coastal storm response, and guides health care facilities on their own coastal storm preparation. HMExec plans Including health care delivery system stakeholders in citywide planning and exercises is one additional hazard-specific guides to further key way to prepare the health care system for emergencies. improve health care systems preparedness. PHOTO CAPTION 6 7 Annual Report New York City Department of Health and Mental Hygiene July 2016 to June 2017 Office of Emergency Preparedness and Response SECTION 3: Systemwide Joint Information Center Borough Resource Book The Mount Sinai Health System Emergency The Staten Island Community Organizations Active The NYC Health Management Partnership developed a networkwide in Disaster Coalition (SI COAD) listed services that Joint Information Center (JIC), to ensure coordination member organizations may provide during a of response information, crisis communications and large-scale disaster. This guide informs partner public affairs functions across the system’s seven organizations, elected officials and agencies who acute care hospitals, 45 ambulatory care practices will work alongside the SI COAD in the aftermath of Care Coalition and other clinical and administrative services. This large-scale disasters. effort will improve internal and external information sharing during a response. List of NYCHCC Leadership Council Members BOROUGH COALITIONS: NETWORK COALITIONS: SUBJECT-MATTER The Health Department supports multiple health care EXPERTISE COALITIONS: coalitions in New York City, and, since 2012, has bolstered Bronx Emergency Preparedness Mount Sinai Health System coalition assessments, planning, trainings and exercises. Coalition (BEPC) Emergency Management Pediatric Disaster Coalition The New York City Health Care Coalition (NYCHCC) brings 22 Partnership (MSHS EMP) (PDC) together leadership from the city’s health care coalitions and interconnected The Brooklyn Coalition (TBC) the Health and Medical Executive Committee. The NYCHCC health care coalitions MediSys Emergency North HELP Coalition Leadership Council supports collaboration between health Emergency Preparedness Preparedness Coalition care sectors and organizations. Coalition of Manhattan (MediSys) Primary Care Emergency (EPCOM) Preparedness Network (PCEPN) The Health Department coordinates the activities of the Montefiore Emergency NYCHCC to facilitate interactions between acute, long-term 5 Queens County Emergency Preparedness Coalition (MEPC) Continuing Care Leadership and ambulatory care sectors to build relationships and borough coalitions Preparedness Health Care Coalition (CCLC) awareness of planning assumptions. These interactions help Coalition (QCEPHC) New York City Health + identify opportunities for collaboration and build overall Hospitals (H + H) Southern New York Association emergency management capacity for the entire NYC health Staten Island Community (SNYA) care system. 7 Organizations Active in NYU Langone Hospitals NYCHCC Leadership Council meetings are a forum to share health care Disaster Coalition (SI COAD) Greater New York Health Care best practices. Some of the best practices highlighted during network coalitions Northwell Health System Facilities Association 2016 to 2017
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