Transcript New York State Department of Health

New York State Department of
Health
HANYS’ Nursing Home
Emergency Preparedness
Webconference
August 9, 2007
Emergency Preparedness Planning
 Address federal initiatives
 Attend to state proposals & protocols
 Build on prior projects as indicated
 Build on priorities identified by stakeholders
Planning Hierarchy
 Health & Human Services (HHS) publishes grant guidance in
early summer
 NYSDOH HEPP has a 30 day turn around to submit
application with very specific objectives/goals
 Notification of grant awards communicated on or about
September 1st
 NYSDOH HEPP develops Deliverables to support objectives
outlined in the grant narrative
 NYSDOH HEPP forwards Deliverables & guidance to
association grantees during the 1st quarter of the Grant year
(September through November)
 Health care providers are brought into the process
Association grantees
 Stakeholders (associations) are involved in the process
 Deliverables & guidance are discussed & outlined
 Meetings are held with a Grants Administration Unit
‘guide’
 Deliverables are put into a contract format
 Once contract is executed work can begin
 All work must be completed before grant monies are
released
Non-acute entity grant monies go to:
 Long-Term Care Associations (3)
 Adult Home Associations (2)
 Home Care Associations (2)
 Hospice Association (1)
 Community Health Center Association (1)
A frequently asked question…
Why not monies to individual facilities?
Grant monies are limited for non-acute entities, and currently
this would mean approximately $227 per nursing home
Enlisting associations as partners allows:
Greater distribution of assistance
o Educational outreach
• Webinars
• Conferences
• Webcasts
Greater ability to establish planning priorities with
attention to nursing home impact
o Sharing of past impressions & experiences
o Collaboration with RRCs
Greater ability for ‘hands on’ with individual
facilities by NYSDOH as needed
o Access to appropriate HEPP personnel
o One-on-one assistance with survey questions & completion
o Communication regarding directives
Definition: The ability to expand care capabilities in
response to a prolonged need. This would allow for a
seamless response to public health emergencies.
Components
1. Capacity: Expanded numbers
2. Capability: Succinct staff ability
Overall:
 The ability to expand care capabilities in response to a
prolonged demand
 Encompasses potential beds, available space in which
patients/residents may be assessed, managed, or
simply located
 Also includes available personnel of all types,
necessary medications, supplies & equipment
A surge plan template is currently under
development with the Gold Standard
Committee
Some elements are:
 Definition of acuity level
 Staff response capabilities (e.g. vents, trachs, parenteral
infusion)
 Capacity determination
 # private rooms
 Types/amount of equipment (e.g. suction machines, IV pumps,
PPE)
Why establish a surge capacity?
 To successfully plan for a catastrophic event
 To provide care & services to an extended number of
persons
 To maintain quality & continuity of care
 To be aware of limits in advance
 To avoid last minute preparations
Surge readiness
Resident priority/triage assessment
Consistent classification with partner agencies is vital
LOW PRIORITY: Stable condition. Access to
informal resources (family care, meals. Care may be
directed with no compromise in quality of health)
MODERATE PRIORITY: Care may be postponed
with phone contact with no compromise in quality of
care or health (MD phone contact, home health care)
HIGH PRIORITY: Requires uninterrupted services
(condition unstable, life support, complex medication
regimen, complex wound care)
Facility surge will depend on:
 Resources
 Plant design
 Communication capabilities
 Direct care staff levels & expertise
 Staff in all departments
 Specialized equipment
 Lab contact capabilities
 PPE
 Education & training
 Planning & commitment
Health Provider Network
HPN
Communications Directory
random selection of 40 nursing homes
Contact Information
 33% had complete information (all categories) posted
 1 % no information posted
 40% had more than half of contact persons information posted
Emergency Contact Anytime
 37% had complete information posted
 43% had no 24/7 information posted
 20% partial 24/7 information posted
Informational Message from Health Commerce
sent 8/1/07
 Starting Monday, 8/6/07
 NYSDOH will deploy a new application to retrieve & log contact
information for Commerce Users (both OpCert & pfi)
 Nursing Home Administrators & HPN Coordinators will be required to
verify their Contact Information every 3 months
 Nursing home Administrators & HPN Coordinators must confirm
information
 Nursing Home Administrators & HPN Coordinators will be sent an email
for acknowledgement
 No response from the Nursing Home Administrators or HPN
Coordinators will result in continued prompting
 You will need to: “Click here when you are ready to confirm receipt of the email”
Why?
 The information is critical to communication during an emergency
or other health related event
 Without an accurate update of contact information, NYSDOH will
be unable to supply the facility with the information needed for a
response
2007 Evacuation/Transportation Survey
Status as of Friday, 3 August 2007
 MARO
o 7 had not started…1 of these is in the Category I Slosh Zone
o 12 had surveys ‘pending’…1 of these is in the Category IV Slosh Zone
 CNYRO
o 3 had not started
 WRO
o 2 had not started
o 1 was ‘pending’
 CDRO
o All surveys have been completed
Now what?
 Still have time to submit survey data
 NYSDOH will not begin ‘Next Steps’ until at least September
 Analysis of data collected
 Distribution to planning partners as appropriate (e.g. OEMs)
 Outline steps for outreach to facilities that have not submitted data
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]