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Emergency Preparedness Coordinating Council

Emergency Preparedness Coordinating Council. January 18, 2018. Presentations. Update on the IV Therapy Solution Shortage, Jay Fligstein, Senior Vice President, Acurity , Inc .

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Emergency Preparedness Coordinating Council

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  1. Emergency Preparedness Coordinating Council January 18, 2018

  2. Presentations • Update on the IV Therapy Solution Shortage, Jay Fligstein, Senior Vice President, Acurity, Inc. • Innovations at Jamaica Hospital related to Inter-facility Transfer Documentation for Evacuations, Nicholas Caputo, Assistant Director, Pre-hospital Care, Jamaica Hospital

  3. Discussions & Updates

  4. 2017 National Healthcare Coalition Preparedness Conference • Held in late November 2017; 5th annual conference • Have provided copies of two posters – from Bronx and Staten Island Coalitions + summary of speech given at conference by Dr. Robert Kadlec, new ASPR Secretary • Invite reflections by any EPCC participants who attended the conference

  5. Event: Cyberattack at the Bedside • Held Tuesday, 1/16 • Intended to raise awareness regarding vulnerabilities of hospital systems, including medical devices, to cyber threats • Collaboration between GNYHA, Northwell Health, Infragard, and I Am the Cavalry

  6. GNYHA Cyber Simulation Event

  7. Coastal Storm Preparedness: Health and Medical Executive Advisory Group Priority for 2018 Workgroup 1: Improve Health Facility Data & Compliance (Leads: DOHMH & SDOH) • Pursue 100% facility compliance with accurate and timely completion of the NYSDOH Facility Profile application by 3/30/2018 through more intensive and coordinated partner outreach and streamlined facility guidance • Conduct targeted and intensive outreach to sending facilities in Zones 1 and 2 to facilitate the completion of realistic send-receive relationships

  8. Coastal Storm Preparedness: Health and Medical Executive Advisory Group Priority for 2018 Workgroup 2 (Lead: NYCEM) • Increase nursing home facility receiving capacity through targeted technical assistance to large out-of-zone providers. • Kick-off meeting scheduled for 1/19 • Identify and mitigate facility specific barriers such as space, supplies, staff, and financial reimbursement • By July 2nd 2018 complete surge plans for 10 facilities

  9. Coastal Storm Preparedness: Health and Medical Executive Advisory Group Priority for 2018 Workgroup 3 (Lead: GNYHA) • Increase hospital receiving capacity to accept patients from evacuating hospitals as well as community members that cannot be accommodated at Special Medical Needs Shelters. • Currently recruiting workgroup members: seeking 5-10 hospital workgroup members from out of zone hospitalsand agency representatives from FDNY, REMSCO, NYCEM, DOHMH, and SDOH. • Will first focus on medical border issue – will consider developing plan of pre-designated facilities to accept such patients

  10. EMS-to-Hospital Protocols: Year 1 Takeaways (August 2016 - August 2017) Working on Year 1 data summary for NYC hospitals. Highlights include: • Only 45% of MCIs produced patients, and only 39% produced patients that were transported to hospitals. • Of MCIs producing transports, nearly half produced one patient, and a quarter produced 2-3 patients. • 85% of all MCI-related patients were green tagged; 5% were red or orange tagged. Working to improve specificity of MCIs: • Due to extremely low number of patient transports, have removed Code 29 (barricaded individual) and Code 43 (suspicious package) as triggers for an MCI. Should result in a lower overall volume of MCI notifications.

  11. Mass Casualty Response Planning: Other Efforts • Will begin work later this year related to patient tracking/family reunification • Ensure hospitals understand NYC operations and capabilities, and improve city agency-hospital interface • Will be forming workgroup in late spring 2018; please let Jenna know if you’d like to join the workgroup • MCI Response Planning Toolkit for Hospitals under development • Began FDNY Dispatch Center Tours this week; prioritizing trauma centers and then will offer opportunity to all NYC 911-receiving hospitals • Information exchange trip to Las Vegas in collaboration with Nevada Hospital Association taking place February 1-2 • Upcoming Medical Preparedness and Response to Bombing Incidents Course; 2-day course will be offered 2x in March

  12. CMS Final Rule on Emergency Preparedness Now in Effect • Compliance date of November 15th • NYS surveyors are integrating emergency preparedness regulations into full surveys following a complaint, and during validation surveys • Surveyors focusing on the presence of various protocols and processes as defined by CMS, but not the quality thereof • Commitment to ongoing dialogue as the survey process begins • Any issues thus far? • Number of resourced developed by GNYHA and others are available here: http://www.gnyha.org/whatwedo/emergency-preparedness/preparedness-communication/cms-final-rule

  13. Sit Stat 2.0 Implementation • GOAL: Build on current Sit Stat platform + increased collaboration within health and medical community to create foundation for a shared situational awareness platform • APPROACH: Provide the Intermedix for Health software bundle (EMResource & eICS) to all NYS members to support daily operations and manage and document emergency incidents. • Emergency Preparedness Bulletin sent to wide range of roles December 21, 2017 • Memo sent to CEOs this week

  14. Kickoff Meeting Held January 9th Formal launch of initiative; all NYS members invited • Overview of Sit Stat 2.0 initiative • Introduction of Intermedix team + product information and demonstration • Presented draft Participation Agreement

  15. Have Provided Additional Resources Requested by Members • Document outlining IT and security considerations • An Executive Briefing document that distills the benefits of the Sit Stat 2.0 system • Document that outlines notification capabilities within the EMResource and eICS modules vs. Intermedix’s mass notification module Alert • Document explaining discounted pricing for complementary Intermedix products Making minor adjustments to Participation Agreement; will share updated version soon Also working on interface/integration document

  16. Next Steps Sit Stat 2.0 Advisory Council Meeting next Tuesday, 1/23, 2-4 pm • Seeking a representative from each NYS health system and stand-alone hospital • Advisory Council will provide guidance and feedback to GNYHA regarding system configuration; training; minimum use standards; and system enhancements, among other topics. What You Can Do Now • Review all available materials and share them with appropriate internal colleagues • Ask us questions and share suggestions • Request assistance to work through specific implementation issues

  17. Agency Updates • NYS Department of Health • NYC Department of Health and Mental Hygiene • NYC Emergency Management

  18. 2018 EPCC Dates (through June) • Tuesday, February 13th • Thursday, March 22nd • Tuesday, April 17th • Thursday, May 17th • Tuesday, June 19th **All meetings will be held from 1:30-4:00pm

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