Early Notification Plan: FDNY/EMS & NYC Hospitals

1. Early Notification Plan:FDNY/EMS & NYC Hospitals August 9, 2011 Isaac Weisfuse, MD Deputy Commissioner, DOHMH

2. Objectives • Provide actionable information at the outset of certain kinds of events • Provide information on when site is cleared by EMS

3. Triggers • Decontamination done in the field, or recommended. • Chemical, radiologic or explosive event, associated with a class order • Event involving mass transit or a plane crash • Event requiring a hospital evacuation • Evacuation of a large public facility with patients being brought to hospital

4. Message Content • First message: • Approximate time of event • Location • Brief Description: number of patients triaged so far, events expected size (intensity, duration, scope), potential to effect hospitals outside of immediate area • Second message: • Site cleared

5. This Initiative is Not: • Replacing communications between EMS and NYC hospitals on bed availability • Going to beat CNN or other news sources • Going to provide enough detail to satisfy everyone’s needs • Account for walk in patients

6. Hospital Responsibilities • Designate 3-5 contacts per hospital for notification and keep this information up to date. • Develop mechanisms to do intra hospital notification if a message is delivered • Document what actions where taken on the basis of those messages • Participate in drills

7. DOHMH Responsibilities • Collect Hospital contact information and provide to FDNY/EMS • Coordinate drills

8. FDNY/EMS Responsibilities • Create operational protocol for sending out messages • Create template messages • Participate in drills

9. Next Steps • Hospitals provide contact information to NYC DOHMH (1 month) • DOHMH transfer the data to FDNY/EMS notification system (2 weeks)

10. Hospital Participation: • Each hospital creates a single e-mail address e.g.; Earlynotificaton1@HospitalAcronym.org (earlynotification1@nyumc.org) • Hospitals use this standard naming format • Each hospital EPC creates and manages who within their hospital will have access to this e-mail address – • EPC’s can add/remove names as needed • (Ideally your hospitals e-mail system can automatically forward and receive messages to a group of e-mail addresses within your hospital, which your hospital defines.) • (This can be up to five people, including your administrator on duty, COO and off-shift nursing leadership.) • When requested, submit the standard name email address to DOHMH • DOHMH will provide collated list to FDNY EMS