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Emergency Preparedness Coordinating Council

A presentation on the response and lessons learned from a recent vehicular intrusion incident, focusing on active shooter preparedness, active shooter protocols and training for patient care staff, NFPA 3000 proposed standard, coastal storm preparedness, and mass casualty response planning.

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Emergency Preparedness Coordinating Council

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  1. Emergency Preparedness Coordinating Council March 22, 2018

  2. Presentations Response to and Lessons Learned from a Recent Vehicular Intrusion Incident • Jim Hite, Director, Environmental Safety and Protective Services, Middlesex Hospital, Middletown, CT   • Kevin McGinty, Safety and Emergency Management Coordinator, Middlesex Hospital, Middletown, CT Active Shooter Preparedness: A Tale of Two Hospitals (And Health System and Law Enforcement Involvement) • Art Ditzel, Manager, Emergency Preparedness, NewYork Presbyterian Health System • Stephan Herman, Safety Manager, NYP Brooklyn Methodist Hospital • Sgt. Tom Boyle, NYPD Shield • Kevin McConville, Director, Security Services, NYP Hudson Valley Hospital Center

  3. Facilitated Discussion: Active Shooter Protocols and Training for Patient Care Staff • Focused on: • Approaches to development of active shooter protocols/plans for patient care areas in hospitals & Training of staff in patient care areas for active shooter scenarios • Briefly reviewed guidance produced to date including • Reviewed data from recent survey of public and hospital-based providers regarding staff responsibilities during active shooter events in hospitals

  4. Facilitated Discussion: Active Shooter Protocols and Training for Patient Care Staff • Went through series of thought questions that underscored the need for dialogue and training/drilling on these issues • Most facilities are conducting universal training of staff related to safety and emergency protocols • Emerging ideas • Need for additional dialogue and training at the unit or service line level • Development of key institutional messages/posture for varying constituencies including: public, workforce, patients and families

  5. NFPA 3000 Proposed Standard for Preparedness and Response to Active Shooter and/or Hostile Events • Under development/review • Would be provided to communities for consideration when developing their active shooter

  6. Discussions & Updates

  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 • NYC DOHMH and NYS DOH are actively reaching out to facilities to support compliance with the FPA requirement. • Additional web-based trainings were conducted for nursing homes and adult care facilities.

  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. • The workgroup has identified 10 pilot facilities to seek participation in the first year of the project. • A Memorandum of Understanding is under development that details the responsibilities of NYCEM/City agencies and the participating facilities. • Will begin outreach to 10 selected facilities soon.

  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 (SMNS). • Key activities • Educate ALL out of zone hospitals on possibility that they may receive medically vulnerable community members • Drafting explanatory memo to be sent in May • Planning educational webinar for late May • Working to identify some out of zone facilities citywide that, due to space availability, may be able to take on additional community members vis-à-vis the nursing home model • While outside scope of workgroup: • With NYC partners, work to ensure that SMNS facilities are at full capacity • Encourage education of home health care agencies re: city sheltering and evacuation operations, and increase coordination among home health and city response agencies

  10. Mass Casualty Response Planning • Medical Preparedness and Response to Bombing Incidents Course • Held March 12-13 and March 14-15 • Attended by more than 160 physicians, nurses, emergency managers, pre-hospital providers, and law enforcement personnel from across the New York region • Analysis of 1st year of data. Also includes: • MCI coding adjustments • Considerations for NYC 911-receiving EDs related to Level A notifications

  11. Mass Casualty Response Planning • MCI Response Planning Toolkit for Hospitals under development • FDNY Dispatch Center Tours ongoing • Researching disaster medicine training opportunities; in conversation with Center for Disaster Medicine, New York Medical College

  12. 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.

  13. Activities to Date & Upcoming • Held three Advisory Council meetings • Have produced number of requested documents • Held IT Security Call • Held Implementation Call with large health system in West • Continuing to support facilities and systems with dedicated calls and demos • Working through basic non-participant notification/data collection method (Sit Stat 1.0 Replacement) • Beginning work with FDNY to move MCI notifications into Sit Stat 2.0 system

  14. Center for Health Security Report & ASPR Regional Disaster Response System Proposal • ASPR Concept Paper for a Regional Disaster Health Response System and complementary statement by ASPR Secretary Robert Kadlec • Center for Health Security Report – examines readiness for 4 types of disasters • Small mass injury/illness events • Large scale natural disasters • Complex mass casualty events • Catastrophic health events

  15. Joint Commission Mock Survey Experience • Jake Neufeld, Environmental Health and Safety, Emergency Management, Memorial Sloan Kettering Cancer Center

  16. Upcoming Events • Hospital Briefing and Information Exchange with Con Edison • March 28th, 9am-12pm; targeting facilities and engineering leadership • Electrical, Gas and Steam System Design and Reliability • Energy Efficiency Programs • Emergency Management • New Business Project Center • Cybersecurity • Cybersecurity Tactical Simulation, May 9-10th

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

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

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