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Enhancing Public Health, Health Care System, and Clinician Preparedness: Strategies to Promote Coordination and Communication. Edward J. Gabriel, M.P.A., A.E.M.T.-P Deputy Director Office of Emergency Management City of New York. Health Agency Coordination. Local Agencies/Organizations.
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Enhancing Public Health, Health Care System, and Clinician Preparedness: Strategies to Promote Coordination and Communication Edward J. Gabriel, M.P.A., A.E.M.T.-P Deputy Director Office of Emergency Management City of New York
Health Agency Coordination Local Agencies/Organizations State Agencies/Organizations Federal Agencies/Organizations Dept. of Health State Dept. of Health Public Health Service Dept. of Mental Health State EMS Occupational Safety and Health Administration (OSHA) Dept. of Environmental Protection EMS, PD, FD Dept. of Environmental Conservation U.S. Dept. of Health and Human Services Office of the Chief Medical Examiner Public Employee Safety and Health Bureau (PESH) Environmental Protection Agency (EPA) Federal Emergency Management Agency (FEMA) Office of Occupational Safety and Health (COSH) State Emergency Management Hospitals Emergency Management
Coordination of Local Agencies: Public Health, Hospitals & Emergency Responders
Incident Command System & Decision Making • Understanding of how the system coordinates multi-agency responses to field and non-field emergencies.
Syndromic Surveillance Systems • Pre-Clinical • Over the counter (OTC) pharmaceutical sales • Data collection hotlines • Medical examiner numbers • Suspicious substances • Clinical • 911 ambulance dispatch • Sick leave usage • Emergency department visits • Clinical laboratory submissions
“Syndromic Surveillance”Ideal Characteristics: • Does not rely on physician reporting • Data already collected routinely • Immediately computerized • Population-based • Categorized by syndrome
Health Care System & Provider Protections MD’s, RN’s, EMS, Firefighters, Police Officers, etc.