Post-Disaster Recovery New York State Department of Health Experience with Superstorm Sandy

Transcription

1 IOM Committee on Post-Disaster Recovery Washington, D.C. Feb. 3, 2014 Post-Disaster Recovery New York State Department of Health Experience with Superstorm Sandy Dr. Howard Zucker First Deputy Commissioner NYSDOH

2 Hurricane Sandy Oct. 29 th 2012

3 Recovery Phases National Disaster Response Framework(NDRF) Short Term- damage assessment, basic infrastructure restored, recovery organizations mobilized (days) Intermediate-return critical infrastructure and essential government/commercial services back to functional (may be temporary solutions) (months) Long term- complete redevelopment and revitalization of the damaged area, which could mean returning the area to conditions set in a long-term recovery plan (years)

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5 Disaster Recovery Activities Is a Function of the nature and severity of the incident Natural Disasters (Hurricane): Repatriation of Evacuation Operations (Patient Tracking, Destination Location, Transportation) Shelter (Special Medical Needs) Don t forget, Snow, Ice, Tornado, Wild Fire, Earthquake etc. Biological/Chemical/Radiological Terrorist Influenza Pandemic Mass Casualties/Fatalities Burn Surge Medical Counter Measure Dispensing (SNS, State Stockpile)

6 All Hazards Incident Command System (ICS) Must be understood and used by all The structure to solve all challenges Active in the Recovery Phase not just Response Crisis Standards of Care When to activate Consider At Risk/Special Needs Populations

7 Short Term Recovery Activities Surveyors Checklists by specialty: Hospitals, Nursing Homes, Adult Care Facilities, Public Water, Food Inspections etc to determine damage assessments Basic Infrastructure- Shelter, water, food, medical (immunization) Recovery Organizations- FEMA, HHS, Red Cross, DMATs, DMORDTs, coordinate with Unaffiliated Spontaneous Volunteers (Dr s Without Borders)

8 Intermediate Term Recovery Activities Identifying Healthcare Workers as Critical Infrastructure Personnel Pharmaceutical Availability (chronic) After Action Report/Improvement Plan (AAR/IP) Process, begins in the Intermediate Phase but IP activities continue through the Long Term Recovery Phase

9 AAR/IP Post Incident AAR/IP Hot Washes- bring in Public Health Subject Matter Experts (SMEs) to: Identify Strengths Identify Weaknesses Develop Solutions (IP) (intermediate and Long Term) Publish AAR/IP

10 Long Term Recovery Activities AAR/IP Funding Decisions

11 Funding Decisions Funding Decisions: Depends on Source (Federal, State, Private) Follow Appropriate Guidance Request Proposals (RFP Development) Develop Proposals (if Applying) Receive Proposals (if Awarding) Evaluation (if Awarding) Notification of Awards Monitoring

12 NYSDOH Superstorm Sandy Recovery Activities Short Term- efinds (Electronic Patient Tracking), Healthcare Facility Evacuation Center (HEC), Special Needs Medical Shelters (SNMS) Intermediate- Identifying Healthcare Workers as Critical Infrastructure Personnel, Pharmaceutical Availability, Mobile Medical Facilities, AAR/IP, Moratorium on New HCF Construction Long Term- AAR/IP, Social Services Block Grant (SSBG), Hazard Mitigation Grant Program (HMGP)

13 efinds Identified System Requirements need during Preparedness Planning Reinforced in Hurricane Irene, Tropical Storm Lee, Superstorm Sandy (AAR/IP) Developed Post Superstorm Sandy Electronic Patient Tracking Web based, scanners, bar codes etc Deployed summer 2013

14 Picture efinds

15 HEC Healthcare Evacuation Center Not all Emergency Support Function (ESF)-8 activities Evacuation and Repatriation Operations Multi Agency- State/City Health, State/City OEM, EMS, FDNY, Hospital, NH ACF Associations Developed in 2005 (City OEM, State and City Health) First activated during Hurricane Irene/Tropical Storm Lee Again During Superstorm Sandy

16 HEC

17 SNMS City Health assigned 8 SNMS established DMATs staffed with City Health Not Designed for Nursing Home Residents

18 Healthcare Workers Need to be identified as Critical Infrastructure Personnel in order to: Transverse Traffic Control Checkpoints (Staff couldn t get to facilities, shift change) Receive Scarce Resources (Fuel)

19 Pharmaceutical Availability CVS Mobile Pharmacy EPAP FQHC Mobile Van Deployment Door Knock Mission

20 CVS Mobile Pharmacy Deployed from Ohio Set up in Rockaways

21 EPAP Emergency Prescription Assistance Program Designed for uninsured $1.2 M spent on prescriptions

22 FQHC Mobile Vans 9 Vans Deployed from other Counties in the State Daily Deployment Schedule developed based on Need Primary Care, Limited Pharmacy

23 FQHC Mobile Vans

24 Door Knock Mission Large Apartment buildings Joint Task Force- NYPD, City Health, FEMA, DMAT, National Guard Wellness Checks, provide meds and other supplies (blankets etc..)

25 Mobile Medical Facilities NJ Mobile Satellite Emergency Department (MSED) (to Long Beach) Federal Medical Stations (FMS)

26 MSED Mobile Satellite Emergency Department Via Emergency Management Assistance Compact (EMAC) from New Jersey ED, ER, X-Ray

27 Picture MSED

28 FMS 250 Bed Facility (the stuff not the shelter) Need to Identify a Building to set up 1 NYC 1 NYS Helped equip the SNMS

29 FMS

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32 AAR/IP Conducted 17 Hot Washes (all provider types and emergency response partners) Hot Washes conducted between December April 2013 Published AAR/IP December 2013

33 NEW YORK STATE DEPARTMENT OF HEALTH SUPERSTORM SANDY RESPONSE OCTOBER 26, 2012 FEBRUARY 27, 2013 FINAL AFTER ACTION REPORT/IMPROVEMENT PLAN DECEMBER 3, 2013

34 Major Lessons Learned Patient Tracking System Emergency Preparedness Personnel Infrastructure Identifying Healthcare Worker as Critical Infrastructure Unaffiliated Spontaneous Volunteers SIP Issues (generators, staff, supplies)

35 HCF Construction Due to massive damage to HCFs a Moratorium on new and major renovation projects HCF Construction was established in May 2013

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37 SSBG Social Services Block Grant efinds Funding HEC Data Application- combine all available data into one application for Situational Awareness and Decision Making

38 HMGP Hazard Mitigation Grant Program Provide Generators for Adult Care Facilities throughout State (522)

39 PHHPC Public Health and Health Planning Committee Ad Hoc Advisory Committee on Environmental and Construction Standards June 2013-August 2013

40 PHHPC AD HOC ADVISORY COMMITTEE ON ENVIRONMENTAL AND CONSTRUCTION STANDARDS EIGHT COMMITTEE RECOMMENDATIONS AUGUST 2013 September 12, 2013 NYS DEPARTMENT OF HEALTH 40

41 PHHPC 8 Recommendations Regulatory Change- update to 500 year crest level Mitigation Measures in Evacuation Zones Applies to ALL new Facilities Require Accessibility of Patient Information Voluntary Adoption of Best Practices by Existing Article 28 s Lift the Current Health Facility Construction Moratorium Encouraged Regional Planning Emphasized PHHPC/DOH Roles in Planning and Surveillance

42 Resources National Disaster Recovery Framework (NDRF) NDRF HSS Recovery Support Function CONOPs State Recovery Plans

43 Questions?