New Jersey: Health Emergency Preparedness and Response Program

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New Jersey Health Emergency Preparedness and
Response Program

• David Gruber, M.M.A.S.
• Assistant Commissioner
• New Jersey Department of Health and Senior
  Services
• Trenton, NJ

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Surge Capacity
the ability to exceed standard response in
reaction to an event that would overwhelm the
normal capacity of healthcare facilities
Individual facility Numbers
Health System
Regionalization/Situational Awareness/Education/Tr
aining/Exercise/Logistics
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What Might Happen
Acute Event Hard hitting Immediate
impact Shock and awe Majority of
casualties/minimal time Trauma to health
system Response/reaction based on planning

• Chemical attack
• Explosive event
• Tornado

Chronic Event Slow moving Gradual increasing
impact Increasing effect Exponential increasing
casualties Surprise health system Response/react
ion based on planning and adaptation

• Biological attack
• Radiological release
• Flooding

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The Health Emergency Preparedness and Response
Triad
Public Health
competency
Mitigate Prepare Respond Recover
capability
Emergency Management
Healthcare Delivery System
capacity
5
Focus

• Situational awareness
• Tempo Control
• Passive and Active Architectures
• Push and Pull
• Systems
• Redundancy
• Targeted capabilities
• SSS, Education/Training, Equipment, People

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An Emergency Preparedness and Response Health
System Network
To provide the State of New Jersey with an
integrated, synchronized, responsive, and focused
health preparedness and response capability using
highly trained and educated health professionals,
new technologies, coordinated planning, training
and exercise, and, cooperative efforts with
local, State, and Federal agencies.
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Role of Division of Health Emergency Preparedness
and Response

• Development of Health EPR Plans/Policy
• Development of Health EPR Infrastructure
  (ECC/MCC, C3I)
• Development of Health EPR Education/Training/Exer
  cise Programs
• Coordination of all emergency/bioterrorism/MCI
  grants
• Coordination of Education (consortium)
• Coordination of EPR Training and Exercise
• Supervision of State EMS programs (OEMS)
• Supervision of State Health System MCI Emergency
  Response
• Control of Strategic State Stockpile (SSS)
• Control of Strategic National Stockpile (SNS)
• Integration of Federal, Regional, State and Local
  Health EPR

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NJDHSS Major Emergency Preparedness And Response
Funding
FY 2003
FY 2004
CDC Focus Public Health
HRSA Focus Health Systems
MEDPREP Focus Critical and unfunded emergency
preparedness and response programs
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Roadmap
Year 1 Infrastructure ? Regionalization/surge
capacity Year 2 C3 Year 3 Exercise

• Phase I
• Strategic Development
• DHEPR Infrastructure (manpower/space/IT)
• Needs Assessment

• Phase II
• Strategic Development (cont.)/Review
• Needs Assessment (cont.)
• Program Development

• Phase III
• State Infrastructure
• Training/Education/ Exercise

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Medical Coordination Centers

• Five regional Medical Coordination Centers (MCCs)
  housed in host hospitals
• Health Auxiliary Coordination Center (HACC) in
  the New Jersey Hospital Association.
• Responsible for development of regional planning
  for hospitals and other medical facilities with
  an emphasis on enhanced surge capacity
• Coordination and management of medical and
  medically related activities and resources
• Integrated and synchronized with public health
  and emergency management systems.
• MCCs will have the same information available as
  the Departments HCC to include hospital
  diversion status, health facility bed status,
  pharmaceutical availability, medical information,
  and EMS system status.

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The Strategic State Stockpile

• The Commissioner of Health and Senior Services
  has directed the development and implementation
  of a plan that ensures New Jerseys healthcare
  system is adequately supplied with
  pharmaceuticals and medical supplies during any
  emergency.
• This plan will rely on federally supplied
  materials (the Strategic National Stockpile) and
  on a New Jersey owned stockpile of
  medical/pharmaceutical supplies tailored to the
  States needs (Strategic State Stockpile).

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Health System Integration Software

• Diversion
• HERMIS/Hospital Capacity
• EMS/Decon Tracking
• Project Tracking
• SSS Inventory
• Professional Registry
• Credentialing

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The New Jersey Factor

• National
• Transportation corridor for rail and road
• Ports and Airports
• Philadelphia and New York City
• Critical National Industries
• Agriculture
• Atlantic City
• Nuclear Power Plants
• New Jersey
• Petro-Chemical Plants
• Pharmaceutical Industry
• Agriculture
• Tourism

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David Gruber Assistant Commissioner New Jersey
Department of Health Senior Services PO Box
360 Trenton, NJ 08625 DavidGruber_at_doh.state.nj.u
s [phone]