Title: Enhancing Public Health, Health Care System, and Clinician Preparedness: Strategies to Promote Coordination and Communication
1Enhancing 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
2Health Agency Coordination
Local Agencies/Organizations
State Agencies/Organizations
Federal Agencies/Organizations
Public Health Service
State Dept. of Health
Dept. of Health
State EMS
Dept. of Mental Health
Occupational Safety and Health Administration
(OSHA)
Dept. of Environmental Conservation
Dept. of Environmental Protection EMS, PD, FD
U.S. Dept. of Health and Human Services
Public Employee Safety and Health Bureau (PESH)
Office of the Chief Medical Examiner
Environmental Protection Agency (EPA) Federal
Emergency Management Agency (FEMA)
State Emergency Management
Office of Occupational Safety and Health (COSH)
Hospitals
Emergency Management
3Coordination of Local Agencies Public Health,
Hospitals Emergency Responders
4One Voice !!!!!!!!!!
5Incident Command System Decision Making
- Understanding of how the system coordinates
multi-agency responses to field and non-field
emergencies.
6Local Preparedness Local Resource Stockpiles
7Syndromic 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
8Syndromic SurveillanceIdeal Characteristics
- Does not rely on physician reporting
- Data already collected routinely
- Immediately computerized
- Population-based
- Categorized by syndrome
9Health Care System Provider Protections
MDs, RNs, EMS, Firefighters, Police Officers,
etc.