# Presentation: 900455

## NY State Health Commerce System 

**NY State Health Commerce System **

**Integrated Information Systems for **
**Public Health Preparedness, Response and Recovery**

## The Role of  Integrated  Health Information Infrastructure in Supporting Planning and Preparedness for a Key Regional Public Health Event. 

- _The Republican National Convention(RNC)_.

*By*

*Ivan J. Gotham, Ph.D*
*Robert L. Burhans *
*Dennis P. Whalen*
* **Debra L. Sottolano, Ph.D. *
*Linh H. Le, M.D.MPH*
*James R. Miller, MD *
*Loretta A. Santilli*
*Mary Ellen Hennessy, RN*
*John P. Napoli*
*-*
*Acknowledgements** *
*Carol A. Hirsch, Daniel W. Hulchanski, Sean T. Kelly, Michelle Kosinski, *
*Nicole Vanderpool, Hongmei Yu, *
*-*
*New York State Department of Health, Albany NY*

## RNC Event Planning

- NY City ( Special Security Event )
- Time Frame: Aug 28 – Sept 3, 2004
- Regional Health Preparedness
- NY City ( lead )
- NY State ( supportive )
- County Health Departments
- Nearest Neighbor: Nassau, Suffolk, Westchester, Rockland
- Region: Orange, Putnam, Dutchess, Ulster, Sullivan
- Federal Government (DHHS –Region II )
- Other States ( New Jersey, Connecticut )

## Health Preparedness Functions/Information Required

- Health Alerting/Communications Directory
- Epidemiological Surveillance ( Disease reporting / syndromic )
- Health Facility Assets
- Attributes, equipment, supplies, pharmaceuticals, antidotes
- Capacity ( surge )
- Current patient traffic status, admission trends
- Patient/victim tracking
- Provider/Practitioner Assets
- Volunteers by specialty
- Regional practicing physician specialties
- Laboratory capacity/attributes

## Supportive Requirements

- Live data feeds
- Integrated functionality and data summarized and available across  systems
- Provide high level situational awareness to Executive Decision makers using data visualization
- Regional access  by state, local, regional, Federal health/response agencies
- Leverage Existing Infrastructure

## Existing Commerce Infrastructure Used by Analytical and Program Staff During RNC

- Secure Health Commerce System
- Health Alerting
- Integrated Health Alerting and Notification System
- Communications Directory
- Public Health Preparedness Information Systems
- Health Emergency Response Data System
- Disease Surveillance and ELC Systems
- Medical Volunteer tracking

## NYSDOH Health Commerce SystemRoutine Information Interchange & Public Health Preparedness

**Local Public Health**

**Hospitals – 250 (all)**
**Nursing Homes – 690 (All)**
**Home Health/Personal Care – (600)**
**Diagnostic & Treatment Ctrs. – (500)**
**Physicians (20-30K in process)**
**Managed Care Orgs. (70)**
**Clinical, Env. Labs – (1805)**
**Pharmacies (200)**
**EMS, Emergency Managers, Fire, law enforcement **

**Health Information **
**Network (HIN)**

**25,000 accounts**
**8,000 Organizations**
**2,800 User logins /day**
**450,000 access hits/day**
**150 mission critical applications**

**Health Provider Network (HPN)**

- NYSDOH Health Commerce SystemRoutine Information Interchange & Public Health Preparedness

**All County Health **
**Depts. – (57)**
**NY City DOH**

**New  Organizations**

**Federal:  DHHS**
**NYState:  DHS, CSCIC (CyberSecurity Critical Infrastructure), Dept. of Agriculture & Markets, **
**State Police, OEM, Insurance Dept., OMH, DEC**
**NYC:  FDNY**
**Other States: NJ DOH; CT DOH**

## NYS HEALTH COMMERCE Architecture

**NYS HEALTH COMMERCE Architecture**

## Commerce Health Alerting

- Communications Directory(ComDir)
- Central Repository for Role and Contact Information for _all _Organizations
- Place contacts ( eg. Business Office 24/7 contact)
- Role/Person contacts ( e-mail,fax,pager,cell )
- Roles customized by organization type
- Updated by Organizations
- Integrated Health Alerting and Notification System
- Uses role/contact information from ComDir
- Multiple contact methods:voice-phone/cell, pager, e-mail,fax, secure web posting
- Multiple notification priorities:alert, advisory, update, informational
- Contact methods determined by the level of notification priority
- Predefined or user-customized lists
- Web-based tool usable by state and local health within jurisdictions

## Public Health Preparedness Information Systems

- Epidemiological and Lab Capacity
- Statewide Disease Reporting System
- Statewide Electronic Clinical Lab Reporting System
- Statewide Arbovirus surveillance (Human,Animal,Vector)
- ED and Syndromic Surveillance
- Lab Response Network
- Suspect case Photo Submission
- Health Care and Provider Capacity
- Health Emergency Response Data System
- Medical Volunteer database

## Disease Surveillance, Detection and Response

**Hospitals**

**Surveillance data**
**Health Alerts, **
**Lab Test Results,**
**Hospital Disease Reporting,**
**Syndromic Surveillance,****  **
**Facility Resource Information**

**Local Health Departments**

**Surveillance Data**** **
**Health Alerts, Lab Test Results**
** ****Community Disease Case Reporting**
**Animal, Vector, Bird Surveillance (Arbovirus WNV)**

**NYS PH  Response **
**Partners**
**DHS,CSCIC, OMH,**
**Ag. Markets, SEMO**

**Federal Agencies (CDC, DHHS), **
**Other states**

**HL7,LOINC**

## Health  Emergency Response Data System(HERDS)

- Live Statewide information flow between Health Facilities and State, local health response partners for:
- Planning ( Capacity, Drills, Preparedness )
- Surveillance ( on-going monitoring of capacity or events )
- Incident Response ( reporting, monitoring  of  resources, needs )
- Inventory Facility Assets
- Tracking patients and victims
- Multi-tasking - Multiple simultaneous events in separate geographic regions.
- Real-time surveillance and incidents
- Flexible, adapting to changes in the event as it evolves
- Surveillance forms,  incidents created/deployed  on-the-fly without programming
- Targeted deployment from  individual facilities, to county, region, statewide
- Facilities/Affected Jurisdictions  alerted on activation
- Advanced Data Visualization: GIS, charts, graphs
- Used by NYS State/Local Health, NYCity(HMH, OEM, GNYHA), Hospitals in CT, NJ

## Example HERDS Detail Data on from Health Facilities 

- Example HERDS Detail Data on from Health Facilities

## Slide 14

## RNC Preparedness

**Develop Executive Dash Board(**_**EDB**_**) with role-based access on Commerce, integrating functions and data feeds for:**
- Alerting
- Cross Jurisdictional Communications Directory across affected Region
- Epi. Surveillance ( Disease Reporting, Syndromic Surveillance )
- ED disease cluster Surveillance: Statewide, with focus within Region
- OTC Medications, Medicaid Scripts Surveillance:  Statewide, with focus within Region
- Syndromic ED surveillance: within Region
- Hospital capacity( HERDS)
- Statewide Critical Assets and bed availability - 250 hospitals
- Event patients, patient traffic, event patient symptoms – 150 hospitals within region
- Physician Assets: within region
- Licensed Professional Volunteer Tracking: within region
- Lab Capacity: within region

## RNC Preparedness

**Enable access to EDB for  Cross Jurisdictional Use. Providing key **_**Executive  staff**_** with high level of situational awareness during RNC.**
- Other states: Connecticut DOH, New Jersey DOH
- Federal Agency DHHS Region II
- NYSDOH and Local Health Executive Staff ( 9 counties and NYCith DOH)
**Summarize and integrate information from multiple data feeds**** **
**Graphical displays**
**GIS Data Visualization.**

## Cross Jurisdiction

- Directory
- Alerting
- Secure Collaboration
- Procedures
- Resources
- Event Information
- Training materials