# Presentation: 469257

## NY State Health COMMERCE System 

**Integrated Health Information Systems for Public Health Preparedness, Planning, ****Communications****, Response & Recovery**

**NY State Health COMMERCE System **

## NYS Health Alerting and Notification: A Model State/regional Infrastructure for Effective Alerting Across Public Health, Health Care and Response Partner Sectors.

*Debra L. Sottolano, Ph.D., *
*Ivan J. Gotham, Ph.D. *
*Robert L. Burhans, *
*Dennis P. Whalen, *
*Dale L. Morse, MD, *
*Guthrie S. Birkhead, MD, *
*Linh H. Le, M.D., MPH, *
*Carol A. Hirsch, *
*Michelle L. Kosinski.*
*  *
* *

**NYS Health Alerting and Notification: A Model State/regional Infrastructure for Effective Alerting Across Public Health, Health Care and Response Partner Sectors.**

*New York State Department of Health, Albany, NY*

## 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**
**100 mission critical applications**

**Health Provider Network (HPN)**

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

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

**New HPN User Organizations**

**Federal: **** DHHS**
**NYS:****  DHS, CSCIC (Cybersecurity),**
**Dept. of Agriculture & Markets, State Police, SEMO, Insurance Dept., OMH, DEC**
**NYC:****  FDNY**
**Other States:**** NJ DOH; CT DOH  – upcoming, VT, MN, NH**

## NYSDOH COMMERCE
Integrated Communications Directory and
Notification System

**NYSDOH COMMERCE**
**Integrated Communications Directory and**
**Notification System**

***Purpose:***

- To provide the Agency with a capacity for exchanging routine and emergency communications with our partners in public health and healthcare preparedness and response,
- that is:
- Integrated and comprehensive
-  Accurate and immediate
-  In alignment with national standards promoted by CDC and work being done in other States and major cities across the nation.

## Major System Components:

-  NYSDOH Communications Directory
-  NYSDOH Notification System
-  NYSDOH Duty Officer System

## Health COMMERCE Architecture

**Health providers,**
**Response partners, Agencies**

**Local Health Departments**

**Clinical Labs**

**Automated live  exchange**
**Clinical data, Alerts**
**Other State/Federal Systems**** **

-  **Integrated **
**Notification **
**System**

**Communications**
**Directory**

**COMMERCE****HIN - HPN - HAN**

**Health COMMERCE Architecture**

## Communications Directory

*A *single* agency source of the *accurate* business and 24/7 contact information for essential persons and locations in:*
-  NYSDOH, other State agencies
-  Local Health Departments,
-  health provider organizations,
-  and emergency preparedness/response 	organizations
- Accessed and maintained on the Commerce network.

## Communications Directory

***Key uses:***
- Foundation of emergency notifications 	system
- routine communications, bulk messaging 	for information sharing,  role based access to data and Commerce 	applications
- foundation source of location information 	for all Commerce applications
- shared architecture with Commerce user 	organizations

## Decentralized maintenance of contact and account information by external partners eliminates:
redundant requests for contact information to same facility by multiple DOH programs
outdated lists, email bounce backs, or misdirected faxes.

- Decentralized maintenance of contact and account information by external partners eliminates:
- redundant requests for contact information to same facility by multiple DOH programs
- outdated lists, email bounce backs, or misdirected faxes.

**HPN Account information for a given organization is linked to that facility’s **
**Communications directory records – simplifies contact entry, minimizes **
**duplicate entry of names.**

## Contact information update reminders sent to HPN/HIN coordinators every three months.
Notification of new roles sent to immediate attention of coordinators for quick turnaround on populating roles.

- Notification of new roles sent to immediate attention of coordinators for quick turnaround on populating roles.

***On screen reminder***
***to coordinators to ******review/update their ******information if this has ******not been done in over******90 days.***

## Roles customized to organization type

**Local Health Departments**

**Hospitals**

## Adding Contact Information – Person Matching

## Communications Directory

**User maintained, **
**prioritized, **
**modes of emergency **
**notification contact **
**Information for business**
**hours and after hours **
**contact.**

## Creating Contact Lists 

**Creating Contact Lists **
**by Person**

## Creating Contact Lists by Role

**Creating Contact Lists by Role**