# Presentation: 122351

## 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

## 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

- Regionalization/Situational Awareness/Education/Training/Exercise/Logistics

- Health
- System

**Surge Capacity**

## What Might Happen

- 	Hard hitting
- 	Immediate impact
- 	Shock and awe
- 	Majority of casualties/minimal time
- 	Trauma to health system
- 	Response/reaction based on planning

*Chronic Event*:
- 	Slow moving
- 	Gradual increasing impact
- 	Increasing effect
- 	Exponential increasing casualties
- 	Surprise health system
- 	Response/reaction based on planning and adaptation

- Chemical attack
- Explosive event
- Tornado

- Biological attack
- Radiological release
- Flooding

**What Might Happen**

## The Health Emergency Preparedness and Response Triad

- Public Health

- Emergency
- Management

- Healthcare Delivery
- System

- competency

- capability

- capacity

- Mitigate    Prepare    Respond   Recover

**The Health Emergency Preparedness and Response Triad**

## Focus

**Focus**

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

## An Emergency Preparedness and Response Health System Network

**An Emergency Preparedness and Response Health System Network**

## Role of Division of Health Emergency Preparedness and Response

**Role of Division of Health Emergency Preparedness and Response**

- Development of Health EP&R Plans/Policy
- Development of Health EP&R Infrastructure (ECC/MCC, C3I)
- Development of Health EP&R Education/Training/Exercise Programs
- Coordination of all emergency/bioterrorism/MCI grants
- Coordination of Education (consortium)
- Coordination of EP&R 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 EP&R

## 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**

**NJDHSS Major Emergency Preparedness And Response Funding**

## Roadmap

-            _Phase I_
**Strategic Development**
**DHEPR Infrastructure (manpower/space/IT)**
**Needs Assessment**

-          _Phase III_
**State Infrastructure **
**	**
**Training/Education/ Exercise**
**	****	**

- 	     _Phase II_
**Strategic Development (cont.)/Review**
**	**
**Needs Assessment (cont.)**
**	**
**Program Development**

- Year 1:  Infrastructure ― Regionalization/surge capacity
- Year 2:  C3
- Year 3:  Exercise

_**Roadmap**_

## Medical Coordination Centers

**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 Department’s HCC* to include: hospital diversion status, health facility bed status, pharmaceutical availability, medical information, and EMS system status.

## The Strategic State Stockpile

**The Strategic State Stockpile**

- The Commissioner of Health and Senior Services has directed the development and implementation of a plan that ensures New Jersey’s 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 State’s needs (Strategic State Stockpile).

## Health System Integration Software

**Health System Integration Software**

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

## The New Jersey Factor

**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

## David Gruber

- Assistant Commissioner
- New Jersey Department of Health & Senior Services
- PO Box 360
- Trenton, NJ   08625
- _[DavidGruber@doh.state.nj.us](mailto:DavidGruber@doh.state.nj.us)_
- (609) 633-8350