New Jersey: Health Emergency Preparedness and Response

Program

David Gruber, M.M.A.S. Assistant CommissionerNew Jersey Department of Health

and Senior Services Trenton, NJ

“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

HealthSystem

Surge CapacitySurge Capacity

Acute Event:Hard hittingImmediate impactShock and aweMajority of casualties/minimal timeTrauma to health systemResponse/reaction based on planning

Chronic Event:Slow movingGradual increasing impactIncreasing effectExponential increasing casualtiesSurprise health systemResponse/reaction based on planning and adaptation

• Chemical attack• Explosive event• Tornado

• Biological attack• Radiological release• Flooding

What Might HappenWhat Might Happen

Public HealthPublic Health

EmergencyEmergencyManagementManagement

Healthcare DeliveryHealthcare DeliverySystemSystem

com

pete

ncy

capability

capacity

The Health Emergency The Health Emergency Preparedness and Response TriadPreparedness and Response Triad

Focus

Situational awareness Tempo Control Passive and Active Architectures

Push and Pull

Systems Redundancy Targeted capabilities

SSS, Education/Training, Equipment, People

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.

An Emergency Preparedness and Response Health System Network

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

Development of Health EP&R Plans/PolicyDevelopment of Health EP&R Infrastructure (ECC/MCC, C3I)Development of Health EP&R Education/Training/Exercise Programs

Coordination of all emergency/bioterrorism/MCI grantsCoordination 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

MEDPREP(32%)

HRSA(8%)

CDC(60%)

MEDPREP(24%)

HRSA(26%)

CDC(50%)

FY 2003 FY 2004CDC Focus: Public Health

HRSA Focus: Health Systems

MEDPREP Focus: Critical and unfunded emergency preparedness and response programs

NJDHSS Major Emergency Preparedness NJDHSS Major Emergency Preparedness And Response FundingAnd Response Funding

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 capacityYear 2: C3Year 3: Exercise

RoadmapRoadmap

Medical Coordination CentersMedical 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 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

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

The New Jersey FactorThe 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

Region Team

Public HealthPublic Health

EmergencyEmergencyManagementManagement

Healthcare DeliveryHealthcare DeliverySystemSystem

David GruberAssistant Commissioner

New Jersey Department of Health & Senior ServicesPO Box 360

Trenton, NJ 08625DavidGruber@doh.state.nj.us

(609) 633-8350