Enhancing Public Health, Health Care System, and Clinician Preparedness: Strategies to Promote Coordination and Communication
Enhancing Public Health, Health Care System, and Clinician Preparedness: Strategies to Promote Coordination and Communication
Edward J. Gabriel, M.P.A., A.E.M.T.-PDeputy Director
Office of Emergency Management
City of New York
Edward J. Gabriel, M.P.A., A.E.M.T.-PDeputy Director
Office of Emergency Management
City of New York
Local Agencies/Organizations
State Agencies/Organizations
Federal Agencies/Organizations
Health Agency Coordination
Emergency Management
Hospitals
State Emergency Management
Office of Occupational Safety and Health
(COSH)
Environmental Protection Agency (EPA)
Federal Emergency Management Agency
(FEMA)
Public Employee Safety and Health Bureau
(PESH)
Office of the Chief Medical Examiner
U.S. Dept. of Health and Human Services
Dept. of Environmental Conservation
Dept. of Environmental Protection
EMS, PD, FD
Occupational Safety and Health Administration (OSHA)
State EMSDept. of Mental Health
Public Health ServiceState Dept. of HealthDept. of Health
Coordination of Local Agencies: Public Health, Hospitals & Emergency
Responders
Coordination of Local Agencies: Public Health, Hospitals & Emergency
Responders
One Voice !!!!!!!!!!
Incident Command System & Decision Making
Incident Command System & Decision Making Understanding of how the system coordinates multi-
agency responses to field and non-field emergencies.
Understanding of how the system coordinates multi-agency responses to field and non-field emergencies.
Local Preparedness & Local Resource Stockpiles
Local Preparedness & Local Resource Stockpiles
Syndromic 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
“Syndromic Surveillance”Ideal Characteristics:
Does not rely on physician reporting Data already collected routinely Immediately computerized Population-based Categorized by syndrome
Health Care System & Provider Protections
MD’s, RN’s, EMS, Firefighters, Police
Officers, etc.
