Primary Care Emergency Management Demonstration Project

1
Primary Care Emergency Management Demonstration
Project

• Debra E. Berg, M.D.
• Medical Director
• Bioterrorism Hospital Preparedness Program
• Bureau of Communicable Disease
• New York City Department of Health
• and Mental Hygiene

2
Needs Assessment

• Fire, bomb threat, evacuation plans are in place
• However
• No plan for a bioevent
• Primary Care Centers (PCCs) have undefined and
  variable roles

3
Preparation Plans for Primary Care Centers (PCC)

• Incident management system
• Hazard vulnerability analysis
• Emergency preparedness talks
• Tabletop exercises

4
Intervention Implementation

• Coachs weekly onsite visits
• Emergency management committee
• Incident management system
• Emergency communication plan to notify staff
• Staff roles

5
Lessons Learned

• Panel discussion with Office of Emergency
  Management, Emergency Medical Services, NYC
  Medical Association, Dept. of Health (DOH)
• Tabletop exercises (PCC and DOH, Dept. of Mental
  Health, Office of Emergency Management)

6
Primary Care Center Roles

• Information hub
• Mental health counseling, triage, referral
• Care for patients whose illnesses are non-event
  related

7
Primary Care Center Roles (cont.)

• Triage for event-related patients
• Staff/facility/equipment to area hospitals/PCCs
• Staff for Medical Reserve Corp