October 28, 2012
Important Hurricane Preparedness Information
The New York State Department of Health (DOH) last evening issued two highly important communications to home and community based providers through the Health Commerce System. This information is provided below.
(1) Conference Call: A statewide conference call for home care and hospice providers will be held today, October 28, at 11:30 a.m. The conference call dial-in is: 866-469-3239; the access code is: 928338909#. It is crucial that agency representation be on this call.
(2) Data Required: As of 6 p.m. yesterday, DOH has activated the Home and Community Based Care system (HCBC) for ALL home health agencies and hospice organizations statewide to collect data to be used during Hurricane Sandy response activities. Directions for accessing the survey form are available on the HCBC Main Menu of HCS. DOH will be seeking information on the numbers of levels 1, 2 and 3 patients throughout the hurricane activation. Patient classification levels should be reviewed and updated to ensure that classification and/or caregiver support has not changed (those levels are summarized later in this alert).
Although large scale evacuations have not yet been mandated, some locations in low lying areas (such as Fire Island and parts of Suffolk County) are receiving orders to evacuate. Please keep aware and in touch with local emergency offices and departments of health on these developments.
Tools for planning, including an Emergency Preparedness Handbook prepared by HCA are posted on www.homecareprepare.org.
The text of the Alert posted by DOH is included below.
CERTIFIED HOME HEALTH AGENCIES, LONG TERM HOME HEALTH CARE PROGRAMS, LICENSED HOME CARE SERVICES AGENCIES, HOSPICES
Hurricane Sandy's current path threatens the US East Coast with a potential direct strike on New York State. The storm is expected to hit landfall beginning Sunday, October 28, 2012 and continue through mid-week. Significant high winds, downed trees, widespread flooding and extended power outages are anticipated throughout the entire state.
All home care and hospice providers should be reviewing and implementing their emergency preparedness plans. These plans should be reviewed with all staff and patients receiving services from the agency. Providers are reminded that they must be able to meet patient's health care needs in emergency situations including rapidly identifying patients within the affected area.
Additionally, agencies should work with their clients to determine if their homes or facility in which they are receiving services, i.e. hospice inpatient or residence adult care facility, are in a designated evacuation zone. Patients should be reminded that all necessary medications, supplies and equipment should be transported with them in the event of an evacuation so that their health care needs can continue to be met during the emergency. Patients who are at risk for evacuation should be informed of the possibility that evacuation routes will become congested and it may not be possible to leave affected areas quickly due to rapidly changing weather conditions.
Hospices should be communicating with their contracted entities for patients who are receiving services in a nursing home, inpatient unit or residence to ensure that these patients are part of a comprehensive emergency preparedness plan. If relocation of patients occurs the hospice must be aware of the location of their patients.
Emergency plans should be implemented to ensure the health and safety of all patients. Every effort should be made to notify local districts, managed care organizations, and managed long term care plans, and other payers, as appropriate, if service delivery for an individual has changed as a result of the implementation of the emergency plan.
Please assure that the following critical elements are reviewed and updated:
Identification of a 24/7 emergency contact telephone number and e-mail address of the emergency contact person and alternate which must be indicated on the Communications Directory of the Health Commerce System (HCS);
Staff call down list;
A current patient roster that is capable of facilitating rapid identification and location of patients at risk. The roster should contain at minimum:
- Patient name, address and telephone numbers;
- Patient classification levels as described in Attachment 1 (see below) should be reviewed and updated to ensure that the classification of individual patients has not changed as a result of available caregiver supports during this emergency;
- Identification of patients dependent on electricity to sustain life;
- Emergency contact telephone numbers of family/caregivers;
- Other specific information that may be critical to first responders; and
- Communication plans including contact information for community partners, local health departments and local emergency services.
Providers can access additional information regarding emergency preparedness at www.homecareprepare.org. This site, hosted by the Home Care Association of New York State, with funding from the New York State Department of Health, serves as a repository of documents and links that might be of value to home care agencies seeking to improve their emergency preparedness efforts.
Additionally, Storm Guidelines for New York State Health Care Facilities has been posted on the Department's website at www.nyhealth.gov and provides guidance for all health care facilities. A map of Zone A for New York City can be accessed at:
Home Health Agency Patient Classification Levels
Level 1: High Priority -- Patients in this priority level need uninterrupted services. The patient must have care. In cases of a disaster or emergency, every possible effort must be made to see this patient. The patient's condition is highly unstable and deterioration or inpatient admission is highly probable if the patient is not seen. Examples include patients requiring life sustaining equipment or medication, those needing highly skilled wound care, and unstable patients with nocaregiver or informal supports to provide care.
Level 2: Moderate Priority -- Services for patients at this priority level may be postponed with telephone contact. A caregiver can provide basic care until the emergency situation improves. The patient's condition is somewhat unstable and requires care that should be provided that day but could be postponed without harm to the patient.
Level 3: Low Priority -- The patient may be stable and has access to informal resources to help them. The patient can safely miss a scheduled visit with basic care provided safely by family or other informal support or by the patient personally.
HCA will be working with DOH and the NYC Home Based Care Alliance in the next few days to facilitate and support provider response and patient and staff safety.