NYCHCC: BP3 REVIEW
MARC JEAN, MPH
OFFICE OF EMERGENCY PREPAREDNESS AND RESPONSE
NYC DEPARTMENT OF HEALTH AND MENTAL HYGIENE
DISCLAIMER STATEMENT
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“This project was supported by Cooperative Agreement Number
1U90TP000546-01 from the Assistant Secretary for Preparedness
and Response (ASPR). Its contents are solely the responsibility of
the authors and do not necessarily represent the official views of
Centers for Disease Control and Prevention and/or ASPR.”
OVERVIEW
Background
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
Purpose
Our Priorities
NYCHCC Organizational Chart
Big 5 Categories
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Phased Approach
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Analysis
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Key Findings
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Proposed Recommendations/Next Steps
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PURPOSE
1) Establish a baseline of the NYCHCC
2) Provide a snapshot of the coalition work
from 2014-2015
3) Inform the preparedness work for BP5 and
beyond
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4) Identify promising practices that we could
adopt for future coalition development
OUR PRIORITIES
OEPR Goal #1: Increase preparedness
of healthcare system for all hazards.
Priority 1
Healthcare Sector Integration Into Jurisdictional Health/Medical Planning
and Response
Priority 2
Coalitions as Drivers of Facility Preparedness and
System-Level Response
Priority 3
Strengthening Facility Preparedness and Resiliency
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BHSR Strategic Priorities
THE NYCHCC
…is a collaboration of health care and non-health care partners
…is organized in support of the citywide incident management
structure
…is to prepare for and respond to an emergency, mass casualty
or catastrophic health event
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…is to increase the NYC health care system’s capacity to protect
New Yorkers during emergencies.
NYCHCC ORG CHART
NYCHCC
Bronx
Brooklyn
Manhattan
Advisory Group
Queens
Staten
Island
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Subject Matter Expertise
Network/Systems
BIG 5 CATEGORIES
Assess
Communications/
Situational
Awareness
Train
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Exercise
Plan
BP3: ENGAGEMENT
 Investing in coalitions as drivers of facility- and systemlevel preparedness
 Building on prior coalition work, 17 funded coalition
groups
 Incorporated the following five capabilities (the “Big 5”) in
their planning and designing of BP3 deliverables
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 Creating a commonality of health care emergency
preparedness city-wide
THE APPROACH
Phase 2
Phase 3
Phase 4
• Reviewed all coalition deliverables from BP3 to confirm what was completed and
listed deliverables by Big 5 Categories
• Performed 1st level of analysis on deliverables to describe results, trends, and reach
• Performed 2nd level of analysis on deliverables to describe depth of deliverables
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Phase 1
• Collected and reviewed all coalition SOWs from BP3
• Coded by key words list
• Summarized and re-tagged all deliverables by Big 5 Categories
IN ORDER TO DO THIS, WE…
Phase 1
Proposed
Work
Phase 2
 Collected all coalition-related SOWs and entered deliverables
into matrix “as-is”
 Summarized all deliverables
 Developed Word Clouds for each Big 5 Categories to build a key
words list
 Re-tagged deliverables to Big 5 Categories based on key words
list
 Through Salesforce, compared proposed vs paid out deliverables
 Identified completed work in matrix
Completed
Work
Analysis
 Using Excel, enumerated coalition activities (count, value)
 Administered survey to coalition point-of-contacts for
membership composition and reach
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Phase 3
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SCOPES OF WORK
WORD CLOUDS
 Image composed of words used in a particular text or
subject, in which the size of each word indicates its
frequency or importance
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 Used to develop key words list and retag the deliverables
based on findings
n=97
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ASSESS
n=143
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PLAN
n=116
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TRAIN
n=86
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EXERCISE
n=87
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COMM/SIT AWARENESS
SCOPES OF WORK MATRIX
BIG 5
ASSESS
PLAN
SME Coalition
Participated in the New York City
Healthcare Coalition Leadership
Completed in DOHMH and NYC Council and Emergency
EM Mapping Project
Preparedness Symposiums;
Attended ACF Sector ESF-8
Quarterly Readiness Meetings
TRAIN
Participated in ACF Emergency
Preparedness Webinar and Audio
Conference Series; Organized
Annual NYC ACF Emergency
Preparedness Meeting; Participate in
the Long-Term Care Emergency
Management Program and Advisory
Board
Borough Coalition
Risk Assessment Working Group;
Risk Assessment Tool; Analyzed
and prepared a summary
Network/Systems Coalition
Drafted charter; developed list of
required resources needed to execute
strategies; developed protocol to
Trained supervisory staff on biInventory of ambulatory care assets expand SNF bed capacity;
directional communication
and capabilities for members
Developed plan outline to use
protocols; Trained non-hospital
ambulatory care members;
coalition members
Developed training program for
non-hospital members
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Social Work Disaster Response
Drafted charter; Risk Assessment
Team (SWDRT) provided input to
Work Group; Developed guidelines
SSC guidelines; Attended the Bill
and CONOPS for a Staff Support
Lane Social Work Disaster Mental
Center (SSC)
Health Conference
MATRIX BY VALUE &
COMPLETION
$3K
$4K
$3K
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$10K
FINDINGS
 Deliverables
 Allocation of Tagged Activities by Count
 Allocation of Tagged Activities by Value
 Other Findings
 Current “Reach” of NYCHCC
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 Coalition By the Numbers
DELIVERABLE SUMMARY
Number of Contracts Executed in BP3
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Total Number of Deliverables
160
Value of All Coalition Work in BP3 (total)
$1.4M
Number of Deliverables/Coalition (median)
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Completed Work in BP3 (total)
Network
33%
SMEs
48%
Borough
19%
n=160
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Proportion of Deliverable
Activities by Coalition Type,
FY14-15
98%
Proportion of NYCHCC Deliverable Activities by
Big 5 Capabilities, FY14-15
Comm/Sit
Awareness
13%
Assess
17%
Exercise
16%
Plan
37%
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Train
17%
Comparison of Big 5 Capabilities by Coalition Type, FY14-15
60%
40%
Network
Borough
SMEs
20%
0%
Plan
Train
Exercise
Comm/Sit Awareness
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Assess
Total Value of Deliverables by Coalition Type, FY14-15
Network
23%
Borough
21%
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SMEs
56%
Total Value of Deliverables by Big 5 Categories, FY14-15
Comm/Sit
Awareness
14%
Exercise
28%
Assess
21%
Plan
22%
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Train
15%
NYCHCC Deliverables by Value Allocated to Big 5
Capabilities (adj), FY14-15
Comm/Sit Awareness
Exercise
Network
Train
Borough
SMEs
Plan
Assess
25%
50%
75%
100%
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0%
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SME coalitions tend to have multiple contracts
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ASSESS: 23% coalitions developed and implemented a risk
assessment tool (including all borough coalitions)
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PLAN: 53% drafted a coalition charter describing structure and
governance
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TRAIN: All SME coalitions completed an in-person training
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EXERCISE: 56% completed at least one operations-based exercise
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COMM/SIT AWARENESS: 80% revised/completed communications
protocol
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OTHER FINDINGS
TBC – 10H, 2N, 2O
SI COAD – 2H, 22O
BEPC – 7H, 5N, 1O
NYcHRC – 192H, 20N, 900P, 5O
borough (Queens)
City Gov’t
HHC – 11H, 5N, 6P
Montifiore – 4H, 22P
NYP -10H, 3N, 24P, 3S
NSLIJ – 21H, 3N, 34A, 450P, 3S, 1O
MediSys – 2H, 1N, 12P
MSHS – 294 Practices
Network 7
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1 PDC – 55H, 4N
3 NHTAs – 173N
4 ACFTAs – 77A
20PCNs, 297P
106DC
BY THE NUMBERS
NYCHCC comprises…
 All NYC hospitals
 90% of all nursing homes
 80% of ACFs
 City and state trade associations
 Nontraditional healthcare preparedness partners
 CBOs, FBOs, Academics, Associations, Pharmaceutical
Providers, Environmental Contractors, Medical
Equipment Providers, Mobile Medical Units, etc.
Estimated total reach = >2,000 members
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Membership goes beyond NYC
PROPOSED
RECOMMENDATIONS
 Develop coalition membership profiles
 Indicate coalition status throughout the
development cycle and ensure current structure
supports movement through this cycle
 Build a formal annual assessment tool
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 Consolidate the number of contracts
NEXT STEPS
 Strengthening the 5 Core Capabilities while
focusing on training and exercises
 Building out the overarching NYCHCC structure
to include a place for all participating
organizations and individual members
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 PHASE 4: Promoting, at every opportunity, the
sharing of promising and best practices
QUESTIONS?
Marc Jean, MPH
CDC Preparedness Field Assignee
Office of Emergency Preparedness and Response
NYC Department of Health and Mental Hygiene
E: [email protected]
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O: 347-396-2709