Emergency Preparedness

 

While 9/11 redefined hospital emergency preparedness across the nation, GNYHA has always devoted significant resources to our members’ emergency preparedness infrastructure and is deeply committed to ensuring that they are prepared to respond to the wide range of emergencies and disasters that could take place in the New York region. When events do occur, GNYHA works with members, other provider groups, and New York State, Federal, and local health and emergency management agencies to ensure a coordinated, comprehensive response.


Compliance

GNYHA is committed to supporting its members in relation to corporate compliance programs, particularly in light of new

and developing Federal and New York State compliance requirements. Through productive relationships with government oversight agencies and peer-to-peer education, GNYHA is deeply invested in keeping its members informed on the most recent developments and best practices as compliance evolves beyond its traditional focus to encompass substantive areas that have not traditionally been monitored by a compliance program.

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Emergency Medical Treatment and Labor Act (EMTALA)

EMTALA is one of the most significant pieces of Federal legislation that affect operations for hospitals that participate in

the Medicare program. GNYHA has a number of resources to help members understand EMTALA’s requirements.

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Fraud, Waste & Abuse Control

GNYHA and its members are opposed to fraudulent activities that waste scarce health care resources, and are committed to

compliance programs to help prevent such activities. GNYHA also advocates for fraud prevention programs that don’t inhibit hospitals’ operations and mission.

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Law Enforcement Resources

GNYHA has created member guidance in the event that U.S. Law enforcement agencies request to conduct enforcement

activities on hospital premises. While U.S. Immigration and Customs Enforcement (ICE) has recently reaffirmed its Sensitive Locations policy, which states that enforcement activities at locations such as hospitals, schools and places of worship generally will be avoided, hospital staff and patients continue to raise questions and concerns.

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Legal Affairs

GNYHA members work within a host of local, State, and Federal laws and related regulations on issues large and small.

GNYHA provides its members with analysis and education on a wide range of compelling legal issues. Through member briefings, discussion groups, and subject-specific conference calls, GNYHA strives to provide useful legal information and resources.

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Medical Malpractice/Liability

To truly achieve health care reform, medical malpractice costs must be addressed. GNYHA advocates aggressively at both

the State and Federal level for legislation that would reduce the unsustainably high costs of medical malpractice insurance for hospitals. 

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Privacy & Security

GNYHA maintains an active Privacy & Security Workgroup to support member hospitals as they navigate evolving

requirements in this area. GNYHA meetings and materials focus on relevant issues including the Health Insurance Portability and Accountability Act of 1996 (HIPAA), the Health Information Technology for Economic and Clinical Health (HITECH), appropriate use of social media, and the impact of electronic health records. GNYHA also holds educational briefings and meetings, provides regulatory analysis and guidance and comments, and facilitates the dissemination of best practices.

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Tax Exemption

GNYHA’s members are mindful of their mission and obligations as not-for-profit and public organizations. GNYHA works to

support them on issues relating to tax-exempt status, in terms of broad issues impacting the larger not-for-profit community and more tailored developments that only concern health care providers. GNYHA’s work in this area spans State and Federal activities, and it is coordinated closely with our efforts relating to community benefit reporting. 

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Drills and Exercises

An essential part of emergency preparedness is undertaking drills and exercises to identify areas for improvement

and to practice existing plans. GNYHA helps members by compiling resources to help plan, conduct, and evaluate the effectiveness of various types of drills and exercises.

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Emergency Medical Treatment and Labor Act (EMTALA)

EMTALA is one of the most significant pieces of Federal legislation that affect operations for hospitals that participate in

the Medicare program. GNYHA has a number of resources to help members understand EMTALA’s requirements.

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Emergency Preparedness Training Resources

To help members prepare to respond to all types of emergencies, GNYHA has compiled a number of Federal, State, and private training resources.

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General Emergency Preparedness for Providers

GNYHA has prepared resources to facilitate emergency preparedness and response activity by health care providers and their communities.

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Incident Command Systems and Response Frameworks

GNYHA, its members, and agencies involved in emergency management place great emphasis on adopting a framework

that will enable their organizations to respond to and manage many types of events, incidents, and disasters. For this purpose, emergency management agencies and providers often use a framework known as the “incident command system” or “ICS.” This system provides a framework for effective incident management by organizing agencies, facilities, equipment, personnel, procedures, and communications under a common set of response principles, roles, and terms to facilitate the application of resources during emergencies.

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Security Issues

Protecting buildings against potential threats is important to the well-being of all who enter them. GNYHA provides resources

that can aid hospitals in protecting and securing buildings against certain types of events. 

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Threat Alert Systems

Federal,state and local governments have adapted to the public’s changing communications tools over the years.

GNYHA provides information and resources regarding the Federal threat advisory system and offers resources to help people receive alerts through a variety of methods.

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Transportation and Mass Transit

New York City and its health care workers – so many of whom rely on public transportation – face significant challenges when those services are threatened or disrupted.

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Workforce / Volunteer Issues

During an emergency, localities and health care facilities may need to supplement their workforces to adequately protect

the public’s health and care for patients. To continue providing high-quality patient care, health care facilities that use volunteers should ensure that volunteer staff are appropriately credentialed before granting them privileges to provide services. GNYHA provides resources to assist members in preparing for the need to staff or provide volunteers in the event of an emergency.

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Chemical, Biological, Radiological, Nuclear, and Explosives Events

GNYHA supports members’ emergency preparedness efforts by providing information on a number of national, State, and local

resources related to Chemical, Biological, Radiological, Nuclear, and Explosives Events (CBRNE) events. 

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Ebola

GNYHA has collected resources and information for members in response to the 2014 Ebola outbreak.

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Enterovirus D68

GNYHA has a number of resources to help hospitals prepare for and respond to Enterovirus D68.

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Evacuation and Sheltering Issues

Evacuating health care facilities is a complex operation usually conducted under difficult time constraints. Determining whether

to “shelter in place” during an emergency is a decision that requires the consideration of myriad factors. GNYHA provides resources that can help providers prepare evacuation plans, decide whether to evacuate in a particular emergency, and prepare to receive patients during evacuations.

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Influenza

GNYHA has a number of resources to help hospitals prepare for and respond to seasonal influenza and pandemic influenza. 

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Middle East Respiratory Syndrome Coronavirus (MERS-CoV)

GNYHA has compiled a number of resources related to the ongoing Middle East Respiratory Syndrome Coronavirus (MERS-CoV) outbreak.

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Power Disruptions

Health care facilities rely heavily on their ability to use their power sources without service disruptions. When large-scale

disasters occur, electrical and other power systems may be disrupted, and back-up power becomes essential to maintain critical health care operations.

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Weather-Related Events

Agencies and providers must have plans for addressing weather-related emergencies such as excessive heat, severe winter

weather, coastal storms, and hurricanes that could potentially create health emergencies and disrupt health care facility operations. GNYHA has worked with members and planning and response agencies to prepare for a variety of weather-related emergencies. Planning for weather-related emergencies should include a review of staffing plans, communication systems, power systems, supply and other resource needs, and evacuation and/or sheltering plans.

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Zika Virus

GNYHA has gathered a number of resources to help hospitals prepare for and respond to Zika Virus

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Emergency Preparedness for the Community

To help the public prepare for emergencies, GNYHA has compiled information made available by the Federal

Emergency Management Agency, Red Cross, and other agencies.

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Mental Health Resources

The aftermath of catastrophic events can take its toll both mentally and physically. GNYHA supports its members

by providing links to Federal, State, and private resources on coping with disasters, for both response workers and the public. 

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Pediatric Issues

GNYHA provides Federal, State, and private resources to help hospitals respond to children’s needs during natural

or man-made disasters, as well as to help them and their families cope with the aftermath of such events.

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