The Covid-19 Response in New York City
Crisis Management in the Epicenter of the Epicenter
- 1st Edition - April 21, 2024
- Imprint: Academic Press
- Editors: Syra S. Madad, Laura G. Iavicoli, Eric K. Wei
- Language: English
- Paperback ISBN:9 7 8 - 0 - 4 4 3 - 1 8 7 5 5 - 1
- eBook ISBN:9 7 8 - 0 - 4 4 3 - 1 8 7 5 6 - 8
The COVID-19 Response in New York City: Crisis Management in the Largest Public Health System provides an historical accounting of the response to the COVID-19 pandemic through t… Read more
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Request a sales quoteThe COVID-19 Response in New York City: Crisis Management in the Largest Public Health System provides an historical accounting of the response to the COVID-19 pandemic through the eyes of the largest public health system in the United States. The book offers a roadmap to guide healthcare systems and their providers in the event of future pandemics. Readers will learn about surge staffing and level loading, as well as tips from the ED and ICUs on how to respond to an unprecedented influx of inpatients.
Written by healthcare providers who were at the epicenter of the pandemic in New York City, this book provides a sound accounting of the response to the pandemic in one of the world's largest cities.
- Provides historical context of the COVID-19 response by NYC Health + Hospitals
- Covers how to respond to a mass influx of patients and sustained crisis over a year+
- Presents information on standing up genomic sequencing
Healthcare Providers, Emergency Managers, Healthcare Leadership, Public Health Practitioners, Anyone interested in the COVID-19 Pandemic Response
- Cover image
- Title page
- Table of Contents
- Copyright
- Contributors
- Preface
- Acknowledgments
- Section I. In the beginning
- Chapter 1. Standing up the emergency response in the epicenter of the epicenter
- Vignette
- Preface
- Problem areas and the unwavering effort to solve them
- Community support
- Vignette continued
- Conclusion
- Chapter 2. The history of NYC Health+Hospitals
- NYC Health + Hospitals/Bellevue
- NYC Health + Hospitals/South Brooklyn Health
- NYC Health + Hospitals/Elmhurst
- NYC Health + Hospitals/Harlem
- NYC Health + Hospitals/Jacobi
- NYC Health + Hospitals/Kings County
- NYC Health + Hospitals/Lincoln
- NYC Health + Hospitals/Metropolitan
- NYC Health + Hospitals/North Central Bronx
- NYC Health + Hospitals/Queens
- NYC Health + Hospitals/Woodhull
- NYC Health + Hospitals/Gotham Health
- Section II. The pivotal moment
- Chapter 3. Emergency Departments spring into action
- Vignette
- Preface
- Background
- Initial and then expanded goals of the ED Action Team
- Chapter 4. The crisis shifted to the intensive care units
- Vignette
- Preface
- Timeline of critical care council activities
- Problem areas and solutions implemented
- Communication
- Supplies
- Personal protective equipment
- Space
- Staffing
- Clinical guidelines and protocols
- Section III. A system surge plan put into place
- Chapter 5. Bringing key players together, standing up incident command, and communicating with everyone
- Vignette
- Conclusion
- Chapter 6. The iterations of patient movement throughout the surge: Load-balancing demand through interfacility transfers
- Vignette
- Introduction
- Challenges and solutions
- Conclusion
- Vignette
- Chapter 7. Supply chain and PPE, the wave 1 dilemma
- A supply chain at the breaking point and reshaping materials management
- Conservation and crisis care strategies
- The changing landscape of infection prevention and control
- Chapter 8. Staffing for pandemic surges in the NYC safety-net health system
- Vignette
- Wave 1 the ancestor strain
- Nursing
- Credentialed providers: Doctors, advanced practice providers, certified nurse anesthetists
- Wave 2 and beyond
- Chapter 9. Fatality management during the worst crisis of our lifetime
- Vignette 1
- COVID's unexpected impact
- Initial wave challenges
- Vignette 2
- Omicron variant wave—December 2021 through January 2022
- Moving forward: A journey of continual improvement
- Conclusion
- Chapter 10. Fine tuning the surge (and flex) plan
- Prologue
- Sustaining the surge
- Bed surge plan
- PPE surge plan
- Mass casualty plan
- Staffing plan
- Staff support and care
- Support service
- Community support
- Capital plan
- Coordination
- Level-loading
- Transportation challenges
- Epilogue
- Section IV. The technical side of the response
- Chapter 11. Situational awareness, going from flying blind to eyes on it all: DnA (Data and Analytics)
- Vignette
- Building a data and analytics program during a pandemic
- Sudden need
- System enhancement
- Defined and managed
- Optimized
- Proactive and predictive
- Conclusion
- Chapter 12. IT-coordinating the technology infrastructure of the system
- Vignette—Defining the patient with COVID-19
- The challenge of defining the patient with COVID-19
- The solution – A COVID-19 patient registry
- External data challenge
- Enterprise Information Technology Services (EITS): An overview of COVID-19 response
- Vignette: Informatics during a disaster
- Clinical vignette conclusion
- Chapter conclusion
- Chapter 13. Donations were a full-time job
- Vignette/musing
- Introduction
- Challenges/solutions
- Conclusion
- Section V. Nuances of a massive health system
- Chapter 14. The correctional health response to COVID-19
- Vignette
- NYC health+hospitals/correctional health services
- The patients
- Responding to COVID-19
- Containment: Housing
- Containment: Screening/testing
- Containment: Vaccination
- Decarceration
- Healthcare access
- Conclusion
- Chapter 15. Alternate care sites including hoteling, a new path in a massive surge response
- Vignette
- Roosevelt Island Medical Center experience
- Standing up isolation and quarantine hotels
- Employee lodging: Creating a safe space for healthcare workers
- Chapter 16. Behavioral health and COVID-19
- Vignette (COVID: Not just on inpatient medicine)
- Telebehavioral support implementation: Technological advances in real time paired with regulatory support
- Vignette (Early days and the struggle for safety)
- Adapting treatment for the new normal: COVID care in the midst of behavioral healthcare
- Vignette: Workforce isolation and mutual support
- Supporting staff through the pandemic
- Vignette: In this together and working together
- Intradepartment and interagency collaboration for systemic change in service delivery
- Vignette (Adapting together to keep on going)
- Chapter 17. External affairs: Managing communications with regulators and stakeholders
- Vignette
- Background
- Section VI. A light at the end of the tunnel
- Chapter 18. Testing and tracing in the “world's capital”
- Vignette
- Introduction
- Trace
- Take Care to AfterCare
- Test and vax
- Conclusion
- Chapter 19. Vaccines and outpatient therapeutics: The race against the variants and the road to normalcy
- Vignette
- The initial NYC Health+Hospitals response to COVID-19 vaccination planning
- COVID-19 vaccination program
- COVID-19 vaccines
- Vaccine administration (Fig. 19.2)
- Vaccine equity and hesitancy
- Vaccinations 2.0—beyond the vaccine hub
- Outpatient therapeutics
- Vignette
- Conclusion
- Chapter 20. Wellness and Helping Healers Heal during the biggest crisis of our lifetime
- Vignette
- Preface
- Define wellness for your institution: What it is and what it is not
- Wellness programming: Just do it, but do it responsibly
- Growth mindset: Ensure sustainability and strategically informed enhancement
- Hurdles are Abound: Anticipate and counteract real and perceived barriers
- Vignette
- Section VII. Conclusion
- Chapter 21. The future of public healthcare delivery systems in the United States in the post-COVID era
- Mobilization of resources
- COVID testing
- COVID vaccine provision
- Prevention
- Looking toward the future
- Index
- Edition: 1
- Published: April 21, 2024
- Imprint: Academic Press
- No. of pages: 406
- Language: English
- Paperback ISBN: 9780443187551
- eBook ISBN: 9780443187568
SM
Syra S. Madad
Dr. Syra Madad, DHSc, MSc, MCP, CHEP, is an internationally renowned public health leader, biosecurity advisor, and epidemiologist in special pathogens. She serves as the Senior Director, System-wide Special Pathogens Program at New York City Health + Hospitals, and Co-Principal Investigator of NYC Health + Hospitals Institute of Diseases and Disaster Management. Dr. Madad is Core Faculty in the National Emerging Special Pathogens Training and Education Center, and affiliate faculty at the Center for Emerging Infectious Diseases Policy and Research at Boston University. In addition, she is a fellow at the Harvard Kennedy School Belfer Center for Science and International Affairs and Healthcare Simulation Fellow at The Institute for Medical Simulation and Advanced Learning. She has over 100 publications including opinion pieces in major news outlets and is featured in 1 Emmy-nominated and 3 additional public health documentaries. Dr. Madad’s work focuses on all 5 phases of emergency management: prevention, preparedness, mitigation, response and recovery from infectious disease threats with an emphasis on healthcare and public health biopreparedness.
Affiliations and expertise
Senior Director, System-wide Special Pathogens Program, NYC Health + Hospitals, NY, USALI
Laura G. Iavicoli
Dr. Laura Iavicoli, MD, MBA, FACEP, CHEP, is a Board-Certified Emergency Medicine Physician, Chief Medical Officer for New York City Health + Hospitals/ Elmhurst. As the Senior Assistant Vice President for Emergency Management for New York City Health and Hospital System, she helped lead the health system through the COVID-19 Pandemic response. Dr. Iavicoli interfaced at the local, regional, national, and international level to assist with crafting and implementing Covid-19 response protocols during the Covid-19 pandemic response. She has served on numerous national, regional, and local committees devoted to emergency management. She presents and trains both nationally and regionally on topics pertaining to disaster preparedness. She served as a Disaster relief team member for >10 years for NYC and Federal Emergency Management Agency (FEMA) and is well published in the field. Dr. Iavicoli has worked clinically and as Emergency Management clinical leadership at Elmhurst Hospital, a teaching affiliate of Mount Sinai Medical Center for 20 years, and trains and teaches Emergency Medicine Residents and Medical Students in Emergency Medicine. She is a Fellow of the American College of Emergency Physicians specializing in Emergency Management and is a Professor at the Icahn School of Medicine at Mount Sinai.
Affiliations and expertise
Chief Medical Officer New York City Health + Hospitals/ Elmhurst; Professor, Emergency Medicine, Mount Sinai School of Medicine, New York, NY, USAEW
Eric K. Wei
Dr. Eric Wei, MD, MBA serves as Senior Vice President and Chief Quality Officer for NYC Health + Hospitals, the largest municipal safety-net health system in the United States, serving over 1.3 million New Yorkers every year. He is a Professor of Emergency Medicine through the Icahn School of Medicine at Mt. Sinai and Adjunct Professor for the NYU School of Global Public Health. He is the fellowship director for the NYC Health + Hospitals Clinical Leadership Fellowship. He is a practicing Emergency Medicine physician rotating through all 11 Emergency Departments in the system. Dr. Wei oversees the Office of Quality & Safety, which includes Emergency Management for the system. Dr. Wei previously served as Interim Chief Executive Officer of NYC Health + Hospitals/Elmhurst in 2020 and NYC Health + Hospitals/Harlem in 2021.
Affiliations and expertise
Senior Vice President and Chief Quality Officer, NYC Health + Hospitals, New York, NY, USA Professor, Emergency Medicine, Icahn School of Medicine at Mt. Sinai, New York, NY, USA Adjunct Professor, NYU School of Global Public Health, New York, NY, USARead The Covid-19 Response in New York City on ScienceDirect