Sisco Sarah, Jones Elizabeth M A, Giebelhaus Erich K, Hadi Tamer, Gonzalez Ingrid, Lee Kahn Francis
Sarah Sisco, MPH, MSSW, is Senior Director, Social Determinants, Office of Population Health, New York City Health + Hospitals, New York, NY. Elizabeth M. A. Jones, MPH, RN, is a Clinical Nurse, Emergency Department, Children's Healthcare of Atlanta at Hughes Spalding, Atlanta, GA. Erich K. Giebelhaus, MPP, is Director, Interagency Coordination, Office of Emergency Preparedness and Response, New York City Department of Health, New York, NY. Tamer Hadi, MS, is Director of Strategic Technology; Ingrid Gonzalez is currently deployed with the US Coast Guard, Everett, WA. and Francis Lee Kahn is Director of Response Group Development; all in the Office of Emergency Preparedness and Response, New York City Department of Health and Mental Hygiene, Long Island City, NY.
Health Secur. 2019 Mar/Apr;17(2):109-116. doi: 10.1089/hs.2018.0062.
In October 2012, Superstorm Sandy had a wide impact on the public across New York City (NYC). The NYC Department of Health and Mental Hygiene (DOHMH) activated its incident command system (ICS) and deployed a liaison officer (LNO) to the NYC Emergency Operations Center (EOC) at NYC Emergency Management (NYCEM) 24 hours a day for 6 weeks. This prolonged response period, coupled with environmental effects on NYC's coastal communities, increased public awareness of Sandy's health impacts, requiring a broad scope of interagency coordination and operational input from the liaison officer. Liaison officers involved in this response later conducted a content analysis of issues handled throughout Sandy, to better understand the skill set required to serve in this role, identify greater staff depth, integrate liaison officers into DOHMH exercises, and update just-in-time training provided before liaison officers deploy. This analysis revealed defined training topics for liaison officers to improve staff performance and effectiveness in leading interagency coordination during emergency responses. Topics include resources, staffing, data management, public messaging, and vulnerable populations, and these topics have since been used to revamp liaison officer training and guide policy changes in the liaison officer job charter. Targeted use of liaison officers to support development and implementation and to coordinate response objectives with local, state, and federal partners has only become more important. This analysis continues to influence how DOHMH defines its citywide agency response role, to inform how best to staff and train liaison officers to respond, and to pose lessons for other jurisdictions seeking to maximize the effectiveness of liaison officers deployed in emergencies.
2012年10月,超级风暴桑迪对纽约市(NYC)的公众产生了广泛影响。纽约市卫生和精神卫生部门(DOHMH)启动了其事件指挥系统(ICS),并向纽约市应急管理局(NYCEM)的纽约市应急行动中心(EOC)部署了一名联络官(LNO),为期6周,每天24小时值班。这种延长的响应期,再加上对纽约市沿海社区的环境影响,提高了公众对桑迪对健康影响的认识,这需要广泛的跨部门协调以及联络官的业务投入。参与此次响应行动的联络官后来对整个桑迪事件中处理的问题进行了内容分析,以更好地了解担任这一角色所需的技能组合,确定更充足的人员深度,将联络官纳入DOHMH的演习中,并更新联络官部署前提供的即时培训。该分析揭示了联络官明确的培训主题,以提高工作人员在应急响应期间领导跨部门协调的绩效和效率。主题包括资源、人员配备、数据管理、公众信息传达和弱势群体,此后这些主题被用于改进联络官培训并指导联络官工作章程中的政策变化。有针对性地利用联络官来支持发展与实施,并与地方、州和联邦合作伙伴协调应对目标,变得愈发重要。这一分析继续影响着DOHMH如何界定其全市范围的机构响应角色,为如何最好地配备人员和培训联络官以进行应对提供信息,并为其他寻求最大限度提高紧急情况下部署的联络官效力的司法管辖区提供经验教训。