WaPo: SNS Nearly Depleted

By Nick Miroff, Washington Post |  April 1, 2020 at 10:00 p.m. EDT

The government’s emergency stockpile of respirator masks, gloves and other medical supplies is running low and is nearly exhausted due to the coronavirus outbreak, leaving the Trump administration and the states to compete for personal protective equipment in a freewheeling global marketplace rife with profiteering and price-gouging, according to Department of Homeland Security officials involved in the frantic acquisition effort.

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Treasury and SBA Begin Unprecedented Public-Private Mobilization Effort to Distribute Funds

US Treasury Press Release:            March 31, 2020

Contact:                     Treasury Public Affairs, (202) 622-2960

With $349 Billion in Emergency Small Business Capital Cleared, Treasury and SBA Begin Unprecedented Public-Private Mobilization Effort to Distribute Funds

WASHINGTON – Following President Trump’s signing of the historic Coronavirus Aid, Relief, and Economic Security (CARES) Act, SBA Administrator Jovita Carranza and Treasury Secretary Steven T. Mnuchin today announced that the SBA and Treasury Department have initiated a robust mobilization effort of banks and other lending institutions to provide small businesses with the capital they need.

The CARES Act establishes a new $349 billion Paycheck Protection Program. The Program will provide much-needed relief to millions of small businesses so they can sustain their businesses and keep their workers employed.

“This legislation provides small business job retention loans to provide eight weeks of payroll and certain overhead to keep workers employed,” said Secretary Mnuchin. “Treasury and the Small Business Administration expect to have this program up and running by April 3rd so that businesses can go to a participating SBA 7(a) lender, bank, or credit union, apply for a loan, and be approved on the same day.  The loans will be forgiven as long as the funds are used to keep employees on the payroll and for certain other expenses.”

“This unprecedented public-private partnership is going to assist small businesses with accessing capital quickly. Our goal is to position lenders as the single point-of-contact for small businesses – the application, loan processing, and disbursement of funds will all be administered at the community level,” said Administrator Carranza. “Speed is the operative word; applications for the emergency capital can begin as early as this week, with lenders using their own systems and processes to make these loans. We remain committed to supporting our nation’s more than 30 million small businesses and their employees, so that they can continue to be the fuel for our nation’s economic engine.”

The new loan program will help small businesses with their payroll and other business operating expenses. It will provide critical capital to businesses without collateral requirements, personal guarantees, or SBA fees – all with a 100% guarantee from SBA. All loan payments will be deferred for six months. Most importantly, the SBA will forgive the portion of the loan proceeds that are used to cover the first eight weeks of payroll costs, rent, utilities, and mortgage interest.

The Paycheck Protection Program is specifically designed to help small businesses keep their workforce employed. Visit SBA.gov/Coronavirus for more information on the Paycheck Protection Program.

  • The new loan program will be available retroactive from Feb. 15, 2020, so employers can rehire their recently laid-off employees through June 30, 2020.

Loan Terms & Conditions

  • Eligible businesses: All businesses, including non-profits, Veterans organizations, Tribal concerns, sole proprietorships, self-employed individuals, and independent contractors, with 500 or fewer employees, or no greater than the number of employees set by the SBA as the size standard for certain industries
  • Maximum loan amount up to $10 million
  • Loan forgiveness if proceeds used for payroll costs and other designated business operating expenses in the 8 weeks following the date of loan origination (due to likely high subscription, it is anticipated that not more than 25% of the forgiven amount may be for non-payroll costs)
  • All loans under this program will have the following identical features:
    • Interest rate of 0.5%
    • Maturity of 2 years
    • First payment deferred for six months
    • 100% guarantee by SBA
    • No collateral
    • No personal guarantees
    • No borrower or lender fees payable to SBA

Visit treasury.gov/cares for more information on SBA’s assistance to small businesses.

CMS Waives Restrictions on Ground Ambulances During COVID-19 Pandemic

The Centers for Medicare and Medicaid Services (CMS) promulgated an interim final rule with comment period (IFC) entitled “Policy and Regulatory Revisions in Response to the COVID-19 Public Health Emergency.”  Consistent with the recommendations the AAA made to CMS, for the duration of the public health emergency (PHE), the IFC allows ground ambulance service providers and suppliers to transport patients both on an emergency or non-emergency basis to any destination that is equipped to treat the condition of the patient consistent with Emergency Medical Services (EMS) protocols established by state and/or local laws where the services will be furnished.  In related guidance, CMS has suspended most Medicare Fee-For-Service (FFS) medical review during the emergency period due to the COVID-19 pandemic, waived patient signature requirements, and is pausing the Repetitive, Scheduled Non-Emergent Ambulance Transport Prior Authorization Model. The policies of the IFC are effective retroactively to March 1, 2020.

On March 11, the AAA sent CMS a letter specifically requesting for the agency to waive during the COVID-19 pandemic the regulatory restrictions that prevent coverage for transport to alternative destinations.  Separately, the AAA has been pressing CMS to provide relief from signature requirements. The AAA had also been working with CMS to lifting of these restrictions and others to eliminate barriers the current Medicare regulations in responding to the COVID-19 crisis.

Paying for Transports to Alternative Destinations.  During the duration of the crisis, CMS has expanded the list of destinations for which Medicare covers ambulance transportation to include all destinations, from any point of origin, that are equipped to treat the condition of the patient consistent with Emergency Medical Services (EMS) protocols established by state and/or local laws where the services will be furnished.

These destinations may include, but are not limited to: any location that is an alternative site determined to be part of a hospital, critical access hospital (CAH) or skilled nursing facility (SNF), community mental health centers, federal qualified health clinic (FQHCs), rural health clinics (RHCs), physicians’ offices, urgent care facilities, ambulatory surgery centers (ASCs), any location furnishing dialysis services outside of an ESRD facility when an ESRD facility is not available, and the beneficiary’s home.

This expanded list of destinations applies to medically necessary emergency and non-emergency ground ambulance transports of beneficiaries during the PHE for the COVID-19 pandemic.  The IFC does not waive the medically necessary requirements for ground ambulance transport of a patient in order for an ambulance service to be covered.

The AAA is working closely with CMS to confirm that patients who require isolation meet the medical necessity requirements.

Suspension of Audits and Relief on Patient Signatures.  In guidance released separately, CMS indicates that it is suspending nearly all audits of providers and suppliers for the duration of the PHE.

CMS has suspended most Medicare Fee-For-Service (FFS) medical review during the emergency period due to the COVID-19 pandemic. This includes pre-payment medical reviews conducted by Medicare Administrative Contractors (MACs) under the Targeted Probe and Educate program, and post-payment reviews conducted by the MACs, Supplemental Medical Review Contractor (SMRC) reviews and Recovery Audit Contractor (RAC). No additional documentation requests will be issued for the duration of the PHE for the COVID-19 pandemic. Targeted Probe and Educate reviews that are in process will be suspended and claims will be released and paid. Current postpayment MAC, SMRC, and RAC reviews will be suspended and released from review. This suspension of medical review activities is for the duration of the PHE. However, CMS may conduct medical reviews during or after the PHE if there is an indication of potential fraud.

CMS also indicates in this guidance that a beneficiary’s signature will not be required for proof of delivery, as it relates to durable medical equipment services, during the PHE.  In a follow-up exchange with CMS, the AAA has confirmed that this policy of not requiring a beneficiary’s signature also applies to ground ambulance providers and suppliers. The AAA has requested that this clarification for ground ambulances also be provided in a written FAQ.

Pause in the Non-Emergency Prior Authorization Model.  CMS has paused the claims processing requirements for the Repetitive, Scheduled Non-Emergent Ambulance Transport Prior Authorization Model, effective March 29 until the end of the PHE.  During this pause, claims for repetitive, scheduled non-emergent ground ambulance transports for the COVID-19 pandemic in States in which the model operates will not be stopped for pre-payment review if prior authorization has not been requested by the fourth round trip in a 30-day period. During the pause, the MAC will continue to review any prior authorization requests that have already been submitted, and ambulance suppliers may continue to submit new prior authorization requests for review during the pause. Claims that have received a provisional affirmative prior authorization decision and are submitted with an affirmed unique tracking number (UTN) will continue to be excluded from future medical review. Following the end of the PHE for the COVID-19 pandemic, the MACs will conduct postpayment review on claims otherwise subject to the model that were submitted and paid during the pause.

Telehealth Services.  While CMS does not provide authority for ambulance organizations to bill directly for telehealth services, it does modify for the duration of the PHE the “direct supervision” requirements to allow physicians enter into a contractual arrangement with an entity that provides ambulance services to allow the physician to use the ambulance organization’s personnel as auxiliary personnel under a leased agreement.  Under such circumstances, the provider or supplier would seek payment for any services it provided from the billing physician and would not submit claims to Medicare for such services directly.

Ongoing work of the AAA.  The rule does not address two critical issues:  (1) reimbursement for treatment in place and (2) direct reimbursement for telehealth services.  The AAA will continue to work with CMS and the Congress to address these issues that are critical to meeting the needs of patients and your community during the epidemic.

Savvik: COVID-19 Testing Kits Available

AAA members have access to special product discounts through our partnership with Savvik Buying Group.

Savvik vendor Henry Schein announced on March 26 the availability of an antibody rapid blood test, known as Standard Q COVID-19 IgM/IgG Rapid Test, intended to be administered at the point of care. The test delivers results within 15 minutes from a pinprick with no instrumentation required. The price is $660.00 for a box of 20 kits.

Health care professionals can use the results of the test, along with a patient’s medical history, symptoms, and results of other relevant testing, to make informed decisions about patient treatment and care. Henry Schein is working through multiple channels to distribute the tests in the U.S. as quickly as possible in response to the urgent need for rapid, accurate testing. Our initial focus will be supplying the tests to health care professionals. We anticipate having at least several hundred thousand tests available by March 30 and significantly increased availability beginning in April 2020.

Kits are not available through the Savvik general store. Instead, please click on the button below to request your kits.

Buy COVID-19 Test Kits

SBA | Economic Injury Disaster Loans

The US Small Business Administration’s Economic Injury Disaster Loan program provides small businesses with working capital loans of up to $2 million that can provide vital economic support to small businesses to help overcome the temporary loss of revenue they are experiencing. In response to the Coronavirus (COVID-19) pandemic, small business owners in all U.S. states, Washington D.C., and territories are eligible to apply.

 

Weekly COVID-19 Member Calls

EMS providers serve on the front lines of the COVID-19 pandemic. The American Ambulance Association is here to help! Join us for weekly interactive discussions to share best practices and insights as well as to overcome common challenges.

We look forward to facilitating the exchange of ideas and critically important information.

Download Slides from Dropbox

New to Zoom?

Register for one or both of the calls above, then check out Zoom’s handy guide.

Not near a computer? Use the Zoom iPhone app or Zoom Android app!

EMS.gov COVID-19 Resource Page

A new COVID-19 resource page on EMS.gov provides easy to find links to the most relevant and up-to-date information from the US Centers for Disease Control and Prevention (CDC), NHTSA Office of EMS and other Federal agencies involved in the response to the pandemic. This includes guidance for treating potential COVID-19 patients, information on PPE use and supplies and processes for handling healthcare providers who have been exposed to coronavirus.

In addition, materials such as the ASPR EMS Infectious Disease playbook, the IOM Crisis Standards of Care framework and the NHTSA EMS Pandemic Guidelines are all available for download.

The COVID-19 EMS resource page will be periodically updated to add the latest information and link to the most current guidance from the CDC and other agencies.

Also, be sure to watch the most recent special edition EMS Focus webinar, “Crisis Standards of Care and COVID-19: What EMS Needs to Know.”

HHS Notice on Hoarding Supplies

Notice of Designation of Scarce Materials or Threatened Materials Subject to COVID-19 Hoarding Prevention Measures

The Department of Health and Human Services (HHS) announces the issuance of a Notice under Executive Order 13910 (Executive order) and section 102 of the Defense
Production Act of 1950 (the Act), as amended, designating health and medical resources necessary to respond to the spread of Coronavirus Disease 2019 (COVID-19) that are scarce or
the supply of which would be threatened by excessive accumulation. These designated materials are subject to the hoarding prevention measures authorized under the Executive order and the
Act. Download the PDF Now►

OCR Guidance on COVID-19 and HIPAA Disclosures

Office for Civil Rights Guidance on COVID-19 and HIPAA disclosures to law enforcement, paramedics, other first responders, and public health authorities
 by Kathy Lester, J.D., M.P.H.

 On March 24, the Office for Civil Rights (OCR) released guidance clarifying that any covered entity may share the name or other identifying information of an individual who has been infected with, or exposed to, COVID-19 with law enforcement, paramedics, other first responders, and public health authorities without an individual’s authorization.  This clarification allows ground ambulance entities and their personnel to share the information consistent with the guidance.  It also allows other covered entities such as hospitals, physicians to share the information with ground ambulance entities and their personnel.  Finally, there are no HIPAA restrictions on non-covered entities, such as law enforcement, families, public health departments, and 911 call centers (not otherwise covered entities), from sharing the information.  There may be State confidentiality laws that apply as well, and the AAA encourages ground ambulance entities to review the laws in the States in which they operate.

The authority to share this information is in the existing HIPAA regulation – this is not a waiver or a change in the current law.  OCR highlights the current authority in the guidance.

  • Disclosure of PHI pursuant to treatment (45 C.F.R. § 164.506(c)(2)). Covered entities may disclose PHI to another covered entity for purposes of treatment, payment, or health care operations.  The guidance provides the example of a skilled nursing facility (SNF) disclosing PHI about a COVID-19 positive individual to emergency transport personnel who will be treating a patient during the transport of the individual to a hospital emergency department.  This is an example and not the only scenario to which the disclosure policy applies.
  • Disclosures required by law (45 C.F.R. § 164.512(a)). Covered entities may disclose PHI when such disclosure is required by law.  The guidance provides the example of a hospital disclosing PHI about a COVID-19 positive individual to public health officials when such a disclosure is required by state law.  Again, this is an example and not the only scenario to which the disclosure policy applies.
  • Disclosure to public health authorities (45 C.F.R. §§ 164.512(b)(1) & 164.501 (definition of public health authority). Covered entities may disclose PHI about a COVID-19 positive individual to a public health authority that is authorized by law to collect or receive such information for the purpose of controlling disease, injury, or disability.  The purposes include public health surveillance, public health investigations, and public health interventions.  Examples of public health authorities include the Centers for Disease Control and Prevention and state, tribal, local, and territorial public health departments).
  • Disclosures when risk of infection to a person (45 C.F.R. § 512(b)(1)(iv)).  Covered entities or public health authority may disclose to a person – including first responders – who may have been exposed to a communicable disease or may otherwise be at risk of contracting or spreading a disease or condition, if the covered entity or public health authority is authorized by law to notify such person as necessary in the conduct of a public health intervention or investigation.  The guidance provides the example of a county health department disclosing such information to a police office to prevent or control the spread of COVID-19.  This authority would also apply to ground ambulance personnel, even though the example does not reference them specifically.
  • Disclosures to prevent or lessen a serious and imminent threat to the health and safety of a person or the public (45 C.F.R. § 164.512(j)(1)). Covered entities may disclose PHI to a person or the public to prevent or lessen a serious and imminent threat to the health and safety of a person or the public when the disclosure is made to someone the person making the disclosure believes that doing so will prevent or lessen the threat.  The guidance provides an example of disclosing COVID-19 status to firefighters, child welfare workers, mental health crisis personnel, or others – which would include ground ambulance personnel as well.  The covered entity must believe in good faith that the disclosure is necessary to prevent or minimize the threat of imminent disclosure to the person or public.
  • Disclosure to a correctional institution or law enforcement having lawful custody of an inmate or other individual under certain circumstances (45 C.F.R. § 164.512(k)(5)). Covered entities may disclose PHI related to an inmate’s positive COVID-19 status under the following circumstances:
  • Providing health care to the individual;
  • The health and safety of the individual, other inmates, officers, employees, and others present at the correctional institution, or persons responsible for the transporting or transferring of inmates;
  • Law enforcement on the premises of the correctional institution; or
  • The administration and maintenance of the safety, security, and good order of the correctional institution.

The guidance provides the example of a physician at a medical facility sharing an inmate’s positive COVID-19 status with correctional guards.

For all of these disclosures, with the exception of those that are required by law or for the purpose of treatment, the covered entity must provide the minimum amount of information necessary to accomplish the purpose.  For example, the guidance states that a hospital should not distribute a list of individuals who are COVID-19 positive or suspected to have the virus to EMS personnel, but rather disclose the information on a case-by-case basis about the specific patient being treated.  Similarly, a 911 call center that is a covered entity may provide such information to a police office or similar personnel being dispatched to the scene to allow the responder to take the necessary precautions.

The guidance also provides additional examples that reference specific types of covered entities, but these are just examples.  The laws apply to all covered entities and not just those highlighted in the examples.

NHTSA | PPE Challenges: Important Information for the First Responder Community

From NHTSA’s Office of EMS on March 25 via email.

PPE Challenges: Important Information for the First Responder Community

We are all aware of the challenges of obtaining personal protective equipment (PPE) during this pandemic. We hope this information will help address concerns and clarify the replenishment request process.

The current shortage applies to all health care disciplines – the challenges you are experiencing are being felt by your peers. As a nation, we are working very hard to address the challenges through ramped up production and distribution as resources become available. First Responders are recognized as a high priority component of the nation’s critical infrastructure. Decisions regarding PPE allocation are based on specific and identified need and are being prioritized based on those needs.

It may be helpful to reinforce to the first responder community the process for submitting your requests for resupply. It is critical that requests are submitted through the proper process.

Process:

  1. Continue to submit your request for replenishment of PPE through your normal distribution supply chain. While the supply remains limited, filling those orders will be challenging and you may not receive your entire requested order.
  2. To request supplies from state or federal resources (eg: stockpiles or reserves), you must submit those requests through your established local emergency management structure. Based on that structure in your state, your request may be then processed through the emergency management chain or through the public health chain to state level emergency management. From the state level, it will be transmitted to the federal level. Final decisions for health care material are made by HHS which will then order distribution of the material.
  3. When submitting that request, indicate the following:
    Agency
    Specific material and quantity request
    Detailed risk / exposure justification for the request
    Current on-hand requested supplies
    Burn rate of current supplies
    Other information pertinent to the request
    Alternatives that are available and risks associated with pending gaps

This information will be critical in helping to determine the reallocation plan. Please understand that your request is important and is being considered seriously in the context of similar requests from your peers. The shortage of PPE will continue to challenge the COVID-19 response. Following the appropriate process for requesting supplies will be critical to your success.

Thank you,

Jon R. Krohmer, MD, FACEP, FAEMS
Director, Office of EMS

CDC Conference Call: Optimization Strategies for Healthcare Personal Protective Equipment (PPE)

Crisis Standards of Care and COVID-19: What EMS Needs to Know
Webinar from EMS Focus
Wed, Mar 25, 2020, 2:00 PM EDT

Presenters from the Center for Disease Control will provide a COVID-19 update and discuss strategies for healthcare facilities to optimize personal protective equipment (PPE) supplies such as eye protection, isolation gowns, facemasks, and N95 respirators.

Webinar Link:
Click Here

Dial In:
US: +1 669 254 5252
or +1 646 828 7666

More Information

 

EMS.gov Webinar | Crisis Standards of Care and COVID-19: What EMS Needs to Know

Crisis Standards of Care and COVID-19: What EMS Needs to Know
Webinar from EMS Focus
Thu, Mar 26, 2020 3:00 PM – 4:00 PM EDT

Register Now

COVID-19 is challenging healthcare systems across the country, with many communities already seeing an increased demand for EMS, emergency department and critical care services. A systems approach to developing crisis standards of care, defined as a “substantial change in unusual healthcare operations and the level of care it is possible to deliver,” is critical for EMS systems preparing for any public health emergency. In this webinar, hosted by NHTSA’s Office of EMS, you’ll learn: – Why crisis standards of care planning is so critical in the prehospital setting – How one state is preparing for a surge in demand for EMS services – Implications for local EMS leaders who may have to implement crisis standards of care in their communities The three panelists will share their expertise on crisis standards of care from public health, legal, medical and operational perspectives: – James G. Hodge, Jr., JD, LLM, is the director of the Center for Public Health Law and Policy at Arizona State University and a professor at the Sandra Day O’Connor College of Law. A leading expert in public health emergency law, he has helped draft several model public health regulations and advised public health officials across the country. – Aaron Burnett, MD, FACEP, is the EMS medical director for the State of Minnesota and an associate professor of emergency medicine at the University of Minnesota. As a member of Minnesota’s State EMS Regulatory Board, he helped the State put in place recent changes to regulations to help communities and EMS organizations respond to COVID-19. – John L. Hick, MD, serves as deputy chief EMS medical director and medical director for emergency preparedness at Hennepin County Medical Center in Minneapolis. An expert on disaster response, he also advises the U.S. Department of Health and Human Services Assistant Secretary for Preparedness and Response as the lead editor for the Technical Resources, Assistance Center, and Information Exchange. The NHTSA Office of EMS will moderate.

About EMS Focus

EMS Focus provides a venue to discuss crucial initiatives, issues and challenges for EMS stakeholders and leaders nationwide. Be sure to visit ems.gov for information about upcoming webinars and to view past recordings.

Webinar: A Report From the Front Lines of the COVID-19 Response

FREE WEBINAR

A Report From the Front Lines of the COVID-19 Response

View On-Demand Webinar

Register Here▶

A Report from the Front Lines – What the 911 provider for New Rochelle, NY and the largest ambulance service provider in the U.S. have learned and what you should know to protect your staff and serve your communities

Join Dr. Ed Racht, Chief Medical Officer, and Randy Strozyk, Executive Vice President Operations for Global Medical Response and Hanan Cohen, Director of MIH-CP and Jim O’Connor, Vice President for Empress Ambulance Service for a compelling webinar straight from the front lines of the COVID-19 pandemic.  The panelists will discuss workforce safety and wellness, treatment and transport changes, lessons learned, and the challenge of providing services in some of the hardest-hit areas of our country.

View Global Medical Response’s COVID-19 resource site►

Presenters:

Ed Racht, M.D.
Chief Medical Officer, Global Medical Response 

Dr. Ed Racht has been involved in Emergency Medical Services and healthcare systems for more than 30 years. He currently serves as Chair of the Texas EMS, Trauma and Acute Care Foundation, an organization that provides advocacy, strategic planning and healthcare system credentialing in the State of Texas.

Dr. Racht has been Chief Medical Officer for American Medical Response (AMR) since 2010. Prior to this role, he served as the Chief Medical Officer and Vice President of Medical Affairs for Piedmont Newnan Hospital in metro Atlanta. Dr. Racht was the first full-time Medical Director for the Austin/Travis County Emergency Medical Services System, where he spent 13 years. The System was nationally recognized in the Institute of Medicine’s Report on the state of emergency care for its collaborative approach to challenging healthcare integration issues.

Dr. Racht received his undergraduate and medical degree from Emory University in Atlanta and completed his residency at the Medical College of Virginia.

Dr. Racht is the recipient of numerous awards including being named EMS Medical Director of the Year for the State of Texas, the American Heart Association’s Paul Ledbetter MD Physician Volunteer of the Year Award and was named a “Hero of Emergency Medicine” in 2008 by the American College of Emergency Physicians. In 2015, he was the first recipient of the Joseph P. Ornato Excellence in Clinical Leadership Award, and in 2011 received the Slovis Award for Educational Excellence by the U.S. Metropolitan Municipalities Medical Director Consortium. He is also the third Inductee in the Texas EMS, Trauma and Acute Care Foundation Hall of Fame.

Randy Strozyk
Executive Vice President of Operations, Global Medical Response

Randy Strozyk has been a leader in emergency medical services for more than 40 years and is an integral part of the GMR/AMR executive team. As SVP of Executive Operations, he is engaged in our overall operations and specific areas such as internal and external integration and our event Medical Services. He has extensive experience in EMS operations and management.  He is a long time member of the American Ambulance Association and is presently the AAA Secretary. Strozyk began his career as a paramedic. He holds a Bachelor of Science degree in microbiology from Washington State University and an MBA from California State University.

Jim O’Connor
Vice President, Empress Ambulance Service

Jim O’Connor is the Vice President of Empress Ambulance of Yonkers, New York. Empress is part of the PatientCare EMS Solutions organization. He has been involved in the Emergency Medical Service (EMS) for over four decades and was one of the first paramedics in Westchester County, New York.

Empress is the contracted provider of 911 emergency medical services (EMS) for the cities of New Rochelle, Yonkers, White Plains and Mount Vernon. Empress has a staff of over 500 employees and has been operating in Westchester County since 1985. They also provide all levels of inter-facility ambulance transportation services for some of the most prestigious hospital systems in the New York metropolitan area.

Jim has been active with many EMS organizations and has held Board positions locally, regionally and on a national level. He was a founding member and first Chairman of the Westchester County Regional EMS Council and has served on the Hudson Valley Regional EMS Council, the New York State EMS Council and the American Ambulance Association in Washington, D.C.

Hanan Cohen
Director of MIH-CP, Empress Ambulance Service

Hanan Cohen is the Director of Corporate Development and Community Paramedicine at Empress EMS a large progressive regional ambulance service and EMS provider. He is a Paramedic and Community Paramedic with 30 years’ experience in EMS and Hospital Administration. His focus has been on new program design and application. He has been the administrator for multiple hospital clinical departments as well as a Level 1 Trauma Center. His EMS career has included, rural, suburban and urban EMS systems.

He has spent the past several years researching, developing and implementing MIH-CP programs at Empress EMS providing collaborative community health programs with multiple hospitals in Westchester County and New York City. He is a Certified Ambulance Compliance Officer and member of the American Ambulance Association Payment Reform Committee.

 

FEMA NBEOC Dashboard COVID-19 Dashboard

The National Business Emergency Operations Center (NBEOC)  is FEMA’s virtual clearing house for two-way information sharing between public and private sector stakeholders to help people before, during, and after disasters.

The NBEOC was created to enhance communication and collaboration with private industry partners and ensure their integration into disaster operations at a strategic and tactical level.  During response operations, NBEOC members are linked into FEMA’s National Response Coordination Center (NRCC), activated Regional Response Coordination Centers (RRCCs), and the broader network of emergency management operations to include our state and federal partners.

The NBEOC offers a platform to share information on impacts, operating status, and recovery challenges, as well as access to information to support business continuity decisions, and integration into planning, training, and exercises.  Participation in the NBEOC is voluntary and open to all organizations with significant and multistate geographical footprints in the private sector, which include large businesses, chambers of commerce, trade associations, universities, think-tanks, and non-profits.

View the FEMA NBEOC Dashboard COVID-19 Dashboard►