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High-Consequence Infectious Disease Patient Transport Concept of Operations for US Department of Health and Human
Anthony J Lo Piccolo1, Andrew B Wallach1, Jory Guttsman1
1Anthony J. Lo Piccolo, MS, is a Research Coordinator, Division of Infectious Diseases & Immunology, NYU Langone Health and NYC Health + Hospitals (H+H)/Bellevue. Andrew B. Wallach, MD, is Ambulatory Care Chief, NYC H+H/Bellevue; Ambulatory Chief Medical Officer, NYC H+H; and Professor, Department of Medicine, NYU Grossman School of Medicine. Jory Guttsman, MPA, is Director of Emergency Management, and Laura Hillard, MA, is Director of Regional Preparedness; both at NYC H+H/Bellevue. Melissa Cairo is a Government and Public Services Manager, Deloitte. Nang Thu Thu Kyaw, PhD, MPH, is an Career Epidemiology Field Officer, Office of Readiness and Response, Centers for Disease Control and Prevention, Atlanta, GA, seconded to the Office of Emergency Preparedness and Response, New York City Department of Health and Mental Hygiene. Mary Foote, MD, MPH, is Medical Director, New York City Department of Health and Mental Hygiene. Vikramjit Mukherjee, MD, is Medical Director of Special Pathogens Program and Director of Critical Care, NYC H+H/Bellevue Hospital Center, and Co-Principal Investigator, National Emerging Special Pathogen Treatment and Education Center (NETEC), NYU Grossman School of Medicine. All of the authors are located in New York, NY.
Abstract:
New York City has been the epicenter of multiple recent infectious disease outbreaks, including COVID-19 and mpox, due to its position as one of the largest international travel hubs in the United States. In response to the imperative need to transport patients to specialized biocontainment units during high-consequence infectious disease outbreaks, the Health and Human Services Region 2 Regional Emerging Special Pathogen Treatment Center at New York City Health + Hospitals/Bellevue and the NYC Department of Health and Mental Hygiene spearheaded a comprehensive patient transport system. Informed by real-world experiences, quarterly drills, and regional partner engagement, the updated Region 2 patient transport concept of operations (CONOPS) ensures safe and seamless patient transfers. This article elucidates key components of the patient transport CONOPS, the multifaceted partner engagement approach used to develop it, and the collaborative workshop that fine-tuned the plan. Organizational skills, partner engagement, and adaptability were all necessary for refining and operationalizing a robust patient transport CONOPS. The finalization of this plan speaks to the collaborative spirit and commitment of regional leaders to ensure the effective management of high-consequence infectious disease outbreaks and the safeguarding of public health within Region 2 and beyond.
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