Placeholder Image

Subtitles section Play video

  • ARE.

  • AND WE'RE EXPERIENCING.

  • AS YOU CAN SEE THE INCREASE ON

  • THE TRAJECTORY CASES CONTINUES

  • TO CLIMB, 7681.

  • A COUPLE OF UPDATES I WOULD LIKE

  • TO MAKE TO THE LOCAL HEALTH

  • PROVIDERS.

  • WE WANT TO ANTICIPATE THIS

  • SITUATION.

  • WE TALKED YESTERDAY ABOUT

  • PLANNING FORWARD AND GETTING

  • BEHIND THIS VIRUS FROM DAY ONE

  • RATHER THAN BEING REACTIVE, BE

  • PROACTIVE, GET AHEAD OF IT.

  • LOCAL HEALTH PROVIDERS SHOULD BE

  • WATCHING WHAT'S GOING ON IN

  • DIFFERENT PARTS OF THE STATE AND

  • ANTICIPATING WHAT'S GOING TO

  • HAPPEN.

  • THIS IS GOING TO BE A PHENOMENON

  • OF A ROLLING APEX.

  • WE KEEP TALKING ABOUT THE APEX,

  • THE TOP OF THE CURVE.

  • BUT THE TOP OF THE CURVE WILL

  • OCCUR AT DIFFERENT TIMES IN

  • DIFFERENT PLACES.

  • RIGHT?

  • THE CURVE IS A FUNCTION OF THE

  • RATE OF SPREAD, THE RATE OF

  • DENSITY AND WHEN IT STARTED.

  • SO YOU'LL SEE DIFFERENT CURVES.

  • YOU SEE IT ALL ACROSS THE

  • COUNTRY.

  • IT STARTED IN WASHINGTON, THE

  • STATE OF WASHINGTON.

  • NOW YOU SEE NEW YORK, YOU SEE

  • CHICAGO, YOU SEE NEW ORLEANS.

  • YOU SEE PARTS OF CALIFORNIA.

  • SO, THAT ROLLING APEX IS

  • HAPPENING ACROSS THE COUNTRY.

  • THAT ROLLING APEX IS ALSO GOING

  • TO BE HAPPENING ACROSS THE STATE

  • OF NEW YORK.

  • THE CURRENT PROJECTIONS ALL SAY

  • NEW YORK CITY WILL FACE THE

  • FIRST HIGH WATER MARK IF YOU

  • WILL, HIGH TIDE MARK, THE HIGH

  • TIDE OF THE CURVE.

  • BUT THEN YOU'LL SEE WEST

  • CHESTER, YOU'LL SEE LONG ISLAND

  • ON A DELAY WITH THEIR CURVE

  • HITTING A NEW HEIGHT.

  • MOD PROJECT -- MODEL PROJECTORS

  • ARE NOT SURE WHETHER IT'S LONG

  • ISLAND FIRST, SOME SUGGEST WEST

  • CHESTER YOU REMEMBER THAT

  • CLUSTERING AT NEW ROCHELLE.

  • THEN UPSTATE NEW YORK.

  • WE EXPECT A CURVE IN UPSTATE NEW

  • YORK ALSO.

  • IT MAY NOT BE AS HIGH,

  • OBVIOUSLY, AS NEW YORK CITY,

  • WEST CHESTER AND LONG ISLAND,

  • BUT THERE WILL BE A CURVE.

  • SO IF YOU ARE NOT IN A HIGHLY

  • AFFECTED HEALTH AREA NOW, THAT

  • DOESN'T MEAN YOU ARE NOT GOING

  • TO HAVE A REAL SITUATION TO DEAL

  • WITH.

  • BECAUSE THESE NUMBERS ARE JUST

  • GOING TO CONTINUE TO GO UP ALL

  • ACROSS THE STATE.

  • SO FOR LOCAL HEALTH SYSTEM, THIS

  • IS A NEW CHALLENGE.

  • MOST HEALTH SYSTEM VERSUS PUBLIC

  • HOSPITALS AND THEN THEY HAVE

  • PRIVATE HOSPITALS OR VOLUNTEER,

  • VOLUNTARY HOSPITALS.

  • AND THEY BASICALLY EXIST ON A

  • DAY-TO-DAY BASIS AS TWO

  • DIFFERENT SYSTEMS.

  • SO YOU WILL HAVE PUBLIC

  • HOSPITALS AND THEN YOU HAVE THE

  • PRIVATE HOSPITAL SYSTEM.

  • AND FOR ALL INTENTS AND

  • PURPOSES, IN NORMAL OPERATING

  • PROCEDURES, THEY OPERATE AS TWO

  • SYSTEMS, THERE'S VERY LITTLE

  • INTERACTION.

  • THERE IS ALSO VERY LITTLE

  • INTERACTION AMONG INDIVIDUAL

  • HOSPITALS SOMETIMES EVEN WITHIN

  • THEIR OWN SYSTEM.

  • SO YOU HAVE PUBLIC HOSPITALS

  • THAT ARE A PART OF A PUBLIC

  • HOSPITAL SYSTEM, BUT EACH

  • HOSPITAL BASICALLY OPERATES ON

  • ITS OWN.

  • RIGHT.

  • HAS ITS OWN IDENTITY.

  • CERTAINLY TRUE ON THE PRIVATE

  • SIDE, WHERE YOU HAVE INDIVIDUAL

  • HOSPITALS AND THEY OPERATE ON

  • THEIR OWN.

  • WE HAVE TO CHANGE THAT

  • MENTALITY.

  • AND WE HAVE TO CHANGE THAT

  • MENTALITY QUICKLY.

  • NO HOSPITAL IS AN ISLAND.

  • NO HOSPITAL IN THIS SITUATION

  • CAN EXIST UNTO THEMSELVES.

  • WE REALLY HAVE TO HAVE A NEW

  • MENTALITY, A NEW CULTURE OF

  • HOSPITALS WORKING WITH ONE

  • ANOTHER BOTH WITHIN THE PUBLIC

  • SYSTEM AS WELL AS THE PRIVATE

  • SYSTEM AND WE NEED TO THINK

  • ABOUT THE PUBLIC SYSTEM WORKING

  • WITH THE PRIVATE SYSTEM IN A WAY

  • THEY NEVER HAVE BEFORE.

  • THERE IS AN ARTIFICIAL WALL

  • ALMOST BETWEEN THOSE TWO SYSTEMS

  • NOW.

  • THAT WALL HAS TO COME DOWN.

  • THAT THEORY HAS TO COME DOWN.

  • THIS IS GOING TO BE ALL HANDS ON

  • DECK.

  • THIS IS EVERYBODY HELPING

  • EVERYONE ELSE.

  • ONE HOSPITAL GETS OVERWHELMED.

  • THE OTHER HOSPITALS HAVE TO FLEX

  • TO HELP THAT HOSPITAL AND

  • VICE-VERSA.

  • WE HAVE EMHURST -- ELMHURST

  • HOSPITAL IN NEW YORK UNDER

  • STRESS.

  • IT'S HIGH.

  • WHEN THE NUMBER OF CASES IS

  • HIGH, THE STRESS ON THE STAFF IS

  • HIGH.

  • I WAS JUST TALKING TO THE DOCTOR

  • ABOUT THIS, YOU DO THIS WITH

  • TWO, THREE, FOUR WEEKS, THE

  • LEVEL OF STRESS IS VERY INTENSE.

  • ELMHURST HOSPITAL IS A PART OF A

  • PUBLIC HEALTH SYSTEM OF ABOUT 11

  • HOSPITALS IN NEW YORK CITY.

  • THAT SYSTEM HAS TO WORK

  • TOGETHER.

  • AND THOSE HOSPITALS HAVE TO WORK

  • TOGETHER.

  • THE LEVIN HEALTH AND HOSPITAL IN

  • NEW YORK CITY, THE PUBLIC

  • SYSTEM.

  • I WILL ASK MAYOR De BLASIO AND

  • CONTROLLER STINGER TO TAKE A --

  • STRINGER TO LOOK AT THE SYSTEM

  • AND LOOK AT HOW WE CAN GET THAT

  • SYSTEM TO WORK BETTER TOGETHER

  • AS A UNIFIED SYSTEM.

  • THIS IS NOT GOING TO GET BETTER

  • SOON.

  • RIGHT.

  • SO ELMHURST IS UNDER STRESS NOW.

  • THAT STRESS DOES NOT ABATE FOR

  • THIS FORESEEABLE SHORT-TERM

  • FUTURE.

  • SO HOW DO WE MAKE THAT SYSTEM

  • WORK BETTER TOGETHER?

  • AND WHAT RECOMMENDATION DOS WE

  • HAVE TO IMPROVE H&H?

  • WE WILL ALSO BE MEETING WITH THE

  • PRIVATE HOSPITALS IN NEW YORK

  • CITY THAT ARE ORGED THROUGH THE

  • GREATER NEW YORK HEALTH SYSTEM.

  • WE WILL MEET TO TALK ABOUT

  • HAVING THOSE HOSPITALS ALSO

  • ORGANIZED ACT AS ONE, GET OUT OF

  • THEIR SILOS.

  • GET OUT OF THEIR IDENTITIES TO

  • WORK TOGETHER.

  • AND THEN, OVERALL, HAVE YOU

  • THESE LOCAL HEALTH SYSTEMS.

  • THE STATE'S ROLE, WHICH WE'VE

  • NEVER REALLY DONE BEFORE, IS

  • GETTING THOSE HEALTH SYSTEMS TO

  • WORK WITH ONE ANOTHER SO WE

  • TALKED ABOUT IF NEW YORK CITY

  • GETS OVERWHELMED, WHEEL ASK THE

  • UPSTATE SYSTEMS TO BE A RELIEF

  • VALVE FOR THE DOWN-STATE HEALTH

  • SYSTEMS, WHICH HAS NEVER

  • HAPPENED BEFORE TO ANY SCALE.

  • AND ALSO, VICE-VERSA.

  • THERE WILL BE A TIME WHERE THE

  • UPSTATE HOSPITALS WILL BE

  • STRUGGLING.

  • AND WHEN THE UPSTATE HOSPITALS

  • WILL BE STRUGGLING, THEN WE WANT

  • THE DOWN-STATE HOSPITALS TO BE

  • ABLE TO TAKE OVER AND RELIEVE

  • THOSE HOSPITALS.

  • THAT'S ACTUALLY THE ADVANTAGE OF

  • THE ROLLING CURVE THAT THEY'RE

  • PROJECTING.

  • IF IT DOES HAPPEN THAT WAY,

  • THEORETICALLY, THE -- I ALMOST

  • THINK OF IT AS A HIGH TIDE MARK.

  • RIGHT.

  • HIGH TIDE COMES FIRST IN NEW

  • YORK CITY.

  • THEN THE TIDE IS ON THE WAY

  • DOWN.

  • THEN IT'S HIGH TIDE IN UPSTATE,

  • NEW YORK.

  • OKAY, SO IF THE TIDE IS DROPPING

  • DOWN STATE, HAVE YOU RELIEF FOR

  • THE UPSTATE HOSPITALS.

  • WE PUT IN PLACE THE NEW YORK

  • PAUSE PROGRAM.

  • TODAY I AM GOING TO EXTEND IT TO

  • APRIL 15th.

  • THE DIRECTIVE THAT NON-ESSENTIAL

  • STATE WORK FORCE CONTINUE TO

  • WORK FROM HOME.

  • WE ARE DOING IT IN TWO-WEEK

  • INTERVALS, BECAUSE EVERY DAY IS

  • A NEW DAY AND WE'LL SEE WHAT

  • HAPPENS DAY-TO-DAY, BUT I THINK

  • IT'S NOT EVEN QUESTIONABLE

  • TODAY.

  • BUT THAT WE'RE GOING TO NEED TWO

  • MORE WEEKS OF NON-ESSENTIAL

  • WORKERS.

  • THE GOOD NEWS, ROD'S WORK HAS

  • DEVELOPED, THE NEW YORK STATE

  • DEPARTMENT OF HEALTH HAS

  • DEVELOPED A LESS INTRUSIVE

  • SALIVA AND SHORT NASAL SWAB

  • TEST.

  • I'M NOT EXACTLY SURE WHAT A

  • SHORT NASAL SWAB TEST CAN BE.

  • IT WILL BE ADMINISTERED IN THE

  • PRESENCE OF HEALTHCARE WORKERS,

  • REQUIRES LESS PPE.

  • HEALTHCARE WORKERS CAN ADMIN

  • STERS.

  • IT CAN START AS SOON AS NEXT

  • WEEK.

  • PEOPLE ASK, WHEN IS THIS OVER?

  • I THINK THE TESTING.

  • YOU TELL ME WHEN THEY COME UP

  • WITH A -- AN INEXPENSIVE HOME

  • TEST OR POINT OF CARE TEST THAT

  • CAN BE BROUGHT TO VOLUME, I

  • THINK THAT'S PROBABLY WHEN YOU

  • SEE A REAL RETURN TO NORMALCY IN

  • THE WORK FORCE.

  • IN OTHER WORDS, WE'RE ALL

  • TALKING ABOUT THIS CURVE,

  • FLATTEN THE CURVE, WHAT -- AT

  • WHAT POINT ON THE OTHER SIDE OF

  • THE CURVE DO YOU GO BACK TO

  • WORK?

  • JESSIE ASKED THIS QUESTION THE