TED GOLDBERG | AUGUST 28, 2023 | HEALTH CARE
The task force is seeking $23 million in federal funding
The New Jersey EMS Task Force has responded to a range of emergencies around the state since it was established in the wake of the Sept. 11, 2001 terrorist attacks, including forest fires, natural disasters and distributing vaccines during the COVID-19 pandemic.
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NJ EMS Task Force members came together this week for their annual team meeting at a firehouse in New Jersey. They left after an evening of inspiration, encouragement, hope, and repeated reminders that those in emergency services aren’t in the field for fame but rather to change the lives of others.
“Fame is what people did for themselves. Greatness is what they did for others,” said guest speaker Gian Paul Gonzalez. “You’re not in this room for fame. Greatness doesn’t go viral. But that doesn’t change the fact that it changes the course of history.”
Gonzalez capped an evening highlighted by conversations with Mike Bascom, chairman of the non-profit NJ EMS Task Force, New Jersey State Police Col. Patrick Callahan, Dana Johnson, assistant commissioner of the NJ Department of Health, and H. Mickey McCabe, one of the four original founders of the organization.
“Commit yourself to being the member you intended to be when you applied to be part of this team,” said Bascom.
Bascom outlined the NJEMSTF accomplishments in the last few years, including the organization's significant role in New Jersey’s response to the COVID-19 pandemic – a mission that continues today. Part of that mission included working with the NJ Department of Health to develop and execute a plan to transfer over 850,000 COVID-19 vaccines to areas where the doses were critically needed.
Bascom also highlighted the change in the organization to a 501 (c) 3 non-profit, which operates on grants and private donations. Bascom said the NJEMSTF would soon launch a fund drive to raise much needed funding to maintain this mission-critical organization.
New Jersey State Police Col. Patrick Callahan compared the NJ EMS Task Force members to rivets on a bridge and how they create a sturdy structure working together. He challenged members to “always be striving to move the needle.”
Callahan noted that those in EMS often see and experience things most people never face.
“Bounce forward; you can’t go back,” Callahan said.
“Never forget the whys that you took this job,” Callahan added. “Don’t forget the why. Sometimes we get lost.”
The NJ EMS Task Force was formed in the wake of the September 11, 2001, terrorist attacks when in the weeks and months after the tragedy, EMS leaders from around New Jersey gathered to develop a plan for an organization to train for and coordinate a statewide EMS response to any disaster. Today, The New Jersey EMS Task Force is an award-winning organization used as a model nationwide.
In 2023, the NJ EMS Task Force was part of the statewide response to several wildfires impacting thousands of acres of land and floods that required the evacuation of assisted living facilities while also developing and updating the disaster response plans.
Johnson praised the NJ EMS Task Force for its work, saying it was an example of how people coming for a common goal can do so much. She noted that because of the NJ EMS Task Force’s vaccine transfer system, “450 unique areas of New Jersey got the vaccines that wouldn’t have been able to get it otherwise.”
“You always maintain communications and professionalism,” Johnson told attendees.
“When it all comes apart at a local level….you are called,” McCabe told attendees. A single call mobilizes the Task Force, he said.
He urged members to get to know each other and the organizations around them. “You need to know the people around you. You need to know what they can do,” McCabe said, reminding members that what those in EMS do is something most people couldn’t handle.
Jennifer McCarthy, Vice President of the Board, presented Distinguished Awards to NJEMSTF member Terry Hoben and Dr. David Adinaro for their service, work with the organization and their overall impact on the field of EMS.
“Dr. Adinaro opened opportunities for the NJEMSTF to become fully actualized during the public health crisis in New Jersey,” McCarthy said. “We are forever grateful for the funding support and uses of our vital organization that Dr. Adinaro facilitated.”
She added, “As an original member and host agency, as well as a founding member of the Heli Base module, Terry’s contribution is long-lasting and important to the work we achieve every day for New Jersey and beyond.”
There were also brief discussions within the NJEMTF’s various team modules, ranging from medical operations, communications, staging, logistics, public information, finance, and planning; scheduling upcoming module meetings and training sessions for preparation towards an annual Base of Operation Exercise scheduled for October 2023.
Gonzalez reminded members that their work requires a commitment where success is not guaranteed.
“Being committed is not a feeling,” he said, adding it’s not a slogan on a T-shirt. “It’s a commitment.”
New Jersey is using EMS teams to pack up and bring COVID-19 vaccines across the state as focus shifts from mega-sites to community centers and doctor’s offices
Almost every day up to a dozen emergency response professionals from around the state gather at the New Jersey Department of Health’s laboratory in Ewing to carefully pack and then distribute a precious public health resource: COVID-19 vaccines.
Doses from drugmakers Moderna, Pfizer and Johnson & Johnson are nestled in separate “cooling cubes” designed to maintain specific temperatures; routes and drop-off locations are mapped, and the coolers are loaded into vans to be delivered to immunization sites statewide.
The vaccine transfer process is designed to match the shots with shifting public demand and prevent as few doses as possible from going to waste. So far, New Jersey appears to have succeeded, with just 0.25% of the more than 11 million doses received having expired or otherwise gone unused, according to the DOH, less than half the national vaccine wastage rate.
“The state is working to make sure vaccines don’t sit on a shelf where they won’t get used,” said Mike Bascom, president of the New Jersey EMS Task Force, a nonprofit comprising 60 local organizations, and emergency management coordinator in Neptune. For the past two weeks, task force members have handled the tracking and distribution of thousands of COVID-19 vaccine doses under a recent agreement with the DOH.
Nearly 4.4 million New Jerseyans have now been vaccinated through the state’s effort, which launched in mid-December, and Gov. Phil Murphy hopes to make it to 4.7 million by July. For months demand for the shots far outpaced supply and vaccine sites around the state were clamoring for additional doses. But interest has since slowed significantly and state figures show less than 50,000 shots given any day in June, down from a peak of more than 120,000 daily doses in early April.
Shot shuttleThe state has started to scale back its vaccination infrastructure, winding down operations at its six mega-sites. But that evolving demand can complicate allocations and leave less busy sites with more doses than needed. The DOH tapped the task force to oversee the process of tracking the daily distribution from Ewing, and to help shuttle shots among various sites, all to avoid vaccine loss.
“The Department of Health Operations Team has been working around the clock to make sure vaccines get safely to points of distribution that are closest and most convenient to where the people are,” DOH commissioner Judy Persichilli said earlier this month in announcing the task force arrangement. Previously the state had handled this transport work with the help of contractors.
“We appreciate the critical role our State’s EMS Task Force has played throughout the pandemic as one of our key response partners,” Persichilli said. “This innovative program to responsibly use existing vaccine doses through safe and effective methods of transfer once again shows the importance of state-level coordination in close collaboration with our vaccine partners.”
Persichilli said the DOH allocated $6 million in federal pandemic-related funding to assist the task force with its work to help the state prepare for and respond to large-scale emergencies. During the coronavirus outbreak, its role has included coordinating COVID-19 testing, transporting scarce medical equipment, evacuating a nursing home and organizing pop-up vaccination clinics, including several at the Jersey Shore over Memorial Day weekend.
“This is part of the evolution of our role in the state’s COVID-19 mission,” Bascom said of the task force, which was formed in the wake of 9/11. “We have gone from working behind the scenes, to supporting testing and vaccination sites, to putting shots in arms, and now assuring the vaccines are allocated to the right parts of the state to be most efficient.”
Handle with careThe three vaccines require careful storage and handling, and each must be maintained at its own specific icy temperature; Moderna requires an ultra-cold deep freezer for protection, while Pfizer doses depend on regular freezers and Johnson & Johnson shots can be stored in something akin to a traditional refrigerator. Each vial contains multiple doses and if not properly maintained, the vaccines can spoil.
According to the DOH, New Jersey has lost 28,340 doses through June 8, or 0.25% of the 11.1 million doses delivered since December. While this is higher than the waste reported in early April — when it was barely 0.1% — it remains well below the current national rate of 0.68%, the department said, and well below what federal officials set as a goal for COVID-19 vaccine loss.
The DOH continues to oversee the allocation of the vaccines statewide, placing orders with the federal government based on the capacity and number of people at each immunization site. The vaccines are generally shipped directly to the clinics, although some have been stored at the health department lab in Ewing, next door to the state’s emergency operations center.
Being able to shift supplies from one site to another is key to meeting the evolving demand, experts note. Task force members from local squads are dispatched to Ewing almost daily, with three or four individuals assigned to coordinating the operation and six to 10 more loading the vans and hitting the road. In the first 10 days the teams put some 4,000 miles on the two vans, Bascom said, which were provided by squads from South Branch and West New York.
“We have come a long way with the task force,” said task force member Mike McCabe, the deputy EMS coordinator in Hudson County and a first responder in Bayonne. “We’re very encouraged by the responsibility the state has given to us,” he said, “and we hope it leads to more” collaboration.
A mobile NJ EMS Task Force is driving COVID-19 vaccines out to where people live — vaccinating those who can’t get to regular vaccination sites. The mobile team is partnering with the Visiting Nurse Association of Central Jersey and local officials.
Meanwhile, state health officials are waiting to launch their “triplets” — three mega-vans outfitted for major on-the-road vaccination campaigns.