Hospital Preparedness Program

Transcription

1 Assistant Secretary for Preparedness and Response HOSPITAL PREPAREDNESS PROGRAM DONNA MURRAY, MHA, FACHE HOSPITAL PREPAREDNESS PROGRAM MANAGER June 2, 2010 Hospital Preparedness Program HRSA Hospital Focused Six Priority Areas 14 Critical Benchmarks Established Minimum Levels of Readiness ASPR 2007-present Pandemic and All Hazards Preparedness Act moved program to from HRSA to ASPR Hospital and Healthcare System Focused Capability Prioritization Based on Hazard Vulnerabilities Capacity vs. Capability Surge Capacity the ability to manage increased patient care volume that otherwise would severely challenge or exceed the existing medical infrastructure. Surge Capability the ability to manage patients requiring unusual or very specialized medical evaluation and intervention, often for uncommon medical conditions. -Barbera and Macintyre 1

2 Overarching Requirements National Incident Management System Education and Preparedness Training Needs of At-Risk Populations Exercises, Evaluations, and Corrective Actions Level 1 Sub-Capabilities Interoperable Communications Bed Tracking SERVPA Fatality Management Medical Evacuation Partnership/Coalition Development Level 2 Sub-Capabilities Alternate Care Sites Mobile Medical Assets Pharmaceutical Cache Personal Protective Equipment Decontamination Medical Reserve Corps Critical Infrastructure Protection 2

3 Hospital Preparedness Program Priorities National Incident Management System Education and Preparedness Training Needs of At-Risk Populations Exercises, Evaluations, and Corrective Actions Interoperable Communications Bed Tracking SERVPA Fatality Management Medical Evacuation Partnership/Coalition Development Alternate Care Sites Mobile Medical Assets Pharmaceutical Cache Personal Protective Equipment Decontamination MRC Critical Infrastructure Protection Tiered Response System Tier 1: Management of Individual Healthcare Assets Tier 2: Management of the Healthcare Coalition Tier 3: Jurisdiction Incident Management Tier 4: Management of State Response and Coordination of Intrastate Jurisdictions Tier 5: Interstate Regional Management Coordination Tier 6: Federal Support to State, Tribal, and Jurisdiction Management NIMS All participating healthcare organizations will remain compliant with the 14 required NIMS elements. 3

4 Education and Preparedness Training (EPT) Awardees must have EPT programs for healthcare workers who respond to terrorist incidents or other public health emergencies Programs must encompass the subcapabilities EPT should be linked with exercises EPT must be competency-based Needs of At-Risk Populations Participating facilities shall clearly identify the At-Risk Populations served Participating facilities shall work with Community-Based Organizations to address the needs of the identified populations Exercises, Evaluations, and Corrective Actions Any exercises in whole or in part with HPP funds must be built on the guidance and concepts of HSEEP Participating facilities shall work within their regions to develop economies of scale for exercises Facilities shall use at least 1% of their funding for exercise expenses (State requirement) Facilities shall write an After Action Report (AAR) within 60 days Facilities shall submit AARs for HPP funded exercises to PA DOH within 60 days of completion Facilities shall use AARs to update plans and to prioritize training needs 4

5 Interoperable Communications Systems All participating facilities are encouraged to have vertical and horizontal communication redundancy composed of: Landline and Cellular Telephones Two-way VHF/UHF Radio Satellite Telephone Amateur (HAM) Radio Telecommunications Service Priority (TSP) Program Federal Communications Commission program that directs telecommunications service providers to give preferential treatment to users enrolled in the program following a disruption of service, regardless of the cause Participating facilities are encouraged to fund at least one TSP line (may use HPP funds) Fatality Management Participating facilities must have a fatality management plan All fatality plans should be integrated into local, jurisdictional, and state plans Plans should be based on the number of fatalities estimated in HVA Fatality management should be incorporated into exercise plans 5

6 Medical Evacuation/Shelter in Place (SIP) Participating facilities must have a medical evacuation/sip plan All evacuation/sip plans should be integrated into local, jurisdictional, and state plans Plans should be based on the HVA Evacuation and SIP should be incorporated into exercise plans Partnership/Coalition Building All participating facilities shall establish partnerships or coalitions through the use of Memorandum of Understanding for necessary support during disaster situations Participating facilities shall participate in Regional Task Force Medical/Hospital Subcommittees (State requirement) Alternate Care Sites (ACS) Participating facilities shall continue to develop, improve, and exercise ACS plans Participating facilities shall submit the following information to the state once a year: Location(s) of designated ACS Number of beds Level of care to be provided at the ACS Summary of plans for staffing, supply, and resupply of ACS 6

7 Mobile Medical Assets Use of mobile medical assets (tents, trailers, or portable medical facilities) may be an option for participating facilities based on HVAs and completion of other capabilities Participating facilities shall develop plans for mobile medical capability to include staffing, supply/resupply, and training Pharmaceutical Caches Participating facilities shall maintain a 72 hour supply of pharmaceuticals for use during disaster situations. Purchases shall be in the following order of precedence: Antibiotic drugs Nerve agent antidotes Antiviral drugs Medications for exposure to other threats (such as radiological events) Personal Protective Equipment (PPE) Participating facilities shall maintain adequate types and amounts of PPE to protect current and additional trained workers expected in support of the events of highest risk identified through their HVA PPE levels should be tied directly to the number of healthcare workers needed to support bed surge capacity during a mass casualty incident that requires PPE 7

8 Decontamination (Decon) Participating facilities shall be capable of providing decon to individual(s) with potential or actual hazardous agents in or on their body Facilities shall have the capability to decon more than one patient t at a time and be able to decon both ambulatory and stretcher bound patients Decon assets (portable and/or fixed) shall be based on how many patients/providers can be decontaminated on an hourly basis For Additional Information Hospital Preparedness Program Office of Public Health Preparedness 130 A Kline Plaza Harrisburg PA Harrisburg, PA (Fax) OPHP_HospWeb@state.pa.us 8